Literature DB >> 30023901

Gelatin-Based Hydrogels Blended with Gellan as an Injectable Wound Dressing.

Yueyuan Zheng1, Yuqing Liang1, Depan Zhang1, Xiaoyi Sun1, Li Liang2, Juan Li1, You-Nian Liu1.   

Abstract

Injectable scaffolds are of great interests for skin regeneration because they can fill irregularly shaped defects through minimally invasive surgical treatments. In this study, an injectable hydrogel from biopolymers is developed and its application as wound dressings is examined. Gelatin-based hydrogels were successfully prepared at body temperature upon blending with low content of gellan, and the synergetic effect on the gel formation was carefully characterized through rheological methods. The electrostatic complexation between gelatin and gellan was confirmed to contribute a continuous hydrogel network. The obtained blend hydrogel demonstrates remarkable shear-thinning and self-recovering properties. For antibacterial purpose, tannic acid was incorporated into the blend hydrogel. In addition, tannic acid-loaded blend hydrogel was verified to accelerate the wound healing on the mice model, significantly than the control groups. Thus, this paper presents a facile approach without chemical modification to construct injectable gelatin-based hydrogels, which have great potential as a wound dressing or tissue scaffold at body temperature.

Entities:  

Year:  2018        PMID: 30023901      PMCID: PMC6044880          DOI: 10.1021/acsomega.8b00308

Source DB:  PubMed          Journal:  ACS Omega        ISSN: 2470-1343


Introduction

Wound healing is a complex and coordinated process, which can be enhanced by a desirable wound dressing material. During the healing processes, the dressing material can absorb excess exudate, provide the moist environment for cell regeneration, protect wounds from bacterial attack, carry healing growth factors, and so on. Various wound dressing materials, such as hydrogels, hydrocolloids, foams, films, and nanoparticles, are commercially available and also being investigated.[1−14] Among these materials, hydrogels are very attractive for the features of fluid absorbent, physical barrier, and providing a moist scaffold for skin regeneration.[13,15] However, most hydrogels have poor mechanical properties, slow degradation, and require a secondary dressing to adhere on the skin.[13,16] Injectable hydrogels with shear-thinning and self-recovering properties are of particular interest due to the unique merits of facile operation, in situ moldability to wound beds, and self-mending their structures and functionalities after damage.[1,5,7−10,15,17−23] For examples, an injectable gel scaffold with interconnected microporous structure was able to accelerate wound heal by facilitating the cell migration.[7] The building blocks were composed of peptide RGD-decorated multiarmed poly(ethylene glycol)–vinyl sulfone and two enzyme substrates.[7] Recently, Guo and co-workers synthesized electroactive injectable hydrogels with hemostasis and adhesiveness based on functionalized chitosan and poly(ethylene glycol) and applied them as wound dressings for cutaneous wound healing.[1] Gelatin, which is derived from collagen, now is commonly used in tissue engineering due to high abundance, low cost, biocompatibility, biodegradability, and low antigenicity. As wound dressing materials, gelatin contains the peptide sequences for the recognition of integrin receptors in the cells, which are crucial for the cell adhesion.[4,24] In addition, gelatin tends to form a nanofiber structure, which is essential for skin regeneration. The nanofibers, due to large specific surface area, high porosity, and good permeability, are able to biomimic the extracellular matrix, which favors the cell adhesion, migration, and proliferation. Nevertheless, pristine gelatin has low gelling temperature (below 30 °C), which hampers its application at the body temperature.[25,26] Therefore, gelatin itself is seldom found for skin regeneration. Strategies including chemical modification and physical blending have been adopted to tune the gelling condition of gelatin. For instance, gelatin has been chemically functionalized with unsaturated methacryloyl groups,[25] thiol groups,[4] and chemically cross-linked by cross-linking agents, such as genipin, glutaraldehyde, or periodate-oxidized alginate.[3,11,27] Compared to chemical modification, physical blending is more appealing due to eco-friendliness, cost-effectiveness, and industrially capable. However, up to now, few reports of gelatin-based injectable blend hydrogels for wound healing have been reported. In this paper, we introduced an injectable blend hydrogel, based on gelatin and gellan, with excellent shear-thinning as well as self-recovering for wound healing. Gellan, a linear anionic polymer with a tetrasaccharide repeating sequence (residual β-d-glucose, β-d-glucuronic acid, and α-l-rhamnose in a molar ratio of 2:1:1), is approved by the FDA as food additives. It has a gelling behavior, showing a phase diagram dependent of temperature and/or concentration (from solution, fluid “weak gel”, to true gel).[28−30] Investigation on the gelatin behavior of gellan/gelatin binary hydrogel was reported by several works;[31−33] however, these studies focus on the functional properties for food application. In food industry, gellan is applied as an alternative to gelatin, giving products acceptable by vegetarians and religions that forbid materials from mammals.[28] Herein, gelatin-based blend hydrogel with very low content of gellan (≤0.5%) was prepared for wound dressing; the synergetic effect of the gel formation was carefully characterized by rheological methods, and the gelling mechanism was proposed. The shear-thinning and self-recovering properties of the blend hydrogels were found out. Tannic acid (TA), a kind of polyphenol usually extracted from plants, is biocompatible toward mammalian cells and active against bacteria; however, a high dose of TA on the wounds can cause side effects.[34] TA was incorporated into the blend hydrogel. Our previous studies found that gelatin-based carrier is suitable for the sustained release of polyphenol compounds.[35,36] In addition, the effects of blend hydrogel on the wound healing of dorsal skin were evaluated in a mice model. As it turns out, the formulation of TA-loaded blend hydrogel is potent to accelerate wound healing.

Experimental Section

Materials

Gelatin (from porcine skin, Vetec reagent grade, Type A, powder, gel strength ∼300 g Bloom) was purchased from Sigma-Aldrich. Gellan gum (used for plant tissue culture) was obtained from Wako Pure Chemical Industries, Ltd. (Japan). Tannic acid (TA) of analytical reagent was acquired from Aladdin Industrial Corporation. All aqueous solutions were prepared using Millipore water (18 MΩ cm, Simplicity Model, Billerica, MA).

Preparation of Blend Hydrogel

Blend hydrogel of gelatin/gellan was prepared by mixing gelatin and gellan powder (10 wt % of gelatin concentration and 0.3 wt % content of gellan) under gentle stirring and heated at 85 °C in a thermostatic water bath until both biopolymers were completely dissolved. Finally, the solution was cooled at room temperature resulting in the formation of hydrogel. To incorporate TA into the hydrogels, the hydrogel was first heated, then cooled to about 50 °C, and TA was added under vortex shaking to avoid precipitates. The solution was further cooled down at room temperature after TA was well dispersed. The obtained hydrogel was allowed to stand for 12 h.

Characterization

Morphology of hydrogels was uncovered by scanning electron microscopy (SEM) through a Quanta 250 FEG (FEI, America). Solutions (20 μL) obtained by melting the hydrogel were dropped onto a silicon slice and cooled at room temperature to make a gel. Afterward, the sample was lyophilized. Fourier transform infrared (FTIR) spectra were recorded on a Nicolet 510P Fourier transform in the range of 4000–400 cm–1 using KBr pellets, and the resolution was 2 cm–1. ζ-Potential measurements were performed on a Malvern Zetasizer Nano ZS at 25 °C.

Rheological Properties

Rheological measurements were performed on a rheometer (Anton Paar, MCR 302) with parallel plate geometry (25 mm diameter). The parallel plate was carefully sealed with silicon oil in case of water evaporation during measurement. The gap between the probe and the plate was maintained at 1.0 mm for the time sweep and frequency sweep experiments. Storage modulus (G′) and loss modulus (G″) as well as the complex viscosity (|η*|) were measured. Time sweep experiments were conducted at a constant frequency of 1 Hz and strain range of 0.01–1000%. The samples were melted at 85 °C and then about 1.0 mL of solution was added onto the plate, which was settled at 70 °C, and a program of temperature equilibrium at 37 °C was first run and then the time-sweep measurement was started. Frequency sweep experiments were conducted at frequency range of 0.01–10 Hz and at a strain of 0.1% and 37 °C. For the temperature sweep experiment, G′ and G″ were monitored as a function of temperature in the range of 10–45 °C at a heating rate of 1.0 °C min–1. The samples were melted at 85 °C and then about 1.0 mL of solution was added onto the plate and settled at 10 °C for 30 min to obtain a hydrogel. Afterward, the temperature sweep was conducted at a constant frequency of 1 Hz and strain of 1.0% automated controlled by the machine. Strain sweep was performed on samples from 0.1% to a maximum strain of 1000% to determine the limit of the linear viscoelastic region. The frequency was set at 1.0 Hz. The viscosity of the hydrogels was measured as a function of shear rate at 25 °C. Self-recovering behavior was evaluated by continuous-step strain measurements, alternate-step strains of 0.1% for 180 s and large strains (100, 200, 300, 400, or 500%) for 30 s were applied. The frequency was set at 1.0 Hz.

Antibacterial Assay

Antibacterial activity of blend hydrogel was assessed against Escherichia coli, Staphylococcus aureus, and methicillin-resistant S. aureus (MRSA) using an agar disc diffusion test. An aliquot of log-phase bacterial stock (105–106 CFU) was uniformly spread on an agar plate. Tested samples were placed on top of the plate, and zones of inhibition were measured after incubation for 12 h at 37 °C. Sample of TA was prepared by dropping the TA solution (20 μL, 5 mg/mL) into a sterilized filter paper (6 mm in diameter). TA-loaded hydrogels with a diameter of 6 mm were cut by a tip (6 mm in diameter, 1.3 mm in height, the bulk concentration of TA in the hydrogel is 5 mg/mL).

Wound Healing

The in vivo wound-healing effect was estimated on a Balb/c mice model. All animal experiments were performed according to the guidelines, principles, and procedures of the Xiangya Laboratory Animal Center of Central South University (Changsha, China) for the care and use of laboratory animals. The mice were randomly divided into four groups with different treatments (n = 3): phosphate-buffered saline (PBS, 1×, Hyclone), TA (5 mg/mL), blend hydrogel, and TA-loaded blend hydrogel. The mice, at 6–8 weeks of age, about 20 g, were anesthetized by intraperitoneal injection with 10% chloral hydrate, and the hair on their backs was shaved. Then, a cross-shape wound was made by a scissor in length of 10 mm on the dorsal skin back of the tested mice. Finally, the wounds were added with 20 μL of samples using a 26-G syringe without secondary dressing. The wound was photographed by placing a ruler along its side to monitor the process of wound healing. The body weight was also recorded at each 4 days.

Results and Discussion

Synergistic Gel Formation of Gelatin/Gellan Mixtures

Synergistic gelation behavior was observed in the mixture of gelatin and gellan at 37 °C. Blends of gelatin and gellan (concentration of gelatin is 10 wt % and that of gellan 0.3 wt %) form true gels, which can self-support its own weight at 37 °C (Figure , inset image). In contrast, gelatin and gellan alone could not form gels by visualization (Figure S1). It is found that the mixture of gelatin/gellan is able to form gels within the range of 0.05–1.5% at body temperature. Gellan itself is unable to form gels under the same concentration. However, by increasing the concentration of gellan to 2%, gellan itself can form gels at body temperature. Therefore, the concentration of gellan for blend hydrogel is set at 0.3%, where the noncovalent interaction between gelatin and gellan is preferable.
Figure 1

Gelation kinetic (A) and the viscoelastic behavior as a function of frequency (B) of blend hydrogels at 37 °C by rheological measurement. The inset is the image of blend hydrogel at 37 °C.

Gelation kinetic (A) and the viscoelastic behavior as a function of frequency (B) of blend hydrogels at 37 °C by rheological measurement. The inset is the image of blend hydrogel at 37 °C. The gelation kinetics of blend hydrogel at 37 °C was further investigated following a cooling procedure. As shown in Figure A, at the beginning, the melted solution exhibits a very low moduli (G′ is smaller than 1.0 Pa), though the value of G′ is larger than G″. This result is likely to be consistent with the characteristic of weak gel, which is actually a “structure liquid”, like normal solutions.[28,37] However, abrupt increase of G′ was observed at 150 s, indicating the sol–gel transition. At 300 s, G′ increased steadily and reached a plateau at 30 min. The final G′ of blend hydrogel is 1 magnitude larger than G″, demonstrating the formation of a true gel. Furthermore, the frequency sweep was performed to evaluate the viscoelastic behavior at constant strain amplitude and within a frequency range of 0.01–10 Hz. The hydrogel is stable and exhibits constant G′ (linear viscoelastic regime) up to ∼5 Hz (Figure B).

Effect of Gellan on the Rheology of Blend Hydrogels

At 10%, gelatin is unable to form gels at body temperature (G′ < G″), whereas is able to form gels at low temperature (G′ > G″, Figure ). The crossover point of G′ and G″, termed as the melting temperature, is about 27 °C, as determined by rheometry. For gellan alone, at the low concentration of 0.3%, it shows solution behavior (G′ < G″) at the temperature ranges studied (Figures S1 and S2). On addition of gellan into gelatin hydrogels, a small amount of gellan (<0.5%) could make a big difference. The obtained blend hydrogels are resistant to the temperature evolution (G′ is always larger than G″ in the range of 10–45 °C), indicating that gellan plays an important role in the gelling process of gelatin. It suggests the intermolecular complex formation between gelatin and gellan forming another physical cross-linked network, which is distinct from the network of gelatin alone.
Figure 2

Effect of gellan on G′ (solid symbols) and G″ (open symbols) as a function of temperature at a frequency of 1.0 Hz, strain of 0.1%, and a heating rate of 1.0 °C/min.

Effect of gellan on G′ (solid symbols) and G″ (open symbols) as a function of temperature at a frequency of 1.0 Hz, strain of 0.1%, and a heating rate of 1.0 °C/min. At 37 °C, G′ is smaller than G″ for gelatin hydrogel in the absence of gellan, indicating the solution behavior of gelatin at body temperature. However, G′ of blend hydrogels is steadily increased with time. At 37 °C, the G′ of blend hydrogel reaches to 120 Pa after 30 min (Figure A). The result suggests the network of blend hydrogel is less thermosensitive than the network of gelatin alone.

Shear-Thinning and Self-Recovering Properties of the Hydrogel

Figure A shows the viscosity of blend hydrogel as a function of shear rate. The viscosity decreases as shear rate elevates. Meanwhile, the shear-thinning behavior is partly reversible after cessation of the shear. Polysaccharide with rigid structure (e.g., xanthan gum and gellan) can be utilized as a modifier for tuning rheological properties of synthetic polymers and biopolymers.[2,37,38] The rigid polysaccharide endows the hydrogel with desirable shear-thinning properties.
Figure 3

Rheological measurements of blend hydrogel. (A) Viscosity of the blend hydrogel as a function of shear rate at 25 °C. Inset photograph is the patterns of blend hydrogel after injection by a 26-G syringe. The storage and loss moduli of blend hydrogel by continuous- (B) and alternate-step strain sweep (C, D) at 37 °C.

Rheological measurements of blend hydrogel. (A) Viscosity of the blend hydrogel as a function of shear rate at 25 °C. Inset photograph is the patterns of blend hydrogel after injection by a 26-G syringe. The storage and loss moduli of blend hydrogel by continuous- (B) and alternate-step strain sweep (C, D) at 37 °C. The hydrogels can also be extruded by a 26-G (0.45 mm in outer diameter) needle and can be moldable to various patterns (Figure S3). The blend hydrogels reassembled into desired shapes within seconds upon cessation of shear. The result is in accordance with the rheological test (Figure A). The good shear-thinning and self-healing properties arise from gellan and it can be applied as injectable matrix for cartilage tissue engineering.[39−43] Furthermore, we assessed the self-recovering of hydrogels by alternate-step strain measurement. As shown in Figure B, G′ of hydrogel is changeless in the strain range of 0.01–10%, whereas G′ decreases rapidly when the strain is more than 10% showing that the hydrogel is broken. Hence, high-magnitude strain (100%) was applied to damage the hydrogel network for 30 s; afterward, a low-magnitude strain (0.1%) was applied to monitor the recovery of the hydrogel structure. A strain deformation of 0.1% is within the linear viscoelastic range. This process was performed in five cycles, as shown in Figure C. Under large strain, G′ dramatically decreases and becomes smaller than G″. Notwithstanding, the G′ restores its strength value immediately after strain changes to 0.1%. In the first cycle, the healing efficiency of G′ is about 62% (121 Pa vs initial 194 Pa) in first 30 s and the healing efficiency of G′ is about 89% (172 Pa vs initial 194 Pa) after a total 180 s. In the following cycles, the healing efficiency of G′ reaches to 98% (169 Pa vs initial 172 Pa). The data proves that the blend hydrogel has excellent self-healing ability. Furthermore, by applying increasingly strains (up to 500%) to damage the hydrogels, the restoring process of G′ is almost the same as that by constant strains of 100%. Mechanism of self-recovering (also termed as self-healing) relies on the reversibility of the cross-links, which be classified into two approaches, dynamic covalent and noncovalent. In the blend hydrogels, the good self-healing property of blend hydrogels is attributable to the noncovalent bonds of building blocks, such as hydrogen bonds and electrostatic interactions.[44]

Gelation Mechanism

Complexation of gellan with gelatin was investigated by FTIR spectra (Figure ); most of the bands for blend hydrogel are similar as those for gelatin, which supports that gellan is fully blended with gelatin. The peak at 1630 cm–1 for the amide I band of gelatin shifts to 1631 cm–1 after gellan blending, which indicates the occurrence of electrostatic complexation between gellan and gelatin.[45] In addition, the peak of absorption bands around 3400 cm–1 (contributions of −OH and −NH2 stretching) was also examined. Blend hydrogel exhibits a lower frequency band centered at 3423 cm–1, whereas at 3438 cm–1 and 3434 cm–1 for gelatin and gellan, respectively. The peak shifts to lower wavenumbers due to the dehydration of polymer chains.[46,47] The results suggest the noncovalent interaction between gelatin and gellan.
Figure 4

FTIR spectra of gelatin (a), gellan (b), and blend hydrogels (c).

FTIR spectra of gelatin (a), gellan (b), and blend hydrogels (c). To determine the driving force for the formation of blend hydrogels, the ζ-potentials of the two biopolymer solutions were measured as a function of pH (Figure ). Gellan displays negative charges over the whole pH range studied, and the absolute values of ζ-potential gradually decreased as pH decreased, which can be attributed to protonation of the carboxyl groups of the β-d-glucuronic acid of gellan molecules. However, the ζ-potential of gelatin is positive when pH is smaller than 7 and negative when higher than 7, displaying an isoelectronic point (pI) between pH 7 and pH 8. The result is in good agreement with the structure information provided by the supplier (gelatin of type A has the pI of 7–9). These results show that gellan and gelatin form electrostatic complexes due to which they have opposite charges at neutral or acidic pH values.
Figure 5

ζ-Potentials of gelatin and gellan as a function of pH.

ζ-Potentials of gelatin and gellan as a function of pH. To understand the electrostatic interaction, blend hydrogel was further prepared at pH 4.0 where the charges of two biopolymers are changed. At pH 4.0, the blend hydrogel become fragile and it is found that the G′ of the blend hydrogel obtained at pH 4.0 is smaller than that obtained at the initial pH (Figure S4). At pH 4.0, gelatin carries more positive charges than at the initial pH (about pH 5.4), while gellan has less negative charges. By contrast, at acidified pH closing to the pKa (pKa of gellan is about 3.5),[48] and the intra- and intermolecular interaction of gellan itself will increase, which may destroy the complexation of gelatin and gellan. While at pH values apart from the pKa, the intermolecular interaction between positively charged gelatin with gellan is dominant, leading to stronger gels. By using SEM, we observed the blend hydrogel has interconnected porous structures as expected (Figure ). The low incorporation of gellan doesn’t change the morphology of gelatin hydrogels. The blend hydrogels are made of nanofibers with pore size of 2–3 μm. Nanofiber-based wound dressings have drawn great attention due to their merits of large specific surface area, high porosity, and good permeability, which promoting cell adhesion migration and proliferation.[6,49] The porous structure is beneficial for rapid diffusion of nutrients throughout the network, improving the efficacy in cell attachment, proliferation, and migration.[7,50,51]
Figure 6

SEM image of the blend hydrogel.

SEM image of the blend hydrogel.

Influence of TA on the Rheology Properties of Hydrogel

Recent studies showed protein–polysaccharide electrostatic hydrogels are of interest to assemble functional gels due to the method not requiring any denaturation or chemical cross-linking as opposed to protein hydrogels.[52] In our studies, each component alone is unable to form gels, whereas the blends of them do form gels under the experimental conditions. Thus, the blend hydrogels have great potential to develop as functional biomaterials to incorporate bioactive molecules. TA was directly incorporated into the blend hydrogel during the cooling process close to 50 °C. TA has strong binding with gelatin. Homogeneous mixing is finely controlled by vortex shaking to avoid precipitates. G′ of blend hydrogel after TA loading is higher than before due to the cross-linking effect of TA (Figure S5). Furthermore, the shear-thinning properties are also well maintained (Figure S5). To understand the supramolecular interaction of TA with gellan and gelatin, we attempted to cross-link the two polymers by TA. Nevertheless, it is found that neither gelatin (10%) nor gellan (0.3%) is able to form hydrogels at 37 °C in the presence of TA up to a concentration of 40 mg/mL (Figure S6). The results suggest that the binding between TA and gelatin or gellan cannot destroy the main structure of the blend hydrogel, probably due to the low mass ratio of TA to gelatin (1:20). In our studies, a small ratio of TA is applied to avoid macroscopic separation, similar to films composed of gelatin and TA.[53] Previously, we found that soluble polydisperse particles are formed at low ratios of tea polyphenol to gelatin.[36] It further suggests that the blend hydrogel is an excellent reservoir for other active substances, and cells as well.

Antibacterial Properties

An ideal wound dressing should protect the wound bed from pathogenic bacteria. The biopolymer-based hydrogel is fragile to bacteria, which can induce inflammation and cause unfavorable smell due to fermentation. TA exhibits a broad antibacterial spectrum against either Gram-negative bacteria or Gram-positive bacteria. The bacterial growth can be inhibited by TA using a multiple mode of action involving destabilization of the cytoplasmic membrane, inhibition of extracellular microbial enzymes, deprivation of the substrates required for microbial growth or direct action on microbial metabolism through inhibition of oxidative phosphorylation, and so on[54−56] Hence, herbal medicine TA can reduce the occurrence of antibacterial resistance, which is a superiority over chemical antibiotics. Herein, TA-loaded blend hydrogel was prepared and its antibacterial activities were evaluated by the agar disc diffusion assay. Gram-negative bacterium (E. coli), Gram-positive bacterium (S. aureus), and drug-resistant bacteria (MRSA) were used as model bacteria. The results showed that the TA-loaded hydrogel inhibits the growth of all bacteria including S. aureus, E. coli, and MRSA, although the inhibition zone of TA-loaded hydrogel is smaller than that of TA solution (Figure ). As a negative control, blend hydrogel has no inhibition activity on bacteria growth. The results indicate that TA was sustained released from the blend hydrogel and exerted long-term antibacterial efficacy. To verify the sustained release property of TA-loaded hydrogel, in vitro release was performed using a transdermal diffusion apparatus according to the paper[57] and described in Supporting Information. The result confirms that TA-loaded hydrogel has a sustained release of TA (Figure S7). It is reported that complexation of polyphenols with gelatin can afford adequate protection for gelatin against microbial degradation, which plays an important role in the tanning industry.[58] Owing to the antibacterial properties, the blend hydrogel can reduce the growth of bacteria and prolong the shelf-life in storage and half-life for therapy.
Figure 7

(A) Photographs of agar diffusion test result for TA and TA-loaded blend hydrogel (5 mg/mL) against E. coli, S. aureus, and MRSA; the dotted circles depict the original size of TA-loaded filter paper or blend hydrogel. (B) The diameter of inhibition zone for TA and TA-loaded hydrogel against E. coli, S. aureus, and MRSA.

(A) Photographs of agar diffusion test result for TA and TA-loaded blend hydrogel (5 mg/mL) against E. coli, S. aureus, and MRSA; the dotted circles depict the original size of TA-loaded filter paper or blend hydrogel. (B) The diameter of inhibition zone for TA and TA-loaded hydrogel against E. coli, S. aureus, and MRSA. The wound healing efficacy of the hydrogels was evaluated in a mice model. Four groups of mice (treatment by PBS, TA, hydrogel, and TA-loaded hydrogel) were tested. The wounds were created into full-thickness cross-shape with about 10 mm in length. The wounds were treated by the test samples only once and without any other dressing put on the skin across the whole experiments. On observation days, the wounds were recorded (Figure A). The change of length of wounds and body weight was plotted as a function of time, as shown in Figure B,C. For TA-loaded hydrogel group, the wounds reduced remarkably and completely diminished on the 12th day. No scar was found, and the skin was fully covered with hair. On the 12th day, the healing rate is 100% in terms of the decrease ratio of the length of wounds. The area of wound closure was also measured; TA-loaded hydrogel group has a fast recovery in the index of area compared with other groups (Figure S8).
Figure 8

TA-loaded blend hydrogel promotes wound healing in a Balb/c mouse model. (A) Representative images of wound closure during 12 day experiments. Quantification of wound closure (B) and body weight (C) of mice during the treatment.

TA-loaded blend hydrogel promotes wound healing in a Balb/c mouse model. (A) Representative images of wound closure during 12 day experiments. Quantification of wound closure (B) and body weight (C) of mice during the treatment. In contrast, the group treated by TA recovers slowly. On the 12th day, the healing rate was 71% and scar was still observed. Furthermore, an inflammatory response was indicated by observing fluids exuded from the wounds. Also, the body weight of mice treated by TA was gradually decreased. Total tannins from Entada phaseoloides (L.) Merr. were reported exerting a wound-healing promoting effect, and the concentration of tannins is about 9.38–37.50 μg/mL. When the concentration was higher than 37.5 μg/mL, tannins inhibited the collagen synthesis in NIH3T3 cells.[34] In this paper, 5.0 mg/mL of TA is applied as control. High concentration of TA on the one hand could promote wound shrinkage but on the other hand could hinder the healing rate by inhibiting the collagen synthesis; the results were consistent with those observed.[34] In Figure S8, the area of wound of TA group on the 4th day was even larger than the beginning, which probably results from the negative effect of high concentration of TA. For PBS group, on the 12th day, the healing rate is about 81% in terms of the length ratio of wounds. Saline can promote the healing process in part by the faster contraction, similar to the phenomena found in the literature.[12] For the TA-free blend hydrogel group, the healing process was faster in comparison to the PBS group. In our study, blend hydrogel is more efficacious than PBS for healing (healing rate is 88% on the 12th day for blend hydrogel), implying the role of hydrogel matrix, where gelatin has a well-established effect on cell migration and proliferation.[4,24] Therefore, TA-loaded hydrogel not only provides a sustained drug delivery for minimizing the adverse effect of TA, but also facilitates skin repair in a cooperative way. In hematoxylin and eosin (H&E) and Masson’s trichrome staining, the epidermal thickness, skin tissue formation, and collagen deposition were evaluated (Figure ). In TA-loaded hydrogel group, epidermal thickness was 60 μm, which was significantly higher than other groups. Scoring results of wound granulation tissue formation were 5, 4, 5, and 8 for groups of PBS, TA, hydrogel, and TA-loaded hydrogel, respectively. TA-loaded hydrogel group scores the highest value in the granulation tissue formation. In the TA-loaded hydrogel group, collagen fibers with parallel arrangement are more accumulated and collagen content is also higher than other groups. In addition, more hair follicles are observed. The results indicated that TA-loaded hydrogel group has very effective skin regeneration and function restoration over other groups.
Figure 9

H&E (A) and Masson’s trichrome (B) staining, thickness of epidermis (C), and collagen content (D) of TA-loaded hydrogel group at 12 day wound healing.

H&E (A) and Masson’s trichrome (B) staining, thickness of epidermis (C), and collagen content (D) of TA-loaded hydrogel group at 12 day wound healing. To gain insight of wound healing, we examined the cell cytotoxicity and cell migration of blend hydrogels. L929 cells treated by blend hydrogel are growing better than the control groups, showing higher cell viability (Figure S9), suggesting the good biocompatibility of blend hydrogels. Furthermore, cell proliferation and migration are revealed across the scratched area by microscopy images after 24 h incubation (Figure ). The cells in the control group are more confluent than those in the blend hydrogel group. The migration of the cells occurs when the hydrogel is gradually dissolved during incubation. The in vitro results imply that the blend hydrogel can be slowly degraded in vivo, and the erosion can create space for cell growth and migration.
Figure 10

Cell migration assay of blend hydrogel for 0, 12, and 24 h. The dotted lines indicate the wound scratch created using a pipette tip.

Cell migration assay of blend hydrogel for 0, 12, and 24 h. The dotted lines indicate the wound scratch created using a pipette tip. The investigation of wound healing by blend hydrogel is preliminary, and we further found the hydrogel did not show the same effect on a round-shape of full-thick wounds (data not shown). The hydrogel gradually lost water and adhered fiercely on the wound beds during the healing, which delayed the healing process to some extent. The obstacles might be circumvented by spaying saline or water, or covering with other occlusive dressings.

Conclusions

Blending with gellan is suitable to make gelatin a true gel under body temperature. The mechanism of gelation is mainly attributed to the electrostatic complexation. In particular, the blend hydrogel exhibits good injectability with self-recovering property. The blend formulation not only improves the thermal gelation property of gelatin, but also makes dressings capable of fully conforming to wound beds. The blend hydrogel is beneficial for sustained delivery of TA and promoting cell adhesion and migration, supported by animal experiments. Altogether, this unique blend hydrogel has a bright future for wound healing and/or tissue engineering.
  39 in total

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Journal:  J Biomed Nanotechnol       Date:  2016-01       Impact factor: 4.099

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Journal:  Biomaterials       Date:  2003-06       Impact factor: 12.479

8.  Injectable hybrid delivery system composed of gellan gum, nanoparticles and gentamicin for the localized treatment of bone infections.

Authors:  Urszula Posadowska; Monika Brzychczy-Włoch; Anna Drożdż; Małgorzata Krok-Borkowicz; Małgorzata Włodarczyk-Biegun; Piotr Dobrzyński; Wojciech Chrzanowski; Elżbieta Pamuła
Journal:  Expert Opin Drug Deliv       Date:  2016-02-16       Impact factor: 6.648

9.  pH and Glucose Dual-Responsive Injectable Hydrogels with Insulin and Fibroblasts as Bioactive Dressings for Diabetic Wound Healing.

Authors:  Lingling Zhao; Lijing Niu; Hongze Liang; Hui Tan; Chaozong Liu; Feiyan Zhu
Journal:  ACS Appl Mater Interfaces       Date:  2017-10-23       Impact factor: 9.229

10.  Functionalization, preparation and use of cell-laden gelatin methacryloyl-based hydrogels as modular tissue culture platforms.

Authors:  Daniela Loessner; Christoph Meinert; Elke Kaemmerer; Laure C Martine; Kan Yue; Peter A Levett; Travis J Klein; Ferry P W Melchels; Ali Khademhosseini; Dietmar W Hutmacher
Journal:  Nat Protoc       Date:  2016-03-17       Impact factor: 13.491

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  22 in total

Review 1.  Hydrogel-Based Active Substance Release Systems for Cosmetology and Dermatology Application: A Review.

Authors:  Martyna Zagórska-Dziok; Marcin Sobczak
Journal:  Pharmaceutics       Date:  2020-04-26       Impact factor: 6.321

2.  Injectable Macroporous Hydrogel Formed by Enzymatic Cross-Linking of Gelatin Microgels.

Authors:  Shujie Hou; Rachel Lake; Shiwha Park; Seth Edwards; Chante Jones; Kyung Jae Jeong
Journal:  ACS Appl Bio Mater       Date:  2018-10-15

3.  Spermidine Crosslinked Gellan Gum-Based "Hydrogel Nanofibers" as Potential Tool for the Treatment of Nervous Tissue Injuries: A Formulation Study.

Authors:  Barbara Vigani; Caterina Valentino; Giuseppina Sandri; Carla Marcella Caramella; Franca Ferrari; Silvia Rossi
Journal:  Int J Nanomedicine       Date:  2022-08-02

4.  Hydrogel Dressings for Chronic Wound Healing in Diabetes: Beyond Hydration.

Authors:  Paul R Hartmeier; Ngoc B Pham; Ketki Y Velankar; Fadi Issa; Nick Giannoukakis; Wilson S Meng
Journal:  J Pharm Drug Deliv Res       Date:  2020-12-21

5.  Exploring Silk Sericin for Diabetic Wounds: An In Situ-Forming Hydrogel to Protect against Oxidative Stress and Improve Tissue Healing and Regeneration.

Authors:  Sara Baptista-Silva; Beatriz G Bernardes; Sandra Borges; Ilda Rodrigues; Rui Fernandes; Susana Gomes-Guerreiro; Marta Teixeira Pinto; Manuela Pintado; Raquel Soares; Raquel Costa; Ana Leite Oliveira
Journal:  Biomolecules       Date:  2022-06-08

Review 6.  Assessing the mechanisms of action of natural molecules/extracts for phase-directed wound healing in hydrogel scaffolds.

Authors:  Itisha Chummun; Devesh Bekah; Nowsheen Goonoo; Archana Bhaw-Luximon
Journal:  RSC Med Chem       Date:  2021-07-02

7.  The Therapeutic Effect and In Vivo Assessment of Palmitoyl-GDPH on the Wound Healing Process.

Authors:  Nur Izzah Md Fadilah; Mohd Basyaruddin Abdul Rahman; Loqman Mohamad Yusof; Noordin Mohamed Mustapha; Haslina Ahmad
Journal:  Pharmaceutics       Date:  2021-02-01       Impact factor: 6.321

8.  Benlysta-Loaded Sodium Alginate Hydrogel and Its Selective Functions in Promoting Skin Cell Growth and Inhibiting Inflammation.

Authors:  Xujia Wang; Shuaimeng Guan; Kun Zhang; Jingan Li
Journal:  ACS Omega       Date:  2020-05-01

Review 9.  Review of Applications and Future Prospects of Stimuli-Responsive Hydrogel Based on Thermo-Responsive Biopolymers in Drug Delivery Systems.

Authors:  Sudipta Chatterjee; Patrick Chi-Leung Hui
Journal:  Polymers (Basel)       Date:  2021-06-24       Impact factor: 4.329

10.  Engineering Bioactive Self-Healing Antibacterial Exosomes Hydrogel for Promoting Chronic Diabetic Wound Healing and Complete Skin Regeneration.

Authors:  Chenggui Wang; Min Wang; Tianzhen Xu; Xingxing Zhang; Cai Lin; Weiyang Gao; Huazi Xu; Bo Lei; Cong Mao
Journal:  Theranostics       Date:  2019-01-01       Impact factor: 11.556

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