Scaffolds For Wound Healing Research Articles

Transformation of Natural Resin Resina Draconis to 3D Functionalized Fibrous Scaffolds for Efficient Chronic Wound Healing (Adv. Healthcare Mater. 30/2024)

Transformation of Natural Resin Resina Draconis to 3D Functionalized Fibrous Scaffolds for Efficient Chronic Wound Healing (Adv. Healthcare Mater. 30/2024)

Electrospinning drug-loaded polycaprolactone/polycaprolactone-gelatin multi-functional bilayer nanofibers composite scaffold for postoperative wound healing of cutaneous squamous cell carcinoma

Cutaneous squamous cell carcinoma (cSCC) tumor resection surgery poses challenges due to incomplete cancer cell removal, which increases the risk of local recurrence and micrometastasis, while large-scale surgical wounds are susceptible to severe infections. Therefore, a drug-loaded multi-functional bilayer nanofibers skin scaffold was fabricated for postoperative wound care of cSCC. Briefly, the antibacterial drug enrofloxacin (ENR) was loaded into polycaprolactone (PCL) nanofibers using electrospinning to form an antibacterial nanofiber membrane (PCL-ENR) as the outer layer of scaffold. The anticancer drug bleomycin (BLM) was loaded into PCL/Gelatin (Gel) nanofibers via electrospinning to form an anticancer nanofiber membrane (PG-BLM) as the inner layer of scaffold. ENR and BLM were successfully loaded into the scaffold. The scaffold had excellent physicochemical properties, with the outer layer exhibiting hydrophobicity and excellent antibacterial activity, and the inner layer showing hydrophilicity and outstanding anticancer activity. The elongation at break and tensile modulus of the scaffold were 26.35 ​± ​1.61 ​% and 15.25 ​± ​1.56 ​MPa, respectively. In vitro and in vivo experiments suggested that the scaffold not only has good biocompatibility to promote wound healing but also could inhibit the proliferation of A431 ​cells, which has great potential clinical application in postoperative wound care of cSCC.

Copper functionalized, pro-angiogenic, and skin regenerative scaffolds based on novel chitosan/APDEMS modified sepiolite-based formulation

Biomaterials-based scaffolds are extensively explored for their proangiogenic and tissue regenerative abilities. The present study aimed to develop wound healing scaffolds based on chitosan/aminopropyldiethoxymethylsilane (APDEMS) modified sepiolite, loaded with copper (0–0.25 g), characterized by FTIR, SEM, mechanical, TGA and analyzed biomedically. The FTIR and SEM confirmed the silane-induced cross-linking and incorporation of copper leading to better dispersion of individual components in the scaffolds. Based on other physicochemical observations, the best scaffold was CS/MS/Cu0.1 (99.5 % increased Young's modulus compared to chitosan, maximum swelling = 900 %, equilibrium time = 70 min); So, CS/MS/Cu0.1 and 0.25 were chosen for further analysis. The CAM assay showed significantly increased angiogenesis in CS/MS/Cu0.1 and 0.25 groups, lacking any developmental anomalies in chick embryos, at lower copper concentrations. The scaffolds' wound healing potential and in-vivo toxicity were assessed by wound excision and histopathology of various organs in mice, respectively. The rate of wound contraction in the CS/MS/Cu0.1 group was significantly (P < 0.05) greater than the control. The abovementioned results corroborated the histological and biochemical findings regarding more collagen deposition in regenerated skin sections and insignificant deviations in biochemical parameters of treated mice, respectively. The formulated biomaterials have proven promising materials for promoting angiogenesis in chick models and accelerating regeneration in mice skin.

Hypothermically Stored Amnion Is Robust and Provides a Scaffold for Supporting Wound Healing by Retaining the Characteristics of Native Tissue.

Placental-derived products have been used since the early 1900s for wound applications and have shown clinical utility in supporting wound healing. A hypothermically stored amniotic membrane (HSAM) was developed using a proprietary process to allow for the retention of the extracellular matrix (ECM), viable cells, and key proteins. To evaluate its utility, we characterized the HSAM and compared it to a native unprocessed amniotic membrane (uAM) and a dehydrated amniotic membrane (dAM), as well as assessing the functionality of the HSAM as a scaffold to promote cell growth. The HSAM, uAM, and dAM were compared using scanning electron microscopy (SEM), histology, and thickness. Scaffold durability was assessed in vitro using mechanical testing and a simulated wound fluid (SWF) model. The ability of the HSAM to act as a scaffold was evaluated using an in vitro attachment model. The HSAM showed similar structural characteristics compared to the uAM; however, the dAM was significantly more compact. There were no significant differences between the HSAM and the uAM following degradation in an SWF model. ECM- and placental-related proteins were shared between the HSAM and uAM, and the HSAM enhanced the attachment and proliferation of fibroblasts in vitro. The HSAM is substantially similar to the uAM by retaining key regulatory proteins, resisting degradation in SWF, and acting as a scaffold for cellular growth and invasion.

Benefits of In Situ Foamed and Printed Porous Scaffolds in Wound Healing.

Macroporous hydrogels have shown significant promise in biomedical applications, particularly regenerative medicine, due to their enhanced nutrient and waste permeability, improved cell permissibility, and minimal immunogenicity. However, traditional methods of generating porous hydrogels require secondary post-processing steps or harmful reagents making simultaneous fabrication with bioactive factors and cells impossible. Therefore, a handheld printer is engineered for facile and continuous generation and deposition of hydrogel foams directly within the skin defect to form defect-specific macroporous scaffolds. Within the handheld system, a temperature-controlled microfluidic homogenizer is coupled with miniaturized liquid and air pumps to mix sterile air with gelatin methacryloyl (GelMA) at the desired ratio. An integrated photocrosslinking unit is then utilized to crosslink the printed foam in situ to form scaffolds with controlled porosity. The system is optimized to form reliable and uniform GelMA foams. The resulting foam scaffolds demonstrate mechanical properties with excellent flexibility making them suitable for wound healing applications. The results of in vitro cell culture on the scaffolds demonstrate significantly increased cellular activity compared to the solid hydrogel. The in vivo printed foam scaffolds enhanced the rate and quality of wound healing in mice with full-thickness wound without the use of biological materials.

Self-healing injectable hydrogels incorporating hyaluronic acid and phytic acid: Rheological insights and implications for regenerative medicine

Eying the increasing impact of hyaluronic acid (HA) and its multifaceted applications, this study employs a non-toxic, one-pot strategy to develop injectable, self-healing hydrogels for biomedical applications. Phytic acid (PA), a plant-derived organic acid with high biocompatibility and numerous hydroxyl groups, can act as a cross-linking agent to form hydrogen-bonded networks with the HA chains. The study examined the optimal mass ratio of HA to PA to achieve superior hydrogel performance. Fourier transform infrared spectroscopy, rheological studies, and thermal analysis confirmed the successful formation of the hydrogels, which exhibited injectability, rapid self-healing, malleability, and elasticity. The investigation of different compositions revealed a sensitive influence of PA on the self-assembly phenomena of HA during flow. SEM cross-section images of the freeze-dried gels revealed a porous surface in the form of an interconnected network of microchannels. In addition, the hydrogel exhibits good tissue adhesion properties and promotes cell proliferation in biocompatibility tests on human gingival fibroblasts. The significance of this study lies in the ability of the proposed materials to be injected, to conform to the complex 3D structure of host tissues as well as their ability to recover after damage, indicating significant potential as scaffolds for wound healing.

α-Lactalbumin based scaffolds for infected wound healing and tissue regeneration

Interruption of wound healing by multi-drug resistant-bacterial infection is a harmful issue for the worldwide health care system, and conventional treatment approaches may not resolve this issue due to antimicrobial resistance. So, there is an unmet need to develop scaffolds with intrinsic wound healing properties to combat bacterial-infected wounds. Inspired by the α-lactalbumin’s (Lalb’s) ability to promote collagen synthesis, we herein electrospun Lalb with cephalexin (CPL) and epigallocatechin (EP) to produce nanofibers (CE-Lalb NFs) to solve this issue. The CE-Lalb NFs were prepared using the electrospinning technique and subjected to physicochemical characterizations, in vitro, and in vivo assessments. The CE-Lalb NFs promoted fibroblast migration, proliferation, and collagen synthesis, while CPL/EP annihilated MRSA and E. coli infections. Physicochemical characterizations proved the successful fabrication and doping of CE-Lalb NFs. Antimicrobial assays and fractional inhibitory concentration index (FICI) declared synergistic antibacterial activity of CE-Lalb NFs against MRSA and E. coli. The in vivo and immunohistochemical data evidenced its exceptional potential for wound healing, promoting growth factor, collagen synthesis, and reduced scar formation. The presence of mature collagen, fewer inflammatory cytokines, increased expression of blood vessels, and low expression of IL-6 at the wound site support in vitro and in vivo results. In our view, the tailored scaffold is the next step for personalized wound dressings that could meet patients with infected wounds’ unmet needs by the subscription of noninvasive and easily navigable therapeutic options.

Synthesis composit electrospun based gum-resin/polycaprolactone fibers for biomedical application

Electrospun fibers for tissue engineering have recently seen significant advancements. In this study, we created composite fibers by combining Pistacia atlantica Gum-Resin and Poly(ε-caprolactone) (PCL) polymer using the electrospinning method. We examined the morphology, biodegradability, thermal stability, and hydrophilicity of the prepared scaffolds using Fourier transform infrared spectroscopy (FT-IR), scanning electron microscopy (SEM), thermogravimetric (TG) differential scanning calorimetry (DSC), and water contact angle measurements. The results indicated complete integration between the materials and successful synthesis of fibers through the electrospinning method. SEM images demonstrated bead-free fibers with different blending ratios of Gum-Resin and PCL. Fibers with a diameter of 100–200 nm and 1–7 μm were obtained with a 9:1 blending ratio of PCL to Gum-Resin. Additionally, PCL/Gum-Resin fibers with an 8:2 blending ratio exhibited an interwoven and porous fiber network structure with a 1–7 μm fiber diameter. The water contact angle measurements revealed the hydrophilic surface of the fibers, with a WCA of 61.2°. Thermogravimetric (TG) and differential scanning calorimetric (DSC) analysis showed a melting peak at approximately 57°. Cell culture results indicated good cytocompatibility of the fibers. The scaffold sample exhibited inhibitory activity against S. aureus (22 ± 0.26 mm) and E. coli (16.8 ± 0.15 mm) bacteria. These findings suggest that the fabricated fibers could serve as an effective scaffold for wound healing.

Development of hybrid polyvinylpyrrolidone/carboxymethyl cellulose/collagen incorporated oregano scaffolds via direct ink write printing for potential wound healing applications

Additive manufacturing can develop regenerative scaffolds for wound healing. 3D printing offers meticulous porosity, mechanical integrity, cell adhesion and cost-effectiveness. Herein, we prepared ink composed of carboxymethyl cellulose (CMC), polyvinylpyrrolidone (PVP), collagen, and oregano extract for the fabrication of tissue constructs. The blend was optimized to form a homogeneous ink and rheological characterization demonstrated shear thinning behavior. The scaffolds were printed using Direct Ink Write (DIW) at a flow speed of 4 mm3/s and a layer height of 0.18 mm. The fabricated scaffolds demonstrated an ultimate tensile strength (UTS) and toughness of 730 KPa and 2.72 MJ/m3, respectively. Scanning Electron Microscopy (SEM) revealed an average pore size of 300 ± 30 μm. Fourier transform infrared spectroscopy (FTIR) analysis confirmed that all materials were present. The contact angle of the composite scaffold was 68° ± 1°. Moreover, the scaffolds presented 82 % mass loss (degradation) in phosphate buffer saline (PBS) over 14 days. The composite scaffold exhibited inhibition zones of 9 mm and 12 mm against Staphylococcus aureus and Escherichia coli, respectively. The PVP/CMC/collagen/oregano 3D printed scaffolds exhibited excellent biocompatibility with the mesenchymal stem cells and humman dermal fibroblast cells, confirmed by water-soluble tetrazolium - 8 (WST-8) assay (test conducted for 7 days). The enhanced angiogenic potential of said scaffold was assesed by release of vascular endothelial growth factor followed by further validation through in-vivo CAM assay. Thus, confirming suitability for the potential wound healing application.

Liquid metal hybrid antibacterial hydrogel scaffolds from 3D printing for wound healing

Hydrogels patches hold significant promise for wound healing. Endeavors have been dedicated to the improvement of hydrogel patch functionalities, with the aim of achieving systematic wound management. Herein, we present liquid metal (LM) hybrid antibacterial hydrogel scaffolds for wound healing via the 3D printing strategy. Gelatin/gellan gum-based hydrogel ink is adopted for printing the scaffolds, with LM microdroplets integrated within. Due to the excellent photothermal responsiveness of LM microdroplets, the LM hybrid scaffolds can convert the received near infrared light energy into heat energy, demonstrating controllable antibacterial ability. In addition, vascular endothelial growth factor is introduced into the scaffolds, which can be sustainably released and play an angiogenesis role. In vivo animal experiments demonstrate that this hydrogel scaffolds can effectively assit wound closure by eradicating bacterial infection and promoting angiogenesis. Thus, we believe that the proposed LM hybrid hydrogel scaffolds show promising prospects in wound treatment.

Exploring Squalene's Impact on Epidermal Thickening and Collagen Production: Molecular Docking Insights

Background:: Aging is a progressive deterioration characterized by the gradual buildup of physiological alterations as time passes. The aging phenomenon encompasses various interconnected systems within the body, such as the skin, bones, cartilage, and hair. Objective and Methods: In this study, based on the appropriate properties of squalene, including antioxidant, anti-inflammatory, and skin repair properties, a molecular docking study was designed for the drug squalene and proteins related to the dermis and epidermis pathway and collagen production (including Col3A1, Col1A2, FBN1, Decorin, and HAS2). Results and Discussion:: The docking results indicated that the interaction of squalene with hyaluronan synthetase 2 (HAS2) possessed the highest negative binding free energy value of -10.90 KCal/mol, followed by decorin with a value of -9.99 KCal/mol. Also, the inhibition constant values of squalene- HAS2 and squalene-decorin complexes were equal to 1.61 and 7.51 μM, respectively. It has been stated that decorin (as a small proteoglycan) and HAS2 are involved in controlling the assembly of skin fibrils and the biosynthesis of glucosaminoglycans, respectively. Conclusion:: Considering that proteoglycans and glucosaminoglycans play a role in the skin aging process, squalene may be used as an anti-aging agent to induce these pathways and for different purposes. Squalene may be used as a potential agent alone or in combination with other compounds in tissue engineering scaffolds for cosmetic, anti-aging, wound healing, and tissue repair applications.

Transformation of Natural Resin Resina Draconis to 3D Functionalized Fibrous Scaffolds for Efficient Chronic Wound Healing.

Chronic wound healing is a major challenge in clinical practice. Secondary dressing damage and antibiotic resistance are the main obstacles for traditional wound dressings. Resina draconis (RD), a natural resin traditionally used in powder form for wound care, is now considered unsuitable due to the lack of gas permeability and moist environment required for wound healing. Here, RD is incorporated in situ by constructing a 3D coiled fibrous scaffold with polycaprolactone/polyethylene oxide. Due to the high porosity of 3D scaffold, the RD-3D dressings have a favorable swelling capacity, providing permeability and moisture for wound repair. Meanwhile, the transformation of RD powder into 3D dressings fully demonstrates capabilities of RD in rapid hemostasis, bactericidal, and inflammation-regulating activities. In vivo evaluations using pressure ulcer and infected wound models confirm the high efficacy of RD-3D dressing in early wound healing, particularly beneficial in the infected wound model compared to recombinant bovine FGF-basic. Further biological analysis shows that resveratrol, loureirin A, and loureirin B, as potentially bioactive components of RD, individually contribute to different aspects of wound healing. Collectively, RD-3D integrated dressings represent a simple, cost-effective, and safe approach to wound healing, providing an alternative therapy for translating medical dressings from bench to bedside.

Equisetum arvense and nano zinc oxide‐infused polycaprolactone scaffolds: A multifaceted approach for antibacterial, antioxidant, and hemocompatible wound dressing

AbstractAn appropriate skin tissue‐engineered scaffold can act promptly to combat microbial infection and preserve the wound throughout all phases of healing. To achieve sufficient healing, scaffolds should also promote cell proliferation and regeneration. Therefore, it has become essential to develop skin tissue engineering scaffolds that mimic the extracellular matrices of the skin, provide a high porosity scaffold structure, and act as an antimicrobial protection during wound healing. In this study, the polycaprolactone (PCL) electrospun scaffold was modified with optimal amounts of zinc oxide nanoparticles (ZnO) and Equisetum arvense (EA) herbal extract for potential application as antibacterial and wound healing scaffolds. Full characterization was carried out for fabricated scaffolds before in‐vitro assessments. FTIR spectroscopy and SEM images verified the successful substitution of nanofibers with EA and ZnO. These substitutions increased the hydrophilicity compared to the PCL scaffold. According to the results, the PCL/ZnO/EA fabricated scaffold was hemocompatible and non‐cytotoxic, in addition to allowing proper cell attachment. Effective antibacterial efficiency against Gram‐positive and Gram‐negative bacteria was also observed in this sample. Finally, the in vitro wound healing assay indicated that the addition of ZnO and EA improves the wound healing capacity of the scaffolds. The results indicate the potential of the developed scaffolds to prevent wound contamination and the complications of chronic infection.Highlights Optimal concentrations of zinc oxide nanoparticles (ZnO) and Equisetum arvense (EA) were incorporated into electrospun polycaprolactone (PCL) nanofibers for potential wound dressing applications. The fabricated nanofibrous wound dressings offer a multitude of structural features in biomaterials. PCL fibers enable the controlled release of both ZnO and EA. The fabricated scaffolds exhibit favorable antibacterial, and antioxidant properties while maintaining biocompatibility and hemocompatibility.

Harnessing bi-layered supramolecular Janus tissue-adhesive/anti-adhesive fibrous hydrogel for efficient hemostasis, wound healing, and suppressing postoperative tissue adhesion

Inadequate progression of primary (bleeding/infection) and secondary (rebleeding/postoperative tissue adhesion) complications at the wound site pose a substantial burden of morbidity and mortality worldwide. Therefore, developing a multifunctional biomaterial dressing for abrupt tissue adhesion and suppressed postoperative adhesion simultaneously is deemed essential. Herein, we designed a bi-layered Janus fibrous hydrogel (J-FH). The bottom layer comprises zinc-incorporated mesoporous silica nanogranules (ZnMSG) reinforced catechol-modified gelatin methacrylate (GC) hydrogel. GC@ZnMSG supramolecular hydrogel easily adheres to wet wounded tissue and possesses hemostatic, mechanical, and antibacterial properties. On the other hand, the top layer comprises dopamine-modified cellulose acetate nanofibrous membrane (DC) sequentially deposited with polydopamine-conjugated zwitterionic sulfobetaine methacrylate (PDA-SBMA). DC@PDA-SBMA fibrous membrane performs the anti-adhesive function by suppressing fouling and preventing tissue adhesion. The findings of animal experiments show that the bottom layer of the J-FH adheres firmly to the tissue surface, preventing bleeding and supporting tissue closure/regeneration. In contrast, the top layer provides mechanical stability, preventing secondary bleeding and suppressing postoperative tissue adhesion. Overall, J-FH demonstrated excellent biocompatibility, antibacterial properties, superior mechanical strength, asymmetric adhesion, robust hemostasis, and accelerated wound healing. It can replace traditional sutures, non-degradable dressings, and double-sided adhesive scaffolds for hemostasis, external, and internal postoperative wound healing.

Xanthan gum/Guar gum-based 3D-printed scaffolds for wound healing: production, characterization, and biocompatibility screening

Biodegradable and eco-sustainable medical devices represent an urgent need to face up to the increasing pollution associated to plastic device wastes. The present study aimed to develop semisolid extruded 3D (SSE-3D)-printed medical devices using mixtures of Xanthan gum (XG) and Guar gum (GG) as a green alternative to non-biodegradable synthetic polymers. The final purpose is to prepare biocompatible, biodegradable, and sterilizable implantable scaffolds with pro-regenerative and wound-healing properties. Inks prepared with 12 % w/v XG/GG (50:50) and blended with citric (CA), succinic (SA), or tartaric acid (TA) possessed suitable rheological profiles and allowed the 3D printing of porous scaffolds with high precision and structural control. Steam-heat sterilization triggered the cross-linking through ester bond formation (confirmed by ATR-FTIR and CP/MAS 13C-NMR). The scaffold crosslinked with SA had reproducible porosity (SEM and pycnometer), maintained the initial shape after 7 days swelling in PBS pH 7.4 and subjected to compression cycles (texturometer analysis), showed good cytocompatibility and hemocompatibility, and promoted angiogenesis in ovo in a chorioallantoic membrane model, evidencing tissue integration without toxicity. Furthermore, these scaffolds attenuated collagenase activity by trapping divalent ions (Ca2+ and Zn2+). Hence, by coupling angiogenic and anticollagenase activity, XG/GG scaffolds are promising candidates for wound healing and pro-regenerative applications.

Incorporating silver nanoparticles into electrospun nanofibers of casein/polyvinyl alcohol to develop scaffolds for tissue engineering

Developing novel antimicrobial wound dressings that have the potential to address the challenges associated with chronic wounds is highly imperative in providing effective infection control and wound healing support. Biocompatible electrospun nanofibers with their high porosity and surface area enabling efficient drug loading and delivery have been investigated in this regard as viable candidates for chronic wound care. Here, we design Casein/Polyvinyl alcohol (CAN/PVA) nanofibers reinforced with silver nanoparticles (Ag NPs) by the electrospinning technique to develop diabetic wound healing scaffolds. The prepared samples were characterized using spectroscopic and electron microscopic techniques. The biocompatibility of the polymer samples were assessed using 3 T3 fibroblast cell lines and the maximum cell viability was found to 95 % at a concentration of 50 μg/mL for the prepared nanofibers. Scratch assay tests were also performed to analyze the wound healing activity of the nanofibers wherein they demonstrated increased migration and proliferation of fibroblast 3 T3 cells. Moreover, these nanofibers also exhibit antibacterial efficiency against Gram-negative bacteria, Escherichia coli (E.coli). Therefore, the antimicrobial nature of the electrospun nanofibers coupled with their moisture absorption properties and wound healing ability render them as effective materials for wound dressing applications.

Fabrication, Characterization, and Biological Evaluation of T. terrestris Incorporated Titanium-Doped ZnO/Cellulose Nanocomposite Films as a Therapeutic Hemostatic Scaffolds for Diabetic Wound Healing.

The advent of biobased materials exhibiting remarkable effectiveness and performance has ushered in a paradigm shift in the field of biomedical science. Polymers are often used in the medical sector, particularly in the regeneration of bones, tissues, and wounds. Fast wound healing and self-healing polymers created from sustainable surroundings are attractive alternatives to create demand for new pathways in polymer research. This study investigates the efficacy of a biowaste-derived polymer, which was extracted and supplemented with titanium-doped ZnO nanoparticles along with medication in the form of an extract to evaluate its effectiveness in promoting wound healing. The prepared materials were further characterized using X-ray diffraction (XRD), UV-visible spectroscopy, Fourier-transform infrared spectroscopy (FTIR), field emission scanning electron microscopy (FE-SEM), optical microscopy, atomic force microscopy (AFM), tensile, and its color parameters. In vitro studies on wound healing were also conducted. The results clearly showed that the produced substance possesses properties that are noteworthy for wound healing.

Enhancing cutaneous wound healing: A study on the beneficial effects of nano-gelatin scaffold in rat models.

The challenges in achieving optimal outcomes for wound healing have persisted for decades, prompting ongoing exploration of interventions and management strategies. This study focuses on assessing the potential benefits of implementing a nano-gelatin scaffold for wound healing. Using a rat skin defect model, full-thickness incisional wounds were created on each side of the thoracic-lumbar regions after anesthesia. The wounds were left un-sutured, with one side covered by a gelatin nano-fibrous membrane and the other left uncovered. Wound size changes were measured on days 1, 4, 7, and 14, and on day 14, rats were sacrificed for tissue sample excision, examined with hematoxylin and eosin, and Masson's trichrome stain. Statistical comparisons were performed. The gelatin nanofibers exhibited a smooth surface with a fiber diameter of 260 ± 40 nm and porous structures with proper interconnectivity. Throughout the 14-day experimental period, significant differences in the percentage of wound closure were observed between the groups. Histological scores were higher in the experiment group, indicating less inflammation but dense and well-aligned collagen fiber formation. A preliminary clinical trial on diabetic ulcers also demonstrated promising results. This study highlights the potential of the nano-collagen fibrous membrane to reduce inflammatory infiltration and enhance fibroblast differentiation into myofibroblasts during the early stages of cutaneous wound healing. The nano-fibrous collagen membrane emerges as a promising candidate for promoting wound healing, with considerable potential for future therapeutic applications.

Instant mucus dressing of PEO reinforced by chitosan nanofiber scaffold for open wound healing

Dressings seamlessly attached to the open wound bed are necessary for fully unleashing the dressing healing ability, as leaving the voids beneath the dressing poses infection hazards. The present study prepared an instant mucus dressing (IMD) of polyethylene oxide (PEO) reinforced by chitosan (CS) nanofiber scaffold, which formed by immersing PEO/CS nanofiber mat in water. The PEO/CS nanofiber mat were fabricated by the solution blow spinning (SBS) method using PEO and CS mixed solutions. Attenuated total reflection Fourier transform infrared spectroscopy (FTIR-ATR), transmission electron microscope (TEM), X-ray photoelectron spectroscopy (XPS), X-ray diffraction (XRD) and differential scan calorimetry (DSC) analyses indicate that PEO macromolecules formed the most of nanofiber shell due to their lower surface tension while CS macromolecules stayed mainly inside the fiber as the core. When such a PEO/CS nanofiber mat was immersed in water, PEO swelled to form mucus dressing reinforced by CS inside the nanofiber, which was fluidic and able to fully fill the voids on the wound. In vivo rat experiment verified that the dressing significantly accelerated the open wound healing through seamlessly attaching of mucus to the open wound and providing moist environment. The dressings exhibit good platelets and whole blood cells adhesion properties, excellent hemostasis function and no cytotoxicity. This instant mucus dressing provided a new perspective for manufacturing high performance open wound dressings.

Amikacin sulphate loaded chitosan-diopside nanoparticles composite scaffold for infectious wound healing

A wound dressing material should inhibit infections that may occur at the wound site, and at the same time, it should enhance the healing process. In this study, we developed an amikacin sulphate (AK) incorporated chitosan (Ch) and Diopside nanoparticles composite dressing (Ch-nDE-AK) for controlling wound infection and healing. The diopside nanoparticles (nDE) were prepared using sol-gel synthesis and characterized using XRD, FT-IR, and FESEM. nDE shows a size range of 142 ± 31 nm through FESEM analysis. Later, the developed composite dressing was characterized using SEM, EDS, and FT-IR analysis. Ch-nDE-AK dressing possesses a porous nature that will aid in easy cell infiltration and proliferation. The swelling studies indicated the expansion capability of the scaffold when applied to the injured site. Ch-nDE-AK scaffold showed a 69.6 ± 8.2 % amikacin sulphate release up to 7 days, which indicates the sustained release of the drug from Ch-nDE-AK scaffold. The drug release data was subjected to various kinetics models and was observed to follow the Higuchi model. The scaffold showed antibacterial activity against ATCC strains of S. aureus and E. coli for 7 days by in vitro. Ch-nDE-AK scaffold also showed antibacterial activity against S. aureus and E. coli clinical strains in vitro. The ex vivo antibacterial study confirmed the antibacterial ability of Ch-nDE-AK scaffold against S. aureus and E. coli. Ch-nDE-AK scaffold also exhibits anti-biofilm activity against S. aureus and E. coli. The Ch-nDE-AK scaffold showed cytocompatibility and cell attachment to fibroblast cells. Additionally, the scratch assay using fibroblast cells confirmed the role of the nDE in the scaffold, helping in cell migration. Thus, the developed Ch-nDE-AK dressing can potentially be used to treat infectious wound healing.