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Pichon TJ, Wang X, Mickelson EE, Huang WC, Hilburg SL, Stucky S, Ling M, S John AE, Ringgold KM, Snyder JM, Pozzo LD, Lu M, White NJ, Pun SH. Engineering Low Volume Resuscitants for the Prehospital Care of Severe Hemorrhagic Shock. Angew Chem Int Ed Engl 2024; 63:e202402078. [PMID: 38753586 DOI: 10.1002/anie.202402078] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2024] [Revised: 05/01/2024] [Accepted: 05/16/2024] [Indexed: 05/18/2024]
Abstract
Globally, traumatic injury is a leading cause of suffering and death. The ability to curtail damage and ensure survival after major injury requires a time-sensitive response balancing organ perfusion, blood loss, and portability, underscoring the need for novel therapies for the prehospital environment. Currently, there are few options available for damage control resuscitation (DCR) of trauma victims. We hypothesize that synthetic polymers, which are tunable, portable, and stable under austere conditions, can be developed as effective injectable therapies for trauma medicine. In this work, we design injectable polymers for use as low volume resuscitants (LVRs). Using RAFT polymerization, we evaluate the effect of polymer size, architecture, and chemical composition upon both blood coagulation and resuscitation in a rat hemorrhagic shock model. Our therapy is evaluated against a clinically used colloid resuscitant, Hextend. We demonstrate that a radiant star poly(glycerol monomethacrylate) polymer did not interfere with coagulation while successfully correcting metabolic deficit and resuscitating animals from hemorrhagic shock to the desired mean arterial pressure range for DCR - correcting a 60 % total blood volume (TBV) loss when given at only 10 % TBV. This highly portable and non-coagulopathic resuscitant has profound potential for application in trauma medicine.
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Affiliation(s)
- Trey J Pichon
- Department of Bioengineering, University of Washington, 3720 15th Ave NE, Seattle, Washington, 98195, USA
- Molecular Engineering and Sciences Institute, University of Washington, 3946W Stevens Way NE, Seattle, Washington, 98195, USA
- Resuscitation Engineering Science Unit (RESCU), University of Washington, Harborview Research and Training Building, Seattle, Washington, 98104, USA
| | - Xu Wang
- Resuscitation Engineering Science Unit (RESCU), University of Washington, Harborview Research and Training Building, Seattle, Washington, 98104, USA
- Department of Emergency Medicine, University of Washington Seattle, Washington, 98195, USA
| | - Ethan E Mickelson
- Department of Bioengineering, University of Washington, 3720 15th Ave NE, Seattle, Washington, 98195, USA
- Molecular Engineering and Sciences Institute, University of Washington, 3946W Stevens Way NE, Seattle, Washington, 98195, USA
- Resuscitation Engineering Science Unit (RESCU), University of Washington, Harborview Research and Training Building, Seattle, Washington, 98104, USA
| | - Wen-Chia Huang
- Biomedical Technology and Device Research Laboratories, Industrial Technology Research Institute, Hsinchu, 300 Taiwan, China
| | - Shayna L Hilburg
- Molecular Engineering and Sciences Institute, University of Washington, 3946W Stevens Way NE, Seattle, Washington, 98195, USA
- Department of Chemical Engineering, University of Washington, Seattle, Washington, 98195, USA
| | - Sarah Stucky
- Resuscitation Engineering Science Unit (RESCU), University of Washington, Harborview Research and Training Building, Seattle, Washington, 98104, USA
- Department of Emergency Medicine, University of Washington Seattle, Washington, 98195, USA
| | - Melissa Ling
- Molecular Engineering and Sciences Institute, University of Washington, 3946W Stevens Way NE, Seattle, Washington, 98195, USA
- Resuscitation Engineering Science Unit (RESCU), University of Washington, Harborview Research and Training Building, Seattle, Washington, 98104, USA
| | - Alexander E S John
- Resuscitation Engineering Science Unit (RESCU), University of Washington, Harborview Research and Training Building, Seattle, Washington, 98104, USA
- Department of Emergency Medicine, University of Washington Seattle, Washington, 98195, USA
| | - Kristyn M Ringgold
- Resuscitation Engineering Science Unit (RESCU), University of Washington, Harborview Research and Training Building, Seattle, Washington, 98104, USA
- Department of Emergency Medicine, University of Washington Seattle, Washington, 98195, USA
| | - Jessica M Snyder
- Department of Comparative Medicine, University of Washington, Seattle, Washington, 98195, USA
| | - Lilo D Pozzo
- Molecular Engineering and Sciences Institute, University of Washington, 3946W Stevens Way NE, Seattle, Washington, 98195, USA
- Department of Chemical Engineering, University of Washington, Seattle, Washington, 98195, USA
| | - Maggie Lu
- Biomedical Technology and Device Research Laboratories, Industrial Technology Research Institute, Hsinchu, 300 Taiwan, China
| | - Nathan J White
- Molecular Engineering and Sciences Institute, University of Washington, 3946W Stevens Way NE, Seattle, Washington, 98195, USA
- Resuscitation Engineering Science Unit (RESCU), University of Washington, Harborview Research and Training Building, Seattle, Washington, 98104, USA
- Department of Emergency Medicine, University of Washington Seattle, Washington, 98195, USA
| | - Suzie H Pun
- Department of Bioengineering, University of Washington, 3720 15th Ave NE, Seattle, Washington, 98195, USA
- Molecular Engineering and Sciences Institute, University of Washington, 3946W Stevens Way NE, Seattle, Washington, 98195, USA
- Resuscitation Engineering Science Unit (RESCU), University of Washington, Harborview Research and Training Building, Seattle, Washington, 98104, USA
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Crago M, Lee A, Hoang TP, Talebian S, Naficy S. Protein adsorption on blood-contacting surfaces: A thermodynamic perspective to guide the design of antithrombogenic polymer coatings. Acta Biomater 2024; 180:46-60. [PMID: 38615811 DOI: 10.1016/j.actbio.2024.04.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2024] [Revised: 04/08/2024] [Accepted: 04/09/2024] [Indexed: 04/16/2024]
Abstract
Blood-contacting medical devices often succumb to thrombosis, limiting their durability and safety in clinical applications. Thrombosis is fundamentally initiated by the nonspecific adsorption of proteins to the material surface, which is strongly governed by thermodynamic factors established by the nature of the interaction between the material surface, surrounding water molecules, and the protein itself. Along these lines, different surface materials (such as polymeric, metallic, ceramic, or composite) induce different entropic and enthalpic changes at the surface-protein interface, with material wettability significantly impacting this behavior. Consequently, protein adsorption on medical devices can be modulated by altering their wettability and surface energy. A plethora of polymeric coating modifications have been utilized for this purpose; hydrophobic modifications may promote or inhibit protein adsorption determined by van der Waals forces, while hydrophilic materials achieve this by mainly relying on hydrogen bonding, or unbalanced/balanced electrostatic interactions. This review offers a cohesive understanding of the thermodynamics governing these phenomena, to specifically aid in the design and selection of hemocompatible polymeric coatings for biomedical applications. STATEMENT OF SIGNIFICANCE: Blood-contacting medical devices often succumb to thrombosis, limiting their durability and safety in clinical applications. A plethora of polymeric coating modifications have been utilized for addressing this issue. This review offers a cohesive understanding of the thermodynamics governing these phenomena, to specifically aid in the design and selection of hemocompatible polymeric coatings for biomedical applications.
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Affiliation(s)
- Matthew Crago
- School of Chemical and Biomolecular Engineering, The University of Sydney, Darlington, NSW 2008, Australia
| | - Aeryne Lee
- School of Chemical and Biomolecular Engineering, The University of Sydney, Darlington, NSW 2008, Australia
| | - Thanh Phuong Hoang
- School of Chemical and Biomolecular Engineering, The University of Sydney, Darlington, NSW 2008, Australia
| | - Sepehr Talebian
- School of Chemical and Biomolecular Engineering, The University of Sydney, Darlington, NSW 2008, Australia.
| | - Sina Naficy
- School of Chemical and Biomolecular Engineering, The University of Sydney, Darlington, NSW 2008, Australia.
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Abstract
Small angle neutron scattering was used to measure single chain radii of gyration of end-linked polymer gels before and after cross-linking to calculate the prestrain, which is the ratio of the average chain size in a cross-linked network to that of a free chain in solution. The prestrain increased from 1.06 ± 0.01 to 1.16 ± 0.02 as gel synthesis concentration decreased near the overlap concentration, indicating that the chains are slightly more stretched in the network than in solution. Dilute gels with higher loop fractions were found to be spatially homogeneous. Form factor and volumetric scaling analyses independently confirmed that elastic strands stretch by 2-23% from Gaussian conformations to create a space-spanning network, with increased stretching as network synthesis concentration decreases. Prestrain measurements reported here serve as a point of reference for network theories that rely on this parameter for the calculation of mechanical properties.
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Affiliation(s)
- Haley K Beech
- Department of Chemical Engineering, Massachusetts Institute of Technology, 77 Massachusetts Avenue, Cambridge, Massachusetts 02139, United States
| | - Jeremiah A Johnson
- Department of Chemistry, Massachusetts Institute of Technology, 77 Massachusetts Avenue, Cambridge, Massachusetts 02139, United States
| | - Bradley D Olsen
- Department of Chemical Engineering, Massachusetts Institute of Technology, 77 Massachusetts Avenue, Cambridge, Massachusetts 02139, United States
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Onggowarsito C, Feng A, Mao S, Nguyen LN, Xu J, Fu Q. Water Harvesting Strategies through Solar Steam Generator Systems. CHEMSUSCHEM 2022; 15:e202201543. [PMID: 36163592 PMCID: PMC10098618 DOI: 10.1002/cssc.202201543] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/12/2022] [Revised: 09/25/2022] [Indexed: 05/27/2023]
Abstract
Solar steam generator (SSG) systems have attracted increasing attention, owing to its simple manufacturing, material abundance, cost-effectiveness, and environmentally friendly freshwater production. This system relies on photothermic materials and water absorbing substrates for a clean continuous distillation process. To optimize this process, there are factors that are needed to be considered such as selection of solar absorber and water absorbent materials, followed by micro/macro-structural system design for efficient water evaporation, floating, and filtration capability. In this contribution, we highlight the general interfacial SSG concept, review and compare recent progresses of different SSG systems, as well as discuss important factors on performance optimization. Furthermore, unaddressed challenges such as SSG's cost to performance ratio, filtration of untreatable micropollutants/microorganisms, and the need of standardization testing will be discussed to further advance future SSG studies.
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Affiliation(s)
- Casey Onggowarsito
- Centre for Technology in Water and WastewaterSchool of Civil and Environmental EngineeringUniversity of Technology Sydney15 BroadwayUltimoNSW 2007Australia
| | - An Feng
- Centre for Technology in Water and WastewaterSchool of Civil and Environmental EngineeringUniversity of Technology Sydney15 BroadwayUltimoNSW 2007Australia
| | - Shudi Mao
- Centre for Technology in Water and WastewaterSchool of Civil and Environmental EngineeringUniversity of Technology Sydney15 BroadwayUltimoNSW 2007Australia
| | - Luong Ngoc Nguyen
- Centre for Technology in Water and WastewaterSchool of Civil and Environmental EngineeringUniversity of Technology Sydney15 BroadwayUltimoNSW 2007Australia
| | - Jiangtao Xu
- Centre for Advanced Macromolecular DesignSchool of Chemical EngineeringUNSW InstitutionSydneyNSW 2052Australia
| | - Qiang Fu
- Centre for Technology in Water and WastewaterSchool of Civil and Environmental EngineeringUniversity of Technology Sydney15 BroadwayUltimoNSW 2007Australia
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Debta S, Bhutia SZ, Satapathy DK, Ghosh P. Intrinsic-water desorption induced thermomechanical response of hydrogels. SOFT MATTER 2022; 18:8285-8294. [PMID: 36285568 DOI: 10.1039/d2sm01054b] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Abstract
We report an interplay between the desorption of intrinsic water and relaxation of polymer chains resulting in an unusual thermomechanical response of a hydrogel, wherein the elastic modulus increases in a certain temperature range followed by a sharp decrease with a further increase in temperature. We establish that, in a hydrogel, the desorption of disparate water types having distinct binding energy affects the consolidation and relaxation behaviour of the matrix, which in turn affects the mechanical properties at different temperature ranges. Using temperature-dependent dielectric relaxation spectroscopy and nanoindentation techniques, the chain dynamics and mechanical properties are investigated.
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Affiliation(s)
- Sanghamitra Debta
- Nano Mechanics Laboratory, Department of Applied Mechanics, IIT Madras, Chennai-600036, India.
| | - Sonam Zangpo Bhutia
- Soft Materials Laboratory, Department of Physics, IIT Madras, Chennai-600036, India.
| | - Dillip K Satapathy
- Soft Materials Laboratory, Department of Physics, IIT Madras, Chennai-600036, India.
| | - Pijush Ghosh
- Nano Mechanics Laboratory, Department of Applied Mechanics, IIT Madras, Chennai-600036, India.
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Nishida K, Anada T, Tanaka M. Roles of interfacial water states on advanced biomedical material design. Adv Drug Deliv Rev 2022; 186:114310. [PMID: 35487283 DOI: 10.1016/j.addr.2022.114310] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2021] [Revised: 04/12/2022] [Accepted: 04/21/2022] [Indexed: 12/15/2022]
Abstract
When biomedical materials come into contact with body fluids, the first reaction that occurs on the material surface is hydration; proteins are then adsorbed and denatured on the hydrated material surface. The amount and degree of denaturation of adsorbed proteins affect subsequent cell behavior, including cell adhesion, migration, proliferation, and differentiation. Biomolecules are important for understanding the interactions and biological reactions of biomedical materials to elucidate the role of hydration in biomedical materials and their interaction partners. Analysis of the water states of hydrated materials is complicated and remains controversial; however, knowledge about interfacial water is useful for the design and development of advanced biomaterials. Herein, we summarize recent findings on the hydration of synthetic polymers, supramolecular materials, inorganic materials, proteins, and lipid membranes. Furthermore, we present recent advances in our understanding of the classification of interfacial water and advanced polymer biomaterials, based on the intermediate water concept.
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Affiliation(s)
- Kei Nishida
- Institute for Materials Chemistry and Engineering Kyushu university, 744 Motooka, Nishi-ku Fukuoka 819-0395, Japan; Department of Life Science and Technology, School of Life Science and Technology, Tokyo Institute of Technology, Japan(1)
| | - Takahisa Anada
- Institute for Materials Chemistry and Engineering Kyushu university, 744 Motooka, Nishi-ku Fukuoka 819-0395, Japan
| | - Masaru Tanaka
- Institute for Materials Chemistry and Engineering Kyushu university, 744 Motooka, Nishi-ku Fukuoka 819-0395, Japan.
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Shen Y, Liu L, Zheng Q, Zhao X, Han Y, Guo Q, Wang Y. Quantitative insights into tightly and loosely bound water in hydration shells of amino acids. SOFT MATTER 2021; 17:10080-10089. [PMID: 34714904 DOI: 10.1039/d1sm01234g] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
The hydration of amino acids closely correlates the hydration of peptides and proteins and is critical to their biological functions. However, complete and quantitative understanding about the hydration of amino acids is lacking. Here, tightly and loosely bound water of 20 zwitterionic amino acids are quantitatively distinguished and determined by Raman spectroscopy with multivariate curve resolution (Raman-MCR) and differential scanning calorimetry (DSC). The total hydration water obtained from Raman-MCR and the tightly bound water determined by DSC have certain relevance, but they do not exactly correspond. In particular, Pro, Arg and Lys exhibit larger number of tightly bound water molecules (4.02-6.59), showing a significant influence on the onset transition temperature and the melting enthalpy values of water molecules, which provides direct evidence for their unique functions associated with biological water. Asn, Ser, Thr, Met, His and Glu have a smaller number of tightly bound water molecules (0.30-1.31), whilst the other remaining 11 amino acids only contain loosely bound water molecules. Four exceptional amino acids Ile, Leu, Phe and Val show fewer tightly bound water molecules but a higher number of loosely bound water molecules. As for the hydration shell structure, most amino acids except Pro and Trp enhance tetrahedral water structure and H-bonds relative to pure water and at least 1.9% of the hydration water molecules associated with the amino acids show non-hydrogen-bonded OH defects. This work combines two effective experimental techniques to reveal the hydration water structure and quantitatively analyze two kinds of bound water molecules of 20 amino acids.
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Affiliation(s)
- Yutan Shen
- CAS Key Laboratory of Colloid, Interface and Chemical Thermodynamics, CAS Research/Education Center for Excellence in Molecular Sciences, Beijing National Laboratory for Molecular Sciences, Institute of Chemistry, Chinese Academy of Sciences, Beijing 100190, P. R. China.
- University of Chinese Academy of Sciences, Beijing 100049, P. R. China
| | - Lu Liu
- Institute of Theoretical Chemistry, Jilin University, 130012, P. R. China
| | - Qiancheng Zheng
- Institute of Theoretical Chemistry, Jilin University, 130012, P. R. China
| | - Xi Zhao
- Institute of Theoretical Chemistry, Jilin University, 130012, P. R. China
| | - Yuchun Han
- CAS Key Laboratory of Colloid, Interface and Chemical Thermodynamics, CAS Research/Education Center for Excellence in Molecular Sciences, Beijing National Laboratory for Molecular Sciences, Institute of Chemistry, Chinese Academy of Sciences, Beijing 100190, P. R. China.
| | - Qianjin Guo
- Key Laboratory of Molecular Reaction Dynamics and Beijing National Laboratory for Molecular Sciences (BNLMS), Institute of Chemistry, Chinese Academy of Sciences, Beijing 100190, P. R. China.
| | - Yilin Wang
- CAS Key Laboratory of Colloid, Interface and Chemical Thermodynamics, CAS Research/Education Center for Excellence in Molecular Sciences, Beijing National Laboratory for Molecular Sciences, Institute of Chemistry, Chinese Academy of Sciences, Beijing 100190, P. R. China.
- University of Chinese Academy of Sciences, Beijing 100049, P. R. China
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