Injectable antibacterial conductive nanocomposite cryogels with rapid shape recovery for noncompressible hemorrhage and wound healing

Инъекционные антибактериальные проводящие нанокомпозитные криогели с быстрым восстановлением формы для лечения неконтролируемого сдавливанием кровотечения и заживления ран
Yongping Liang, Baolin Guo, Peter X. Ma, Xin Zhao, Hao Wu
2018-07-11

antibacterial conductive cryogelscarbon nanotubesnoncompressible hemorrhageshape memory hemostasiswound healing
Developing injectable antibacterial and conductive shape memory hemostatic with high blood absorption and fast recovery for irregularly shaped and noncompressible hemorrhage remains a challenge. Here we report injectable antibacterial conductive cryogels based on carbon nanotube (CNT) and glycidyl methacrylate functionalized quaternized chitosan for lethal noncompressible hemorrhage hemostasis and wound healing. These cryogels present robust mechanical strength, rapid blood-triggered shape recovery and absorption speed, and high blood uptake capacity. Moreover, cryogels show better blood-clotting ability, higher blood cell and platelet adhesion and activation than gelatin sponge and gauze. Cryogel with 4 mg/mL CNT (QCSG/CNT4) shows better hemostatic capability than gauze and gelatin hemostatic sponge in mouse-liver injury model and mouse-tail amputation model, and better wound healing performance than Tegaderm™ film. Importantly, QCSG/CNT4 presents excellent hemostatic performance in rabbit liver defect lethal noncompressible hemorrhage model and even better hemostatic ability than Combat Gauze in standardized circular liver bleeding model.
1
Compared with gelatin sponge and gauze, the cryogels improve blood clotting, blood-cell and platelet adhesion, and platelet activation.
2
Injectable CNT/quaternized-chitosan cryogels combine antibacterial activity, electrical conductivity, mechanical robustness, and rapid blood-triggered shape recovery.
3
QCSG/CNT4 achieves excellent hemostasis in a lethal rabbit liver-defect model and exceeds Combat Gauze performance in a standardized circular liver-bleeding model.
4
QCSG/CNT4 outperforms gauze and gelatin sponge in mouse liver-injury and tail-amputation bleeding models and promotes wound healing better than Tegaderm™ film.
5
The cryogels rapidly absorb blood and exhibit high blood uptake capacity, enabling hemostasis in irregularly shaped and noncompressible wounds.

Injectable antibacterial conductive shape-memory cryogels based on carbon nanotube and glycidyl methacrylate-functionalized quaternized chitosan

Hemostatic performance and wound-healing capability, including blood-triggered shape recovery, blood absorption, clotting, blood-cell and platelet adhesion/activation, and efficacy in noncompressible hemorrhage models

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Publication Date
2018-07-11
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Authors
Yongping Liang
Baolin Guo
Peter X. Ma
Xin Zhao
Hao Wu
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