Tannic acid and silicate-functionalized polyvinyl alcohol-hyaluronic acid hydrogel for infected diabetic wound healing

Healing of chronic diabetic wounds is challenging due to complications of severe inflammatory microenvironment, bacterial infection and poor vascular formation. Herein, a novel injectable polyvinyl alcohol-hyaluronic acid-based composite hydrogel was developed, with tannic acid (TA) and silicate functionalization to fabricate an 'all-in-one' hydrogel PTKH. On one hand, after being locally injected into the wound site, the hydrogel underwent a gradual sol-gel transition in situ, forming an adhesive and protective dressing for the wound. Manipulations of rheological characteristics, mechanical properties and swelling ability of PTKH could be performed via regulating TA and silicate content in hydrogel. On the other hand, PTKH was capable of eliminating reactive oxygen species overexpression, combating infection and generating a cell-favored microenvironment for wound healing acceleration in vitro. Subsequent animal studies demonstrated that PTKH could greatly stimulate angiogenesis and epithelization, accompanied with inflammation and infection risk reduction. Therefore, in consideration of its impressive in vitro and in vivo outcomes, this 'all-in-one' multifunctional hydrogel may hold promise for chronic diabetic wound treatment.

Miscibility Studies of Hyaluronic Acid and Poly(Vinyl Alcohol) Blends in Various Solvents

In this study, blends based on hyaluronic acid (HA) and poly(vinyl alcohol) (PVA) were characterized by the viscometric method, steady shear rheological tests and FTIR spectroscopy (Fourier Transform Infrared Spectroscopy). Viscometric studies showed the miscibility of HA and PVA in distilled water: 0.1 mol dm-3 NaCl and 0.1 mol dm-3 HCl. The method proposed by Garcia et al. was applied to assess the miscibility of polymers, while Δ[η] and Δb were introduced to determine of miscibility from the Huggins plots. The viscometric data showed that the attractive forces of HA and PVA were dominant when dissolved in 0.1 mol dm-3 NaCl and 0.1 mol dm-3 HCl, while, in distilled water, repulsive forces played the leading role. All polymer solutions were well characterized using a power law model, and exhibited non-Newtonian behavior with pseudoplasticity increasing with the increasing weight fraction of HA in 0.1 mol dm-3 NaCl and 0.1 mol dm-3 HCl. FTIR studies exhibited the formation of new intermolecular interactions between HA and PVA via hydrogen bonding.