Facile scalable one-step wet-spinning of surgical sutures with shape memory function and antibacterial activity for wound healing

Surgical suture is commonly used in clinic due to its action in accelerating the process of wound healing.However,difficultly handling in minimally invasive surgery and bacteria-induced infection usually limit its use in a wide range of applications.Here,we report a facile scalable strategy to fabricate surgical sutures with shape memory function and antibacterial activity for wound healing.Specifically,a shape memory polyurethane(SMPU) with a transition temperature(T_(trans)) at 41.3℃ was synthesized by adjusting the mole ratio of the hard/soft segment,and then the shape memory surgical sutures containing polyhexamethylene biguanide hydrochloride(PHMB) as a model drug for antibacterial activity were fabricated by a facile scalable one-step wet-spinning approach,in which PHMB was directly dissolved in the coagulation bath that enable its loading into the sutures through the dual diffusion during the phase separation.The prepared sutures were characterized by their morphology,mechanical properties,shape memory,antibacterial activity,as well as biocompatibility before the wound healing capability was tested in a mouse skin suture-wound model.It was demonstrated that the optimized suture is capable of both shape memory function and antibacterial activity,and promote wound healing,suggesting that the facile scalable one-step wet-spinning strategy provides a promising tool to fabricate surgical sutures for wound healing.     

Self‐healing of poly(propylene oxide)‐polybenzoxazine thermosets by photoinduced coumarine dimerization

In this work, a self‐healing strategy for poly(propylene oxide)s bearing coumarine‐benzoxazine units (PPO‐CouBenz)s based on light induced coumarine dimerization reactions is described. Four different types of poly(propylene oxide) amines with molecular weights ranging from 440 to 5000 Da were reacted with formaldehyde and 4‐methyl‐7‐hydroxycoumarin to yield desired (PPO‐CouBenz)s. The crosslinked polymer films were prepared by solvent casting of various compositions of PPO‐CouBenzs in chloroform followed by thermal ring opening reaction of benzoxazine groups at 210–240 °C. Thermal curing and thermal stability of the initial PPOs and final products were investigated. Using allyl benzoxazine in the formulation, it was demonstrated that the toughness of the films was improved. Photoinduced healing of coumarin‐based cured PPO‐CouBenz polymer films was investigated. © 2014 Wiley Periodicals, Inc. J. Polym. Sci., Part A: Polym. Chem. 2014 , 52, 2911–2918     

Fast and excellent healing of hydroxypropyl guar gum/poly(N,N‐dimethyl acrylamide) hydrogels

In this article, a fast and high efficient healing hydroxypropyl guar gum (HPG)/poly(N,N‐dimethyl acrylamide) (PDMA) hydrogel is prepared by a facile synthesis method. HPG networks are formed through hydrogen‐bond interaction between the hydroxyl groups in the HPG chains, and PDMA networks are self‐crosslinked without any chemical crosslinker. The cut hydrogel could heal when nanosilica solution is chosen as the connector that is related to the adsorption of polymer to the surface of nanosilica. The fracture stress of the HPG/PDMA gels presents a fast and almost full recovery within a short time (1 min), while the recovery of fracture strain and elastic modulus is related to time in 2 h. The healing efficiency of HPG/PDMA gel is investigated as a function of healing time, HPG content, and N,N‐dimethyl acrylamide content. The microscopic healing process and healing mechanism are also discussed. © 2017 Wiley Periodicals, Inc. J. Polym. Sci., Part B: Polym. Phys. 2018 , 56, 239–247     

Electrospun poly(lactic acid) nanofibers loaded with silver sulfadiazine/[Mg–Al]‐layered double hydroxide as an antimicrobial wound dressing

Poly(lactic acid) (PLA) is a versatile, bioabsorbable, and biodegradable polymer with excellent biocompatibility and ability to incorporate a great variety of active agents. Silver sulfadiazine (SDZ) is an antibiotic used to control bacterial infection in external wounds. Aiming to combine the properties of PLA and SDZ, hydrotalcite ([Mg–Al]‐LDH) was used as a host matrix to obtain an antimicrobial system efficient in delivering SDZ from electrospun PLA scaffolds intended for wound skin healing. The structural reconstruction method was successfully applied to intercalate silver sulfadiazine in the [Mg–Al]‐LDH, as evidenced by X‐ray diffraction and thermogravimetric analyses. Observations by scanning electron microscopy revealed a good distribution of SDZ‐[Mg–Al]‐LDH within the PLA scaffold. Kinetics studies revealed a slow release of SDZ from the PLA scaffold due to the intercalation in the [Mg–Al]‐LDH. In vitro antimicrobial tests indicated a significant inhibitory effect of SDZ‐[Mg–Al]‐LDH against Escherichia coli and Staphylococcus aureus. This antibacterial activity was sustained in the 2.5‐wt% SDZ‐[Mg–Al]‐LDH–loaded PLA nanofibers, which also displayed excellent biocompatibility towards human cells. The multifunctionality of the PLA/SDZ‐[Mg–Al]‐LDH scaffold reported here is of great significance for various transdermal applications.     

Bioactive polymeric formulations for wound healing

Ricinoleic acid (RA) has potential to promote wound healing because of its analgesic and anti‐inflammatory properties. This study investigates the synthesis and characterization of RA liposomes infused in a hydrogel for topical application. Lecithin liposomes containing RA were prepared and incorporated into a chitosan solution and were subsequently cross‐linked with di‐aldehyde β‐cyclodextrin (Di‐β‐CD). Chitosan/Di‐β‐CD concentrations and reaction temperatures were varied to alter gelation time, water content, and mechanical properties of the hydrogel in an effort to obtain a wide range of RA release profiles. Hydrogel cross‐linking was confirmed by spectroscopy, and liposome and carrier hydrogel morphology via microscopy. Chitosan, Di‐β‐CD, and liposome concentrations within the formulation affected the extent of matrix swelling, mechanical strength, and pore and overall morphology. Higher cross‐linking density of the hydrogel led to lower water uptake and slower release rate of RA. Optimized formulations resulted in a burst release of RA followed by a steady release pattern accounting for 80% of the encapsulated RA over a period of 48 hours. However, RA concentrations above 0.1 mg/mL were found to be cytotoxic to fibroblast cultures in vitro because of the oily nature of RA. These formulations promoted wound healing when used to treat full thickness skin wounds (2 cm²) in Wister male rats. The wound contraction rates were significantly higher compared to a commercially available topical cream after a time period of 21 days. Histopathological analysis of the RA‐liposomal chitosan hydrogel group showed that the epidermis, dermis, and subcutaneous skin layers displayed an accelerated yet normal healing compared to control group.     

Surface modification of praseodymium oxide/hematite doped into Polycaprolactone for enhanced wound management demands

Praseodymium oxide (Pr₆O₁₁), hematite (Fe₂O₃), graphene oxide (GO), and polycaprolactone (PCL) based polymeric nanocomposites (NCs) are fabricated, aiming their usage as bio-scaffold for medical purposes. Because of their distinctive light absorption and stability, Fe₂O₃ and Pr₆O₁₁ have been introduced as potential optical elements. The structure and size examination of NCs were executed by XRD, Raman, and FESEM. Pr₆O₁₁/Fe₂O₃/GO@PCL polymeric NC is exhibited Pr₆O₁₁, and Fe₂O₃ average size of 1.4, 0.4 µm, while average pores size 2.1 µm. As well, the Uv–Vis shows an absorption edge shifting along the x-axis that it begins with 3.1 eV for pure PCL, after that it declined to 1.7 eV for Pr₆O₁₁@PCL NC. Also, Pr₆O₁₁ @PCL, and Pr₆O₁₁/ Fe₂O₃@PCL NCs show the lowest similar contact angle with 38°. Regarding cell attachment evaluation test, the Pr₆O₁₁/Fe₂O₃/GO@PCL NC healing valuation is touched ∼ 80%. As a result, the structure enabled 3-dimensional the division of normal cells, so promoting wound healing.     

An Injectable Integration of Autologous Bioactive Concentrated Growth Factor and Gelatin Methacrylate Hydrogel with Efficient Growth Factor Release and 3D Spatial Structure for Accelerated Wound Healing

Growth factors are essential for wound healing owing to their multiple reparative effects. Concentrated growth factor (CGF) is a third-generation platelet extract containing various endogenous growth factors. Herein, a CGF extract solution is combined with gelatin methacrylate (GM) by physical blending to produce GM@CGF hydrogels for wound repair. The GM@CGF hydrogels show no immune rejection during autologous transplantation. Compared to CGF, GM@CGF hydrogels not only exhibit excellent plasticity and adhesivity but also prevent rapid release and degradation of growth factors. The GM@CGF hydrogels display good injectability, self-healing, swelling, and degradability along with outstanding cytocompatibility, angiogenic functions, chemotactic functions, and cell migration-promoting capabilities in vitro. The GM@CGF hydrogel can release various effective molecules to rapidly initiate wound repair, stimulate the expressions of type I collagen, transform growth factor β1, epidermal growth factor, and vascular endothelial growth factor, promote the production of granulation tissues, vascular regeneration and reconstruction, collagen deposition, and epidermal cell migration, as well as prevent excessive scar formation. In conclusion, the injectable GM@CGF hydrogel can release various growth factors and provide a 3D spatial structure to accelerate wound repair, thereby providing a foundation for the clinical application and translation of CGF.     

Heart rate variability analysis by chaotic global techniques in children with attention deficit hyperactivity disorder

Attention deficit hyperactivity disorder (ADHD) is characterized by decreased attention span, impulsiveness, and hyperactivity. Autonomic nervous system imbalance was previously described in this population. We aim to compare the autonomic function of children with ADHD and controls by analyzing heart rate variability (HRV). Children with ADHD (22 boys, mean age 9.964 years) and 28 controls (15 boys, mean age 9.857 years) rested in supine position with spontaneous breathing for 20 min. Heart rate was recorded beat by beat. HRV analysis was performed by use of chaotic global techniques. ADHD promoted an increase in the chaotic forward parameter. The algorithm which applied all three chaotic global parameters was only the second optimum statistically measured by Kruskal–Wallis (P < 0.0001) and low standard deviations. It was also highly influential by principal component analysis with almost all variation covered by the first two components. The third algorithm which lacked the (high spectral Detrended Fluctuation Analysis) parameter performed best statistically. However, we chose the algorithm which applied all three chaotic globals due to previous studies mentioned in the text—forward and inverse problems. Comparison of the autonomic function by analyzing HRV with chaotic global techniques suggests an increase in chaotic activity in children with ADHD in relation to the control group. © 2015 Wiley Periodicals, Inc. Complexity 21: 412–419, 2016     

Nano/Biomimetic Tissue Adhesives Development: From Research to Clinical Application

Wound closure and healing have been a problem that humans have faced since the ancient eras. An appropriate tissue connector must hold the edges of injured tissues close together to support healing and also prevent the leakage of biological fluids when resisting against the tensile forces. Even though clinical usage of mechanical methods is convenient for wound closure, their application has some limitations and drawbacks such as being painful for patients and hard to apply for surgeons when the injured site is not in touch. Furthermore, they do not have desirable cosmetic results. To solve these problems, closing the wounds with sticky materials has been introduced to prevent bleeding and induce the wound healing process. To this regard, many types of surgical adhesives including tissue adhesives have been developed to be a suitable alternative for sutures and staples. There is also a new approach which aims at producing bioadhesives by mimicking the nature along with applying nanotechnology methods. Today, many studies have been done to develop new adhesives inspired by nature. We have attempted to introduce the fundamentals of wound healing along with the different types of bioadhesives, their properties, and clinical applications in a simple and illustrated comprehensive way.     

The effect of topical ethanol extract of Cotinus coggygria Scop. on cutaneous wound healing in rats

The aim of this study is to determine the cutaneous wound healing effects of the ethanol extract of Cotinus coggygria leaves in rats by excision wound model to provide scientific evidence for the traditional use of C. coggygria Scop. The levels of malondialdehyde, catalase, superoxide dismutase, glutathione and hydroxyproline were investigated in wound tissues. Histopathological examination was also performed. The hydroxyproline content of the granulation tissue and the glutathione levels were both significantly higher in the treatment group than in the control group (p < 0.05 for both); while the malondialdehyde levels were significantly lower in the treatment group (p < 0.05). These results were supported with histological results. The ethanol extract of C. coggygria Scop could be considered as an effective agent in wound healing in accordance with its traditional use.