儿茶酚-多糖复合物增强聚乙烯醇/壳聚糖冷冻凝胶对不可压缩性出血的止血与凝血作用
Catechol-polysaccharide complex enhancing the detachment and blood coagulation of polyvinyl alcohol/chitosan cryogel for non-compressible bleeding.
作者信息
Xu Gan, Cao Shujun, Huang Zhihai, Dong Yinsheng, Chu Chenglin
机构信息
School of Materials Science and Engineering, Southeast University, Nanjing 211189, China; Jiangsu Key Laboratory of Advanced Metallic Materials, Southeast University, Nanjing 211189, China.
College of Materials Science and Engineering, Nanjing Tech University, Nanjing 211816, China.
出版信息
Int J Biol Macromol. 2025 Jul;318(Pt 4):145281. doi: 10.1016/j.ijbiomac.2025.145281. Epub 2025 Jun 17.
As an efficient hemostatic material for non-compressible bleeding, the abilities of forming strong physical barrier and effectively activating coagulation system is essential. In this study, an expandable polyvinyl alcohol/chitosan (PVA/CS) cryogel with good mechanical properties was prepared with green phase separation method. To enhance the blood cells adhesion and accelerate the production of blood coagulation factor, the quaternized chitosan-polydopamine (QCS-PDA) complex crosslinked with PVA/CS on the surface to obtain PVA/CS/QCS-PDA composite cryogel. The prepared cryogel showed obvious improved blood cell adhesion and clotting factors production compared with gauze and gelatin sponge. In addition, the introduction of QCS-PDA showed enhanced antimicrobial activity against S. aureus and E. coli. By adjusting the crosslinking of QCS-PDA, the QCS-PDA complex on the surface in response to external acid stimuli can be controlled to achieve rapid separation from wound. In the rat liver defect model and femoral artery non-compressible bleeding model, PVA/CS/QCS-PDA composite cryogel can quickly seal wounds and promote blood clotting. These results indicate that PVA/CS/QCS-PDA cryogel has great potential in non-compressible hemostasis.
作为一种用于不可压缩出血的高效止血材料,形成强大物理屏障和有效激活凝血系统的能力至关重要。本研究采用绿色相分离法制备了具有良好力学性能的可膨胀聚乙烯醇/壳聚糖(PVA/CS)冷冻凝胶。为增强血细胞黏附并加速凝血因子的产生,将季铵化壳聚糖-聚多巴胺(QCS-PDA)复合物在表面与PVA/CS交联,得到PVA/CS/QCS-PDA复合冷冻凝胶。与纱布和明胶海绵相比,制备的冷冻凝胶显示出明显改善的血细胞黏附及凝血因子产生。此外,QCS-PDA的引入显示出对金黄色葡萄球菌和大肠杆菌增强的抗菌活性。通过调节QCS-PDA的交联,可控制表面的QCS-PDA复合物响应外部酸刺激,从而实现从伤口快速分离。在大鼠肝缺损模型和股动脉不可压缩出血模型中,PVA/CS/QCS-PDA复合冷冻凝胶可快速封闭伤口并促进血液凝固。这些结果表明PVA/CS/QCS-PDA冷冻凝胶在不可压缩止血方面具有巨大潜力。