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Zhang Y, Lu X, Chi C, Zheng Y, Chen Q. Sheet-like Janus hemostatic dressings with synergistic effects of cardanol hemostasis and quaternary ammonium salt antibacterial action. J Mater Chem B 2022; 10:9413-9423. [PMID: 36377727 DOI: 10.1039/d2tb02082c] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
It is of utmost importance that bleeding should be stopped and infection be prevented in people with trauma. In this study, an anisotropic Janus mesoporous silica nanosheet (MSNS) with different functional groups was designed and prepared. In order to endow both sides of the MSNS with independent fast hemostasis and effective antibacterial action, the MSNS was modified with cardanol (CA) and 2,3-epoxypropyltrimethylammonium (GTA). The addition of CA significantly improved the hemostatic property of the MSNS. In a SD rat femoral artery injury model, the hemostatic time of CA-MSNS-GTA was 47% shorter than that of the MSNS, attributed to the sealing of the hydrophobic alkyl side chain and the adhesion of phenolic hydroxyl groups in CA. CA-MSNS-GTA could form a three-dimensional network with fibrin to further accelerate the coagulation process. This Janus material exhibited excellent antibacterial effects (∼90%) against Gram-positive bacteria (S. pneumoniae) and Gram-negative bacteria (E. coli) due to the presence of GTA. The cytotoxicity test showed that CA-MSNS-GTA exhibited biosafety, which provided safety guarantee for clinical applications in the future. This Janus dressing with different functions on two opposite sides provides synergetic multifunctional effects during wound healing.
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Affiliation(s)
- Yuxia Zhang
- College of Chemistry and Materials Science, Fujian Normal University, Fuzhou, Fujian 350007, P. R. China.
| | - Xiaoyu Lu
- College of Chemistry and Materials Science, Fujian Normal University, Fuzhou, Fujian 350007, P. R. China.
| | - Chongyi Chi
- College of Chemistry and Materials Science, Fujian Normal University, Fuzhou, Fujian 350007, P. R. China.
| | - Yanyan Zheng
- College of Chemistry and Materials Science, Fujian Normal University, Fuzhou, Fujian 350007, P. R. China.
| | - Qinhui Chen
- College of Chemistry and Materials Science, Fujian Normal University, Fuzhou, Fujian 350007, P. R. China. .,Fujian Provincial Key Laboratory of Polymer Materials, Fujian Normal University, Fuzhou, Fujian 350007, P. R. China
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2
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Mecwan M, Li J, Falcone N, Ermis M, Torres E, Morales R, Hassani A, Haghniaz R, Mandal K, Sharma S, Maity S, Zehtabi F, Zamanian B, Herculano R, Akbari M, V. John J, Khademhosseini A. Recent advances in biopolymer-based hemostatic materials. Regen Biomater 2022; 9:rbac063. [PMID: 36196294 PMCID: PMC9522468 DOI: 10.1093/rb/rbac063] [Citation(s) in RCA: 16] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2022] [Revised: 08/09/2022] [Accepted: 08/29/2022] [Indexed: 11/13/2022] Open
Abstract
Hemorrhage is the leading cause of trauma-related deaths, in hospital and prehospital settings. Hemostasis is a complex mechanism that involves a cascade of clotting factors and proteins that result in the formation of a strong clot. In certain surgical and emergency situations, hemostatic agents are needed to achieve faster blood coagulation to prevent the patient from experiencing a severe hemorrhagic shock. Therefore, it is critical to consider appropriate materials and designs for hemostatic agents. Many materials have been fabricated as hemostatic agents, including synthetic and naturally derived polymers. Compared to synthetic polymers, natural polymers or biopolymers, which include polysaccharides and polypeptides, have greater biocompatibility, biodegradability and processibility. Thus, in this review, we focus on biopolymer-based hemostatic agents of different forms, such as powder, particles, sponges and hydrogels. Finally, we discuss biopolymer-based hemostatic materials currently in clinical trials and offer insight into next-generation hemostats for clinical translation.
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Affiliation(s)
- Marvin Mecwan
- Terasaki Institute for Biomedical Innovation, Los Angeles, CA 90064, USA
| | - Jinghang Li
- Terasaki Institute for Biomedical Innovation, Los Angeles, CA 90064, USA
| | - Natashya Falcone
- Terasaki Institute for Biomedical Innovation, Los Angeles, CA 90064, USA
| | - Menekse Ermis
- Terasaki Institute for Biomedical Innovation, Los Angeles, CA 90064, USA
| | - Emily Torres
- Terasaki Institute for Biomedical Innovation, Los Angeles, CA 90064, USA
- Department of Molecular and Cell Biology, University of California, Berkeley, CA 94720, USA
| | - Ramon Morales
- Terasaki Institute for Biomedical Innovation, Los Angeles, CA 90064, USA
- Department of Biomedical Engineering, University of Southern California, Los Angeles, CA 90089, USA
| | - Alireza Hassani
- Terasaki Institute for Biomedical Innovation, Los Angeles, CA 90064, USA
| | - Reihaneh Haghniaz
- Terasaki Institute for Biomedical Innovation, Los Angeles, CA 90064, USA
| | - Kalpana Mandal
- Terasaki Institute for Biomedical Innovation, Los Angeles, CA 90064, USA
| | - Saurabh Sharma
- Terasaki Institute for Biomedical Innovation, Los Angeles, CA 90064, USA
| | - Surjendu Maity
- Terasaki Institute for Biomedical Innovation, Los Angeles, CA 90064, USA
| | - Fatemeh Zehtabi
- Terasaki Institute for Biomedical Innovation, Los Angeles, CA 90064, USA
| | - Behnam Zamanian
- Terasaki Institute for Biomedical Innovation, Los Angeles, CA 90064, USA
| | - Rondinelli Herculano
- Terasaki Institute for Biomedical Innovation, Los Angeles, CA 90064, USA
- Bioengineering & Biomaterials Group, School of Pharmaceutical Sciences, São Paulo State University (UNESP), Araraquara, SP 14800-903, Brazil
| | - Mohsen Akbari
- Terasaki Institute for Biomedical Innovation, Los Angeles, CA 90064, USA
- Department of Mechanical Engineering, University of Victoria, Victoria, BC V8P 5C2, Canada
- Biotechnology Center, Silesian University of Technology, Gliwice 44-100, Poland
| | - Johnson V. John
- Terasaki Institute for Biomedical Innovation, Los Angeles, CA 90064, USA
| | - Ali Khademhosseini
- Terasaki Institute for Biomedical Innovation, Los Angeles, CA 90064, USA
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3
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Chevala NT, Kumar L, Veetilvalappil V, Mathew AJ, Paonam B, Mohan G, Shastry S, Balasubramanian K, Rao CM. Nanoporous and nano thickness film-forming bioactive composition for biomedical applications. Sci Rep 2022; 12:8198. [PMID: 35581396 PMCID: PMC9114407 DOI: 10.1038/s41598-022-12280-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2021] [Accepted: 04/25/2022] [Indexed: 11/09/2022] Open
Abstract
Unmanageable bleeding is one of the significant causes of mortality. Attaining rapid hemostasis ensures subject survivability as a first aid during combats, road accidents, surgeries that reduce mortality. Nanoporous fibers reinforced composite scaffold (NFRCS) developed by a simple hemostatic film-forming composition (HFFC) (as a continuous phase) can trigger and intensify hemostasis. NFRCS developed was based on the dragonfly wing structure's structural design. Dragonfly wing structure consists of cross-veins and longitudinal wing veins inter-connected with wing membrane to maintain the microstructural integrity. The HFFC uniformly surface coats the fibers with nano thickness film and interconnects the randomly distributed cotton gauge (Ct) (dispersed phase), resulting in the formation of a nanoporous structure. Integrating continuous and dispersed phases reduce the product cost by ten times that of marketed products. The modified NFRCS (tampon or wrist band) can be used for various biomedical applications. The in vivo studies conclude that the developed Cp NFRCS triggers and intensifies the coagulation process at the application site. The NFRCS could regulate the microenvironment and act at the cellular level due to its nanoporous structure, which resulted in better wound healing in the excision wound model.
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Affiliation(s)
- Naga Thirumalesh Chevala
- Department of Pharmaceutics, Manipal College of Pharmaceutical Sciences, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India
| | - Lalit Kumar
- Department of Pharmaceutics, Manipal College of Pharmaceutical Sciences, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India.
| | - Vimal Veetilvalappil
- Department of Biotechnology, Manipal College of Pharmaceutical Sciences, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India
| | - Aranjani Jesil Mathew
- Department of Biotechnology, Manipal College of Pharmaceutical Sciences, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India
| | - Bemma Paonam
- Department of Immunohematology and Blood Transfusion, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India
| | - Ganesh Mohan
- Department of Immunohematology and Blood Transfusion, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India
| | - Shamee Shastry
- Department of Immunohematology and Blood Transfusion, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India
| | | | - C Mallikarjuna Rao
- Department of Pharmacology, Manipal College of Pharmaceutical Sciences, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India
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4
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Yu P, Zhong W. Hemostatic materials in wound care. BURNS & TRAUMA 2021; 9:tkab019. [PMID: 34541007 PMCID: PMC8445204 DOI: 10.1093/burnst/tkab019] [Citation(s) in RCA: 36] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/02/2021] [Revised: 03/08/2021] [Indexed: 12/22/2022]
Abstract
Blood plays an essential role in the human body. Hemorrhage is a critical cause of both military and civilian casualties. The human body has its own hemostatic mechanism that involves complex processes and has limited capacity. However, in emergency situations such as battlefields and hospitals, when the hemostatic mechanism of the human body itself cannot stop bleeding effectively, hemostatic materials are needed for saving lives. In this review, the hemostatic mechanisms and performance of the most commonly used hemostatic materials, (including fibrin, collagen, zeolite, gelatin, alginate, chitosan, cellulose and cyanoacrylate) and the commercial wound dressings based on these materials, will be discussed. These materials may have limitations, such as poor tissue adhesion, risk of infection and exothermic reactions, that may lessen their hemostatic efficacy and cause secondary injuries. High-performance hemostatic materials, therefore, have been designed and developed to improve hemostatic efficiency in clinical use. In this review, hemostatic materials with advanced performances, such as antibacterial capacity, superhydrophobicity/superhydrophilicity, superelasticity, high porosity and/or biomimicry, will be introduced. Future prospects of hemostatic materials will also be discussed in this review.
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Affiliation(s)
- Peiyu Yu
- Department of Biosystems Engineering, University of Manitoba, 75A Chancellor's Circle, Winnipeg, MB, R3T 2N2 Canada
| | - Wen Zhong
- Department of Biosystems Engineering, University of Manitoba, 75A Chancellor's Circle, Winnipeg, MB, R3T 2N2 Canada
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5
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Chitosan-Based Thermo-Sensitive Hydrogel Loading Oyster Peptides for Hemostasis Application. MATERIALS 2020; 13:ma13215038. [PMID: 33182319 PMCID: PMC7664874 DOI: 10.3390/ma13215038] [Citation(s) in RCA: 31] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/18/2020] [Revised: 11/02/2020] [Accepted: 11/04/2020] [Indexed: 02/01/2023]
Abstract
Uncontrolled massive hemorrhage is one of the principal causes of death in trauma emergencies. By using catechol-modified chitosan (CS-C) as the matrix material and β glycerol phosphate (β-GP) as a thermo-sensitive agent, chitosan-based thermo-sensitive hydrogel loading oyster peptides (CS-C/OP/β-GP) were prepared at physiological temperature. The hemostatic performance of CS-C/OP/β-GP hydrogel was tested in vivo and in vitro, and its biological safety was evaluated. The results showed that the in vitro coagulation time and blood coagulation index of CS-C/OP/β-GP hydrogel were better than those of a commercial gelatin sponge. Notably, compared with the gelatin sponge, CS-C/OP/β-GP hydrogel showed that the platelet adhesion and erythrocyte adsorption rates were 38.98% and 95.87% higher, respectively. Additionally, the hemostasis time in mouse liver injury was shortened by 19.5%, and the mass of blood loss in the mouse tail amputation model was reduced by 18.9%. The safety evaluation results demonstrated that CS-C/OP/β-GP had no cytotoxicity to L929 cells, and the hemolysis rates were less than 5% within 1 mg/mL, suggesting good biocompatibility. In conclusion, our results indicate that CS-C/OP/β-GP is expected to be a promising dressing in the field of medical hemostasis.
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6
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Li D, Chen J, Wang X, Zhang M, Li C, Zhou J. Recent Advances on Synthetic and Polysaccharide Adhesives for Biological Hemostatic Applications. Front Bioeng Biotechnol 2020; 8:926. [PMID: 32923431 PMCID: PMC7456874 DOI: 10.3389/fbioe.2020.00926] [Citation(s) in RCA: 37] [Impact Index Per Article: 9.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2020] [Accepted: 07/20/2020] [Indexed: 11/13/2022] Open
Abstract
Rapid hemostasis and formation of stable blood clots are very important to prevent massive blood loss from the excessive bleeding for living body, but their own clotting process cannot be completed in time for effective hemostasis without the help of hemostatic materials. In general, traditionally suturing and stapling techniques for wound closure are prone to cause the additional damages to the tissues, activated inflammatory responses, short usage periods and inevitable second operations in clinical applications. Especially for the large wounds that require the urgent closure of fluids or gases, these conventional closure methods are far from enough. To address these problems, various tissue adhesives, sealants and hemostatic materials are placed great expectation. In this review, we focused on the development of two main categories of tissue adhesive materials: synthetic polymeric adhesives and naturally derived polysaccharide adhesives. Research of the high performance of hemostatic adhesives with strong adhesion, better biocompatibility, easy usability and cheap price is highly demanded for both scientists and clinicians, and this review is also intended to provide a comprehensive summarization and inspiration for pursuit of more advanced hemostatic adhesives for biological fields.
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Affiliation(s)
- Dawei Li
- Eighth Medical Center of the General Hospital of the Chinese People’s Liberation Army, Beijing, China
| | - Jing Chen
- Department of Orthopedics, Aerospace Center Hospital, Beijing, China
| | - Xing Wang
- Beijing National Laboratory for Molecular Sciences, Institute of Chemistry, Chinese Academy of Sciences, Beijing, China
- University of Chinese Academy of Sciences, Beijing, China
| | - Mingming Zhang
- The People’s Liberation Army Strategic Support Force Characteristic Medical Center, Beijing, China
| | - Chunlin Li
- Eighth Medical Center of the General Hospital of the Chinese People’s Liberation Army, Beijing, China
| | - Jin Zhou
- Eighth Medical Center of the General Hospital of the Chinese People’s Liberation Army, Beijing, China
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7
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Chen Y, Wu L, Li P, Hao X, Yang X, Xi G, Liu W, Feng Y, He H, Shi C. Polysaccharide Based Hemostatic Strategy for Ultrarapid Hemostasis. Macromol Biosci 2020; 20:e1900370. [DOI: 10.1002/mabi.201900370] [Citation(s) in RCA: 32] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2019] [Revised: 12/08/2019] [Indexed: 12/12/2022]
Affiliation(s)
- Yeyi Chen
- School of Chemical Engineering and TechnologyTianjin University Tianjin 300350 China
- Wenzhou Institute of Biomaterials and EngineeringWenzhou InstituteUniversity of Chinese Academy of Sciences Wenzhou Zhejiang 325011 China
| | - Lei Wu
- School of Chemical Engineering and TechnologyTianjin University Tianjin 300350 China
- Wenzhou Institute of Biomaterials and EngineeringWenzhou InstituteUniversity of Chinese Academy of Sciences Wenzhou Zhejiang 325011 China
| | - Pengpeng Li
- Wenzhou Institute of Biomaterials and EngineeringWenzhou InstituteUniversity of Chinese Academy of Sciences Wenzhou Zhejiang 325011 China
- School of Ophthalmology & OptometryEye HospitalSchool of Biomedical EngineeringWenzhou Medical University Wenzhou Zhejiang 325027 China
| | - Xiao Hao
- Cardiovascular Division 1Hebei General Hospital Shijiazhuang Hebei 050051 China
| | - Xiao Yang
- School of Chemical Engineering and TechnologyTianjin University Tianjin 300350 China
- Wenzhou Institute of Biomaterials and EngineeringWenzhou InstituteUniversity of Chinese Academy of Sciences Wenzhou Zhejiang 325011 China
| | - Guanghui Xi
- Wenzhou Institute of Biomaterials and EngineeringWenzhou InstituteUniversity of Chinese Academy of Sciences Wenzhou Zhejiang 325011 China
| | - Wen Liu
- Wenzhou Institute of Biomaterials and EngineeringWenzhou InstituteUniversity of Chinese Academy of Sciences Wenzhou Zhejiang 325011 China
| | - Yakai Feng
- School of Chemical Engineering and TechnologyTianjin University Tianjin 300350 China
| | - Hongchao He
- Department of UrologyShanghai Ruijin Hospital Affiliated to Shanghai Jiaotong University School of Medicine Shanghai 200025 China
| | - Changcan Shi
- Wenzhou Institute of Biomaterials and EngineeringWenzhou InstituteUniversity of Chinese Academy of Sciences Wenzhou Zhejiang 325011 China
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8
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Che C, Liu L, Wang X, Zhang X, Luan S, Yin J, Li X, Shi H. Surface-Adaptive and On-Demand Antibacterial Sponge for Synergistic Rapid Hemostasis and Wound Disinfection. ACS Biomater Sci Eng 2020; 6:1776-1786. [DOI: 10.1021/acsbiomaterials.0c00069] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Affiliation(s)
- Chaoyue Che
- Shandong Provincial Key Laboratory of Fluorine Chemistry and Chemical Materials, School of Chemistry and Chemical Engineering, University of Jinan, Jinan 250022, P. R. China
- State Key Laboratory of Polymer Physics and Chemistry, Changchun Institute of Applied Chemistry, Chinese Academy of Sciences, Changchun 130022, P. R. China
| | - Lin Liu
- State Key Laboratory of Polymer Physics and Chemistry, Changchun Institute of Applied Chemistry, Chinese Academy of Sciences, Changchun 130022, P. R. China
- University of Science and Technology of China, Hefei 230026, P. R. China
| | - Xiaodan Wang
- State Key Laboratory of Polymer Physics and Chemistry, Changchun Institute of Applied Chemistry, Chinese Academy of Sciences, Changchun 130022, P. R. China
- University of Science and Technology of China, Hefei 230026, P. R. China
| | - Xu Zhang
- State Key Laboratory of Polymer Physics and Chemistry, Changchun Institute of Applied Chemistry, Chinese Academy of Sciences, Changchun 130022, P. R. China
| | - Shifang Luan
- State Key Laboratory of Polymer Physics and Chemistry, Changchun Institute of Applied Chemistry, Chinese Academy of Sciences, Changchun 130022, P. R. China
- National Engineering Laboratory for Medical Implantable Devices, WEGO Holding Company Limited, Weihai 264210, P. R. China
| | - Jinghua Yin
- State Key Laboratory of Polymer Physics and Chemistry, Changchun Institute of Applied Chemistry, Chinese Academy of Sciences, Changchun 130022, P. R. China
- National Engineering Laboratory for Medical Implantable Devices, WEGO Holding Company Limited, Weihai 264210, P. R. China
| | - Xue Li
- Shandong Provincial Key Laboratory of Fluorine Chemistry and Chemical Materials, School of Chemistry and Chemical Engineering, University of Jinan, Jinan 250022, P. R. China
| | - Hengchong Shi
- State Key Laboratory of Polymer Physics and Chemistry, Changchun Institute of Applied Chemistry, Chinese Academy of Sciences, Changchun 130022, P. R. China
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9
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Zhang S, Li J, Chen S, Zhang X, Ma J, He J. Oxidized cellulose-based hemostatic materials. Carbohydr Polym 2019; 230:115585. [PMID: 31887971 DOI: 10.1016/j.carbpol.2019.115585] [Citation(s) in RCA: 87] [Impact Index Per Article: 17.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2019] [Revised: 10/11/2019] [Accepted: 11/07/2019] [Indexed: 01/02/2023]
Abstract
The application of hemostatic agents is essential to prevent significant blood loss and death from excessive bleeding in surgical or emergency scenarios. Oxidized cellulose is an excellent biodegradable and biocompatible derivate of cellulose, which has become one of the most important hemostatic agents used in surgical procedures. However, to date, there has been no comprehensive report assessing oxidized cellulose-based hemostatic materials. Hence, this paper first reviewed the oxidation preparation, cellulose origin and structure, as well as biodegradability and safety of oxidized cellulose. Then a comprehensive review regarding the hemostatic mechanisms, various forms, modification, and current commercially available products of oxidized cellulose is discussed, which emphatically presents the most significant developments in the recent scientific literature. In conclusion, this paper summarizes the latest developments in oxidized cellulose-based hemostatic materials and provides a reference for further research and development in this field.
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Affiliation(s)
- Shaohua Zhang
- Department of Pediatrics, The Affiliated Hospital of Qingdao University, Qingdao, 266003, China
| | - Jiwei Li
- Industrial Research Institute of Nonwovens and Technical Textiles, College of Textiles and Clothing, Qingdao University, Qingdao, 266071, China.
| | - Shaojuan Chen
- Industrial Research Institute of Nonwovens and Technical Textiles, College of Textiles and Clothing, Qingdao University, Qingdao, 266071, China
| | - Xiying Zhang
- Department of Pathology, The Second Hospital of Shandong University, Jinan, 250033, China
| | - Jianwei Ma
- Industrial Research Institute of Nonwovens and Technical Textiles, College of Textiles and Clothing, Qingdao University, Qingdao, 266071, China
| | - Jinmei He
- School of Chemistry and Chemical Engineering, Harbin Institute of Technology, Harbin, Heilongjiang, 150001, China.
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Chen J, Ai J, Chen S, Xu Z, Lin J, Liu H, Chen Q. Synergistic enhancement of hemostatic performance of mesoporous silica by hydrocaffeic acid and chitosan. Int J Biol Macromol 2019; 139:1203-1211. [DOI: 10.1016/j.ijbiomac.2019.08.091] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2019] [Revised: 08/08/2019] [Accepted: 08/10/2019] [Indexed: 01/17/2023]
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11
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Liu W, Xi G, Yang X, Hao X, Wang M, Feng Y, Chen H, Shi C. Poly(lactide-co-glycolide) grafted hyaluronic acid-based electrospun fibrous hemostatic fragments as a sustainable anti-infection and immunoregulation material. J Mater Chem B 2019; 7:4997-5010. [PMID: 31411610 DOI: 10.1039/c9tb00659a] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
Poly(lactide-co-glycolide) (PLGA) copolymers are promising synthetic materials in the biomedical field. However, in wound management, their hydrophobic properties limit their further application because of their poor adhesion to the surface of moist wounds. Furthermore, the lack of hemostatic materials with sustainable anti-infection and immunoregulation functions remains a highly significant clinical problem, as commercially available hemostatic products, such as Arista™, Celox™ and QuikClot™, do not have sufficient infection prevention and immunoregulation properties. Herein, we employ electrospinning, ammonia dissociation and surface grafting techniques to develop a series of PLGA-based hemostatic materials, including a PLGA electrospun fibrous membrane, PLGA-NH2 fibrous particles and PLGA-hyaluronic acid fibrous fragments (PLGA-HA FFs). Notably, we load azithromycin on the PLGA-HA FFs to endow them with anti-infection and immunoregulation properties. The hemostatic mechanism analysis demonstrates that the PLGA-HA FFs show superior hemostasis performance compared to traditional gauzes. The results show that the PLGA-HA FFs can act as a versatile platform with high encapsulation of azithromycin (83.03% ± 2.81%) and rapid hemostasis (28 ± 2 s) as well as prominent cytocompatibility towards L929 cells, RAW 264.7 cells and red blood cells. We believe that the current research proposes a possible strategy to synthesize materials that achieve not only safe and effective hemostasis, but also have anti-infection and immunoregulation properties for the development of further hemostatic products.
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Affiliation(s)
- Wen Liu
- School of Ophthalmology & Optometry, Eye Hospital, School of Biomedical Engineering, Wenzhou Medical University, Wenzhou, Zhejiang 325027, China. and Wenzhou Institute of Biomaterials and Engineering, Wenzhou Institute, University of Chinese Academy of Sciences, Wenzhou, Zhejiang 325011, China and Engineering Research Center of Clinical Functional Materials and Diagnosis & Treatment Devices of Zhejiang Province, Wenzhou Institute of Biomaterials and Engineering, Wenzhou, Zhejiang 325011, China.
| | - Guanghui Xi
- School of Ophthalmology & Optometry, Eye Hospital, School of Biomedical Engineering, Wenzhou Medical University, Wenzhou, Zhejiang 325027, China. and Wenzhou Institute of Biomaterials and Engineering, Wenzhou Institute, University of Chinese Academy of Sciences, Wenzhou, Zhejiang 325011, China and Engineering Research Center of Clinical Functional Materials and Diagnosis & Treatment Devices of Zhejiang Province, Wenzhou Institute of Biomaterials and Engineering, Wenzhou, Zhejiang 325011, China.
| | - Xiao Yang
- School of Ophthalmology & Optometry, Eye Hospital, School of Biomedical Engineering, Wenzhou Medical University, Wenzhou, Zhejiang 325027, China. and Wenzhou Institute of Biomaterials and Engineering, Wenzhou Institute, University of Chinese Academy of Sciences, Wenzhou, Zhejiang 325011, China and Engineering Research Center of Clinical Functional Materials and Diagnosis & Treatment Devices of Zhejiang Province, Wenzhou Institute of Biomaterials and Engineering, Wenzhou, Zhejiang 325011, China. and School of Chemical Engineering and Technology, Tianjin University, Tianjin 300350, China.
| | - Xiao Hao
- Hebei General Hospital, Shijiazhuang, Hebei 050051, China
| | - Mingshan Wang
- The First Affiliated Hospital of Wenzhou Medical University, Wenzhou Medical University, Wenzhou, Zhejiang 325000, China
| | - Yakai Feng
- School of Ophthalmology & Optometry, Eye Hospital, School of Biomedical Engineering, Wenzhou Medical University, Wenzhou, Zhejiang 325027, China. and Wenzhou Institute of Biomaterials and Engineering, Wenzhou Institute, University of Chinese Academy of Sciences, Wenzhou, Zhejiang 325011, China and Engineering Research Center of Clinical Functional Materials and Diagnosis & Treatment Devices of Zhejiang Province, Wenzhou Institute of Biomaterials and Engineering, Wenzhou, Zhejiang 325011, China. and School of Chemical Engineering and Technology, Tianjin University, Tianjin 300350, China.
| | - Hao Chen
- School of Ophthalmology & Optometry, Eye Hospital, School of Biomedical Engineering, Wenzhou Medical University, Wenzhou, Zhejiang 325027, China. and Wenzhou Institute of Biomaterials and Engineering, Wenzhou Institute, University of Chinese Academy of Sciences, Wenzhou, Zhejiang 325011, China and Engineering Research Center of Clinical Functional Materials and Diagnosis & Treatment Devices of Zhejiang Province, Wenzhou Institute of Biomaterials and Engineering, Wenzhou, Zhejiang 325011, China.
| | - Changcan Shi
- School of Ophthalmology & Optometry, Eye Hospital, School of Biomedical Engineering, Wenzhou Medical University, Wenzhou, Zhejiang 325027, China. and Wenzhou Institute of Biomaterials and Engineering, Wenzhou Institute, University of Chinese Academy of Sciences, Wenzhou, Zhejiang 325011, China and Engineering Research Center of Clinical Functional Materials and Diagnosis & Treatment Devices of Zhejiang Province, Wenzhou Institute of Biomaterials and Engineering, Wenzhou, Zhejiang 325011, China.
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12
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Aydemir Sezer U, Kocer Z, Sahin İ, Aru B, Yanıkkaya Demirel G, Sezer S. Oxidized regenerated cellulose cross-linked gelatin microparticles for rapid and biocompatible hemostasis: A versatile cross-linking agent. Carbohydr Polym 2018; 200:624-632. [PMID: 30177208 DOI: 10.1016/j.carbpol.2018.07.074] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2018] [Revised: 06/30/2018] [Accepted: 07/24/2018] [Indexed: 10/28/2022]
Abstract
Effective hemostatic materials are of utmost importance for preventing bleeding in emergencies and critical injuries. Combining biodegradability, good hemostatic properties and biocompatibility, gelatin is one of the most reliable materials clinically used for preventing internal bleeding in surgeries and for stopping external hemorrhage. Cross-linking is a useful method for enhancing the absorption capacity of gelatin and for controlling the degradation process. Existing and commonly used aldehyde-containing cross-linking agents lack reliability with respect to the control of hemostatic effect, solubility and toxicity. In this study; gelatin was cross-linked with sodium oxidized regenerated cellulose (NaORC) to produce hemostatic microparticles. The NaORC was used at different ratios; and the studies on hemostatic efficiency and cytotoxicity under in vitro conditions demonstrated rapid arrest of bleeding alongside biocompatibility. These microparticles employing NaORC as a cross-linking agent for the first time demonstrated a unique structure for stopping bleeding with biocompatibility, and opened the way for different forms of cross-linked structures to be used in other biomaterials applications.
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Affiliation(s)
- Umran Aydemir Sezer
- Suleyman Demirel University, Faculty of Medicine, Department of Pharmacology, Medicine, Medical Device and Dermocosmetic Research and Application Laboratory-IDAL, 32260, Isparta, Turkey; YETEM, Innovative Technologies Research and Application Center, Suleyman Demirel University, 32260 Isparta, Turkey
| | - Zeynep Kocer
- Institute of Chemical Technology, TUBITAK Marmara Research Center, 41470 Kocaeli, Turkey
| | - İsa Sahin
- Institute of Chemical Technology, TUBITAK Marmara Research Center, 41470 Kocaeli, Turkey
| | - Basak Aru
- Yeditepe University, School of Medicine, Department of Immunology, 34755 Istanbul, Turkey
| | | | - Serdar Sezer
- Suleyman Demirel University, Faculty of Medicine, Department of Pharmacology, Medicine, Medical Device and Dermocosmetic Research and Application Laboratory-IDAL, 32260, Isparta, Turkey; YETEM, Innovative Technologies Research and Application Center, Suleyman Demirel University, 32260 Isparta, Turkey.
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13
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Liu W, Yang X, Li N, Xi G, Wang M, Liang B, Feng Y, Chen H, Shi C, Li W. Genipin crosslinked microspheres as an effective hemostatic agent. POLYM ADVAN TECHNOL 2018. [DOI: 10.1002/pat.4377] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
Affiliation(s)
- Wen Liu
- Wenzhou Institute of Biomaterials and Engineering; CNITECH, CAS; Wenzhou Zhejiang 325011 China
- School of Ophthalmology and Optometry, Eye Hospital, School of Biomedical Engineering; Wenzhou Medical University; Wenzhou Zhejiang 325011 China
| | - Xiao Yang
- Wenzhou Institute of Biomaterials and Engineering; CNITECH, CAS; Wenzhou Zhejiang 325011 China
- School of Ophthalmology and Optometry, Eye Hospital, School of Biomedical Engineering; Wenzhou Medical University; Wenzhou Zhejiang 325011 China
- School of Chemical Engineering and Technology, Collaborative Innovation Center of Chemical Science and Chemical Engineering (Tianjin); Tianjin University; Tianjin 300072 China
| | - Na Li
- Wenzhou Institute of Biomaterials and Engineering; CNITECH, CAS; Wenzhou Zhejiang 325011 China
- School of Ophthalmology and Optometry, Eye Hospital, School of Biomedical Engineering; Wenzhou Medical University; Wenzhou Zhejiang 325011 China
| | - Guanghui Xi
- Wenzhou Institute of Biomaterials and Engineering; CNITECH, CAS; Wenzhou Zhejiang 325011 China
- School of Ophthalmology and Optometry, Eye Hospital, School of Biomedical Engineering; Wenzhou Medical University; Wenzhou Zhejiang 325011 China
| | - Mingshan Wang
- The First Affiliated Hospital of Wenzhou Medical University, Wenzhou Medical University; Wenzhou Zhejiang 325000 China
| | - Bin Liang
- The First Affiliated Hospital of Wenzhou Medical University, Wenzhou Medical University; Wenzhou Zhejiang 325000 China
| | - Yakai Feng
- Wenzhou Institute of Biomaterials and Engineering; CNITECH, CAS; Wenzhou Zhejiang 325011 China
- School of Ophthalmology and Optometry, Eye Hospital, School of Biomedical Engineering; Wenzhou Medical University; Wenzhou Zhejiang 325011 China
- School of Chemical Engineering and Technology, Collaborative Innovation Center of Chemical Science and Chemical Engineering (Tianjin); Tianjin University; Tianjin 300072 China
| | - Hao Chen
- Wenzhou Institute of Biomaterials and Engineering; CNITECH, CAS; Wenzhou Zhejiang 325011 China
- School of Ophthalmology and Optometry, Eye Hospital, School of Biomedical Engineering; Wenzhou Medical University; Wenzhou Zhejiang 325011 China
| | - Changcan Shi
- Wenzhou Institute of Biomaterials and Engineering; CNITECH, CAS; Wenzhou Zhejiang 325011 China
- School of Ophthalmology and Optometry, Eye Hospital, School of Biomedical Engineering; Wenzhou Medical University; Wenzhou Zhejiang 325011 China
| | - Wenzhong Li
- Institut für Chemie und Biochemie; Freie Universität Berlin; Takustrasse 3, 14195 Berlin Germany
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14
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Pan M, Tang Z, Tu J, Wang Z, Chen Q, Xiao R, Liu H. Porous chitosan microspheres containing zinc ion for enhanced thrombosis and hemostasis. MATERIALS SCIENCE & ENGINEERING. C, MATERIALS FOR BIOLOGICAL APPLICATIONS 2017; 85:27-36. [PMID: 29407154 DOI: 10.1016/j.msec.2017.12.015] [Citation(s) in RCA: 42] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/18/2017] [Revised: 10/19/2017] [Accepted: 12/07/2017] [Indexed: 12/11/2022]
Abstract
Quick hemostats for non-lethal massive traumatic bleeding in battlefield and civilian accidents are important for reducing mortality and medical costs. Chitosan (CS) has been widely used as a clinic hemostat. To enhance its hemostatic efficiency, Zn2+ in the form of zinc alginate (ZnAlg) was introduced to CS to make porous CS@ZnAlg microspheres with ZnAlg component on the surface. Such microspheres were prepared by successive steps of micro-emulsion, polyelectrolyte adhesion, and thermally induced phase separation. Their structure and hemostatic performance were analyzed by SEM, FT-IR, XPS and a series of in vitro hemostatic experiments including thromboelastography analysis. The composite microspheres had an outer and internal interconnected porous structure. Their size, surface area, and water absorption ratio were ca. 70μm, 48m2/g, and 1850%, respectively. Compared to the neat chitosan microspheres, the CS@ZnAlg microspheres showed shorter onset of clot formation, much faster in vitro and in vivo whole blood clotting, bigger clot, less blood loss, and shorter hemostatic time in the rat liver laceration and tail amputation models. The synergetic hemostatic effects from (1) the electrostatic attraction between chitosan component and red blood cells, (2) the activation of coagulation factor XII by Zn2+ of zinc alginate component, and (3) physical blocking by microsphere matrix, contributed to the enhanced hemostatic performance of CS@ZnAlg microspheres.
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Affiliation(s)
- Meng Pan
- Fujian Provincial Key Laboratory of Polymer Materials, College of Materials Science and Engineering, Fujian Normal University, Fujian 350007, China
| | - Zonghao Tang
- College of Life Science, Fujian Normal University, Fujian 350007, China
| | - Jianbing Tu
- Fujian Provincial Key Laboratory of Polymer Materials, College of Materials Science and Engineering, Fujian Normal University, Fujian 350007, China
| | - Zhengchao Wang
- College of Life Science, Fujian Normal University, Fujian 350007, China.
| | - Qinhui Chen
- Fujian Provincial Key Laboratory of Polymer Materials, College of Materials Science and Engineering, Fujian Normal University, Fujian 350007, China
| | - Rongdong Xiao
- Department of Cardiovascular Surgery, Provincial Clinical College of Fujian Medical University, Fujian 350001, China.
| | - Haiqing Liu
- Fujian Provincial Key Laboratory of Polymer Materials, College of Materials Science and Engineering, Fujian Normal University, Fujian 350007, China.
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15
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Li J, Wu X, Wu Y, Tang Z, Sun X, Pan M, Chen Y, Li J, Xiao R, Wang Z, Liu H. Porous chitosan microspheres for application as quick in vitro and in vivo hemostat. MATERIALS SCIENCE & ENGINEERING. C, MATERIALS FOR BIOLOGICAL APPLICATIONS 2017; 77:411-419. [PMID: 28532047 DOI: 10.1016/j.msec.2017.03.276] [Citation(s) in RCA: 58] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/31/2016] [Revised: 11/27/2016] [Accepted: 03/28/2017] [Indexed: 12/21/2022]
Abstract
Controlling massive hemorrhage is of great importance to lower transfusional medical cost, and to reduce death and mobility rate in battlefield and civilian accidents. We reported the fabrication of porous chitosan microspheres (CSMS) with tunable surface pore size by microemulsion combined with thermally induced phase separation technique, and its application as a quick hemostat. Their hemostatic property was characterized by blood clotting kinetics, adherence interaction between red blood cells/platelets and CSMS, in vitro and in vivo hemostasis by rat tail amputation and liver laceration models, and histological analysis. Their density, surface area, porosity, water absorption ratio were 0.04-0.06g/cm3, 28.2-31.5m2/g, 98%, and 15.5-23.2g/g, respectively. The surface pore was controlled to be smaller than 2.0μm. The porous CSMS showed increasing hemostatic efficacy with decreasing surface pore size. Compared to the conventional compact chitosan particles (CCSP), the porous CSMS had much improved in vitro and in vivo hemostatic potential with respect to formation of blood clot, hemostatic time, and blood loss. For instance, the hemostatic time and blood loss of CSMS in the rat liver laceration model were down to respectively 70s and 0.026g from 175s and 0.28g of CCSP. Histological examination showed that application of porous CSMS to liver laceration caused no destruction of underlying hepatocytes, inflammatory reaction, and thermal injury to liver tissue. The porous CSMS is a biodegradable, quick and safe hemostat, which can be used in various wounds including complex and non-compressive ones.
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Affiliation(s)
- Jixiang Li
- Fujian Key Laboratory of Polymer Materials, College of Material Science and Engineering, Fujian Normal University, Fujian 350007, China
| | - Xiaowei Wu
- Fujian Key Laboratory of Polymer Materials, College of Material Science and Engineering, Fujian Normal University, Fujian 350007, China
| | - Yanqing Wu
- College of Life Science, Fujian Normal University, Fujian 350007, China
| | - Zonghao Tang
- College of Life Science, Fujian Normal University, Fujian 350007, China
| | - Xun Sun
- Fujian Key Laboratory of Polymer Materials, College of Material Science and Engineering, Fujian Normal University, Fujian 350007, China
| | - Meng Pan
- Fujian Key Laboratory of Polymer Materials, College of Material Science and Engineering, Fujian Normal University, Fujian 350007, China
| | - Yufeng Chen
- Fujian Key Laboratory of Polymer Materials, College of Material Science and Engineering, Fujian Normal University, Fujian 350007, China
| | - Juanjuan Li
- Fujian Key Laboratory of Polymer Materials, College of Material Science and Engineering, Fujian Normal University, Fujian 350007, China
| | - Rongdong Xiao
- Department of Cardiovascular Surgery, Provincial Clinical College, Fujian Medical University, Fujian 350001, China
| | - Zhengchao Wang
- College of Life Science, Fujian Normal University, Fujian 350007, China.
| | - Haiqing Liu
- Fujian Key Laboratory of Polymer Materials, College of Material Science and Engineering, Fujian Normal University, Fujian 350007, China.
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16
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Yang X, Liu W, Li N, Wang M, Liang B, Ullah I, Luis Neve A, Feng Y, Chen H, Shi C. Design and development of polysaccharide hemostatic materials and their hemostatic mechanism. Biomater Sci 2017; 5:2357-2368. [DOI: 10.1039/c7bm00554g] [Citation(s) in RCA: 110] [Impact Index Per Article: 15.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
The formation of stable blood clots or hemostasis is essential to prevent major blood loss and death from excessive bleeding.
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