Abstract

To relieve the severe economic and social burdens and patient suffering caused by the increasing incidence of chronic wounds, more effective treatments are urgently needed. In this study, we focused on developing a novel sprayable wound dressing with the active ingredient β-1,3/1,6-glucan (βG). Since βG is already available as the active ingredient in a commercial wound healing product provided as a hydrogel in a tube (βG-Gel), the sprayable format should bring clinical benefit by being easily sprayed onto wounds; whilst retaining βG-Gel’s physical stability, biological safety and wound healing efficacy. Potentially sprayable βG hydrogels were therefore formulated, based on an experimental design setup. One spray formulation, named βG-Spray, was selected for further investigation, as it showed favorable rheological and spraying properties. The βG-Spray was furthermore found to be stable at room temperature for more than a year, retaining its rheological properties and sprayability. The cytotoxicity of βG-Spray in keratinocytes in vitro, was shown to be promising even at the highest tested concentration of 100 μg/ml. The βG-Spray also displayed favorable fluid affinity characteristics, with a capacity to both donate and absorb close to 10% fluid relative to its own weight. Finally, the βG-Spray was proven comparably effective to the commercial product, βG-Gel, and superior to both the water and the carrier controls (NoβG-Spray), in terms of its ability to promote wound healing in healing-impaired animals. Contraction was found to be the main wound closure mechanism responsible for the improvement seen in the βG-treatment groups (βG-Spray and βG-Gel). In conclusion, the novel sprayable βG formulation, confirmed its potential to expand the clinical use of βG as wound dressing.

Highlights

  • The impact of chronic wounds on society is immense [1,2], as chronic wounds are severely lowering the many patients quality of life [3,4,5]

  • The healing process stalls in the inflammatory phase, which has been attributed to a range of pathophysiological defects, including impaired macrophage function [11,12]

  • Since we failed in a previous attempt to prepare a sprayable wound dressing with βG as the active ingredient, due to adverse effect seen for the formulations during in vivo testing in mice [33], an alternative and more effective βG-Spray formulations was targeted. Since these previ­ ously detected adverse effects were found to be related to the applied thickening agent, Carbopol, we aimed to develop a sprayable βGformulation using, instead of Carbopol, a medium viscosity carbox­ ymethyl cellulose (CMC) as a thickening agent, and glycerol as a hu­ mectant

Read more

Summary

Introduction

The impact of chronic wounds on society is immense [1,2], as chronic wounds are severely lowering the many patients quality of life [3,4,5]. With both an aging population, and the prevalence of diabetes expected to rise dramatically in the coming years [6], the prevalence of chronic wounds in general, and diabetic foot ulcers in particular, are expected to rise. The wound healing process involves various cell types and signalling molecules that sequentially coordinate the different phases of the wound repair processes, namely: hemostasis, inflammation, proliferation and remodelling.

Objectives
Methods
Results
Discussion
Conclusion
Full Text
Published version (Free)

Talk to us

Join us for a 30 min session where you can share your feedback and ask us any queries you have

Schedule a call