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Silk Meshes Coated with Chitosan-Bioactive Phytochemicals Activate Wound Healing Genes In Vitro
Authors:Natasha Bokhari  Abida Yasmeen  Asif Ali  Hamad Khalid  Rong Wang  Mustehsan Bashir  Faiza Sharif
Affiliation:1. Interdisciplinary Research Centre in Biomedical Materials, COMSATS University Islamabad, Lahore Campus, Lahore, 54000 Pakistan

Department of Chemistry, Lahore College for Women University, Lahore, 54000 Pakistan;2. Department of Chemistry, Lahore College for Women University, Lahore, 54000 Pakistan;3. Interdisciplinary Research Centre in Biomedical Materials, COMSATS University Islamabad, Lahore Campus, Lahore, 54000 Pakistan

Research Unit Plasma Technology (RUPT), Department of Applied Physics, Faculty of Engineering and Architecture, Ghent University, Ghent, 9000 Belgium;4. Interdisciplinary Research Centre in Biomedical Materials, COMSATS University Islamabad, Lahore Campus, Lahore, 54000 Pakistan;5. Biomedical Polymer Research Group, Cixi Institute of, Biomedical Engineering, Ningbo Institute of Materials Technology & Engineering, Chinese Academy of Sciences, No. 99 Xuelin Road, Cixi, Ningbo, 315000 China;6. Department of Plastic, Reconstructive Surgery and Burn Unit, King Edward Medical University, Lahore, 54000 Pakistan

Abstract:Meshes from natural silk are hand knitted and surface functionalized to facilitate hernia repair and other load bearing, tissue applications. Purified organic silk is - hand knitted and then coated with chitosan (CH)/bacterial cellulose (BC) blend polymer using four phytochemicals such as pomegranate (PG) peel, Nigella sativa (NS) seed, Licorice root (LE), and Bearberry leaf extracts (BE) separately. Characterizations using GCMS analysis shows the presence of bioactive chemicals in the extracts. Scanning electron microcopy (SEM) shows that the surface is coated with the composite polymer t. Fourier transform infrared spectroscopy (FTIR) shows significant elements found in CH, BC, and phytochemicals in plant extracts with no chemical changes. Tensile strength of the coated meshes is higher to support tissue as implants. The release kinetics suggest sustained release of phytochemical extracts. In vitro studies confirmed the noncytotoxic, biocompatible, wound healing potential of the meshes. Furthermore, gene expression analysis of 3-wound healing genes shows marked increase in the in vitro cell cultures due to the presence of extracts. These results suggest that the composite meshes can efficiently support hernia closure while facilitating wound/tissue healing and combating bacterial infections. Therefore, these meshes can be good candidates for fistula and cleft palate repair.
Keywords:bacterial cellulose  chitosan  hernia mesh  medical textile  phytochemicals
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