Bioinspired mechanically active adhesive dressings to accelerate wound closure

Bioinspired mechanically active adhesive dressings to accelerate wound closure
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DOI:
10.1126/sciadv.aaw3963
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发表时间:
2019-07-01
期刊:
影响因子:
13.6
通讯作者:
Mooney, D. J.
Mooney, D. J.
中科院分区:
综合性期刊1区
文献类型:
--
作者:
Blacklow, S. O.;Li, J.;Mooney, D. J.

文献摘要

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受胚胎伤口闭合的启发,我们提出了机械活性敷料来加速伤口愈合。传统的敷料通过保持伤口处的水分来被动地帮助愈合。最近的发展集中在药物和细胞输送来驱动愈合过程,但这些方法往往因药物副作用、复杂的制造和高昂的成本而变得复杂。在这里,我们提出了新型的活性粘合剂敷料,由热敏性坚韧的粘合剂水凝胶组成,结合了高延伸性、韧性、组织粘附性和抗菌功能。它们强烈地附着在皮肤上,并主动收缩伤口,以应对暴露在皮肤温度下的反应。体外和体内研究证明了它们在促进和支持皮肤伤口愈合方面的有效性。有限元模型验证和改进了这些活性粘合剂敷料实现的伤口收缩过程。这种机械生物学方法为伤口管理开辟了新的途径,并可能在从再生医学到软机器人的广泛应用中找到广泛的用途。
Inspired by embryonic wound closure, we present mechanically active dressings to accelerate wound healing. Conventional dressings passively aid healing by maintaining moisture at wound sites. Recent developments have focused on drug and cell delivery to drive a healing process, but these methods are often complicated by drug side effects, sophisticated fabrication, and high cost. Here, we present novel active adhesive dressings consisting of thermoresponsive tough adhesive hydrogels that combine high stretchability, toughness, tissue adhesion, and antimicrobial function. They adhere strongly to the skin and actively contract wounds, in response to exposure to the skin temperature. In vitro and in vivo studies demonstrate their efficacy in accelerating and supporting skin wound healing. Finite element models validate and refine the wound contraction process enabled by these active adhesive dressings. This mechanobiological approach opens new avenues for wound management and may find broad utility in applications ranging from regenerative medicine to soft robotics.