丙烯酰胺均相改性甲壳素及共混膜研究

低温下将甲壳素直接溶于8%氢氧化钠/4%尿素水溶液,以丙烯酰胺为醚化剂,均相合成丙烯酰胺改性甲壳素(AMC)。产物用~~1H NMR和FT-IR进行了表征,并初步研究了其稀溶液的粘度行为。然后采用相转化法制备了AMC/壳聚糖共混膜,研究了膜的力学性能、吸水率、透光率及对大肠杆菌和金黄色葡萄球菌的抑菌性能。结果表明:Na OH/尿素水体系下成功均相制备了AMC,其取代度为0.49,水溶性好,AMC稀溶液表现出典型的聚电解质行为;AMC和壳聚糖两种高分子具有较好的相容性,AMC的加入明显改善了壳聚糖膜的拉伸强度和抗水性,且所有的共混膜均有显著的抑菌效果。     

壳聚糖膜在治疗宫颈疾病中的降解时间与影响因素的研究

目的:研究不同壳聚糖膜在体外及体内的生物降解时间。方法:用不同分子量壳聚糖为制膜材料,将4组不同组成成分的壳聚糖溶于1.5%乙酸中,配成1%溶液,加入辅料烘干成膜称其重量,剪成大小相等的小块,精称后放置于弱酸介质和雌鼠阴道中。定时取样,水洗,烘干后称重,按W-W'W×100%算得降解百分率。结果:1号较2号降解时间快,而加入PVA的3号与4号又较1号与2号更快。结论:壳聚糖是一种生物可降解材料,壳聚糖膜的降解时间与其分子量、PVA比例、介质酸性强度等因素相关。     

快速膨胀片层多孔壳聚糖止血海绵的制备及生物相容性研究

目的:探索快速膨胀片层多孔壳聚糖止血海绵的制备工艺,评价止血海绵的理化性能及生物相容性,并探讨原料脱乙酰度对止血海绵性能的影响。方法:考察止血海绵的理化性质,包括扫描电子显微镜(SEM)观察表观形貌,检测力学性能、吸水率、快速吸水膨胀时间和膨胀率,研究其体内外的生物相容性,包括体外细胞毒性实验、动物皮内刺激实验和皮下植入实验。结果:确定了止血海绵的制备工艺,采用该工艺制备的止血海绵均具有片层多孔结构,且具有较高的力学强度和快速膨胀的特点。证实高脱乙酰度原料(DD=95.14%)制备的止血海绵力学性能、吸水率、膨胀率均优于低脱乙酰度原料(DD=69.70%)制备的止血海绵。脱乙酰度69.70%和脱乙酰度95.14%的壳聚糖止血海绵,拉伸强度分别为10.1 N和15.4 N,吸水率分别为1904%和2131%,吸水膨胀时间分别为13.4 s和14.0 s,膨胀率分别为8.4倍和10.8倍。体外细胞毒性实验表明脱乙酰度为95.14%的壳聚糖止血海绵更有利于细胞的增殖,皮内刺激和皮下植入实验结果表明脱乙酰度为95.14%的壳聚糖海止血海绵表现出更小的组织炎性反应。结论:脱乙酰度为95.14%的壳聚糖止血海绵具有优良的力学性能、优异的吸水膨胀能力以及良好的生物相容性,在临床止血特别是腔隙止血方面具有广阔的应用前景。     

胶原／壳聚糖复合膜的制备及止血效果的研究

目的 以胶原和壳聚糖制备复合膜,检验其止血效果,并探讨其止血原因。材料与方法：以酸解法从牛腱中提取胶原,用甲壳素制得壳聚糖,以胶原和壳聚制成复合膜,通过动物实验测不同配比的复合膜对出血创面的止血时间,并与其它止血材料做对比。结果：各种配比的复合膜的止血效果均比明胶等一般止血材料好。结论：胶原/壳聚糖复合膜有良好的止血作用,可望在外科手术上得到广泛应用。     

人表皮细胞生长因子脂质体制备及促大鼠烫伤修复研究

目的:制备重组人表皮细胞生长因子(rhEGF)脂质体,并考察其促大鼠烫伤创面愈合的作用.方法:采用pH梯度法制备rhEGF脂质体;超滤-离心法分离rhEGF脂质体混悬液中的游离rhEGF,ELISA法测定rhEGF含量,计算脂质体包封率;采用透射电镜观察脂质体的外观形态;采用纳米粒度及Zeta电位分析仪分别测定脂质体的粒径和Zeta电位;以大鼠烫伤模型观察给药后各试验组创面愈合过程中的形态、愈合时间和愈合率的变化.结果:制备的rhEGF脂质体包封率为57.7±1.1％;脂质体形状较为规则,呈完整圆球形或椭圆形的单室囊泡;脂质体粒度分布均匀,呈正态分布,平均粒径为63.7 nm;脂质体的Zeta电位为+9.2mV,带正电荷;rhEGF脂质体高、中剂量组能显著性促进大鼠烫伤创面愈合,使创面愈合时间明显提前,低剂量组促烫伤修复效应不明显.结论:pH梯度法制备的rhEGF脂质体包封率较高,rhEGF脂质体对大鼠烫伤创面的愈合有明显促进作用.     

壳聚糖抗菌生物医用膜在烧伤创面中的临床应用

目的总结水溶性壳聚糖抗菌生物医用膜凝胶剂(商品名:凯舒林)对人体II度烧伤创面的治疗作用和安全性,并探索后期创面色素沉着、瘢痕增殖的机制。方法选择II度烧伤患者60例,用药前均用生理盐水清洁创面、去腐皮,于创面上均匀涂壳聚糖抗菌生物医用膜治疗,观察记录创面成痂、止痛、感染及痂下愈合时间,追踪随访6个月后创面色素沉着及瘢痕增殖程度。结果本组60例使用壳聚糖抗菌生物医用膜治疗的烧伤患者,创面全部自行愈合。治愈时间:浅Ⅱ度患者平均8.5 d;深Ⅱ度患者平均19 d。创面愈合后随访6个月,浅Ⅱ度创面患者3个月内有轻度色素改变,3个月后逐步恢复正常;深Ⅱ度创面患者3个月后部分患者有散在的点样色素脱失改变;部分患者有散在的扁平瘢痕。随访6个月,创面色素沉着和瘢痕增生程度明显减轻,功能明显改善,未见瘢痕疙瘩增殖。结论壳聚糖抗菌生物医用膜用于烧伤创面具有良好的组织相容性,止痛效果好,创面成痂快,兼有控制创面感染,促进愈合,减轻瘢痕增殖的作用,无明显不良反应,安全性好。     

β-甘露聚糖酶产生菌R10的产酶特性研究

分离出一株能利用魔芋飞粉和魔芋精粉生产β-甘露聚糖酶的解淀粉芽孢杆菌(Bacillus amyloliquefaciens)R10。其摇瓶最适发酵条件为：魔芋飞粉1％(m／m),魔芋精粉2％(m／m),160r/min,37℃培养10h。实验结果表明β-甘露聚糖酶的最适作用温度为60℃,最适作用pH为6．0。魔芋葡甘露聚糖经酶降解后为一系列低聚糖。     

壳聚糖创面修复膜凝胶对Ⅱ度烧伤患者血清TNF-α, IL-10及ICAM-1水平的影响

目的:探讨壳聚糖创面修复膜凝胶在Ⅱ度烧伤患者中的应用效果及对患者血清肿瘤坏死因子(TNF)-α、白介素(IL)-10、细胞间粘附因子(ICAM)-1水平的影响。方法:选择我院2015年6月~2016年11月收治的96例Ⅱ度烧伤患者并采取随机数字表将其分成两组,每组48例。观察组采用壳聚糖创面修复膜凝胶治疗,对照组常规给予凡士林油纱布包扎创面,对比两组创面愈合情况、血清TNF-α、IL-10及ICAM-1水平的变化及不良反应的发生情况。结果:治疗第7天,观察组浅Ⅱ度烧伤创面愈合率明显高于同时点对照组(P0.01);治疗第15天、25天,观察组深Ⅱ度烧伤创面愈合率明显高于对照组同时点(P0.05)。观察组浅Ⅱ度烧伤创面与深Ⅱ度烧伤创面愈合时间均显著短于对照组,SI评分均显著低于对照组(P0.01)。两组浅Ⅱ度和深Ⅱ度烧伤患者治疗后血清TNF-α、IL-10、ICAM-1水平均较治疗前明显下降,观察组下降更明显(P0.05)。观察组创面感染发生率显著低于对照组(P0.05)。结论:壳聚糖创面修复膜凝胶用于Ⅱ度烧伤患者中能加快创面愈合,预防创面感染,减轻机体炎症反应,安全性高。     

天然高分子复合人工肌腱组织细胞外基质的构建与表征

胶原与壳聚糖是2种具有较好生物相容性和一定力学强度的天然高分子,可在肌腱组织工程中用于细胞外基质的构建,但二者单独使用时各有不足.本研究利用二者性能上的互补,在一定的外力场作用下,采用EDC/NHS对2种天然高分子材料进行共价交联,获得具有一定空间取向和力学强度的多孔支架,然后引入细胞黏附因子RGD进行表面修饰,构建了具有较好组织相容性和细胞亲和性及适当降解速率的人工肌腱组织细胞外基质.对基质材料的力学性能、亲水性、体外降解速率等的检测和显微观察,结果显示:所构建的多孔支架材料柔软富有弹性,抗拉强度达:15.0Mpa,相应形变为:7.33%;孔隙率:79.4%;吸水率:772%;保水率:206%;在RPM1640培养液(含10%胎牛血清)和人血清中,3周总降解率分别为4.13%和37.2%,其降解速率可与肌腱修复周期相吻合,RGD修饰后材料对3T3-L1细胞具有较好的亲和性.有望成为理想的人工肌腱组织和人造皮肤细胞外基质,或整形手术的软组织填充材料.     

PLGA/ECM神经支架性质的体外评价

以赖氨酸、神经生长因子(NGF)、聚乳酸聚羟基乙酸共聚物(PLGA)、猪皮来源的细胞外基质(ECM)为原料制备了一种复合材料;考察其内部三维结构,生物力学性质,降解特性,雪旺氏细胞黏附状况,以及其对NGF的可控释放作用;从而评价其作为促周围神经损伤修复支架的可行性。扫描电子显微镜(SEM)观察显示,PLGA渗透入去细胞猪皮内部固有的蜂窝状孔隙中,并覆盖在孔隙内表面;孔隙率为68.3%～81.2%,密度为0.62～0.68 g/cm3。复合材料的断裂强度为8.308 MPa,断裂伸长率为38.98%,弹性模量为97.27 MPa;在4周的体外降解测试中,其最大失重率为43.3%;赖氨酸在复合材料中的添加对降解液pH的相对稳定具有显著作用;在30 d中,复合材料对NGF的累积释放率为38%;通过雪旺氏细胞与复合材料的共培养,发现雪旺氏细胞能够在其表面及孔隙中黏附。因此表明本复合材料有望成为一种新型的促周围神经损伤修复支架。     

Formation and characterization of chitosan membranes

In this paper, hydrophilic polymer membranes based on macromolecular chitosan networks have been synthesized and characterized. The structure of the membrane has been altered in several ways during the formation to adjust the properties, particularly with regard to the elasticity, tensile strength, permeability, and surface structure. An alteration of the network structure was achieved by addition of flexibilizer, cross-linking with dialdehydes, symplex formation of the chitosan with the polyanion sulfoethyl cellulose, and the introduction of artificial pores on the micro- and nanometer scale into the chitosan matrix with silica particles or poly(ethylene glycol). The resulting network structures and morphologies of these unique membranes that combine the novel alteration techniques have been characterized in detail and correlated with molecular parameters of the chitosan as degree of deacetylation, molar mass, and charge density. Finally, we report on the impact of the new network structures on physical properties of the membranes, the water vapor and gas permeability and the tensile strength, to evaluate possible application of the membranes as a wet wound dressing material with microbial barrier function that actively assists the healing process of problematic wounds. Parts of the novel combined membrane alteration and formation techniques are now covered by the patent DE 102004047115.     

Development and in vitro evaluation of chitosan-Eudragit RS 30D composite wound dressings

The purpose of this research was to design and evaluate chitosan-based films intended for wound dressing application. Required properties for successful wound dressing, such as liquid uptake, vapor and oxygen penetration, bioadhesiveness, and film elasticity, were examined. Water uptake and vapor penetration of the films were determined gravimetrically, while oxygen penetration was determined by Winkler’s method. The bioadhesive properties were determined with an in-house pulley system instrument using a pig gut model. Film elasticity was determined with a stretch test using an Instron apparatus. The results showed that pure chitosan films exhibited relatively high liquid uptake and the adsorption tended to decrease with the addition of Eudragit RS 30D. Moisture vapor and oxygen were found to be able to penetrate through all film formulations in comparable amounts. The bioadhesiveness test tended to show lower bioadhesive properties with the addition of Eudragit RS 30D. The formulation containing only chitosan exhibited low elongation of the film at 2 N, but the film elasticity increased with the addition of Eudragit RS 30D. In conclusion, the addition of Eudragit RS 30D could improve a film’s mechanical properties but lower its bioadhesiveness. Published: March 24, 2006     

GNPs-CS/KGM as Hemostatic First Aid Wound Dressing with Antibiotic Effect: In Vitro and In Vivo Study

Ideal wound dressing materials should create a good healing environment, with immediate hemostatic effects and antimicrobial activity. In this study, chitosan/konjac glucomannan (CS/KGM) films embedded with gentamicin-loaded poly(dex-GMA/AAc) nanoparticles (giving GNP-CS/KGM films) were prepared as novel wound dressings. The results revealed that the modified CS/KGM films could be used as effective wound dressings and had significant hemostatic effects. With their microporous structure, the films could effectively absorb water from blood and trap blood cells. The gentamicinloaded poly(dex-GMA/AAc) nanoparticles (GNPs) also further promoted blood clotting, with their favorable water uptake capacity. Thus, the GNP-CS/KGM films had wound healing and synergistic effects that helped to stop bleeding from injuries, and also showed good antibiotic abilities by addition of gentamicin to the NPs. These GNPCS/KGM films can be considered as promising novel biodegradable and biocompatible wound dressings with hemostatic capabilities and antibiotic effects for treatment of external bleeding injuries.     

Preparation and characterization on mechanical and antibacterial properties of chitsoan/cellulose blends

Polysaccharides-based membranes of chitosan and cellulose blends were prepared using trifluoroacetic acid as a co-solvent. Morphology and mechanical property of prepared membranes were studied by Instron and dynamic mechanical thermal analysis. The mechanical and dynamic mechanical thermal properties of the cellulose/chitosan blends appear to be dominated by cellulose, suggests that cellulose/chitosan blends were not well miscible. It is believed that the intermolecular hydrogen bonding of cellulose is supposed to be break down to form cellulose–chitosan hydrogen bonding; however, the intra-molecular and intra-strand hydrogen bonds hold the network flat. The reduced water vapor transpiration rate through the chitosan/cellulose membranes indicates that the membranes used as a wound dressing may prevent wound from excessive dehydration. The chitosan/cellulose blend membranes demonstrate effective antimicrobial capability against Escherichia coli and Staphylococcus aureus, as examined by the antimicrobial test. These results indicate that the chitosan/cellulose blend membranes may be suitable to be used as a wound dressing with antibacterial properties.     

Evaluation of bone marrow derived mesenchymal stem cells for full-thickness wound healing in comparison to tissue engineered chitosan scaffold in rabbit

Background

Chronic wounds present a major challenge in modern medicine. Even under optimal conditions, the healing process may lead to scarring and fibrosis. The ability of mesenchymal stem cells (MSCs) to differentiate into other cell types makes these cells an attractive therapeutic tool for cell transplantation. Both tissue-engineered construct and MSC therapy are among the current wound healing procedures and potential care. Chitosan has been widely applied in tissue engineering because of its biocompatibility and biodegradability.

Gentamicin-Loaded Wound Dressing With Polyvinyl Alcohol/Dextran Hydrogel: Gel Characterization and In Vivo Healing Evaluation

To develop a gentamicin-loaded wound dressing, cross-linked hydrogel films were prepared with polyvinyl alcohol (PVA) and dextran using the freezing–thawing method. Their gel properties such as gel fraction, swelling, water vapor transmission test, morphology, tensile strength, and thermal property were investigated. In vitro protein adsorption test, in vivo wound healing test, and histopathology were performed. Dextran decreased the gel fraction, maximum strength, and thermal stability of hydrogels. However, it increased the swelling ability, water vapor transmission rate, elasticity, porosity, and protein adsorption. The drug gave a little positive effect on the gel properties of hydrogels. The gentamicin-loaded wound dressing composed of 2.5% PVA, 1.13% dextran, and 0.1% drug was more swellable, flexible, and elastic than that with only PVA because of its cross-linking interaction with PVA. In particular, it could provide an adequate level of moisture and build up the exudates on the wound area. From the in vivo wound healing and histological results, this gentamicin-loaded wound dressing enhanced the healing effect more compared to conventional product because of the potential healing effect of gentamicin. Thus, this gentamicin-loaded wound dressing would be used as a potential wound dressing with excellent forming and improved healing effect in wound care.     

角蛋白/海藻酸钠/聚丙烯酰胺水凝胶皮肤敷料的制备及创口修复研究

为了获得更为理想的皮肤创口修复敷料,在海藻酸钠(SA)和聚丙烯酰胺(PAM)水凝胶的基础上复合人发角蛋白(KTN),制得KTN/SA/PAM水凝胶皮肤敷料。用电子万能测试机、扫描电子显微镜等对其进行表征,结果显示,KTN/SA/PAM水凝胶皮肤敷料拉伸强度为42.41 kPa,弹性模量11.19 kPa,接近人体皮肤组织;与带血猪皮的黏附性可高达为5.1 kPa,2 h吸水率为144.3%,较好地满足了皮肤创口修复敷料的基本要求。进一步的大鼠皮肤创面修复实验显示,KTN/SA/PAM水凝胶皮肤敷料相对于市售创口贴和SA/PAM水凝胶具有更好的修复能力,创口皮肤组织切片组织学分析表明,经KTN/SA/PAM皮肤敷料处理后的创口处未成熟组织区域最小,胶原纤维排列最为整齐,14 d后,伤口愈合程度与正常皮肤几乎接近。预示KTN/SA/PAM皮肤敷料可能是一种较有前景的皮肤伤口修复敷料。     

Preparation and Characterization of Collagen–Chitosan–Chondroitin Sulfate Composite Membranes

Collagen (Col)–chitosan (Chi) membrane was modified by a hot dehydrogenation cross-linking method. Carbodiimide was added for further crossing modification. Chondroitin sulfate (CS) was added so that Col–Chi sulfate composite membranes were prepared. The structure of the composite membranes was characterized by Fourier transform infrared spectroscopy and X-ray photoelectron spectroscopy, and its mechanical properties, degradation, and cytotoxicity were characterized. The composite membrane was applied to a full-thickness skin injury in animal experiments performed in rabbits. Strong interactions and good compatibility among Col, Chi, and CS in the composite membrane were present. The good mechanical properties, biocompatibility, digestion resistance, and wound healing promotion of the composite membrane make it a potential wound dressing or skin scaffold for tissue engineering.     

High-efficient and synergetic antibacterial nanocomposite hydrogel with quaternized chitosan/Ag nanoparticles prepared by one-pot UV photochemical synthesis

Hydrogel dressings have significant advantages such as absorption of tissue exudate, maintenance of proper moist environment, and promotion of cell proliferation. However, facile preparation method and high-efficient antibacterial hydrogel dressings are still a great challenge. In this study, a facile approach to prepare antibacterial nanocomposite hydrogel dressing to accelerate healing was explored. The hydrogels consisted of quaternized chitosan and chemically cross-linked polyacrylamide, as well as silver nanoparticles (AgNPs) stabilized by chitosan. The synthesis of the hydrogels including the formation of AgNPs and polymerization of acrylamide was accomplished simultaneously under UV irradiation in 1 hour without adding initiator. The hydrogels showed favorable tensile strength of ∼100 kPa with elongation at break over 1000% and shear modulus of ∼10⁴ Pa as well as suitable swelling ratio, which were appropriate for wound dressing. The combination of quaternized chitosan and AgNPs exhibited high-efficient and synergetic antibacterial performance with low cytotoxicity. In vivo animal experiments showed that the hydrogel can effectively prevent wound infection and promote wound healing. This study provides a facile method to produce antibacterial hydrogel wound dressing materials.