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Development and utilization of a novel nanoantimicrobial suture for surgery: An in vivo and mechanical study. 一种新型手术用纳米抗菌缝合线的开发和应用:体内和力学研究。
IF 2.5 4区 医学 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2025-10-03 DOI: 10.1177/08853282251383088
Yeliz Kılınç, İnci Rana Karaca, Aysel Uğur, Sibel Elif Gültekin, İpek Atak Seçen, Nurdan Saraç, Leyla Arslan Bozdağ, Tuba Baygar

Development of surgical sutures coated with antimicrobial agents is a promising strategy to minimize surgical site infection (SSI) and improve wound healing. The antimicrobial features of Hypericum Perforatum and biogenic silver nanoparticles (AgNPs) have arised an increasing demand for processing surgical sutures. Herein the results of the animal experiments and mechanical tests of a novel antimicrobial silk suture coated with H. perforatum extract (Hp) and biogenic AgNPs (Hp-AgNP) are reported. The study used in vivo histological, histochemical, and immunohistochemical techniques to illustrate the variations in inflammatory response, re-epithelialization, and collagenization of the coated silk sutures in a rat buccal mucosa incision model. Diameter, knot-pull tensile strength, knot security, tie-down, and needle attachment tests were carried out for evaluating the effects of the coating process on mechanical and handling properties. Histopathological and immunohistochemical evaluations revealed progressive healing in all groups, with variations in wound closure, inflammation, and cytokine expression. Hp-AgNP-coated sutures showed significant improvements in re-epithelialization and reduced TNF-α and IL-6 levels over time, highlighting their potential benefits in enhancing wound healing compared to other materials. The coating process had a remarkable effect on the mechanical and handling properties. Coated sutures exhibited higher values than control groups. Suture diameter, knot-pull tensile strength and knot security revealed the highest values for Hp-AgNP-coated suture. The Hp-AgNP coating on the silk suture significantly improves wound healing, mechanical and handling properties. This implies that it has the potential to be a feasible substitute for commercially available silk sutures in surgical interventions. (Scheme 1).

外科缝合线涂覆抗菌药物是减少手术部位感染(SSI)和改善伤口愈合的一种有前途的策略。贯叶连翘(Hypericum Perforatum)和生物源银纳米颗粒(AgNPs)的抗菌特性引起了对外科缝合线处理的日益增长的需求。本文报道了一种涂有贯叶连翘提取物(Hp)和生物源agnp (Hp- agnp)的新型抗菌丝缝合线的动物实验和力学试验结果。本研究使用体内组织学、组织化学和免疫组织化学技术来说明大鼠口腔粘膜切口模型中涂覆丝缝合线的炎症反应、再上皮化和胶原化的变化。为了评价涂层工艺对机械性能和处理性能的影响,进行了直径、结拉抗拉强度、结安全性、捆扎性和针附着试验。组织病理学和免疫组织化学评估显示,所有组的伤口愈合都是渐进式的,但伤口愈合、炎症和细胞因子表达有所不同。随着时间的推移,hp - agnp涂层缝合线在再上皮化和降低TNF-α和IL-6水平方面表现出显著的改善,与其他材料相比,突出了它们在促进伤口愈合方面的潜在益处。涂层工艺对涂层的力学性能和处理性能有显著的影响。涂层缝合线的数值高于对照组。缝线直径、结拉抗拉强度和结安全性显示hp - agnp涂层缝线最高。丝线上的Hp-AgNP涂层显著改善了伤口愈合、机械和处理性能。这意味着它有可能成为外科手术中市售丝线的可行替代品。(方案1)。
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引用次数: 0
Nano-hydroxyapatite doped tyramine gelatin/silk fibroin scaffold for the regeneration of cancellous bone defects. 纳米羟基磷灰石掺杂酪胺明胶/丝素支架用于松质骨缺损的再生。
IF 2.5 4区 医学 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2025-10-01 Epub Date: 2025-05-30 DOI: 10.1177/08853282251347346
Lina Yang, Mengting Wang, Caixing Peng, Xiang Gong, Lihong Fan, Shuhua Liu, Shengxiang Tao

Gelatin (G) and silk fibroin (SF) are well-established as scaffold materials for bone regeneration; however, their limited binding abilities and mechanical properties often result in less-than-ideal outcomes. In this study, we sought to enhance the stability of a silk fibroin/gelatin biomimetic scaffold by introducing a tyramine bond to the gelatin and incorporating nanohydroxyapatite as a bioactive element. This innovation led to the development of a more robust silk fibroin/nano-hydroxyapatite/gelatin tyramine biomimetic scaffold (SHGT). The biomimetic scaffold was fabricated through an enzymatic reaction catalyzed by horseradish peroxidase/hydrogen peroxide (HRP/H2O2), which facilitated the interaction between a high concentration of silk fibroin (17%) and gelatin tyramine (GT). Additionally, nano-hydroxyapatite (nHA) was incorporated as a bioactive filler to promote bone repair. Our findings indicated that the SHG biomimetic scaffold, initially designed as a sponge, was transformed into an SHGT scaffold with improved brittle fracture resistance, thus broadening its potential applications in bone reconstruction. Moreover, the data showed that combining GT with RGD sequences and HA as a bioactive component significantly enhanced the viability of bone marrow stromal cells (BMSCs) cultured on the scaffold. This synergistic effect highlights the potential of the SHGT scaffold as a promising material for bone tissue engineering.

明胶(G)和丝素(SF)是公认的骨再生支架材料;然而,它们有限的结合能力和机械性能往往导致不太理想的结果。在这项研究中,我们试图通过在明胶上引入酪胺键并加入纳米羟基磷灰石作为生物活性元素来增强丝素/明胶仿生支架的稳定性。这一创新导致了更坚固的丝素/纳米羟基磷灰石/明胶酪胺仿生支架(SHGT)的发展。通过辣根过氧化物酶/过氧化氢(HRP/H2O2)催化的酶促反应制备仿生支架,促进了高浓度丝素蛋白(17%)与明胶酪胺(GT)的相互作用。此外,纳米羟基磷灰石(nHA)作为生物活性填料加入促进骨修复。我们的研究结果表明,最初设计为海绵的SHG仿生支架可以转化为具有更好的抗脆性断裂性能的SHGT支架,从而拓宽了其在骨重建中的潜在应用。此外,数据显示,将GT与RGD序列结合,并将HA作为生物活性成分,可显著提高支架上培养的骨髓基质细胞(BMSCs)的活力。这种协同效应突出了SHGT支架作为骨组织工程材料的潜力。
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引用次数: 0
Enhancing gelatin hydrogels: Synergistic effects of C-phycocyanin and nopal mucilage on physicochemical and biocompatibility properties. 增强明胶水凝胶:c -藻蓝蛋白和雀花粘液对其理化和生物相容性的协同作用。
IF 2.5 4区 医学 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2025-10-01 Epub Date: 2025-06-20 DOI: 10.1177/08853282251355114
Emma Gabriela Antonio-Marcos, Hugo Joel Carrillo Escalante, Liliana Hernández-Vázquez, Gerardo Alfonso Castillo Gamboa, José Manuel Cervantes Uc, Jesús Alejandro Claudio Rizo, Nayeli Rodríguez-Fuentes

Healing persistent wounds is a current challenge for healthcare systems. Addressing this type of problem requires new and improved materials that activate regenerative processes without side effects. In this sense, in this study, C-phycocyanin (CPC), a bioactive pigment obtained from Arthrospira platensis, and nopal mucilage (MUC), a traditional Mexican element of ancestral medicine, were incorporated into gelatin (GEL)-based hydrogels and chemically crosslinked. These materials, referred to as HGEL-CPC-MUC, were prepared with varying concentrations of CPC-MUC (0-1 μg/μL of hydrogel), and their structural, physicochemical, rheological and in vitro biocompatibility properties were systematically evaluated. The main findings revealed that the incorporation of CPC-MUC into GEL-based hydrogels, significantly improves their physicochemical, mechanical and biological properties. These hydrogels exhibited a chemical crosslinking, achieving 93% crosslinking efficiency, high swelling behavior (∼1250%), rough porous surfaces, sustained degradation at physiological pH, and high thermal stability. Their rheological behavior showed an improvement in G' (226%) under thermal stress (40 °C), along with high damping capacity under constant load with the addition of CPC-MUC. Notably, the presence of CPC-MUC imparted a hemoprotective effect, with hemolysis percentages decreasing proportionally to the CPC-MUC content and none of the hydrogels interfered with coagulation pathways. Furthermore, all hydrogels demonstrated excellent in vitro biocompatibility with dermal fibroblasts, showing no cytotoxic effects. These features become important in the context of a moist and refractory wounds such as foot ulcers and extensive burns, were moisture control, exceptional hemocompatibility and support for dermal fibroblasts viability are required, as well as the porous structure for nutrients and waste exchange. HGEL-CPC-MUC hydrogels represent a highly promising biocompatible and multifunctional scaffold for advanced wound care and regenerative medicine applications.

愈合持续性伤口是当前卫生保健系统面临的挑战。解决这类问题需要新的和改进的材料,激活再生过程没有副作用。因此,本研究将从platarthrospira中获得的生物活性色素C-phycocyanin (CPC)与墨西哥传统祖先药物成分nopal mucilage (MUC)结合到明胶(GEL)基水凝胶中,并进行化学交联。以不同浓度的CPC-MUC (0-1 μg/μL)制备HGEL-CPC-MUC材料,系统评价其结构、物理化学、流变学和体外生物相容性。研究结果表明,在凝胶基水凝胶中掺入CPC-MUC,可显著改善其物理化学、力学和生物性能。这些水凝胶表现出化学交联,达到93%的交联效率,高溶胀性(~ 1250%),粗糙的多孔表面,在生理pH下持续降解,以及高热稳定性。在热应力(40°C)下,CPC-MUC的流变行为改善了G′(226%),并在恒载下具有较高的阻尼能力。值得注意的是,CPC-MUC的存在具有血液保护作用,溶血百分比随着CPC-MUC含量的增加而成比例降低,并且没有水凝胶干扰凝血途径。此外,所有水凝胶与真皮成纤维细胞表现出良好的体外生物相容性,没有细胞毒性作用。这些特征在潮湿和难治性伤口(如足部溃疡和大面积烧伤)的背景下变得重要,因为需要水分控制、特殊的血液相容性和对真皮成纤维细胞活力的支持,以及用于营养物质和废物交换的多孔结构。HGEL-CPC-MUC水凝胶代表了一种非常有前途的生物相容性和多功能支架,用于高级伤口护理和再生医学应用。
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引用次数: 0
Development of an enhanced liver scaffold recellularization using fibronectin. 纤维连接蛋白增强肝支架再细胞化的研究进展。
IF 2.5 4区 医学 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2025-10-01 Epub Date: 2025-06-05 DOI: 10.1177/08853282251350315
Sadia Afrin, Usha Yadav, Chandra J Yadav, Jihad Kamel, Jun-Young Lee, Kyung-Mee Park

Decellularized liver scaffolds offer a promising foundation for liver tissue engineering and regenerative medicine. However, several challenges such as poor cell adhesion, inefficient reseeding, inadequate vascularization, and a high risk of blood clot formation continue to hinder their clinical application. While fibronectin (FN) has been widely used to enhance scaffold functionality, its potential for liver-specific applications remains largely unexplored. In this study, we developed a perfusion-assisted FN coating technique to improve the adhesion of endothelial cells (EA.hy926) and hepatocytes (HepG2), thereby enhancing the overall biocompatibility of liver scaffolds. FN was carefully introduced into decellularized rat liver scaffolds, allowing for targeted deposition across both the vascular and parenchymal compartments to optimize cellular attachment. Following portal vein reseeding and 7 days of bioreactor incubation, the FN-coated scaffolds showed significantly better endothelial cell adhesion within blood vessel structures and increased HepG2 cell coverage throughout the liver tissue. Immunohistochemistry (IHC) confirmed enhanced HepG2 proliferation, while TUNEL and RT-qPCR analyses indicated improved cell viability and scaffold functionality. Additionally, ex vivo blood perfusion tests demonstrated reduced thrombogenicity, likely due to improved endothelialization and lower platelet adhesion. These findings highlight FN functionalization as an effective bioengineering approach to overcoming key barriers in vascularization, biocompatibility, and cellular integration for liver scaffolds. By extending the known benefits of FN beyond its previously studied applications in kidney and heart scaffolds, this research introduces a promising strategy for advancing bioengineered liver grafts and potential transplantation models.

脱细胞肝支架为肝组织工程和再生医学提供了良好的基础。然而,一些挑战,如细胞粘附性差、补种效率低、血管化不足和血栓形成的高风险,继续阻碍着它们的临床应用。虽然纤维连接蛋白(FN)已被广泛用于增强支架功能,但其在肝脏特异性应用方面的潜力仍未得到充分开发。在本研究中,我们开发了一种灌注辅助的FN涂层技术,以改善内皮细胞(EA.hy926)和肝细胞(HepG2)的粘附,从而提高肝支架的整体生物相容性。FN被小心地引入到去细胞化的大鼠肝脏支架中,允许在血管和实质间室中靶向沉积,以优化细胞附着。门静脉补种和生物反应器孵育7天后,fn包被支架血管结构内内皮细胞黏附明显改善,HepG2细胞覆盖整个肝组织。免疫组织化学(IHC)证实HepG2增殖增强,TUNEL和RT-qPCR分析显示细胞活力和支架功能增强。此外,体外血液灌注试验显示血栓形成性降低,可能是由于内皮化改善和血小板粘附降低。这些发现强调了FN功能化是一种有效的生物工程方法,可以克服肝支架血管化、生物相容性和细胞整合方面的关键障碍。通过将FN的已知益处扩展到其先前在肾脏和心脏支架中的应用,本研究为推进生物工程肝移植和潜在移植模型引入了一种有前途的策略。
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引用次数: 0
Study on fabrication of calcium sulfate hemihydrate/tricalcium phosphate based injectable bone cement modified by sodium alginate-carboxymethyl chitosan gel network and its resistance to collapse. 海藻酸钠-羧甲基壳聚糖凝胶网改性半水硫酸钙/磷酸三钙基注射用骨水泥的制备及其抗塌性研究。
IF 2.5 4区 医学 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2025-10-01 Epub Date: 2025-07-19 DOI: 10.1177/08853282251361217
Junjia Kang, Xiaojie Lian, Zhimin He, Tingwei Qin, Di Huang

The collapsibility of bone cement may cause blood vessel embolism, blocking blood flow and causing serious complications such as pulmonary embolism or spinal cord injury, especially when implantation by injection. Therefore, it is of great significance to develop an artificial bone graft with excellent collapse resistance performance. Calcium sulfate and calcium phosphate complex bone cements can be formulated as injectable materials, making them particularly suitable for treating irregular bone defects. However, its clinical application is limited by poor collapsibility resistance and mechanical strength. This study aimed to develop an injectable bone repair material by integrating a biphasic calcium source, which was achieved by calcium sulfate (CS) and calcium phosphate (CP), and a synergistic network formed by sodium alginate (SA) and carboxymethyl chitosan (CMCS). The results showed that the addition of SA-CMCS as a solidifying liquid significantly improved the compressive strength, injectability, and collapsibility resistance of composite bone cement. At the concentration of 1% SA and 15% CMCS, the peak compressive strength reached 11.53 ± 1.3 MPa. All the composite bone cements did not collapse at 5 h in the static environment, and the collapse times of samples SA1-CMCS15 and SA1-CMCS20 in the dynamic environment were 95.3 ± 5.1 min and 96.7 ± 4.9 min, respectively. At CMCS concentrations of 10-20%, the injectability of composite bone cement was higher than 90% and degradation ratio was less than 15%. ALP activity and alizarin red staining confirmed that the composite bone cement showed excellent cytocompatibility and promoted cell proliferation and osteogenic differentiation. This study successfully developed a bone repair material with enhanced mechanical properties, collapsibility resistance, injectability, and biocompatibility, which may make it a promising candidate for bone regeneration applications in clinical.

骨水泥的湿陷性可引起血管栓塞,阻断血流,引起肺栓塞或脊髓损伤等严重并发症,尤其是注射植入时。因此,开发具有优异抗塌陷性能的人工骨移植具有重要意义。硫酸钙和磷酸钙复合骨水泥可以配制成可注射材料,使其特别适合于治疗不规则骨缺损。但其抗湿陷性和机械强度较差,限制了其临床应用。本研究旨在通过整合硫酸钙(CS)和磷酸钙(CP)的双相钙源,以及海藻酸钠(SA)和羧甲基壳聚糖(CMCS)形成的协同网络,开发一种可注射性骨修复材料。结果表明,SA-CMCS作为固化液的加入显著提高了复合骨水泥的抗压强度、注射性和抗湿陷性。当SA浓度为1%,CMCS浓度为15%时,峰值抗压强度达到11.53±1.3 MPa。复合骨水泥在静态环境下5 h均未发生塌陷,SA1-CMCS15和SA1-CMCS20在动态环境下的塌陷时间分别为95.3±5.1 min和96.7±4.9 min。CMCS浓度为10 ~ 20%时,复合骨水泥可注射性大于90%,降解率小于15%。ALP活性和茜素红染色证实复合骨水泥具有良好的细胞相容性,促进细胞增殖和成骨分化。本研究成功开发出一种具有较强力学性能、抗溃散性、可注射性和生物相容性的骨修复材料,有望成为临床应用的骨再生材料。
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引用次数: 0
Corrigendum to Fiber-reinforced hydrogel scaffolds for heart valve tissue engineering. 心脏瓣膜组织工程用纤维增强水凝胶支架的勘误。
IF 2.5 4区 医学 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2025-10-01 Epub Date: 2025-07-10 DOI: 10.1177/08853282251340963
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引用次数: 0
Multifunctional biopolymer-hydroxyapatite composite scaffolds for antibiotic delivery in osteomyelitis treatment and bone regeneration. 多功能生物聚合物-羟基磷灰石复合支架在骨髓炎治疗和骨再生中的抗生素递送。
IF 2.5 4区 医学 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2025-10-01 DOI: 10.1177/08853282251383102
Tehseen Riaz, Anila Asif, Rabia Zeeshan, Tanya J Levingstone, Faiza Sharif, Nicholas Dunne

High bone-localized concentrations of antimicrobial agents are necessary for the long-term effective treatment of chronic osteomyelitis, particularly in cases of severe infection and bone loss. This study addressed infection control and bone regeneration simultaneously using hydroxyapatite and natural biopolymers. Moxifloxacin hydrochloride was delivered via composite scaffolds produced from polyvinyl alcohol/gelatin and hydroxyapatite with potential applications in osteomyelitis treatment and bone tissue engineering. The composite scaffolds exhibited a well-defined porous architecture, characterised by macropores (≥100 µm) and micropores (≤20 µm), facilitating cellular infiltration and drug loading. Biomineralization and cell culture assays were used to evaluate the scaffold's bioactivity and biocompatibility. Analyses of mineralized scaffolds using Fourier-transform infrared spectroscopy and scanning electron microscopy revealed HA nucleation on the scaffold's surface after immersion in simulated bodily fluid for varied time points. Protein adsorption and haemolysis tests were conducted to confirm the blood compatibility of scaffolds. Cell culture studies using human mesenchymal stem cells indicated non-cytotoxicity and robust cell adhesion. These findings suggest the potential suitability of these scaffolds for future clinical applications in the treatment of chronic osteomyelitis and bone regeneration.

对于慢性骨髓炎的长期有效治疗,特别是在严重感染和骨质流失的情况下,骨局部高浓度的抗菌药物是必要的。本研究同时利用羟基磷灰石和天然生物聚合物进行感染控制和骨再生。盐酸莫西沙星通过聚乙烯醇/明胶和羟基磷灰石制成的复合支架递送,在骨髓炎治疗和骨组织工程中具有潜在的应用前景。复合支架具有明确的多孔结构,具有大孔(≥100µm)和微孔(≤20µm),有利于细胞浸润和载药。采用生物矿化和细胞培养试验评价支架的生物活性和生物相容性。利用傅里叶变换红外光谱和扫描电镜对矿化支架进行分析,发现在不同时间点浸泡在模拟体液后,支架表面出现了HA成核。通过蛋白吸附和溶血实验来证实支架的血液相容性。利用人间充质干细胞进行的细胞培养研究表明其无细胞毒性和强大的细胞粘附性。这些发现表明这些支架在治疗慢性骨髓炎和骨再生方面具有潜在的临床应用价值。
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引用次数: 0
Antioxidant and antibacterial alginate/lignin composite hydrogels loaded with vancomycin for wound dressing applications. 含有万古霉素的抗氧化和抗菌海藻酸盐/木质素复合水凝胶用于伤口敷料。
IF 2.5 4区 医学 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2025-10-01 Epub Date: 2025-06-03 DOI: 10.1177/08853282251347768
Faeze Shojaeinia, Masoumeh Haghbin Nazarpak, Akbar Karkhaneh

Hydrogels are advantageous for wound healing as they provide mechanical support and maintain a moist environment, essential for tissue repair. Although conventional alginate-based hydrogels are commonly used in wound care, they often lack essential properties like antibacterial and antioxidant functionality. To address this limitation, this research focused on synthesizing composite hydrogels combining alginate with lignin and loading them with Vancomycin. The incorporation of lignin and Vancomycin imparted antibacterial and antioxidant properties to the hydrogels, enhancing their therapeutic potential. The hydrogels are dual crosslinked (physically and chemically), where lignin counteracts high levels of reactive oxygen species and reduces excessive inflammation at the wound site. Furthermore, the hydrogels had pores ranging from 100 to 135 μm, which is beneficial to gas and nutrient exchange and wound fluid absorption. Results showed that lignin improved the hydrogels' stability in physiological conditions by 50%. Additionally, the incorporation of lignin led to a 30% increase in antioxidant activity and a 50% boost in antibacterial activity. Vancomycin release from the hydrogels was measured, which showed alginate-only hydrogels releasing 50% and lignin-reinforced hydrogels releasing 35% over the first 24 hours. The MTT test confirmed approximately 90% cell viability across all samples, suggesting that the designed hydrogels are promising candidates for wound dressing applications.

水凝胶对伤口愈合是有利的,因为它们提供机械支持并保持湿润的环境,这对组织修复至关重要。虽然传统的海藻酸盐水凝胶通常用于伤口护理,但它们往往缺乏抗菌和抗氧化功能等基本特性。为了解决这一问题,本研究将重点放在海藻酸盐与木质素的复合水凝胶的合成上,并在其上装载万古霉素。木质素和万古霉素的掺入使水凝胶具有抗菌和抗氧化性能,增强了其治疗潜力。水凝胶是双交联的(物理和化学),其中木质素抵消了高水平的活性氧,减少了伤口部位的过度炎症。此外,水凝胶具有100 ~ 135 μm的孔隙,有利于气体和营养物质的交换以及伤口液的吸收。结果表明,木质素使水凝胶在生理条件下的稳定性提高了50%。此外,木质素的掺入导致抗氧化活性增加30%,抗菌活性提高50%。测定了水凝胶中万古霉素的释放量,结果表明,在前24小时内,只有海藻酸盐的水凝胶释放量为50%,而木质素增强的水凝胶释放量为35%。MTT测试证实了所有样品中约90%的细胞存活率,这表明所设计的水凝胶是伤口敷料应用的有希望的候选者。
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引用次数: 0
Oyster shell powder reinforced chitosan-poly(vinyl alcohol) freeze-dried composite sponge for on-site hemorrhage control. 牡蛎壳粉增强壳聚糖-聚乙烯醇冻干复合海绵用于现场止血。
IF 2.5 4区 医学 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2025-10-01 Epub Date: 2025-05-29 DOI: 10.1177/08853282251347348
Pranabesh Kumar Sasmal, Sujankrishna Samanta, Shalini Dasgupta, Samit Kumar Nandi, Abhijit Chanda, Pallab Datta

A composite hemostatic sponge consisting of chitosan (CS) with oyster shell powder (OSP) has been developed as a potentially sustainable composite material for controlling hemorrhage at the injury site. The system is designed assuming that Ca+ released by OSP will accelerate the effect of chitosan at damage sites, enhancing the overall hemostatic efficacy. The sponge was thoroughly characterized using FTIR, SEM, and EDX analysis. In vitro, blood clotting assays such as clotting time (CT) [188 ± 4 s], prothrombin time (PT) [36 ± 1 s], activated partial thromboplastin time (aPTT) [51 ± 2 s], and plasma recalcification time (PRT) [58 ± 3 s] demonstrated that the inclusion of CaCO3 significantly improved clot formation, with the CS-OSP sponge outperforming control sponges without OSP. RT-PCR analysis of vascular endothelial growth factor A (VEGF-A), platelet-derived growth factor (PDGF), and interleukin growth factor 1 (IGF-1) on fibroblast cell lines evidenced the wound healing-promoting activity of OSP-reinforced CS sponges. This was further supported by in vivo studies using a rabbit femoral artery injury model, where the CaCO3-enhanced sponge achieved superior hemostasis and reduced blood loss more effectively than the control sponges without CaCO3. These findings suggest that the oyster shell-derived CaCO3 enhances the hemostatic activity of chitosan-based sponges, providing a promising candidate for rapid hemorrhage control in clinical settings, particularly in scenarios involving both oozing and pressurized bleeding.

壳聚糖(CS)和牡蛎壳粉(OSP)复合止血海绵是一种具有潜在可持续性的复合材料,可用于控制损伤部位出血。该系统的设计假设OSP释放的Ca+会加速壳聚糖在损伤部位的作用,提高整体止血效果。利用FTIR, SEM和EDX分析对海绵进行了全面的表征。体外凝血试验,如凝血时间(CT)[188±4 s]、凝血酶原时间(PT)[36±1 s]、活化部分凝血活素时间(aPTT)[51±2 s]和血浆再钙化时间(PRT)[58±3 s]表明,CaCO3包埋显著改善了血栓形成,CS-OSP海绵优于不含OSP的对照海绵。RT-PCR检测成纤维细胞系血管内皮生长因子A (VEGF-A)、血小板源性生长因子(PDGF)和白细胞介素生长因子1 (IGF-1)水平,证实了sp增强CS海绵对伤口愈合的促进作用。使用兔股动脉损伤模型的体内研究进一步支持了这一点,其中CaCO3增强海绵比没有CaCO3的对照海绵更有效地止血和减少失血。这些发现表明,牡蛎壳衍生的CaCO3增强了壳聚糖海绵的止血活性,为临床环境中的快速出血控制提供了一个有希望的候选者,特别是在涉及渗出和加压出血的情况下。
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引用次数: 0
Preclinical study on the application of biodegradable pure magnesium mesh in abdominal wall defect repair: Material characterization, biocompatibility, and regenerative mechanisms. 生物可降解纯镁网在腹壁缺损修复中的临床前研究:材料表征、生物相容性及再生机制
IF 2.5 4区 医学 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2025-09-30 DOI: 10.1177/08853282251383875
Qi Zheng, Zequn Zhuang, Yonglin Li, Rongwei Wei, Jing Wang, Xiaojing Lu, Chengyu Wu, Ziliang Zong, Haidong Xu, Chenguang Wei, Hui Shen, Jun Yan, Xiaonong Zhang, Yigang Chen

This study evaluates a novel biodegradable magnesium (Mg) mesh for abdominal wall repair. Current synthetic meshes present clinical limitations, while Mg alloys offer favorable mechanical properties and biodegradability that remain underexplored. The Mg mesh was characterized through tensile/burst testing and finite element analysis, demonstrating sufficient strength (initial: 167.2 ± 5.9 N/cm; 1 month: 55.9 ± 1.6 N/cm) to withstand tensile breaking strength of abdominal wall (16 N/cm). Degradation studies revealed faster rates in simulated body fluid (2.62 mm/year) versus Hanks' solution (1.14 mm/year), with 60% structural integrity maintained after 8 weeks in vivo. Biocompatibility assessment using human skin fibroblasts showed >60% viability (Grade 0-1 cytotoxicity) across extract concentrations, with 60% concentration enhancing proliferation. In rat abdominal wall defect models, the Mg mesh exhibited superior performance to polypropylene meshes, demonstrating reduced foreign body reaction and upregulated collagen III/V expression. Proteomic analysis (TMT), PCR, and Western blot confirmed enhanced wound healing mechanisms. The mesh maintained tight tissue integration throughout degradation while providing mechanical support matching physiological demands. These findings collectively indicate that the biodegradable Mg mesh combines: (1) appropriate time-dependent mechanical properties, (2) controlled degradation matching tissue regeneration timelines, (3) excellent cytocompatibility with pro-proliferative effects, and (4) improved healing outcomes compared to standard polypropylene meshes. The results support its potential as a next-generation material for abdominal wall reconstruction, addressing key limitations of permanent synthetic meshes through its optimal balance of biomechanical performance and bioresorbability. Further clinical studies are warranted to validate these promising preclinical outcomes.

本研究评估了一种用于腹壁修复的新型可生物降解镁(Mg)补片。目前的合成网存在临床局限性,而镁合金具有良好的机械性能和生物降解性仍未得到充分开发。通过拉伸/破裂试验和有限元分析对Mg网进行了定性,其强度(初始:167.2±5.9 N/cm; 1个月:55.9±1.6 N/cm)足以承受腹壁的拉伸断裂强度(16 N/cm)。降解研究显示,模拟体液中的降解速率(2.62 mm/年)比汉克斯溶液(1.14 mm/年)更快,体内8周后结构完整性保持60%。使用人皮肤成纤维细胞进行生物相容性评估显示,在不同的提取物浓度下,成纤维细胞的活力为60%(0-1级细胞毒性),60%的浓度可促进细胞增殖。在大鼠腹壁缺损模型中,Mg网状物表现出优于聚丙烯网状物的性能,其异物反应减少,胶原III/V表达上调。蛋白质组学分析(TMT)、PCR和Western blot证实了伤口愈合机制的增强。网状结构在整个降解过程中保持紧密的组织整合,同时提供符合生理需求的机械支持。这些研究结果共同表明,可生物降解的Mg网结合了:(1)适当的随时间变化的力学性能,(2)与组织再生时间表相匹配的可控降解,(3)具有促增殖作用的优异细胞相容性,(4)与标准聚丙烯网相比,愈合效果更好。结果支持其作为下一代腹壁重建材料的潜力,通过其生物力学性能和生物可吸收性的最佳平衡,解决了永久性合成网的关键局限性。需要进一步的临床研究来验证这些有希望的临床前结果。
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Journal of Biomaterials Applications
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