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Santos KO, Bertolo R, de Almeida Ibanez NL, Alves MR, Onuma TP, Ribeiro GC, de Souza Porto AJ, Barbeito CG, Pinato L, Jozala AF, Grotto D, Hataka A. Bacterial Cellulose Membrane Experimentally Implanted in the Peritoneum of Wistar Rats-Inflammatory Immunoreactivity and Oxidative Stress. Curr Issues Mol Biol 2024; 46:11729-11748. [PMID: 39590291 PMCID: PMC11592940 DOI: 10.3390/cimb46110697] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2024] [Revised: 10/05/2024] [Accepted: 10/05/2024] [Indexed: 11/28/2024] Open
Abstract
Bacterial cellulose (BC) has been used for various applications; however, studies investigating the immunohistochemical characteristics of the inflammatory and scarring component in BC implanted in the peritoneum in vivo have not yet been fully described. This study aimed to evaluate the systemic and organic safety of BC through oxidative stress, blood, and serum biochemical markers, as well as the late inflammatory response in rats, using histopathology and immunohistochemistry. Forty-three rats (26 males; 17 females) received BC in the peritoneal cavity (implanted group-IG), while twenty-seven rats (12 males; 15 females) served as the control (sham group-SG). Sixty days after surgery, oxidative stress in tissues, blood biochemical markers, and histopathological and immunohistochemical analyses for lymphocytes, macrophages, collagen, and vascular response around the BC were assessed. Only one oxidative stress marker, glutathione peroxidase, was elevated in the liver of IG rats. Creatine kinase MB and lactate dehydrogenase levels were significantly lower in IG animals. Histopathological analysis showed granulomatous inflammation in 93% of IG rats, with 74% of mild intensity. Immunohistochemistry revealed a significant macrophage presence (F4/80), with CD3, CD20, and F4/80 markers indicating differences favoring macrophages. In conclusion, BC implantation in the peritoneum induces a foreign body granulomatous response with prominent macrophage presence (F4/80). Type I and III collagen were observed around the membrane, and vascularization was intense 60 days post-implantation. From a biochemical and oxidative stress perspective, BC seems to be a safe material to be used in the peritoneal cavity.
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Affiliation(s)
- Karina Oliveira Santos
- Department of Veterinary Clinical Sciences, School of Veterinary Medicine and Animal Science, São Paulo State University (UNESP), Botucatu 18610-307, SP, Brazil; (K.O.S.); (G.C.R.)
| | - Rebecca Bertolo
- Department of Veterinary Clinical Sciences, School of Veterinary Medicine and Animal Science, São Paulo State University (UNESP), Botucatu 18610-307, SP, Brazil; (K.O.S.); (G.C.R.)
| | | | - Mônica Rodrigues Alves
- Department of Pharmacy, University of Sorocaba, Sorocaba 18023-000, SP, Brazil; (N.L.d.A.I.); (A.F.J.); (D.G.)
| | - Tatiana Pessoa Onuma
- Department of Veterinary Clinical Sciences, School of Veterinary Medicine and Animal Science, São Paulo State University (UNESP), Botucatu 18610-307, SP, Brazil; (K.O.S.); (G.C.R.)
| | - Gabriella Costa Ribeiro
- Department of Veterinary Clinical Sciences, School of Veterinary Medicine and Animal Science, São Paulo State University (UNESP), Botucatu 18610-307, SP, Brazil; (K.O.S.); (G.C.R.)
| | - Anna Julia de Souza Porto
- Department of Veterinary Clinical Sciences, School of Veterinary Medicine and Animal Science, São Paulo State University (UNESP), Botucatu 18610-307, SP, Brazil; (K.O.S.); (G.C.R.)
| | - Cláudio Gustavo Barbeito
- Laboratory of Descriptive, Experimental and Comparative Histology and Embryology, School of Veterinary Sciences, National University of La Plata, National Scientific and Technical Research Council, La Plata 1900, CP, Argentina;
| | - Luciana Pinato
- Department of Speech, Language and Hearing Sciences, São Paulo State University (UNESP), Marilia 17525-900, SP, Brazil;
| | - Angela Faustino Jozala
- Department of Pharmacy, University of Sorocaba, Sorocaba 18023-000, SP, Brazil; (N.L.d.A.I.); (A.F.J.); (D.G.)
| | - Denise Grotto
- Department of Pharmacy, University of Sorocaba, Sorocaba 18023-000, SP, Brazil; (N.L.d.A.I.); (A.F.J.); (D.G.)
| | - Alessandre Hataka
- Department of Veterinary Clinical Sciences, School of Veterinary Medicine and Animal Science, São Paulo State University (UNESP), Botucatu 18610-307, SP, Brazil; (K.O.S.); (G.C.R.)
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Ghamari M, Sun D, Dai Y, See CH, Yu H, Edirisinghe M, Sundaram S. Valorization of diverse waste-derived nanocellulose for multifaceted applications: A review. Int J Biol Macromol 2024:136130. [PMID: 39443179 DOI: 10.1016/j.ijbiomac.2024.136130] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2024] [Revised: 09/16/2024] [Accepted: 09/27/2024] [Indexed: 10/25/2024]
Abstract
The study underscores the urgent need for sustainable waste management by focusing on circular economy principles, government regulations, and public awareness to combat ecological threats, pollution, and climate change effects. It explores extracting nanocellulose from waste streams such as textile, paper, agricultural matter, wood, animal, and food waste, providing a detailed process framework. The emphasis is on waste-derived nanocellulose as a promising material for eco-friendly products. The research evaluates the primary mechanical and thermal properties of nanocellulose from various waste sources. For instance, cotton-derived nanocellulose has a modulus of 2.04-2.71 GPa, making it flexible for lightweight applications. Most waste-derived nanocelluloses have densities between 1550 and 1650 kg/m3, offering strong, lightweight packaging support while enhancing biodegradability and moisture control. Crystallinity influences material usage: high crystallinity is ideal for packaging (e.g., softwood, hardwood), while low crystallinity suits textiles (e.g., cotton, bamboo). Nanocelluloses exhibit excellent thermal stability above 200 °C, useful for flame-retardant coatings, insulation, and polymer reinforcement. The research provides a comprehensive guide for selecting nanocellulose materials, highlighting their potential across industries like packaging, biomedical, textiles, apparel, and electronics, promoting sustainable innovation and a more eco-conscious future.
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Affiliation(s)
- Mehrdad Ghamari
- Cybersecurity and Systems Engineering, School of Computing, Engineering and the Built Environment, Edinburgh Napier University, Merchiston Campus, Edinburgh EH10 5DT, United Kingdom
| | - Dongyang Sun
- Cybersecurity and Systems Engineering, School of Computing, Engineering and the Built Environment, Edinburgh Napier University, Merchiston Campus, Edinburgh EH10 5DT, United Kingdom
| | - Yanqi Dai
- Department of Mechanical Engineering, University College London UCL, London WC1E 7JE, United Kingdom
| | - Chan Hwang See
- Cybersecurity and Systems Engineering, School of Computing, Engineering and the Built Environment, Edinburgh Napier University, Merchiston Campus, Edinburgh EH10 5DT, United Kingdom
| | - Hongnian Yu
- Cybersecurity and Systems Engineering, School of Computing, Engineering and the Built Environment, Edinburgh Napier University, Merchiston Campus, Edinburgh EH10 5DT, United Kingdom
| | - Mohan Edirisinghe
- Department of Mechanical Engineering, University College London UCL, London WC1E 7JE, United Kingdom
| | - Senthilarasu Sundaram
- School of Computing, Engineering and Digital Technologies, Teesside University, Tees Valley, Middlesbrough TS1 3BX, United Kingdom.
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3
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da Silva JGM, de Melo IMF, Alves ÉR, de Oliveira GM, da Silva AA, Cavalcanti IMF, Araujo DN, Pinto FCM, de Andrade Aguiar JL, Wanderley Teixeira V, Coelho Teixeira ÁA. Melatonin and Bacterial Cellulose Regulate the Expression of Inflammatory Cytokines, VEGF, PCNA, and Collagen in Cutaneous Wound Healing in Diabetic Rats. Polymers (Basel) 2024; 16:2611. [PMID: 39339075 PMCID: PMC11435683 DOI: 10.3390/polym16182611] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2024] [Revised: 08/29/2024] [Accepted: 09/13/2024] [Indexed: 09/30/2024] Open
Abstract
The poor healing of diabetic wounds is characterized by prolonged inflammation and decreased collagen deposition. Diabetic patients exhibit changes in the plasma concentrations of pro-inflammatory cytokines, and the role of specific dressings may have an impact on healing. This study aims to evaluate the effects of a combined treatment comprising a bacterial cellulose dressing and melatonin application on the regulation and expression of inflammatory cytokines, VEGF, PCNA, and collagen in the healing of cutaneous wounds of diabetic rats. Pro-inflammatory cytokines, including IL-6, TNF-α, and VEGF, along with PCNA and type I and III collagen, were evaluated after 14 days. Immunohistochemistry showed decreased levels of IL-6, TNF-α, and VEGF, along with an increased expression of PCNA and type I collagen, in the groups treated exclusively with melatonin and bacterial cellulose associated with melatonin compared to the control and the commercial healing agent. It was concluded that treating the skin lesions of diabetic animals supplemented with melatonin using a bacterial cellulose-based dressing has positive effects in regulating the expression of inflammatory cytokines, vascular endothelial growth factor, and collagen, showing that this association could be a viable therapy approach in wound healing.
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Affiliation(s)
- Jaiurte Gomes Martins da Silva
- Graduate Program of Animal Bioscience, Department of Animal Morphology and Physiology, Federal Rural University of Pernambuco, Recife 52171-900, PE, Brazil
- Department of Medicine, Federal University of Alagoas, Arapiraca 57309-005, AL, Brazil
| | - Ismaela Maria Ferreira de Melo
- Graduate Program of Animal Bioscience, Department of Animal Morphology and Physiology, Federal Rural University of Pernambuco, Recife 52171-900, PE, Brazil
| | - Érique Ricardo Alves
- Graduate Program of Animal Bioscience, Department of Animal Morphology and Physiology, Federal Rural University of Pernambuco, Recife 52171-900, PE, Brazil
| | - Glícia Maria de Oliveira
- Graduate Program of Therapeutic Innovation, Department of Biochemistry, Federal University of Pernambuco, Recife 50170-901, PE, Brazil
| | - Anderson Arnaldo da Silva
- Graduate Program in Biosciences and Biotechnology in Health, Oswaldo Cruz Foundation, Federal University of Pernambuco, Recife 50170-901, PE, Brazil
| | - Isabela Macário Ferro Cavalcanti
- Laboratory of Clinical Microbiology, Keizo Asami Institute (iLIKA), Federal University of Pernambuco (UFPE), Recife 50170-901, PE, Brazil
| | - Diego Neves Araujo
- Department of Medicine, Federal University of Alagoas, Arapiraca 57309-005, AL, Brazil
| | - Flávia Cristina Morone Pinto
- Graduate Program of Surgery, Department of Surgery, Federal University of Pernambuco, Recife 50170-901, PE, Brazil
| | | | - Valéria Wanderley Teixeira
- Graduate Program of Animal Bioscience, Department of Animal Morphology and Physiology, Federal Rural University of Pernambuco, Recife 52171-900, PE, Brazil
| | - Álvaro Aguiar Coelho Teixeira
- Graduate Program of Animal Bioscience, Department of Animal Morphology and Physiology, Federal Rural University of Pernambuco, Recife 52171-900, PE, Brazil
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Lima NF, Maciel GM, Lima NP, Fernandes IDAA, Haminiuk CWI. Bacterial cellulose in cosmetic innovation: A review. Int J Biol Macromol 2024; 275:133396. [PMID: 38945719 DOI: 10.1016/j.ijbiomac.2024.133396] [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: 03/28/2024] [Revised: 06/10/2024] [Accepted: 06/22/2024] [Indexed: 07/02/2024]
Abstract
Bacterial cellulose (BC) emerges as a versatile biomaterial with a myriad of industrial applications, particularly within the cosmetics sector. The absence of hemicellulose, lignin, and pectin in its pure cellulose structure enables favorable interactions with both hydrophilic and hydrophobic biopolymers. This enhances compatibility with active ingredients commonly employed in cosmetics, such as antioxidants, vitamins, and botanical extracts. Recent progress in BC-based materials, which encompasses membranes, films, gels, nanocrystals, and nanofibers, highlights its significant potential in cosmetics. In this context, BC not only serves as a carrier for active ingredients but also plays a crucial role as a structural agent in formulations. The sustainability of BC production and processing is a central focus, highlighting the need for innovative approaches to strengthen scalability and cost-effectiveness. Future research endeavors, including the exploration of novel cultivation strategies and functionalization techniques, aim to maximize BC's therapeutic potential while broadening its scope in personalized skincare regimes. Therefore, this review emphasizes the crucial contribution of BC to the cosmetics sector, underlining its role in fostering innovation, sustainability, and ethical skincare practices. By integrating recent research findings and industry trends, this review proposes a fresh approach to advancing both skincare science and environmental responsibility in the cosmetics industry.
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Affiliation(s)
- Nicole Folmann Lima
- Programa de Pós-Graduação em Engenharia de Alimentos (PPGEAL), Universidade Federal do Paraná (UFPR), CEP (81531-980) Curitiba, Paraná, Brazil
| | - Giselle Maria Maciel
- Laboratório de Biotecnologia, Universidade Tecnológica Federal do Paraná (UTFPR), CEP (81280-340) Curitiba, Paraná, Brazil
| | - Nayara Pereira Lima
- Programa de Pós-Graduação em Engenharia de Alimentos (PPGEAL), Universidade Federal do Paraná (UFPR), CEP (81531-980) Curitiba, Paraná, Brazil
| | - Isabela de Andrade Arruda Fernandes
- Programa de Pós-Graduação em Ciência e Tecnologia Ambiental (PPGCTA), Universidade Tecnológica Federal do Paraná (UTFPR), CEP (81280-340) Curitiba, Paraná, Brazil
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5
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Jabbari F, Babaeipour V. Bacterial cellulose as an ideal potential treatment for burn wounds: A comprehensive review. Wound Repair Regen 2024; 32:323-339. [PMID: 38445725 DOI: 10.1111/wrr.13163] [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: 09/27/2023] [Revised: 02/09/2024] [Accepted: 02/13/2024] [Indexed: 03/07/2024]
Abstract
Burn wound regeneration is a complex process, which has many serious challenges such as slow wound healing, secondary infection, and inflammation. Therefore, it is essential to utilise appropriate biomaterials to accelerate and guide the wound healing process. Bacterial cellulose (BC), a natural polymer synthesised by some bacteria, has attracted much attention for wound healing applications due to its unique properties including excellent physicochemical and mechanical properties, simple purification process, three-dimensional (3D) network structure similar to extracellular matrix, high purity, high water holding capacity and significant permeability to gas and liquid. BC's lack of antibacterial activity significantly limits its biomedical and tissue engineering application, but adding antimicrobial agents to it remarkably improves its performance in tissue regeneration applications. Burn wound healing is a complex long-lasting process. Using biomaterials in wound treatment has shown that they can satisfactorily accelerate wound healing. The purpose of this review is to elaborate on the importance of BC-based structures as one of the most widely used modern wound dressings in the treatment of burn wounds. In addition, the combination of various drugs, agents, cells and biomolecules with BC to expand its application in burn injury regeneration is discussed. Finally, the main challenges and future development direction of BC-based structures for burn wound repair are considered. The four most popular search engines PubMed/MEDLINE, Science Direct, Scopus and Google Scholar were used to help us find relevant papers. The most frequently used keywords were bacterial cellulose, BC-based biocomposite, wound healing, burn wound and vascular graft.
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Affiliation(s)
- Farzaneh Jabbari
- Nanotechnology and Advanced Materials Department, Materials and Energy Research Center (MERC), Tehran, Iran
| | - Valiollah Babaeipour
- Faculty of Chemistry and Chemical Engineering, Malek-Ashtar University of Technology, Tehran, Iran
- Department of Bioactive Compounds, Faculty of Interdisciplinary Science and Technology, Tarbiat Modares University, Tehran, Iran
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Carvalho APAD, Értola R, Conte-Junior CA. Nanocellulose-based platforms as a multipurpose carrier for drug and bioactive compounds: From active packaging to transdermal and anticancer applications. Int J Pharm 2024; 652:123851. [PMID: 38272194 DOI: 10.1016/j.ijpharm.2024.123851] [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: 12/13/2023] [Revised: 01/09/2024] [Accepted: 01/22/2024] [Indexed: 01/27/2024]
Abstract
The nanocellulose has unique characteristics, such as biocompatibility, good mechanical strength, and low cytotoxicity. The nanocellulose crystalline portion is responsible for good mechanical resistance, while the amorphous portion is responsible for flexibility. Such features make it a promising candidate for multiple applications related to the modulation of substance release: targeted cancer therapy, transdermal drug delivery, and controlled-release packaging materials. Thus, in this study, we discussed nanocellulose as a multipurpose material for drug delivery and bioactive compound carriers in controlled delivery systems with varied applications in pharmaceutic fields. Herein, we focus on understanding key factors such as i) polymer-drug interactions and surface modification strategies in controlled release rates, ii) therapeutic efficacy, and iii) biocompatibility aspects. The tunable chemistry surface plays a fundamental approach limiting the quick release of active substances in drug delivery systems. Several works on a pre-clinical stage of investigation were overviewed, reporting robust evidence on nanocellulose to design bioactive compounds/drug delivery carriers based on stimuli-responsive drug release and controlled delivery systems for higher efficiency in cancer therapies, purposing target therapy and reduced side effects. Nanocellulose was also identified as a solid candidate material in active packaging for pharmaceutical products. Cellulose nanocrystals and bacterial cellulose demonstrated strong potential to overcome the challenge of controlled release profile and open novel insights in advanced active packaging materials for pharmaceutics with controlled release of antioxidant and antimicrobial substances. Moreover, the concept overview in this work might be extended in active food packaging technologies to flavor-releasing/absorbing systems or antimicrobial/antioxidant carriers for extending the shelf life of foods.
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Affiliation(s)
- Anna Paula Azevedo de Carvalho
- Research Support Group on Nanomaterials, Polymers, and Interaction with Biosystems (BioNano), Department of Biochemistry, Chemistry Institute, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, RJ 21941909, Brazil; Center for Food Analysis (NAL), Technological Development Support Laboratory (LADETEC), Chemistry Institute, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, RJ 21941598, Brazil; Nanotechnology Network, Carlos Chagas Filho Research Support Foundation of the State of Rio de Janeiro (FAPERJ), Rio de Janeiro, RJ 20020-000, Brazil; Graduate Program in Chemistry (PGQu), Chemistry Institute, Federal University of Rio de Janeiro, Rio de Janeiro, RJ 21941909, Brazil.
| | - Raphael Értola
- Research Support Group on Nanomaterials, Polymers, and Interaction with Biosystems (BioNano), Department of Biochemistry, Chemistry Institute, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, RJ 21941909, Brazil; Center for Food Analysis (NAL), Technological Development Support Laboratory (LADETEC), Chemistry Institute, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, RJ 21941598, Brazil
| | - Carlos Adam Conte-Junior
- Research Support Group on Nanomaterials, Polymers, and Interaction with Biosystems (BioNano), Department of Biochemistry, Chemistry Institute, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, RJ 21941909, Brazil; Center for Food Analysis (NAL), Technological Development Support Laboratory (LADETEC), Chemistry Institute, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, RJ 21941598, Brazil; Nanotechnology Network, Carlos Chagas Filho Research Support Foundation of the State of Rio de Janeiro (FAPERJ), Rio de Janeiro, RJ 20020-000, Brazil; Graduate Program in Chemistry (PGQu), Chemistry Institute, Federal University of Rio de Janeiro, Rio de Janeiro, RJ 21941909, Brazil
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Lopes V, Moreira G, Bramini M, Capasso A. The potential of graphene coatings as neural interfaces. NANOSCALE HORIZONS 2024; 9:384-406. [PMID: 38231692 DOI: 10.1039/d3nh00461a] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/19/2024]
Abstract
Recent advances in nanotechnology design and fabrication have shaped the landscape for the development of ideal cell interfaces based on biomaterials. A holistic evaluation of the requirements for a cell interface is a highly complex task. Biocompatibility is a crucial requirement which is affected by the interface's properties, including elemental composition, morphology, and surface chemistry. This review explores the current state-of-the-art on graphene coatings produced by chemical vapor deposition (CVD) and applied as neural interfaces, detailing the key properties required to design an interface capable of physiologically interacting with neural cells. The interfaces are classified into substrates and scaffolds to differentiate the planar and three-dimensional environments where the cells can adhere and proliferate. The role of specific features such as mechanical properties, porosity and wettability are investigated. We further report on the specific brain-interface applications where CVD graphene paved the way to revolutionary advances in biomedicine. Future studies on the long-term effects of graphene-based materials in vivo will unlock even more potentially disruptive neuro-applications.
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Affiliation(s)
- Vicente Lopes
- International Iberian Nanotechnology Laboratory, 4715-330 Braga, Portugal.
| | - Gabriel Moreira
- International Iberian Nanotechnology Laboratory, 4715-330 Braga, Portugal.
| | - Mattia Bramini
- Department of Cell Biology, Facultad de Ciencias, Universidad de Granada, 18071 Granada, Spain.
| | - Andrea Capasso
- International Iberian Nanotechnology Laboratory, 4715-330 Braga, Portugal.
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Hazrati R, Davaran S, Keyhanvar P, Soltani S, Alizadeh E. A Systematic Review of Stem Cell Differentiation into Keratinocytes for Regenerative Applications. Stem Cell Rev Rep 2024; 20:362-393. [PMID: 37922106 DOI: 10.1007/s12015-023-10636-9] [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] [Accepted: 09/25/2023] [Indexed: 11/05/2023]
Abstract
To improve wound healing or treatment of other skin diseases, and provide model cells for skin biology studies, in vitro differentiation of stem cells into keratinocyte-like cells (KLCs) is very desirable in regenerative medicine. This study examined the most recent advancements in in vitro differentiation of stem cells into KLCs, the effect of biofactors, procedures, and preparation for upcoming clinical cases. A range of stem cells with different origins could be differentiated into KLCs under appropriate conditions. The most effective ways of stem cell differentiation into keratinocytes were found to include the co-culture with primary epithelial cells and keratinocytes, and a cocktail of growth factors, cytokines, and small molecules. KLCs should also be supported by biomaterials for the extracellular matrix (ECM), which replicate the composition and functionality of the in vivo extracellular matrix (ECM) and, thus, support their phenotypic and functional characteristics. The detailed efficient characterization of different factors, and their combinations, could make it possible to find the significant inducers for stem cell differentiation into epidermal lineage. Moreover, it allows the development of chemically known media for directing multi-step differentiation procedures.In conclusion, the differentiation of stem cells to KLCs is feasible and KLCs were used in experimental, preclinical, and clinical trials. However, the translation of KLCs from in vitro investigational system to clinically valuable cells is challenging and extremely slow.
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Affiliation(s)
- Raheleh Hazrati
- Department of Medicinal Chemistry, Faculty of Pharmacy, Tabriz University of Medical Sciences, Tabriz, Iran
- Research Center for Pharmaceutical Nanotechnology, Biomedicine Institute, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Soodabeh Davaran
- Department of Medicinal Chemistry, Faculty of Pharmacy, Tabriz University of Medical Sciences, Tabriz, Iran.
- Research Center for Pharmaceutical Nanotechnology, Biomedicine Institute, Tabriz University of Medical Sciences, Tabriz, Iran.
| | - Peyman Keyhanvar
- Department of Medical Biotechnology, Faculty of Advanced Medical Sciences, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Somaieh Soltani
- Department of Medicinal Chemistry, Faculty of Pharmacy, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Effat Alizadeh
- Department of Medical Biotechnology, Faculty of Advanced Medical Sciences, Tabriz University of Medical Sciences, Tabriz, Iran.
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9
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Potočnik V, Gorgieva S, Trček J. From Nature to Lab: Sustainable Bacterial Cellulose Production and Modification with Synthetic Biology. Polymers (Basel) 2023; 15:3466. [PMID: 37631523 PMCID: PMC10459212 DOI: 10.3390/polym15163466] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2023] [Revised: 08/08/2023] [Accepted: 08/15/2023] [Indexed: 08/27/2023] Open
Abstract
Bacterial cellulose (BC) is a macromolecule with versatile applications in medicine, pharmacy, biotechnology, cosmetology, food and food packaging, ecology, and electronics. Although many bacteria synthesize BC, the most efficient BC producers are certain species of the genera Komagataeibacter and Novacetimonas. These are also food-grade bacteria, simplifying their utilization at industrial facilities. The basic principles of BC synthesis are known from studies of Komagataeibacter xylinus, which became a model species for studying BC at genetic and molecular levels. Cellulose can also be of plant origin, but BC surpasses its purity. Moreover, the laboratory production of BC enables in situ modification into functionalized material with incorporated molecules during its synthesis. The possibility of growing Komagataeibacter and Novacetimonas species on various organic substrates and agricultural and food waste compounds also follows the green and sustainable economy principles. Further intervention into BC synthesis was enabled by genetic engineering tools, subsequently directing it into the field of synthetic biology. This review paper presents the development of the fascinating field of BC synthesis at the molecular level, seeking sustainable ways for its production and its applications towards genetic modifications of bacterial strains for producing novel types of living biomaterials using the flexible metabolic machinery of bacteria.
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Affiliation(s)
- Vid Potočnik
- Department of Biology, Faculty of Natural Sciences and Mathematics, University of Maribor, 2000 Maribor, Slovenia;
| | - Selestina Gorgieva
- Faculty of Mechanical Engineering, Institute of Engineering Materials and Design, University of Maribor, 2000 Maribor, Slovenia;
| | - Janja Trček
- Department of Biology, Faculty of Natural Sciences and Mathematics, University of Maribor, 2000 Maribor, Slovenia;
- Faculty of Chemistry and Chemical Engineering, University of Maribor, 2000 Maribor, Slovenia
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10
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Yosboonruang A, Phimnuan P, Yakaew S, Oonkhanond B, Rawangkan A, Ross S, Ross G, Viyoch J. Development of Biocellulose Sheet Incorporating Aloe vera Gel Extract for Diabetic Wound Healing. ACS OMEGA 2023; 8:16824-16832. [PMID: 37214721 PMCID: PMC10193558 DOI: 10.1021/acsomega.3c00372] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/18/2023] [Accepted: 04/24/2023] [Indexed: 05/24/2023]
Abstract
In this study, a biocellulose (BC) sheet containing Aloe vera gel extract (AE) was developed for application in healing chronic wounds, such as diabetic wounds. The BC sheet was produced by Acetobacter xylinum and then lyophilized to obtain dried sheets. A. vera gel was extracted by precipitation in 35% ammonium sulfate, lyophilized, dried, and incorporated into the BC sheet. The protein content of the AE was 12.32 ± 3.4% w/w, with a molecular weight of ∼20 kDa. The release of TNF-α from lipopolysaccharide-induced RAW264.7 cells was reduced by treatment with AE in a dose-dependent manner. The physicochemical and biological properties of the developed sheet were investigated. Morphological examination of the BC/AE sheet using scanning electron microscopy revealed the 3D construction of nanofibrils, which showed high porosity. The BC/AE sheet exhibited water absorption at 74%, and the release of proteins in the AE reached 97.23% at 4 h. The BC sheet incorporated with proteins in the AE at 283.78 ± 7.7 μg/cm2 can promote the wound healing in streptozotocin-induced diabetic rats. The recovering skin in diabetic wounds treated with the BC/AE sheet exhibited a normal cell arrangement without fibrosis, as revealed by histological staining. The research findings indicate that the BC/AE sheet has potential for applications in wound dressings.
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Affiliation(s)
- Atchariya Yosboonruang
- Division
of Microbiology and Parasitology, School of Medical Sciences, University of Phayao, Phayao 56000, Thailand
| | - Preeyawass Phimnuan
- Department
of Pharmaceutical Technology, Faculty of Pharmaceutical Sciences and
Center of Excellence for Innovation in Chemistry, Naresuan University, Phitsanulok 65000, Thailand
| | - Swanya Yakaew
- Department
of Pharmaceutical Technology, Faculty of Pharmaceutical Sciences and
Center of Excellence for Innovation in Chemistry, Naresuan University, Phitsanulok 65000, Thailand
| | | | - Anchalee Rawangkan
- Division
of Microbiology and Parasitology, School of Medical Sciences, University of Phayao, Phayao 56000, Thailand
| | - Sukunya Ross
- Department
of Chemistry, Center of Excellence in Biomaterials, Faculty of Science, Naresuan University, Phitsanulok 65000, Thailand
| | - Gareth Ross
- Department
of Chemistry, Center of Excellence in Biomaterials, Faculty of Science, Naresuan University, Phitsanulok 65000, Thailand
| | - Jarupa Viyoch
- Department
of Pharmaceutical Technology, Faculty of Pharmaceutical Sciences and
Center of Excellence for Innovation in Chemistry, Naresuan University, Phitsanulok 65000, Thailand
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Fooladi S, Nematollahi MH, Rabiee N, Iravani S. Bacterial Cellulose-Based Materials: A Perspective on Cardiovascular Tissue Engineering Applications. ACS Biomater Sci Eng 2023. [PMID: 37146213 DOI: 10.1021/acsbiomaterials.3c00300] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/07/2023]
Abstract
Today, a wide variety of bio- and nanomaterials have been deployed for cardiovascular tissue engineering (TE), including polymers, metal oxides, graphene/its derivatives, organometallic complexes/composites based on inorganic-organic components, among others. Despite several advantages of these materials with unique mechanical, biological, and electrical properties, some challenges still remain pertaining to their biocompatibility, cytocompatibility, and possible risk factors (e.g., teratogenicity or carcinogenicity), restricting their future clinical applications. Natural polysaccharide- and protein-based (nano)structures with the benefits of biocompatibility, sustainability, biodegradability, and versatility have been exploited in the field of cardiovascular TE focusing on targeted drug delivery, vascular grafts, engineered cardiac muscle, etc. The usage of these natural biomaterials and their residues offers several advantages in terms of environmental aspects such as alleviating emission of greenhouse gases as well as the production of energy as a biomass consumption output. In TE, the development of biodegradable and biocompatible scaffolds with potentially three-dimensional structures, high porosity, and suitable cellular attachment/adhesion still needs to be comprehensively studied. In this context, bacterial cellulose (BC) with high purity, porosity, crystallinity, unique mechanical properties, biocompatibility, high water retention, and excellent elasticity can be considered as promising candidate for cardiovascular TE. However, several challenges/limitations regarding the absence of antimicrobial factors and degradability along with the low yield of production and extensive cultivation times (in large-scale production) still need to be resolved using suitable hybridization/modification strategies and optimization of conditions. The biocompatibility and bioactivity of BC-based materials along with their thermal, mechanical, and chemical stability are crucial aspects in designing TE scaffolds. Herein, cardiovascular TE applications of BC-based materials are deliberated, with a focus on the most recent advancements, important challenges, and future perspectives. Other biomaterials with cardiovascular TE applications and important roles of green nanotechnology in this field of science are covered to better compare and comprehensively review the subject. The application of BC-based materials and the collective roles of such biomaterials in the assembly of sustainable and natural-based scaffolds for cardiovascular TE are discussed.
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Affiliation(s)
- Saba Fooladi
- Department of Clinical Biochemistry, Afzalipour Medical School, Kerman University of Medical Sciences, 76169-13555 Kerman, Iran
| | - Mohammad Hadi Nematollahi
- Department of Clinical Biochemistry, Afzalipour Medical School, Kerman University of Medical Sciences, 76169-13555 Kerman, Iran
- Herbal and Traditional Medicines Research Center, Kerman University of Medical Sciences, 76169-13555 Kerman, Iran
| | - Navid Rabiee
- Centre for Molecular Medicine and Innovative Therapeutics, Murdoch University, Perth, Western Australia 6150, Australia
- School of Engineering, Macquarie University, Sydney, New South Wales 2109, Australia
| | - Siavash Iravani
- Faculty of Pharmacy and Pharmaceutical Sciences, Isfahan University of Medical Sciences, 81746-73461 Isfahan, Iran
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12
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Gilmour KA, Aljannat M, Markwell C, James P, Scott J, Jiang Y, Torun H, Dade-Robertson M, Zhang M. Biofilm inspired fabrication of functional bacterial cellulose through ex-situ and in-situ approaches. Carbohydr Polym 2023; 304:120482. [PMID: 36641190 DOI: 10.1016/j.carbpol.2022.120482] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2022] [Revised: 12/11/2022] [Accepted: 12/17/2022] [Indexed: 12/24/2022]
Abstract
Bacterial cellulose (BC) has been explored for use in a range of applications including tissue engineering and textiles. BC can be produced from waste streams, but sustainable approaches are needed for functionalisation. To this end, BslA, a B. subtilis biofilm protein was produced recombinantly with and without a cellulose binding module (CBM) and the cell free extract was used to treat BC either ex-situ, through drip coating or in-situ, by incorporating during fermentation. The results showed that ex-situ modified BC increased the hydrophobicity and water contact angle reached 120°. In-situ experiments led to a BC film morphological change and mechanical testing demonstrated that addition of BslA with CBM resulted in a stronger, more elastic material. This study presents a nature inspired approach to functionalise BC using a biofilm hydrophobin, and we demonstrate that recombinant proteins could be effective and sustainable molecules for functionalisation of BC materials.
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Affiliation(s)
- Katie A Gilmour
- Hub for Biotechnology in the Built Environment, Department of Applied Sciences, Northumbria University at Newcastle, NE1 8ST, UK.
| | - Mahab Aljannat
- Hub for Biotechnology in the Built Environment, School of Architecture, Planning and Landscape, Newcastle University, NE1 7RU, UK.
| | - Christopher Markwell
- Department of Applied Sciences, Northumbria University at Newcastle, NE1 8ST, UK.
| | - Paul James
- Hub for Biotechnology in the Built Environment, Department of Applied Sciences, Northumbria University at Newcastle, NE1 8ST, UK.
| | - Jane Scott
- Hub for Biotechnology in the Built Environment, School of Architecture, Planning and Landscape, Newcastle University, NE1 7RU, UK.
| | - Yunhong Jiang
- Hub for Biotechnology in the Built Environment, Department of Applied Sciences, Northumbria University at Newcastle, NE1 8ST, UK.
| | - Hamdi Torun
- Department of Mathematics, Physics and Electrical Engineering, Faculty of Environment and Engineering, Northumbria University at Newcastle, NE1 8ST, UK.
| | - Martyn Dade-Robertson
- Hub for Biotechnology in the Built Environment, School of Architecture, Planning and Landscape, Newcastle University, NE1 7RU, UK.
| | - Meng Zhang
- Hub for Biotechnology in the Built Environment, Department of Applied Sciences, Northumbria University at Newcastle, NE1 8ST, UK.
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13
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Repeated-Batch Ethanol Fermentation from Sweet Sorghum Stem Juice under a Very High Gravity Condition Using a Stirred Tank Bioreactor Coupled with a Column Bioreactor by Immobilized Saccharomyces cerevisiae. FERMENTATION-BASEL 2023. [DOI: 10.3390/fermentation9020159] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
Abstract
The ethanol fermentation efficiency of sweet sorghum stem juice (SSJ) under a very high gravity (VHG) condition (250 g/L of sugar) was improved by immobilized Saccharomyces cerevisiae SSJKKU01, using a stirred tank bioreactor (STR) coupled with a column bioreactor (CR). Dried rattan pieces (as carriers for cell immobilization) at 50% of the working volume of the CR were suitable for use in a batch ethanol fermentation. The average ethanol concentration (PE) and ethanol productivity (QP) of repeated-batch fermentation in the CR for eight successive cycles were 109.85 g/L and 1.88 g/L⋅h, respectively. Then an STR coupled with a CR was applied for repeated-batch ethanol fermentation in two systems. System I was an STR (1.8 L working volume), and System II was an STR (1 L) coupled with a CR, referred to as a CR-F (0.8 L). Both systems were connected to a new CR, called CR-I, containing sterile dried rattan pieces at 50% of its working volume. Active yeast cells were inoculated only into the STR, and the medium circulation rate between bioreactors was 5.2 mL/min. The results showed that at least eight successive cycles could be operated with an average PE of 108.51 g/L for System I and 109.44 g/L for System II. The average QP and SC values of both systems were also similar, with values of 1.87 to 1.88 g/L⋅h and 93 to 94%, respectively. The morphology of the carriers with and without immobilized cells before and after the fermentation was investigated. The obtained results demonstrated that a repeated-batch fermentation by immobilized cells on rattan pieces, using an STR coupled with a CR, was successfully used to produce high levels of ethanol from SSJ under a VHG condition.
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14
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Raut MP, Asare E, Syed Mohamed SMD, Amadi EN, Roy I. Bacterial Cellulose-Based Blends and Composites: Versatile Biomaterials for Tissue Engineering Applications. Int J Mol Sci 2023; 24:986. [PMID: 36674505 PMCID: PMC9865793 DOI: 10.3390/ijms24020986] [Citation(s) in RCA: 16] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2022] [Revised: 12/19/2022] [Accepted: 12/22/2022] [Indexed: 01/06/2023] Open
Abstract
Cellulose of bacterial origin, known as bacterial cellulose (BC), is one of the most versatile biomaterials that has a huge potential in tissue engineering due to its favourable mechanical properties, high hydrophilicity, crystallinity, and purity. Additional properties such as porous nano-fibrillar 3D structure and a high degree of polymerisation of BC mimic the properties of the native extracellular matrix (ECM), making it an excellent material for the fabrication of composite scaffolds suitable for cell growth and tissue development. Recently, the fabrication of BC-based scaffolds, including composites and blends with nanomaterials, and other biocompatible polymers has received particular attention owing to their desirable properties for tissue engineering. These have proven to be promising advanced materials in hard and soft tissue engineering. This review presents the latest state-of-the-art modified/functionalised BC-based composites and blends as advanced materials in tissue engineering. Their applicability as an ideal biomaterial in targeted tissue repair including bone, cartilage, vascular, skin, nerve, and cardiac tissue has been discussed. Additionally, this review briefly summarises the latest updates on the production strategies and characterisation of BC and its composites and blends. Finally, the challenges in the future development and the direction of future research are also discussed.
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Affiliation(s)
| | | | | | | | - Ipsita Roy
- Department of Materials Science and Engineering, Faculty of Engineering, University of Sheffield, Sheffield S3 7HQ, UK
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15
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Li XD, Yan DW, Ren HH, Zhang QY, Yan YG. Fabricating biodegradable calcium phosphate/calcium sulfate cement reinforced with cellulose: in vitro and in vivo studies. J Mater Chem B 2023; 11:303-315. [PMID: 36440610 DOI: 10.1039/d2tb02191a] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
Osteoporosis is a growing public health concern worldwide. To avoid extra surgeries, developing biodegradable bone cement is critical for the treatment of osteoporosis. Herein, we designed calcium phosphate/calcium sulfate cement reinforced with sodium carboxymethyl cellulose (CMC/OPC). It presents an appropriate physicochemical performance for clinical handling. Meanwhile, CMC/OPC bone cement promotes osteogenic differentiation in vitro. Results of the immune response in vitro and in vivo confirmed that increasing the cellulose content triggered macrophage switching into the M2 phenotype and CMC/OPC exhibited significant anti-inflammation. Furthermore, in vitro and in vivo degradation demonstrated that cellulose tailors the degradation rate of composite bone cement, which achieved a linear degradation process and could degrade by more than 90% for 12 weeks. In summary, the composite bone cement CMC/OPC is a promising candidate for bone repair applications.
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Affiliation(s)
- Xiao-Dan Li
- College of Physics, Sichuan University, Chengdu, Sichuan, 610064, China.
| | - Da-Wei Yan
- College of Physics, Sichuan University, Chengdu, Sichuan, 610064, China.
| | - Hao-Hao Ren
- College of Physics, Sichuan University, Chengdu, Sichuan, 610064, China.
| | - Qi-Yi Zhang
- School of Chemical Engineering, Sichuan University, Chengdu, Sichuan 610065, China.
| | - Yong-Gang Yan
- College of Physics, Sichuan University, Chengdu, Sichuan, 610064, China.
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Qian H, Liu J, Wang X, Pei W, Fu C, Ma M, Huang C. The state-of-the-art application of functional bacterial cellulose-based materials in biomedical fields. Carbohydr Polym 2022; 300:120252. [DOI: 10.1016/j.carbpol.2022.120252] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2022] [Revised: 10/13/2022] [Accepted: 10/19/2022] [Indexed: 11/02/2022]
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Abstract
Biopolymers have gained significant attention as a class of polymer materials with a wide range of applications, especially in the medical and pharmaceutical field. Due to particular characteristics, such as biocompatibility, biodegradability, non-toxicity, and functionality, they have become promising candidates for various surgical applications, including as bioadhesives, sealants, wound dressings, sutures, drug carriers, coating materials, etc. Recent research shows that further modification of biopolymers by advanced techniques can improve their functionality i.e., antibacterial activity, cell viability, drug-releasing capability, good wet adhesion performance, and good mechanical properties. This mini review aims to provide a brief report on the type of biopolymers and recent developments regarding their use in various surgical applications.
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Niculescu AG, Grumezescu AM. An Up-to-Date Review of Biomaterials Application in Wound Management. Polymers (Basel) 2022; 14:421. [PMID: 35160411 PMCID: PMC8839538 DOI: 10.3390/polym14030421] [Citation(s) in RCA: 52] [Impact Index Per Article: 17.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2021] [Revised: 01/12/2022] [Accepted: 01/17/2022] [Indexed: 12/18/2022] Open
Abstract
Whether they are caused by trauma, illness, or surgery, wounds may occur throughout anyone's life. Some injuries' complexity and healing difficulty pose important challenges in the medical field, demanding novel approaches in wound management. A highly researched possibility is applying biomaterials in various forms, ranging from thin protective films, foams, and hydrogels to scaffolds and textiles enriched with drugs and nanoparticles. The synergy of biocompatibility and cell proliferative effects of these materials is reflected in a more rapid wound healing rate and improved structural and functional properties of the newly grown tissue. This paper aims to present the biomaterial dressings and scaffolds suitable for wound management application, reviewing the most recent studies in the field.
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Affiliation(s)
- Adelina-Gabriela Niculescu
- Department of Science and Engineering of Oxide Materials and Nanomaterials, Faculty of Applied Chemistry and Materials Science, Politehnica University of Bucharest, 011061 Bucharest, Romania;
| | - Alexandru Mihai Grumezescu
- Department of Science and Engineering of Oxide Materials and Nanomaterials, Faculty of Applied Chemistry and Materials Science, Politehnica University of Bucharest, 011061 Bucharest, Romania;
- Research Institute of the University of Bucharest—ICUB, University of Bucharest, 050657 Bucharest, Romania
- Academy of Romanian Scientists, 3 Ilfov Street, 050044 Bucharest, Romania
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Aditya T, Allain JP, Jaramillo C, Restrepo AM. Surface Modification of Bacterial Cellulose for Biomedical Applications. Int J Mol Sci 2022; 23:610. [PMID: 35054792 PMCID: PMC8776065 DOI: 10.3390/ijms23020610] [Citation(s) in RCA: 42] [Impact Index Per Article: 14.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2021] [Revised: 12/27/2021] [Accepted: 12/31/2021] [Indexed: 02/01/2023] Open
Abstract
Bacterial cellulose is a naturally occurring polysaccharide with numerous biomedical applications that range from drug delivery platforms to tissue engineering strategies. BC possesses remarkable biocompatibility, microstructure, and mechanical properties that resemble native human tissues, making it suitable for the replacement of damaged or injured tissues. In this review, we will discuss the structure and mechanical properties of the BC and summarize the techniques used to characterize these properties. We will also discuss the functionalization of BC to yield nanocomposites and the surface modification of BC by plasma and irradiation-based methods to fabricate materials with improved functionalities such as bactericidal capabilities.
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Affiliation(s)
- Teresa Aditya
- Ken and Mary Alice Lindquist Department of Nuclear Engineering, Pennsylvania State University, University Park, PA 16802, USA; (J.P.A.); (C.J.)
- Department of Biomedical Engineering, Pennsylvania State University, University Park, PA 16802, USA;
| | - Jean Paul Allain
- Ken and Mary Alice Lindquist Department of Nuclear Engineering, Pennsylvania State University, University Park, PA 16802, USA; (J.P.A.); (C.J.)
- Department of Biomedical Engineering, Pennsylvania State University, University Park, PA 16802, USA;
- Materials Research Institute, Pennsylvania State University, University Park, PA 16802, USA
- Institute for Computational and Data Sciences, Pennsylvania State University, University Park, PA 16802, USA
- Huck Institutes of the Life Sciences, Pennsylvania State University, University Park, PA 16802, USA
| | - Camilo Jaramillo
- Ken and Mary Alice Lindquist Department of Nuclear Engineering, Pennsylvania State University, University Park, PA 16802, USA; (J.P.A.); (C.J.)
| | - Andrea Mesa Restrepo
- Department of Biomedical Engineering, Pennsylvania State University, University Park, PA 16802, USA;
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