Preparation of antimicrobial and hemostatic cotton with modified mesoporous particles for biomedical applications

Development of Cellulose Nanofibril/Casein-Based 3D Composite Hemostasis Scaffold for Potential Wound-Healing Application

Excessive bleeding in traumatic hemorrhage is the primary concern for natural wound healing and the main reason for trauma deaths. The three-dimensional (3D) bioprinting of bioinks offers the desired structural complexity vital for hemostasis activity and targeted cell proliferation in rapid and controlled wound healing. However, it is challenging to develop suitable bioinks to fabricate specific 3D scaffolds desirable in wound healing. In this work, a 3D composite scaffold is designed using bioprinting technology and synergistic hemostasis mechanisms of cellulose nanofibrils (TCNFs), chitosan, and casein to control blood loss in traumatic hemorrhage. Bioinks that consist of casein bioconjugated TCNF (with a casein content of 104.5 ± 34.1 mg/g) using the carbodiimide cross-linker chemistry were subjected to bioprinting for customizable 3D scaffold fabrication. Further, the 3D composite scaffolds were in situ cross-linked using a green ionic complexation approach. The covalent conjugation among TCNF, casein, and chitosan was confirmed by Fourier transform infrared (FTIR) spectroscopy, nuclear magnetic resonance (NMR), X-ray photoelectron spectroscopy (XPS), sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE), and X-ray diffraction (XRD) studies. The in vitro hemostasis activity of the 3D composite scaffold was analyzed by a human thrombin-antithrombin (TAT) assay and adsorption of red blood cells (RBCs) and platelets. The 3D composite scaffold had a better swelling behavior and a faster whole blood clotting rate at each time point than the 3D TCNF scaffold and commercial cellulose-based dressings. The TAT assay demonstrated that the 3D composite scaffold could form a higher content of thrombin (663.29 pg/mL) and stable blood clot compared to a cellulosic pad (580.35 pg/mL), 3D TCNF (457.78 pg/mL), and cellulosic gauze (328.92 pg/mL), which are essential for faster blood coagulation. In addition, the 3D composite scaffold had a lower blood clotting index (23.34%) than the 3D TCNF scaffold (41.93%), suggesting higher efficiencies for RBC entrapping to induce blood clotting. The in vivo cytocompatibility was evaluated by a 3D cell culture study, and results showed that the 3D composite scaffold could promote growth and proliferation of NIH 3T3 fibroblast cells, which is vital for wound healing. Cellulase-based in vitro deconstruction of the 3D composite scaffold showed significant weight loss (80 ± 5%) compared to the lysozyme hydrolysis (22 ± 5%) after 28 days of incubation, suggesting the biodegradation potential of the composite scaffold. In conclusion, this study proposes efficient prospects to develop a 3D composite scaffold from bioprinting of TCNF-based bioinks that can accelerate blood clotting and wound healing, suggesting its potential application in reducing blood loss during traumatic hemorrhage.

Development of PET Fabrics Containing N-halamine Compounds with Durable Antibacterial Property

Antibacterial textile materials are widely used in daily life, but most are disposable products with poor antibacterial durability. N-halamine can rapidly inactivate microorganisms, has good stability, and shows great potential applications in antibacterial fabrics. In this study, an N-halamine monomer precursor was synthesized and treated onto PET fabrics. The treated PET fabrics were rendered antibacterial functionality after chlorination, and exhibited good antibacterial properties with inactivation rate of 100.0 % for both E. coli O157:H7 and S. aureus. After 50 wash cycles, the chlorinated treated PET fabrics could maintain 80.0 % antibacterial efficacy, demonstrating durable antibacterial properties. Storage stability and UV irradiation tests showed that the treated PET fabrics had remarkable regenerable properties. The reduction of the breaking strength was within 12 % after treatment, which is in a satisfying range in antimicrobial finishing.

Rapid hemostasis and high bioactivity cerium-containing mesoporous bioglass for hemostatic materials

A two-step-acid-catalyzed-self-assembly method was used to prepare cerium-containing mesoporous bioactive glass with P123 as a template. The results showed that MBG without cerium and MBG with cerium slightly affected its surface area, and its water absorption rate was significantly higher. In vitro coagulation experiments showed that Ce-MBG significantly reduces prothrombin time (PT) and activated partial thromboplastin time (APTT), indicating that MBG containing Ce could promote coagulation and platelet adhesion compared with MBG. These suggested that Ce-MBG may be a good dressing with hemostatic properties, which could shorten the bleeding time of the wound and control the bleeding.

Multifunctional 3D printed porous GelMA/xanthan gum based dressing with biofilm control and wound healing activity

Bacterial infections are the major challenges of wound treatment in current clinical applications. In this study, Three-dimensional (3D) antibacterial wound dressing has been fabricated via introducing N-halamine/TiO₂ to gelatin methacrylate and xanthan gum. The prepared 3D printed dressings showed ideal swelling ratio and excellent water uptake efficiency. TiO₂ nanoparticles were introduced by in-situ to improve the ultraviolet stability of N-halamines. The 3D printed GX2-TiO₂-PSPH-Cl prepared dressings containing titanium dioxide retained 0.19% active chlorine after ultraviolet irradiation for 20 min, which was much higher than that of N-halamine dressings without the addition of TiO₂. The 3D printed dressings showed good antibacterial activity, and 100% of Escherichia coli O157:H7 and Staphylococcus aureus were inactivated after 60 min of contact. Furthermore, the biofilm test indicated that the 3D antibacterial dressings were able to inhibit the formation of bacterial biofilm. The 3D printed dressings possess outstanding biocompatibility. Moreover, in vivo data demonstrated that the 3D printed dressings could significantly accelerate wound healing in a mouse model, indicating that the developed 3D printed dressings are ideal candidates for wound treatment.

RF. Fatigue Testing of Wearable Sensing Technologies: Issues and Opportunities

Standards for the fatigue testing of wearable sensing technologies are lacking. The majority of published fatigue tests for wearable sensors are performed on proof-of-concept stretch sensors fabricated from a variety of materials. Due to their flexibility and stretchability, polymers are often used in the fabrication of wearable sensors. Other materials, including textiles, carbon nanotubes, graphene, and conductive metals or inks, may be used in conjunction with polymers to fabricate wearable sensors. Depending on the combination of the materials used, the fatigue behaviors of wearable sensors can vary. Additionally, fatigue testing methodologies for the sensors also vary, with most tests focusing only on the low-cycle fatigue (LCF) regime, and few sensors are cycled until failure or runout are achieved. Fatigue life predictions of wearable sensors are also lacking. These issues make direct comparisons of wearable sensors difficult. To facilitate direct comparisons of wearable sensors and to move proof-of-concept sensors from "bench to bedside", fatigue testing standards should be established. Further, both high-cycle fatigue (HCF) and failure data are needed to determine the appropriateness in the use, modification, development, and validation of fatigue life prediction models and to further the understanding of how cracks initiate and propagate in wearable sensing technologies.

A garlic oil-based organo-hydrogel for use in pH-sensitive drug release

In this study, six different organo-hydrogels containing agar-glycerol (AG)-based garlic oil (GO) were synthesized using two different crosslinkers (N,N, methylenebisacrylamide (MBA), glutaraldehyde (GA)) to ensure the controlled release of ceftriaxone (Ce) and carboplatin (Cp). Synthesized organo-hydrogels were characterized by FT-IR. Afterward, swelling behaviors were investigated in DI, tap water, ethanol, acetone, ethanol/DI water (1:1), acetone/DI water (1:1) and gasoline environments and different pH. As a result of hemolysis, blood clotting and antioxidant analysis, organo-hydrogels have been shown to have blood compatibility and antioxidant properties. Ce and Cp release properties of the prepared organo-hydrogels were also determined. The highest Ce release rate was obtained to be 37.8% for p (AG-g-GO)³ at pH 8.0 after 7 days. However, the highest Cp release rate was found to be 95.4% for p (AG-g-GO)³ at pH 7.4 after 1 day.

P. S. AK, Oyekanmi AA, Gideon ON, Abdullah CK, Yahya EB, Alfatah T, Sabaruddin FA, Rahman AA. Cotton Wastes Functionalized Biomaterials from Micro to Nano: A Cleaner Approach for a Sustainable Environmental Application

The exponential increase in textile cotton wastes generation and the ineffective processing mechanism to mitigate its environmental impact by developing functional materials with unique properties for geotechnical applications, wastewater, packaging, and biomedical engineering have become emerging global concerns among researchers. A comprehensive study of a processed cotton fibres isolation technique and their applications are highlighted in this review. Surface modification of cotton wastes fibre increases the adsorption of dyes and heavy metals removal from wastewater. Cotton wastes fibres have demonstrated high adsorption capacity for the removal of recalcitrant pollutants in wastewater. Cotton wastes fibres have found remarkable application in slope amendments, reinforcement of expansive soils and building materials, and a proven source for isolation of cellulose nanocrystals (CNCs). Several research work on the use of cotton waste for functional application rather than disposal has been done. However, no review study has discussed the potentials of cotton wastes from source (Micro-Nano) to application. This review critically analyses novel isolation techniques of CNC from cotton wastes with an in-depth study of a parameter variation effect on their yield. Different pretreatment techniques and efficiency were discussed. From the analysis, chemical pretreatment is considered the most efficient extraction of CNCs from cotton wastes. The pretreatment strategies can suffer variation in process conditions, resulting in distortion in the extracted cellulose's crystallinity. Acid hydrolysis using sulfuric acid is the most used extraction process for cotton wastes-based CNC. A combined pretreatment process, such as sonication and hydrolysis, increases the crystallinity of cotton-based CNCs. The improvement of the reinforced matrix interface of textile fibres is required for improved packaging and biomedical applications for the sustainability of cotton-based CNCs.

Highly efficient and durable antibacterial cotton fabrics finished with zwitterionic polysulfobetaine by one-step eco-friendly strategy

In this work, a novel formulation of polysulfobetaine, poly (sulfobetaine-acrylamide-allyl glycidyl ether) (PSPB-AM-AGE), was synthesized and grafted onto cotton. The synthesis of PSPB-AM-AGE and its grafting on the cotton fabrics were confirmed by FTIR, XPS and SEM. The PSPB-AM-AGE treated cotton fabrics exhibited a high level of antibacterial rate against both Escherichia coli (E. coli) and Staphylococcus aureus (S. aureus), which are 95.18% and 98.74%, separately, as well as a good laundry durability. The mechanical tests showed that the essential cotton properties can be largely preserved in the treatment process. Moreover, the hydrophilicity, air and water permeability of the cotton were improved after treated with PSPB-AM-AGE, indicating a better wearing comfort performance. The whiteness of the cotton fabrics did not decrease significantly. The safety evaluation demonstrated that PSPB-AM-AGE had no cytotoxicity. The developed antibacterial finishing introduced a new method to apply polysulfobetaine interfaced on cellulose, providing great potential for biomedical fabric application.

Antibacterial N-halamine fibrous materials

Pathogenic microbial contamination poses serious threats to human healthcare and economies worldwide, which instigates the booming development of challenging antibacterial materials. N-halamine fibrous materials (NFMs), as an important part of antibacterial materials, featuring structural continuity, good pore connectivity, rapid sterilization, rechargeable bactericidal activity, and safety to humans and environment, have received significant research attention. This review aims to present a systematic discussion of the recent advances in N-halamine antibacterial fibrous materials. We firstly introduce the chemical structures and properties of N-halamine materials. Subsequently, the developed NFMs can be categorized based on their fabrication strategies, including surface modification and one-step spinning. Then some representative applications of these fibrous materials are highlighted. Finally, challenges and future research directions of the materials are discussed in the hope of giving suggestions for the following studies.

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The chemical structures and properties of N-halamine materials are briefly introduced.

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Design and fabrication strategies of N-halamine fibrous materials are systematically reviewed.

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The functional applications of the N-halamine fibrous materials are discussed.

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Challenges and future research directions of the antibacterial N-halamine fibrous materials are provided.

Novel porous chitosan/N-halamine structure with efficient antibacterial and hemostatic properties

In this work, a novel chitosan based structure (CS/EVC) with low density, high porosity, three-dimensional porous structure and great adsorption capability has been prepared by using 1,2-epoxy-4-vinyl cyclohexane (EVC) as a cross-linker. After immersing CS/EVC in N-halamine 1-chloro-2,2,5,5-tetramethyl-4-imidazolinone (MC) solution, antibacterial CS/EVC/MC compounds were obtained. Compared with chitosan and CS/EVC controls, CS/EVC/MC showed excellent antimicrobial activities, which could inactivate both more than 6 logs (×1/1,000,000) of Staphylococcus aureus (ATCC 6538) and Escherichia coli (ATCC 8099) within 30 and 10 min, respectively. Moreover, the relatively low blood clotting index of CS/EVC/MC and the activation of platelets adhering to the surfaces indicated that the CS/EVC/MC sample is potential to promote the agglutination abilities of blood cells and simultaneously control wound bleeding. In addition, in vitro cytotoxicity test showed that the CS/EVC/MC had no cytotoxicity. The material might thus have a great potential for biomedical applications.

Synthesis and characterization of novel organo-hydrogel based agar, glycerol and peppermint oil as a natural drug carrier/release material

The very recent Covid-19 pandemic has made the need to understand biocompatible polymers as support material in drug delivery systems and controlled release clearer, especially for organo-hydrogels. This study aims to synthesize various new polymeric materials called gels, hydrogels, and organo-hydrogels according to the monomer used and to investigate their use as drug release systems. The agar-glycerol (AG) pair was used to synthesize the polymers, N, N, methylene bisacrylamide (MBA, m) and glutaraldehyde (GA, g) were used as cross-linkers and peppermint oil (PmO) was included to obtain the organo-hydrogels. Therefore, one AG gel and two p (AG-m) and p (GA-g) hydrogels were synthesized within the scope of the study. Six different organo-hydrogels based on p(AG-m-PmO) or p (AG-g-PmO) were also synthesized by varying the amount of peppermint oil. Paracetamol and carboplatin were selected as the sample drugs. Synthesized gels, hydrogels and organo-hydrogels were characterized by FTIR and SEM analysis. Additionally, swelling behaviors of the synthesized gels were investigated in different media (ID water, tap water, ethanol, acetone, ethanol/ID water (1:1), acetone/ID water (1:1) and gasoline) and at different pHs. Moreover, it was determined that organo-hydrogels were blood compatible and had antioxidant properties based on hemolysis, blood clotting and antioxidant analysis. Therefore, the release of paracetamol (a known antipyretic-painkiller, recommended and used in the treatment of Covid-19) and carboplatin (widely used in cancer treatment) were studied. Evidently, as the amount of PMO oil increases, the -OH groups in organo-hydrogels will increase and the chemical and physical bonding rates will increase; therefore it was observed that increasing peppermint oil in the organo-hydrogels structure to 0.3 mL stimulated the release of the drugs. For instance, maximum paracetamol release amount from p(AG-g-PmO) and p(AG-m-PmO) organo-hydrogels was calculated to be 72.3% at pH 7.4 and 69.8% at pH 2.0, respectively. The maximum carboplatin release amount from p(AG-g-PmO) and p(AG-m-PmO) organo-hydrogels was calculated to be 99.7% at pH 7.4 and 100% at pH 7.4, respectively. It was concluded that the synthesized organo-hydrogels might easily be used as drug carrier and controlled drug release materials.

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Novel organo-hydrogels were synthesized using agar, glycerol and peppermint oil for drug carrier and controlled release.

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Biocompatibility and antioxidant properties of organo-hydrogels were investigated.

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Covid-19 and cancer sensitive drugs (Paracetamol and Carboplatin) were accomplished.

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The superior properties of the synthesized organo-hydrogels make them useful in biomedical, pharmaceutical and drug delivery systems applications.

N-halamine modified multiporous bacterial cellulose with enhanced antibacterial and hemostatic properties

Bacterial cellulose (BC) is a natural polymer with remarkable superiority for fabricating biomaterials. In this study, a multiporous bacterial cellulose (MBC) film was modified with N-isopropylacrylamide (NIPAM), and the modified MBC film was imbued with antibacterial properties after chlorination. The dried chlorinated samples showed superb antibacterial efficacy and could inactivate 6.19 log of inoculated S. aureus and 6.29 log of E. coli within 1 min of contact. After releasing active chlorine for 12 h, 3.67 log of S. aureus and 3.97 log of E. coli were inactivated within 30 min of contact. The prepared films displayed high porous and layered structures with a resultant excellent water retention which can be applied as material for wound dressings. In addition, the chlorinated films showed hemostatic ability on wound bleeding and good biocompatibility. The prepared N-halamine functionalized MBC films might have great potential applications as wound dressings.

Novel quaternarized N-halamine chitosan and polyvinyl alcohol nanofibrous membranes as hemostatic materials with excellent antibacterial properties

The aim of this study was to develop novel nanofibrous membranes based on the quaternary ammonium N-halamine chitosan (CSENDMH) and polyvinyl alcohol (PVA) for antibacterial and hemostasis wound dressing. To improve the antimicrobial properties of nanofibrous membranes, a new chitosan-quaternary ammonium N-halamine derivative was successfully synthesized, and the structure was analyzed by 1H NMR and 13C NMR, fourier transform infrared (FTIR) spectroscopy, and elemental analysis. The morphological and water absorption ability studies showed that the membrane had a uniform bead-free network and high porosity structure like natural extracellular matrix as well as high hydrophilicity. For in vitro evaluation of the hemostatic effect, the membranes showed excellent blood clotting capacity, especially the PVA/CSENDMH membranes. The antimicrobial assay demonstrated excellent antibacterial activity of nanofibrous membranes against both gram-negative and gram-positive bacteria. Furthermore, the cytocompatibility assay results indicated that human fibroblasts could adhere and proliferate on the membranes, thus corroborating their biocompatibility.

Mesoporous Silica-Based Materials with Bactericidal Properties

Bacterial infections are the main cause of chronic infections and even mortality. In fact, due to extensive use of antibiotics and, then, emergence of antibiotic resistance, treatment of such infections by conventional antibiotics has become a major concern worldwide. One of the promising strategies to treat infection diseases is the use of nanomaterials. Among them, mesoporous silica materials (MSMs) have attracted burgeoning attention due to high surface area, tunable pore/particle size, and easy surface functionalization. This review discusses how one can exploit capacities of MSMs to design and fabricate multifunctional/controllable drug delivery systems (DDSs) to combat bacterial infections. At first, the emergency of bacterial and biofilm resistance toward conventional antimicrobials is described and then how nanoparticles exert their toxic effects upon pathogenic cells is discussed. Next, the main aspects of MSMs (e.g., physicochemical properties, multifunctionality, and biosafety) which one should consider in the design of MSM-based DDSs against bacterial infections are introduced. Finally, a comprehensive analysis of all the papers published dealing with the use of MSMs for delivery of antibacterial chemicals (antimicrobial agents functionalized/adsorbed on mesoporous silica (MS), MS-loaded with antimicrobial agents, gated MS-loaded with antimicrobial agents, MS with metal-based nanoparticles, and MS-loaded with metal ions) is provided.

Chitosan-bound carboxymethylated cotton fabric and its application as wound dressing

Cotton fabric (CF) is commonly used in wound treatment, however, its hemostatic efficiency is far from sufficient. In this study, modified cotton fabric (MCF-0.39) was obtained by a carboxymethylation process, which endowed MCF-0.39 with good swelling ability and water absorption capacity. Chitosan (CHI) was bound to MCF-0.39 by the binder sodium carboxymethyl cellulose (NaCMC) via flat-screen printing technique to prepare the hybrid hemostatic material (CHI-MCF-0.39). The blood clotting index (BCI) of CHI-MCF-0.39 was 3.15-fold lower than that of CF, demonstrating the good clotting ability of the material. In rat liver injury and femoral artery animal model, the groups using CHI-MCF-0.39 had less hemostasis time and blood loss compared with those groups using CF. All the above results indicate that the prepared CHI-MCF-0.39 has promising future applications as effective hemostatic material in trauma treatment.

Well-ordered mesoporous silica and bioactive glasses: promise for improved hemostasis

Mesoporous silica and bioactive glasses with unique textural properties are new generations of inorganic hemostats with efficient hemostatic ability.

In-situ green myco-synthesis of silver nanoparticles onto cotton fabrics for broad spectrum antimicrobial activity

In the realm of green synthesis of metals nanoparticles for medical textile application, silver nanoparticles (AgNPs) were biosynthesized in situ cotton fabrics for the first time by using fungi for rendering cotton fabrics antimicrobial activity with abroad range towards different pathogenic organisms. Herein, five different isolated fungi from medicinal plants were identified and optimized their growth media prior examined their ability to reduce Ag⁺ ions to AgNPs in-situ cotton fabrics along with ex-situ method. Synthesis of AgNPs were characterized by making use of instruments e.g. UV-vis spectroscopy, Transmission Electron Microscopy (TEM), Selected Area Electron Diffraction (SAED), Scanning Electron Microscopy (SEM), and Fourier Transform Infrared (FTIR). Whereas antimicrobial activities of the resultant cotton fabrics were investigated against Gram positive (S. aureus ATCC29213), Gram negative (E. coli ATCC 25922), Yeast (C. albicans ATCC10321) and, fungi (A. niger NRC 53). Results revealed the successful biosynthesis of AgNPs using different fungus strains whether in-situ cotton fabrics or ex-situ manner. The size of the resultant AgNPs by ex-situ method were varied (5-20 nm). The antimicrobial activity of the in-situ treated cotton samples exhibited different behaviors towards both pathogenic bacteria and fungi. This manner opens up a new way to discover the ability of nanobiotechnology to provide world with substitutional aids mimic to synthetic materials.