Massive bleeding
control and anti-infection are the major challenges for urgent trauma
with deep and noncompressible hemorrhage in both clinic and battlefield.
Inspired by the coordinated primarily blood clot formation and secondly
coagulation cascade activation in natural hemostasis process, an injectable,
quaternized hydroxyethyl cellulose/mesocellular silica foam (MCF)
hydrogel sponge (QHM) for both hemorrhage control and antibacterial
activities were prepared via one-pot radical graft copolymerization.
The as-prepared QHMs exhibited instant water-triggered expansion and
superabsorbent capacity and thereby effectively facilitated blood
components concentration. Moreover, the QHM1 with appropriate amount
of MCF (9.82 w/w %) could further activate the coagulation factors.
Synergistically, the QHM1 could reduce the plasma clotting time to
59 ± 4% in vitro and showed less blood loss than commercially
available hemostatics in vivo noncompressible hemorrhage models of
lethal rabbit-liver defect. Furthermore, the QHM with a quaternary
ammonium groups density of 2.732 mmol/g exhibited remarkable antibacterial
activities and excellent cytocompatibility. With the efficient hemostasis
efficacy and excellent antibacterial behavior, QHM dramatically facilitated
the wound healing in a full-thickness skin defect model in vivo. Thus,
this QHM represents a promising hemostatic in more widespread clinical
application.
The as-prepared tannic acid (TA)-load mesoporous silica via electrostatic adsorption (TMS) exhibited excellent hemorrhage control by both TA-induced faster blood contact and plasma protein crosslinking, and MS-initiated water absorption, blood components concentration and coagulation factors activation, and good antibacterial properties.
The response of mesenchymal
stem cell (MSCs) to elaborate microarchitectured
topographies in three-dimensional environment and the underlying molecular
mechanism remain poorly understood. Here, with hierarchical mesoporous
bioactive glass (MBG) scaffolds as substrate model, we show the effects
of specific, elaborate microtextured topographies (micrograiny, microporous
and hybrid micrograiny/microporous surface) on MSCs osteogenesis and
the molecular mechanism involved. With a similar size and density,
the microporous surface was more favorable for the MSC osteogenesis,
and the hybrid micrograiny/microporous surface exhibited a synergetic
effect. All the microscaled topographies facilitated expression of
integrin subunits, focal adhesion complexes, and up-regulated FAK/MAPK
and ILK/β-catenin signaling pathways. Separately blocking FAK/MAPK
and ILK/β-catenin cascade dramatically attenuated the heightened
β-catenin signaling, and the phosphorylation of ERK1/2 and P38,
respectively, indicating a typical crosstalk between FAK/MAPK and
ILK/β-catenin signalings was involved. Correlating the MSCs
response with the specific topographical cues, it can be inferred
that the micrograiny/microporous topographies induced FAs assembly
and homeostasis, and thus FAK/MAPK and ILK/β-catenin signalings
played critical role in regulating MSCs osteogenic differentiation.
The findings, therefore, have significant implications in better understanding
of the MSCs fate in a 3D environment and provided guidance of the
development of novel biomaterial for bone regeneration.
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