Existing surgical tissue adhesives on the market cannot meet the desired demand for clinical operations due to their limited adhesivity or undesired cytotoxicity. A new bioadhesive is derived from the skin secretion of Andrias davidianus (SSAD). This bioinspired SSAD has significantly stronger tissue adhesion than the fibrin glue and improved elasticity and biocompatibility when compared to the cyanoacrylate glue both ex vivo and in vivo. Additionally, the SSAD‐based adhesive decreases skin wound healing time and promotes wound regeneration and angiogenesis. The SSAD‐based adhesive is completely degradable, strongly adhesive, and easily produced from a renewable source. Based on these favorable properties, the SSAD‐based bioadhesive demonstrates potential as a surgical bioadhesive for a broad range of medical applications.
A deficiency of nitric
oxide (NO) supply has been found to impair
wound healing. The exogenous topical delivery of NO is a promising
approach to enhance vasodilation and stimulate angiogenesis and collagen
deposition. In this study, the CN groups on the surface of Prussian
blue (PB) nanocubes were carefully reduced to −CH2–NH2 to conjugate with COOH group of hemin consisting
of a Fe-porphyrin structure with strong affinity toward NO. Accordingly,
the NO gas was able to coordinate to hemin-modified PB nanocubes.
The hemin-modified PB carrying NO (PB-NO) can be responsible to near-infrared
(NIR) light (808 nm) exposure to induce the thermo-induced liberation
of NO based on the light-to-heat transformation property of PB nanocubes.
The NO supply on the incisional wound sites can be readily topically
dropped the colloidal solution of PB-NO for receiving NIR light irradiation.
The enhanced blood flow was in a controllable manner whenever the
wound sites containing PB-NO received NIR light irradiation. The promotion
of blood perfusion following the on-demand multidelivery of NO has
effectively facilitated the process of wound closure to enhance angiogensis
and collagen deposition.
Traditional wound care methods include wound infection control, adequate nutritional supplements, education of changing position every 2-3 h to avoid tissue hypoxia, vacuum assistant closure, debridement, skin graft, and tissue flap. Electric current stimulation, ultrasound, laser, and hydrotherapy have emerged as adjuvant therapies. However, most, if not all, of these therapies are expensive, and the treatment results are variable. The development of the active methods to improve wound healing is mandatory. CO administration has been known to improve microcirculation and local oxygen supply that are beneficial to wound healing. Here, the metal ion-ligand coordination nanoarchitecture was designed to reveal NIR light-induced CO generation for wound healing. The administration simply topically dropped the colloidal solution on the incisional wound, followed by exposure of near-infrared (NIR) lamp to yield CO, resulting in the observation of the accelerated wound healing.
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