Compromised angiogenesis is a major factor contributing delayed wound healing in diabetic patients. Graftassisted healing using synthetic and natural scaffolds supplemented with micromolecules for stimulating angiogenesis is the contemporary tissue engineering strategy for treating diabetic wounds. This study deployed the carbodiimide chemical reaction for coupling gelatin with a porcine cholecyst-derived scaffold (CDS) for enhancing angiogenesis. The modification was confirmed by the trinitrobenzene sulfonic acid assay and scanning electron microscopy. The gelatin-coupled CDS was more stable than the bare CDS in an in vitro proteolytic environment and allowed survival of keratinocytes (HaCaT), indicating its suitability for chronic skin wound application. The gelatin coupling brought significant improvement in the in vitro angiogenic potential of the CDS as evident from the enhanced viability of endothelial cells. An in ovo chorioallantoic membrane assay also demonstrated the angiogenic potential of the modified scaffold. Further, the modified scaffold promoted angiogenesis and aided faster healing of full-thickness excision wounds in streptozotocin-induced diabetic rats. It is concluded that the gelatin-coupled CDS is a potential advanced wound care material for treating diabetic wounds.
Polypropylene
(PP) meshes are widely used for repairing skeletal
muscle defects like abdominal hernia despite the chances of undesirable
pro-inflammatory tissue reactions that demand revision surgeries in
about 45% of cases. Attempts have been made to address the problem
by modifying the mesh surface and architecture. These procedures have
yielded only incremental improvements in the management of overall
postoperative complications, and the search for a clinically viable
therapeutic strategy continues. This study deployed a tissue engineering
approach for mitigating PP-induced adverse tissue reaction by dip-coating
the mesh with a hydrogel formulation of the porcine cholecystic extracellular
matrix (CECM). The biomaterial properties of the CECM hydrogel-coated
PP (C-PP) meshes were studied and their biocompatibility was evaluated
by in vitro and in vivo tests based
on ISO standards. Further, the nature of tissue reactions induced
by the hydrogel-coated mesh and a commercial PP hernia repair graft
was compared in a rat model of partial-thickness abdominal wall defect.
Histomorphologically, in comparison with the PP graft-induced tissue
reaction, C-PP caused a favorable graft-acceptance response characterized
by reduced numbers of pro-inflammatory M1 macrophages and cytotoxic
lymphocytes. Remarkably, the differential inflammatory response of
the C-PP graft-assisted healing was associated with a fibrotic reaction
predominated by deposition of type I collagen rather than type III
collagen, as desired during skeletal muscle repair. It was concluded
that the CECM hydrogel is a potential biomaterial for surface modification
of polymeric biomedical devices.
Cardiac tissue engineering using cells, scaffolds or signaling molecules is a promising approach for replacement or repair of damaged myocardium. This study addressed the contemporary need for a conductive biomimetic nanocomposite scaffold for cardiac tissue engineering by examining the use of a gold nanoparticle-incorporated porcine cholecystic extracellular matrix for the same. The scaffold had an electrical
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