A biodegradable antibacterial alginate/carboxymethyl chitosan/Kangfuxin sponges for promoting blood coagulation and full-thickness wound healing

Int J Biol Macromol. 2021 Jan 15:167:182-192. doi: 10.1016/j.ijbiomac.2020.11.168. Epub 2020 Nov 28.

Abstract

Conventional wound-dressing materials with structural and functional deficiencies are not effective in promoting wound healing. The development of multifunctional wound dressings is emerging as a promising strategy to accelerate blood coagulation, inhibit bacterial infection, and trigger full-thickness wound into a regenerative process. Herein, multifunctional composite sponges were developed by incorporation of traditional Chinese medicine Kangfuxin (KFX) into alginate (AG)/carboxymethyl chitosan (CMC) via green crosslinking, electrostatic interaction, and freeze-drying methods. It is demonstrated that the AG/CMC/KFX (ACK) sponges exhibit a highly interconnected and porous structure, suitable water vapor transmittance, excellent elastic properties, antibacterial behavior, cytocompatibility, and rapid hemostasis. Further, in a rat full-thickness wounds model, the ACK sponge containing 10% KFX (ACK-10) significantly facilitates wound closure compared to the AC group and ACK sponge containing 5% and 15% KFX. Thus, the multifunctional ACK-10 composite sponge has great promise for the application of full-thickness wound healing.

Keywords: Kangfuxin; Marine polysaccharide; Multifunctional composite sponges; Wound healing.

MeSH terms

  • Alginates / chemistry*
  • Anti-Bacterial Agents / chemistry*
  • Anti-Bacterial Agents / pharmacology*
  • Aquatic Organisms / chemistry
  • Bandages
  • Biodegradation, Environmental
  • Blood Coagulation / drug effects*
  • Cell Adhesion / drug effects
  • Chemical Phenomena
  • Chitosan / analogs & derivatives*
  • Chitosan / chemistry
  • Humans
  • Materia Medica / chemistry*
  • Mechanical Phenomena
  • Microbial Sensitivity Tests
  • Rheology
  • Spectrum Analysis
  • Wound Healing / drug effects*

Substances

  • Alginates
  • Anti-Bacterial Agents
  • Materia Medica
  • carboxymethyl-chitosan
  • kangfuxin
  • Chitosan