Uncontrollable bleeding and bacterial infections are the major reasons for the high mortality of post-traumatic.In this study,a composite hemostatic chitosan sponge CaO_(2)@SiO_(2)/CS was prepared by combining a novel...Uncontrollable bleeding and bacterial infections are the major reasons for the high mortality of post-traumatic.In this study,a composite hemostatic chitosan sponge CaO_(2)@SiO_(2)/CS was prepared by combining a novel core-shell inorganic nano hemostatic CaO_(2)@SiO_(2)nanoparticles with carboxylated chitosan,which presents a multi-layered structure with a rough and hydrophilic surface for rapid absorption of blood.When the CaO_(2)@SiO_(2)nanoparticles in the CaO_(2)@SiO_(2)/CS come into contact with blood,the silanol group on its surface and the released H_(2)O_(2)and Ca2+can recruit and activate platelets,while generating fibrin clots and activating the endo-exogenous coagulation cascade reaction to achieve rapid clotting.The H_(2)O_(2)released from CaO_(2)@SiO_(2)shows the antimicrobial capacity and stimulates the production of tissue factors by endothelial cells.Meanwhile,the silica coating reduces the cytotoxicity of bare CaO_(2),thus reducing the risk of secondary bleeding at the site of vascular injury.CaO_(2)@SiO_(2)/CS(48 s)showed a 1.83-and 2.52-fold reduction in hemostasis time compared to commercial gelfoam and CS in a femoral artery hemorrhage model.This study illustrates the hemostatic mechanism of CaO_(2)@SiO_(2)and provides a reference for the development of clinical biomedical inorganic hemostatic materials.展开更多
基金supported by the National Key Research and Development Program of China(No.2021YFC2102900)the National Natural Science Foundation of China(Nos.U21A2085 and 22061130205)+1 种基金the Fundamental Research Funds for the Central Universities and Research Projects on Biomedical Transformation of China-Japan Friendship Hospital(No.XK2022-08)the open Foundation of State Key Laboratory of Organic-Inorganic Composites,Beijing University of Chemical Technology(No.OIC-202201010).
文摘Uncontrollable bleeding and bacterial infections are the major reasons for the high mortality of post-traumatic.In this study,a composite hemostatic chitosan sponge CaO_(2)@SiO_(2)/CS was prepared by combining a novel core-shell inorganic nano hemostatic CaO_(2)@SiO_(2)nanoparticles with carboxylated chitosan,which presents a multi-layered structure with a rough and hydrophilic surface for rapid absorption of blood.When the CaO_(2)@SiO_(2)nanoparticles in the CaO_(2)@SiO_(2)/CS come into contact with blood,the silanol group on its surface and the released H_(2)O_(2)and Ca2+can recruit and activate platelets,while generating fibrin clots and activating the endo-exogenous coagulation cascade reaction to achieve rapid clotting.The H_(2)O_(2)released from CaO_(2)@SiO_(2)shows the antimicrobial capacity and stimulates the production of tissue factors by endothelial cells.Meanwhile,the silica coating reduces the cytotoxicity of bare CaO_(2),thus reducing the risk of secondary bleeding at the site of vascular injury.CaO_(2)@SiO_(2)/CS(48 s)showed a 1.83-and 2.52-fold reduction in hemostasis time compared to commercial gelfoam and CS in a femoral artery hemorrhage model.This study illustrates the hemostatic mechanism of CaO_(2)@SiO_(2)and provides a reference for the development of clinical biomedical inorganic hemostatic materials.
