Water triggered injectable polylactic acid hydrogel based on zwitterionic sulfobetaine modification for incompressible bleeding and tissue anti-adhesion

Massive blood loss is the main cause of prehospital trauma-related death, the development of rapid and effective hemostatic materials is imminent. Injectable hydrogels have the advantages of covering irregular bleeding sites and quickly closing the wound. However, its inherent viscosity can easily p...

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Main Authors: Xinran Yang, Xiudan Wang, Lizong Tang, Zhiguang Sun, Xing Gao, Yanmei Zhao, Shike Hou, Jie Shi, Qi Lv
Format: Article
Language:English
Published: Elsevier 2025-02-01
Series:Materials Today Bio
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Online Access:http://www.sciencedirect.com/science/article/pii/S2590006424004927
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author Xinran Yang
Xiudan Wang
Lizong Tang
Zhiguang Sun
Xing Gao
Yanmei Zhao
Shike Hou
Jie Shi
Qi Lv
author_facet Xinran Yang
Xiudan Wang
Lizong Tang
Zhiguang Sun
Xing Gao
Yanmei Zhao
Shike Hou
Jie Shi
Qi Lv
author_sort Xinran Yang
collection DOAJ
description Massive blood loss is the main cause of prehospital trauma-related death, the development of rapid and effective hemostatic materials is imminent. Injectable hydrogels have the advantages of covering irregular bleeding sites and quickly closing the wound. However, its inherent viscosity can easily precipitate tissue adhesion in vivo and other complications. Based on the anti-protein properties of zwitterion and our previous work about in situ hemostatic/anti-adhesion hydrogel material, we have synthesized a series of injectable hydrogel composed of sulfobetaine-modified polylactic acid (PLA) and gelatin (Gel). These hydrogels could form a smooth film structure by simple water triggering, thereby conferring anti-adhesive properties. We visualized the changes in surface hydrophobicity using fluorescent probes and demonstrated tissue adhesion, rapid hydrophobic interface response, as well as rapid hemostasis for incompressible wounds through in vivo and in vitro experiments. Additionally, we explored the application of hydrogel materials in the scenario of postoperative bleeding, which can effectively prevent unnecessary adhesion through rapid film formation and the anti-protein property of sulfobetaine. We believe that this multifunctional hemostatic hydrogel has the potential to serve as a prehospital emergency treatment of incompressible bleeding and benefit to the postoperative recovery of patients.
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institution Kabale University
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language English
publishDate 2025-02-01
publisher Elsevier
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series Materials Today Bio
spelling doaj-art-0c3ffff830b1405a9efe39f81c2ffe0d2025-01-17T04:52:12ZengElsevierMaterials Today Bio2590-00642025-02-0130101431Water triggered injectable polylactic acid hydrogel based on zwitterionic sulfobetaine modification for incompressible bleeding and tissue anti-adhesionXinran Yang0Xiudan Wang1Lizong Tang2Zhiguang Sun3Xing Gao4Yanmei Zhao5Shike Hou6Jie Shi7Qi Lv8Institution of Disaster and Emergency Medicine, Tianjin University, Tianjin, 300072, China; Key Laboratory for Disaster Medicine Technology, Tianjin, 300072, China; Wenzhou Safety (Emergency) Institute of Tianjin University, Wenzhou, 325026, ChinaInstitution of Disaster and Emergency Medicine, Tianjin University, Tianjin, 300072, China; Key Laboratory for Disaster Medicine Technology, Tianjin, 300072, China; Wenzhou Safety (Emergency) Institute of Tianjin University, Wenzhou, 325026, ChinaInstitution of Disaster and Emergency Medicine, Tianjin University, Tianjin, 300072, China; Key Laboratory for Disaster Medicine Technology, Tianjin, 300072, China; Wenzhou Safety (Emergency) Institute of Tianjin University, Wenzhou, 325026, ChinaInstitution of Disaster and Emergency Medicine, Tianjin University, Tianjin, 300072, China; Key Laboratory for Disaster Medicine Technology, Tianjin, 300072, China; Wenzhou Safety (Emergency) Institute of Tianjin University, Wenzhou, 325026, ChinaInstitution of Disaster and Emergency Medicine, Tianjin University, Tianjin, 300072, China; Tianjin Hospital, Tianjin University, Tianjin, 300072, ChinaInstitution of Disaster and Emergency Medicine, Tianjin University, Tianjin, 300072, China; Key Laboratory for Disaster Medicine Technology, Tianjin, 300072, China; Wenzhou Safety (Emergency) Institute of Tianjin University, Wenzhou, 325026, ChinaInstitution of Disaster and Emergency Medicine, Tianjin University, Tianjin, 300072, China; Key Laboratory for Disaster Medicine Technology, Tianjin, 300072, China; Wenzhou Safety (Emergency) Institute of Tianjin University, Wenzhou, 325026, China; Corresponding author. Institution of Disaster and Emergency Medicine, Tianjin University, Tianjin, 300072, China.Institution of Disaster and Emergency Medicine, Tianjin University, Tianjin, 300072, China; Key Laboratory for Disaster Medicine Technology, Tianjin, 300072, China; Wenzhou Safety (Emergency) Institute of Tianjin University, Wenzhou, 325026, China; Corresponding author. Institution of Disaster and Emergency Medicine, Tianjin University, Tianjin, 300072, China.Institution of Disaster and Emergency Medicine, Tianjin University, Tianjin, 300072, China; Key Laboratory for Disaster Medicine Technology, Tianjin, 300072, China; Wenzhou Safety (Emergency) Institute of Tianjin University, Wenzhou, 325026, China; Corresponding author. Institution of Disaster and Emergency Medicine, Tianjin University, Tianjin, 300072, China.Massive blood loss is the main cause of prehospital trauma-related death, the development of rapid and effective hemostatic materials is imminent. Injectable hydrogels have the advantages of covering irregular bleeding sites and quickly closing the wound. However, its inherent viscosity can easily precipitate tissue adhesion in vivo and other complications. Based on the anti-protein properties of zwitterion and our previous work about in situ hemostatic/anti-adhesion hydrogel material, we have synthesized a series of injectable hydrogel composed of sulfobetaine-modified polylactic acid (PLA) and gelatin (Gel). These hydrogels could form a smooth film structure by simple water triggering, thereby conferring anti-adhesive properties. We visualized the changes in surface hydrophobicity using fluorescent probes and demonstrated tissue adhesion, rapid hydrophobic interface response, as well as rapid hemostasis for incompressible wounds through in vivo and in vitro experiments. Additionally, we explored the application of hydrogel materials in the scenario of postoperative bleeding, which can effectively prevent unnecessary adhesion through rapid film formation and the anti-protein property of sulfobetaine. We believe that this multifunctional hemostatic hydrogel has the potential to serve as a prehospital emergency treatment of incompressible bleeding and benefit to the postoperative recovery of patients.http://www.sciencedirect.com/science/article/pii/S2590006424004927Injectable hydrogelZwitterionAnti-adhesionIncompressible bleedingHemostasis
spellingShingle Xinran Yang
Xiudan Wang
Lizong Tang
Zhiguang Sun
Xing Gao
Yanmei Zhao
Shike Hou
Jie Shi
Qi Lv
Water triggered injectable polylactic acid hydrogel based on zwitterionic sulfobetaine modification for incompressible bleeding and tissue anti-adhesion
Materials Today Bio
Injectable hydrogel
Zwitterion
Anti-adhesion
Incompressible bleeding
Hemostasis
title Water triggered injectable polylactic acid hydrogel based on zwitterionic sulfobetaine modification for incompressible bleeding and tissue anti-adhesion
title_full Water triggered injectable polylactic acid hydrogel based on zwitterionic sulfobetaine modification for incompressible bleeding and tissue anti-adhesion
title_fullStr Water triggered injectable polylactic acid hydrogel based on zwitterionic sulfobetaine modification for incompressible bleeding and tissue anti-adhesion
title_full_unstemmed Water triggered injectable polylactic acid hydrogel based on zwitterionic sulfobetaine modification for incompressible bleeding and tissue anti-adhesion
title_short Water triggered injectable polylactic acid hydrogel based on zwitterionic sulfobetaine modification for incompressible bleeding and tissue anti-adhesion
title_sort water triggered injectable polylactic acid hydrogel based on zwitterionic sulfobetaine modification for incompressible bleeding and tissue anti adhesion
topic Injectable hydrogel
Zwitterion
Anti-adhesion
Incompressible bleeding
Hemostasis
url http://www.sciencedirect.com/science/article/pii/S2590006424004927
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AT shikehou watertriggeredinjectablepolylacticacidhydrogelbasedonzwitterionicsulfobetainemodificationforincompressiblebleedingandtissueantiadhesion
AT jieshi watertriggeredinjectablepolylacticacidhydrogelbasedonzwitterionicsulfobetainemodificationforincompressiblebleedingandtissueantiadhesion
AT qilv watertriggeredinjectablepolylacticacidhydrogelbasedonzwitterionicsulfobetainemodificationforincompressiblebleedingandtissueantiadhesion