Abstract

Effective control of acute wound hemorrhage caused by battlefields, car accidents, natural disasters can highly improve patients’ survival rates. Nevertheless, hemostatic materials on present market have various defects and limitations. This study utilizes tilapia to extract macromolecular type I collagen to prepare a new hemostatic sponge for controlling acute wound bleeding. The extracted fish collagen has high purity, uniform molecular size and high hydroxyproline content. The peptide chain structure and natural high-level structure are intactly preserved. The infrared absorption spectrum showcases that it preserves all the characteristic absorption bands of type I collagen. The developed hemostatic sponge has a uniform honeycomb-shaped porous structure and high water absorption capacity. The biological safety test illustrates that the sponge cell has good compatibility and it will not trigger any inflammatory reaction or immune rejection reactions in the body. The sponge cell could be degraded gradually and completely, which has good biocompatibility and degradation performance. The result of in vitro experiments shows that certain groups or structures in fish collagen molecules can combine specific sites on the surface of blood cells and platelets, which can quickly activate platelets and coagulation system to obtain better coagulation function. The result of In vivo experiments further shows that the fish collagen sponge has fast coagulation speed and low bleeding during the hemostasis process of rabbit ear arteries and rat liver wounds, which proves that it has excellent coagulation performance.

Highlights

  • Fish collagen hemostatic sponges are prepared by our laboratory utilizing tilapia skin

  • SDS-PAGE detection results showcase that the protein bands are clear without diffuse bands and tailing, which indicates that the obtained collagen has high purity without degradation or contaminants

  • Combining with blood absorbing rate, Blood Clotting Index (BCI), whole blood clotting time and dynamic clotting curve, we find that fish collagen and bovine collagen are much better than oxidized regenerated cellulose in blood absorbing rate, but they are significantly worse than oxidized regenerated cellulose in terms of BCI index and whole blood clotting time

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Summary

Introduction

Blood is the most important fluid connective tissue in the human body. Blood plays a variety of physiological functions such as gas transportation, material transportation, immune detection and etc., which is an important component to maintain normal operation within the body (Hoffman et al, 2004; Li et al, 2017; Makhov and Zakharov, 2018; Wang et al, 2019). Hemorrhage cause by wars, car accidents and trauma around the world causes mortality of many soldiers and civilians every year (Eastridge et al, 2012; Shlaifer et al, 2017). Bleeding is the main reason for death amongst trauma patients. Fish Collagen and Hemostatic Effect time for following-up treatment and reduce mortality effectively. There are various types of rapid hemostasis methods in this regard, and rapid hemostatic materials become indispensable products for clinical and emergency treatments

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