Carboxymethyl Cellulose Gel Research Articles

Potentiality of Antibacterial Gels for the Prophylactic Coating of Hernia Repair Prosthetic Materials.

Prosthetic mesh infection constitutes one of the major postsurgical complications following abdominal hernia repair. Antibacterial coatings represent a prophylactic strategy to reduce the risk of infection. This study assessed the in vitro response of two antibacterial gels made of 1% carboxymethylcellulose (CMC) functionalized with an antiseptic (chlorhexidine, CHX) or an antibiotic (rifampicin, RIF), developed for the coating of polypropylene (PP) meshes for hernia repair. Fragments of a lightweight PP mesh (1 cm2) presoaked in the unloaded or drug-loaded CMC (0.05% CHX; 0.13 mg/mL RIF) were challenged with 106 CFU/mL Staphylococcus aureus (Sa) and methicillin-resistant S. aureus (MRSA). Agar diffusion tests, sonication, turbidimetry, crystal violet staining, scanning electron microscopy and cell viability assays (fibroblasts, mesothelial cells) were performed to evaluate the response of the gels. Both compounds-especially the RIF-loaded gel-exerted a biocidal effect against gram-positive bacteria, developing wide inhibition halos, precluding adhesion to the mesh surface, and hampering bacterial survival in culture. The antibiotic gel proved innocuous, while lower viability was found in cells exposed to the antiseptic (p < 0.05). Together with their fast, affordable, convenient processing and easy application, the results suggest the potential effectiveness of these drug-loaded CMC gels in providing meshes with an antibacterial coating exhibiting great biocide performance.

Transoral snare removal of subepiglottic cysts.

The objective of this demonstration was to describe and simulate a surgical technique for removing subepiglottic cysts in horses via an oral approach under endoscopic guidance using a cadaver model for simulation and clinical data. The technique aims to provide a minimally invasive method for the removal of these cysts. 2 clinical case images from the Washington State University Teaching Hospital were used in the video. In a third horse euthanized for reasons unrelated to the study, the procedure was simulated after the head was frozen and transected transversally. Files from 2 horses were reviewed, and the relevant parts were selected. The horse head was set on a stand, and a simulated cyst was implanted under the mucosa, made of the fingertip from a glove filled with carboxymethyl cellulose gel, and sutured. The procedure was performed by one of the authors (CAR) and recorded. A bronchoesophageal grasping forceps and cautery snare were used to simulate a clinical situation in dorsal recumbency. The cyst was successfully removed as in the real procedure, and the demonstration was recorded for educational use. The review of the videos shows that the simulated procedure is also achievable in a real clinical environment. This technique provides a minimally invasive method for the removal of subepiglottic cysts in horses. The demonstration of this procedure is crucial for the training of surgeons, as it allows the visualization of the procedure in a controlled setting, free from the complications of real clinical situations.

Concentration-Dependent Effects of MXene Nanocomposite-Loaded Carboxymethyl Cellulose on Wound Healing.

Nanoparticles (NPs) have emerged as a promising solution for many biomedical applications. Although not all particles have antimicrobial or regenerative properties, certain NPs show promise in enhancing wound healing by promoting tissue regeneration, reducing inflammation, and preventing infection. Integrating various NPs can further enhance these effects. Herein, the zinc oxide (ZnO)-MXene-Ag nanocomposite was prepared, and the conjugation of its three components was confirmed through scanning electron microscopy (SEM) and energy dispersive X-ray (EDX) mapping analysis. In vitro analysis using the agar well diffusion technique demonstrated that ZnO-MXene-Ag nanocomposite exhibited high antimicrobial efficacy, significantly inhibiting Escherichia coli, Salmonella, and Candida albicans, and showing enhanced potency when combined with tetracycline, resulting in a 2.6-fold increase against Staphylococcus and a 2.4-fold increase against Pseudomonas. The efficacy of nanocomposite-loaded carboxymethyl cellulose (CMC) gel on wound healing was investigated using varying concentrations (0, 1, 5, and 10mg/mL). Wound healing was monitored over 21 days, with results indicating that wounds treated with 1mg/mL ZnO-MXene-Ag gel exhibited superior healing compared to the control group (0mg/mL), with significant improvements noted from Day 3 onward. Conversely, higher concentrations (10mg/mL) resulted in reduced healing efficiency, particularly notable on Day 15. In conclusion, the ZnO-MXene-Ag nanocomposite-loaded CMC gel is a promising agent for enhanced wound healing and antimicrobial applications. These findings highlight the importance of optimizing NP concentration to maximize therapeutic benefits while minimizing potential cytotoxicity.

Study on preparation and performance of bagasse/sodium carboxymethyl cellulose gel for inhibiting coal spontaneous combustion

In order to effectively prevent and control coal spontaneous combustion and improve the safety of coal mining, bagasse carboxymethy cellulose (BCC) prepared from bagasse (BS) and sodium carboxymethyl cellulose (CMC) were used as the substrates. A gel (BCC-CMC) for inhibiting coal spontaneous combustion was prepared using a chemical crosslinking method involving zirconium citrate crosslinking and glucono-delta-lactone (GDL) modification. X-ray diffraction (XRD) and Fourier transform infrared (FTIR) spectroscopy were utilized to characterize both the crystal and molecular structure of bagasse and its derived bagasse carboxymethyl cellulose. The results indicated that new carboxymethyl groups were introduced into bagasse during the treatment, facilitating the successful extraction and preparation of sodium carboxymethyl cellulose. The results of viscosity and bonding tests demonstrated that the concentration and dosage of CMC had the most significant influence on the gel viscosity, which remained higher and more stable at room temperature. The coal bonded by the gel coal mixture can effectively seal surface cracks, with a bonding degree of up to 70.72 %. TG-DTG, temperature-programmed oxidation experiment and FTIR analyses revealed that, compared to raw coal, coal samples treated with gel exhibited improved stability, fewer active groups, and fewer oxygen-containing functional groups, effectively inhibiting coal’s low temperature oxidation and reducing the risk of spontaneous combustion. The gel is environmentally friendly, cost-effective, and exhibits good flame retardant properties. This study is of great significance for preventing and controlling coal spontaneous combustion, effectively ensuring the safe production of coal resources and the safety of mine workers, achieving the green sustainable development of the mine.

Carboxymethyl Cellulose Gel Electrolyte Based on Hydrolyzed Keratin Modified for Dendrite-Free Zinc-Ion Batteries.

In order to alleviate the dendrite problem of zinc-ion batteries, a gel electrolyte is prepared by Maillard reactions occurring between hydrolyzed wool keratin and carboxymethyl cellulose under heating conditions. The prepared gel electrolyte with the addition of hydrolyzed wool keratin possesses good mechanical properties, and its maximum breaking strength, Young's modulus, and elastic modulus are 58.7, 10.77 MPa, and 157.73 MJ m2, respectively, which are far superior to those of the pure carboxymethyl cellulose gel electrolyte. Because hydrolyzed wool keratin includes amino acids and polypeptides, the ionic conductivity of the prepared gel electrolyte is improved. More importantly, amino and carboxyl groups introduced by hydrolyzed wool keratin contribute to uniform deposition of zinc ions and ease dendrite growth. The assembled symmetric battery was stable for 600 h at a current density of 0.5 mA cm-2 with a capacity of 0.5 mAh cm-2. Combined with a NH4V4O10 cathode, a full battery provides a cycling stability of over 2000 h with a Coulomb efficiency of 98.02%.

Development of 4-phenylbutyric acid microsponge gel formulations for the treatment of lewisite-mediated skin injury.

Lewisite, a chemical warfare agent, causes skin blisters, erythema, edema, and inflammation, requiring mitigation strategies in case of accidental or deliberate exposure. 4-phenyl butyric acid (4-PBA), a chemical chaperone, reduces endoplasmic reticulum stress and skin inflammation. The study aimed to encapsulate 4-PBA in microsponges for effective, sustained delivery against lewisite injury. Porous microsponges in a topical gel would potentially sustain delivery and improve residence time on the skin. Microsponges were developed using the quasi-emulsion solvent diffusion method with Eudragit RS100. Optimized formulation showed 10.58%w/w drug loading was incorporated in a carboxymethylcellulose (CMC) and Carbopol gel for in vitro release and permeation testing using dermatomed human skin. A sustained release was obtained from all vehicles in the release study, and IVPT results showed that compared to the control (41.52 ± 2.54µg/sq.cm), a sustained permeation profile with a reduced delivery was observed for microsponges in PBS (14.16 ± 1.23µg/sq.cm) along with Carbopol 980 gel (12.55 ± 1.41µg/sq.cm), and CMC gel (10.09 ± 1.23µg/sq.cm) at 24h. Optimized formulation showed significant protection against lewisite surrogate phenyl arsine oxide (PAO) challenged skin injury in Ptch1+/-/SKH-1 hairless mice at gross and molecular levels. A reduction in Draize score by 29%, a reduction in skin bifold thickness by 8%, a significant reduction in levels of IL-1β, IL6, and GM-CSF by 54%, 30%, and 55%, respectively, and a reduction in apoptosis by 31% was observed. Thus, the translational feasibility of 4-PBA microsponges for effective, sustained delivery against lewisite skin injury is demonstrated.

Evaluation of incipient enamel-carious–like lesion treated with hydroxyapatite-chitosan nanocomposite hydrogel

Non-invasive restoration of tooth enamel is a topic of high relevance in dental material science. Multiple approaches have been proposed to reach optimum reconstruction results. The current study was performed to evaluate the cross-sectional microhardness besides mineral quality and content in artificially induced carious enamel after treatment with hydroxyapatite-chitosan (HAp-CS) nanocomposite gel. Artificially carious lesions were induced by immersion of teeth in acidic carboxymethyl cellulose gel (pH 4.95-5) for 24- and 72-hours periods. Two different compositions of HAp-CS nanocomposite hydrogel were prepared with two different ratios 50/50 (%) and 70/30 (%), respectively. Additionally, sodium fluoride gel (1000 ppm concentration) was prepared and used as reference. Gels were applied to carious lesions twice/day for 3 min/each. After 45 days of application, surface morphology, energy dispersive x-ray spectroscopy, micro-Raman analysis in addition to cross-sectional microhardness were evaluated. Statistical analysis was performed using two-way ANOVA and Tukey's post hoc statistical tests. Surface morphological evaluation of treated surfaces showed obliteration of surface irregularities. Groups demineralized for 24 hours and treated with 70/30 (HAp-CS) showed highest significant cross-sectional-microhardness (P ≤ 0.05). Evaluated subsurface cross-sectional microhardness showed better mineral quality for groups demineralized for 24 hours and treated with HAp-CS nanocomposite gels. Nanocomposite gel with 70/30 (HAp-CS) could efficiently improve cross-sectional microhardness and both minerals composition and quality for lesions demineralized for 24 hours. More severely induced lesions, as demineralized for 72 hours, need more powerful agent compositions and/or prolonged application protocols for improvement.

Transcranial Agonism of CD40 and ICOS Promotes Meningeal Immunity and Control of Glioblastoma

INTRODUCTION: Glioblastomas generate an immunosuppressive microenvironment that limits antitumor immune responses. METHODS: We used the SB28 model of glioblastoma in C57BL/6J (B6) mice, which is a poorly immunogenic tumor with a lower mutational load than other many glioblastoma cell lines used in rodents. We stereotactically injected 7,000 SB28 cells at a depth of 1 mm into the neocortex of 8- to 10-week-old mice. At day 7, a carboxymethylcellulose gel containing 100 µg of agonistic anti-ICOS and 200 µg anti-CD40 were injected transcranially (i.e., under the scalp) of mice. Control mice received corresponding isotype control antibodies. Meningeal whole mounts were then stained using immunohistochemistry and imaged by confocal microscopy. RESULTS: Transcranial agonism of CD40 and ICOS generated a markedly enhanced and more localized meningeal immune response against SB28 tumors than intravenous agonism. Specifically, transcranial treatment promoted formation of CD4 T cell and B cell clusters in the meninges as well as increased production of class-switched immunoglobulins. These clusters were also associated with reduced tumor size at day 14. CONCLUSIONS: Our results demonstrate that transcranial delivery of antibodies against CD40 and ICOS can drive a local humoral immune response against an immunologically silent SB28 glioblastoma. We postulate that application of these agonistic antibodies in combination with a tumor neoantigen will further enhance tumor control and may offer a possible treatment modality in human glioblastoma patients.

Fabrication of a Controlled-Release Core-Shell Floating Tablet of Ketamine Hydrochloride Using a 3D Printing Technique for Management of Refractory Depressions and Chronic Pain.

In this study, a novel floating, controlled-release and core-shell oral tablet of ketamine hydrochloride (HCl) was produced using a dual extrusion by 3D printing method. A mixture of Soluplus® and Eudragit® RS-PO was extruded by a hot-melt extrusion (HME) nozzle at 150-160 °C to fabricate the tablet shell, while a second nozzle known as a pressure-assisted syringe (PAS) extruded the etamine HCl in carboxymethyl cellulose gel at room temperature (25 °C) inside the shell. The resulting tablets were optimized based on the United States pharmacopeia standards (USP) for solid dosage forms. Moreover, the tablet was characterized using Fourier-transform infrared (FTIR) spectrum, scanning electron microscopy (SEM), differential scanning calorimetry (DSC), and buoyancy techniques. The results showed a desired dissolution profile for a 100% infill optimized tablet with total drug release (100%) during 12 h. Weight variation and content uniformity of the tablets achieved the USP requirements. SEM micrographs showed a smooth surface with acceptable layer diameters. According to the FTIR analysis, no interference was detected among peaks. Based on DSC analysis, the crystallinity of ketamine HCl did not change during melt extrusion. In conclusion, the floating controlled-release 3D-printed tablet of ketamine HCl can be a promising candidate for management of refractory depressions and chronic pain. Additionally, the additive manufacturing method enables the production of patient-tailored dosage with tunable-release kinetics for personalized medicine in point-of care setting.

Acid-Induced Gelation of Carboxymethylcellulose Solutions.

The present work offers a comprehensive description of the acid-induced gelation of carboxymethylcellulose (CMC), a water-soluble derivative of cellulose broadly used in numerous applications ranging from food packaging to biomedical engineering. Linear viscoelastic properties measured at various pH and CMC contents allow us to build a sol-gel phase diagram and show that CMC gels exhibit broad power-law viscoelastic spectra that can be rescaled onto a master curve following a time-composition superposition principle. These results demonstrate the microstructural self-similarity of CMC gels and inspire a mean-field model based on hydrophobic interchain association that accounts for the sol-gel boundary over the entire range of CMC content under study. Neutron scattering experiments further confirm this picture and suggest that CMC gels comprise a fibrous network cross-linked by aggregates. Finally, low-field NMR measurements offer an original signature of acid-induced gelation from a solvent perspective. Altogether, these results open avenues for the precise manipulation and control of CMC-based hydrogels.

Effects of composition and pH on the degradation of hyaluronate and carboxymethyl cellulose gels and release of nanocrystalline silver.

Adhesions are fibrous tissue connections which are a common complication of surgical procedures and may be prevented by protecting tissue surfaces and reducing inflammation. The combination of biodegradable polymers and nanocrystalline silver can be used to create an anti-inflammatory gel to be applied during surgery. In this study, sodium hyaluronate and sodium carboxymethyl cellulose were added in concentrations from 0.25% to 1% w/v to aqueous nanocrystalline silver solutions to create viscous gels. Gels were loaded into dialysis cassettes and placed in PBS for 3 days. pH was adjusted using potassium phosphate monobasic and sodium hydroxide. Release of silver into the PBS was measured at several time points. Polymer degradation was compared by measuring the viscosity of the gels before and after the experiment. Gels lost up to 84% of initial viscosity over 3 days and released between 24% and 41% of the added silver. Gels with higher initial viscosity did not have a greater degree of degradation, as measured by percent viscosity reduction, but still resulted in a higher final viscosity. Silver release was not significantly impacted by pH or composition, but still varied between experimental groups.

Slow zinc release from carboxymethylcellulose gels filled with humic zinc oxide nanocomposites

Slow zinc release from carboxymethylcellulose gels filled with humic zinc oxide nanocomposites

Timolol Maleate in Situ Ophthalmic Mucoadhesive-Thermosensitive Gel: Development and Characterization.

The aim of this study was to prepare a sustained-delivery mucoadhesive-thermosensitive formulation containing poloxamer 338 (P338), poloxamer 188 (P188), and mucoadhesive agents, such as chitosan (CHT) and carboxymethylcellulose (CMC), to increase the ophthalmic bioavailability of timolol maleate (TM). Gels were prepared by mixing different amounts of P338, P188, and a mucoadhesive agent in cold isotonic water using a magnetic stirrer. The sol-gel gelation time of the gels was determined using the test tube inversion method. Viscosity measurements and analysis of the mechanical properties of the gel formulations were performed. In vitro release using dialysis membranes and ex vivo permeation studies using fresh-warmed cow eyes were performed. The gelation times of formulations containing 20:2.5 (P338:P188) and 0.1% CMC and formulations containing 20:2.5 (P338:P188) and 0.1% CHT were 35 s and 26.67 s, respectively. An optimally selected CHT mucoadhesive-thermosensitive in situ gelling system can successfully control the release of moderately hydrophilic drugs, such as TM. In the viscosity study, both formulations showed Newtonian fluid, and the CHT gel's viscosity was found to be higher. The CHT gel showed better mechanical properties than the CMC gel. The amount of TM penetrating the cow cornea after 24 hours was 73.38%, 71.80%, 67.25%, and 60.55% from the CHT gel, CMC gel, TM solution, and commercial preparation, respectively. The improved mucoadhesive-thermosensitive in situ gelling system successfully controlled the release of TM. The significantly lower drainage of TM into the circulation compared with eye drops is an advantage in treating glaucoma, and the use of mucoadhesive agents increases drug penetration.

Comparing the effectiveness of using three different re-mineralizing pastes on remineralisation of artificially induced white spot lesion

Background: This study aimed to compare the surface microhardness (MH) and mineral content of white spot lesions(WSLs) after using bioactive glass (BAG)casein phosphopep-tides-amorphous calcium phosphate(CPP-ACP),and nanohydroxyapatite(Nano-HAP) under pHcycling. Material and method:18 sound maxillary first premolar were used for the study.10 were selected for the vickers microhardness test, For Energy-dispersive X-ray spectroscopy analysis (EDX), the remaining 8 premolar teeth were used, 40 sections of enamel blocks (Four from each tooth) were produced from the middle part of the buccal and palatal surfaces of teeth for MH test while 48 sections of enamel blocks (Six from each tooth) were produced for EDX analysis. Enamel slabs were divided into four groups: control group that preserved in DDW, Nano-HAP, CPP-ACP and BAG group, then were demineralised using 0.1 M lactic acid and 8 wt.% carboxymethylcellulose gel to create artificial WSL. The speci-mens were subjected to a pH cycling regime for 20 days. The remineralisation potential of the specimens was studied by evaluating the surface MH, calcium (Ca), and phosphrous (P) at different stages: baseline, after production of WSLs, and after treatment with different ma-terials. The gathered data were statistically analyzed using repeated measures one-way ANOVA test and the Bonferroni test. Results: The results showed that Nano-HAP had the highest mean values of MH (157.699 kg/ mm2), Ca (50.108), and P (24.840) followed by BAG (MH=147.769 kg/ mm2, Ca=47.408, P=22.285), and the lowest mean value was found in the control group (MH=52.299 kg/ mm2, Ca=35.291, P=17.228). Bonferroni’s and Tukey's HSD test showed higher significant difference (p&lt;0.05) from demineralization to remineralization phase in all groups, except when compared control group with WSL (Demineralization) showed non-significant difference (P&gt;0.05). Conclusion:all tested agents have highly signif-icant remineralizing potential. Nano-HAP has the highest potential for remineralizing initial enamel caries lesions

Preparation of Ocimum Sanctum-Based Hydrogel and Evaluation of Its Cytotoxicity: An In Vitro Study.

While traditional periodontal treatments like scaling and root planing, antibiotics, and surgical intervention remain the primary approaches, herbal medicine is continuously evolving as an alternative for the management of periodontal diseases. This study focused on the evaluation of the cytotoxicity of Ocimum sanctum (OS)-based hydrogel for its use in local drug deliveryin periodontitis. OS-based hydrogel was prepared using 50 g of OS powder and 200 ml of ethanol, along with carboxymethyl cellulose gel and sorbitol. The prepared formulation was evaluated for its cytotoxicity by using the MTT assay, cell viability, cell morphology, and brine shrimp egg assessment. Cell viability was assessed, and it was above 95% for the control and 85% for the OS hydrogel by the 3-[4, 5-dimethylthiazol-2-yl]-2, 5-diphenyltetrazolium bromide assay. Brine shrimp egg assessment also showed a survival rate of 80% at low concentrations. The cell morphology test showed round and uniform cells growing in a monolayer shape. The findings of this study confirmed that OS-based hydrogel is cytocompatible and, hence, can be used as a local drug delivery agent for periodontitis management, especially in resource-constrained settings where affordable and natural treatment options are highly valued.

Carboxymethyl cellulose gels immobilized Ag/AgCl-ZnO nanoparticles for improving sunlight-catalyzed antibacterial performance

Antibacterial sodium carboxymethyl cellulose (CMC) gels were prepared via immobilizing ZnO and/or Ag/AgCl in situ to inhibit the aggregation of nano-photocatalyst. Epichlorohydrin was used as a crosslinking agent to prepare CMC gel, simultaneously introducing chlorine-containing branch chains as Cl reservoir to deposit AgCl. The composite gels presented pH responsive swelling properties, with the minimum swelling ratio at pH 8 and pH 4 for CMC gels containing Ag/AgCl and ZnO, respectively. Zn2+ release from the nanocomposite gels was much greater in acidic than in neutral. Photocatalytic degradation constants of methyl orange by the composite gels under sunlight were greater than UV irradiation. Ag/AgCl loaded gel showed a degradation rate of 71.3 % under sunlight for 1 h, with a rate constant approximately 10.2 times higher than ZnO loaded gel. Extract liquids with the gel content below 0.33 mg/mL were noncytotoxicity. The nanocomposite gels presented good bactericidal rate against E. coli and S. aureus under sunlight for 6 h, comparatively to those in dark for 24 h. Bacteriostatic activity of Ag/AgCl loaded gel under sunlight for 6 h was much greater than that in dark for 24 h. The biocompatible nanocomposite gels with sunlight-catalyzed antibacterial activity would broaden the application of CMC gels.

Effect of Different Edible Film Coatings on Microbial Analyses and Organoleptic Attributes of Fresh Cut Kiwi (Actinidia Deliciosa) Green Kiwi Cv. Hayward

The current study aimed to evaluate the effect of different edible film coating of Carboxymethyl cellulose and Aloe vera gel on microbial and sensorial properties of fresh-cut kiwi fruit stored at 4oC for 20 days. The slices of kiwi fruit were covered with Carboxymethyl cellulose and Aloe vera gel while the uncoated samples served as control. The kiwi fruit slices were packaged and cold stored at refrigerator condition and it was conducted with the appropriate methodology at the post-harvest laboratory of the Department of Horticulture, Sam Higginbottom University of Agriculture, Technology and Sciences, Allahabad, during 2022-23. The experiment was laid out in December month of 2022 in a completely randomized design with Nine treatments and three replications. The treatment details viz., Control, Carboxymethyl Cellulose 1.0%, Carboxymethyl Cellulose 1.5%, Aloe vera gel 30%, Aloe vera gel 40%, Carboxymethyl Cellulose 1.0% + Aloe vera gel 30%, Carboxymethyl Cellulose 1.5% + Aloe vera gel 30%, Carboxymethyl Cellulose 1.0% + Aloe vera gel 40% and Carboxymethyl Cellulose 1.5 % + Aloe vera gel 40%. It is concluded that the effect of Treatment T3 i.e., AVG 3 was found to be best in terms of microbial analyses i.e., Yeast and mould count (log CFU/g) (2.07), Total bacterial count (log CFU/g) (3.38) and Spoilage (%) (13.34%) and Sensory evaluation i.e., Colour score (6.17), Taste score (6.19), Odour score (6.13), Texture score (4.89) and Overall acceptability (5.85) i.e., T3. The results highlighted that Aloe vera gel 30% coating improved the quality of stored fresh-cut kiwi fruit slices.

Using Type I Collagen Gel to Prevent Postoperative Intrauterine Adhesion: A Multicenter Retrospective Study.

We evaluated the clinical outcomes of using type 1 collagen gel after therapeutic resectoscopy; overall, 150 women aged > 20 who planned to undergo therapeutic resectoscopy were enrolled. The patients were randomly assigned to either of the anti-adhesive treatment groups: the type 1 collagen gel (Collabarrier®) (study group; N = 75) or the sodium hyaluronate and sodium carboxymethylcellulose gel group (control group; N = 75) after resectoscopy. One month after applying anti-adhesive materials, postoperative intrauterine adhesions were evaluated using second-look hysteroscopy; the incidence rate of postoperative intrauterine adhesions examined through second-look hysteroscopy showed no significant differences between the groups. There were no statistical differences between the frequency and mean scores of the type and intensity of adhesions in both groups. Finally, no significant differences in adverse events, serious adverse events, adverse device effects, and serious adverse device effects were noted between the two groups; type 1 collagen gel can be effectively and safely used in intrauterine surgery to minimize postoperative adhesions, thereby eventually decreasing the prevalence of infertility, secondary amenorrhea, and recurrent pregnancy loss in reproductive women.

Decoration of sodium carboxymethylcellulose gel microspheres with modified lignin to enhanced methylene blue removal

The introduction of active groups from biomass is currently the most promising alternative method for increasing the adsorption effect of dyes. In this study, modified aminated lignin (MAL) rich in phenolic hydroxyl and amine groups was prepared by amination and catalytic grafting. The factors influencing the modification conditions of the content of amine and phenolic hydroxyl groups were explored. Chemical structural analysis results confirmed that MAL was successfully prepared using a two-step method. The content of phenolic hydroxyl groups in MAL significantly increased to 1.46 mmol/g. MAL/sodium carboxymethylcellulose (NaCMC) gel microspheres (MCGM) with enhanced methylene blue (MB) adsorption capacity owing to the formation of a composite with MAL were synthesized by a sol-gel process followed by freeze-drying and using multivalent cations Al3+ as cross-linking agents. In addition, the effects of the MAL to NaCMC mass ratio, time, concentration, and pH on the adsorption of MB were explored. Benefiting from a sufficient number of active sites, MCGM exhibited an ultrahigh adsorption capacity for MB removal, and the maximum adsorption capacity was 118.30 mg/g. These results demonstrated the potential of MCGM for wastewater treatment applications.

Mucoadhesive gellan gum-based and carboxymethyl cellulose -based hydrogels containing gemcitabine and papain for bladder cancer treatment

Local treatment of bladder cancer faces several limitations such as short residence time or low permeation through urothelium tissue. The aim of this work was to develop patient-friendly mucoadhesive gel formulations combining gemcitabine and the enzyme papain for improved intravesical chemotherapy delivery. Hydrogels based on two different polysaccharides, gellan gum and sodium carboxymethylcellulose (CMC), were prepared with either native papain or papain nanoparticles (nanopapain) to explore for the first time their use as permeability enhancers through bladder tissue. Gel formulations were characterized regarding enzyme stability, rheological behavior, retention on bladder tissue and bioadhesion, drug release properties, permeation capacity, and biocompatibility. After 90 days of storage, the enzyme loaded in the CMC gels retained up to 83.5 ± 4.9 % of its activity in the absence of the drug, and up to 78.1 ± 5.3 with gemcitabine. The gels were mucoadhesive and the enzyme papain showed mucolytic action, which resulted in resistance against washing off from the urothelium and enhanced permeability of gemcitabine in the ex vivo tissue diffusion tests. Native papain shortened lag-time tissue penetration to 0.6 h and enhanced 2-fold drug permeability All formulations demonstrated pseudoplastic behavior and no irritability. Overall, the developed formulations have potential as an upgraded alternative to intravesical therapy for bladder cancer treatment.