Deep
partial thickness burn wounds present big challenges due to
the long healing time, large size and irregular shape, pain and reinjury
at wound dressing changes, as well as scarring. The clinically effective
therapy to alleviate pain at wound dressing changes, and the scar
left on the skin after the healing of wound is still unavailable.
To combat this, we develop a nanocomposite self-healing hydrogel that
can be injected into irregular and deep burn wound beds and subsequently
rapidly self-heal to reform into an integrated piece of hydrogel that
thoroughly fills the wound area and protects the wound site from external
environment, finally being painlessly removed by on-demand dissolving
using amino acid solution at wound dressing changes, which accelerates
deep partial thickness burn wound healing and prevents scarring. The
hydrogel is made out of naturally occurring polymers, namely, water-soluble
carboxymethyl chitosan (CMC) and rigid rod-like dialdehyde-modified
cellulose nanocrystal (DACNC). They are cross-linked by dynamic Schiff-base
linkages between amines from CMC and aldehydes from DACNC. The large
aspect ratio and specific surface area of DACNC raise massive active
junctions within the hydrogel, which can be readily broken and reformed,
allowing hydrogel to rapidly self-heal. Moreover, DACNC serves as
nanoreinforcing fillers to improve the hydrogel strength, which also
restricts the “soft” CMC chains’ motion when
soaked in aqueous system, endowing high fluid uptake capacity (350%)
to hydrogel while maintaining integrity. Cytotoxicity assay and three-dimensional
cell culture demonstrate excellent biocompatibility of the hydrogel
and capacity as extracellular matrix to support cell growth. This
work opens a novel pathway to fabricate on-demand dissolvable self-healing
hydrogels to speed deep partial thickness burn wound healing and eliminate
pain at wound dressing changes and prevent scar formation.
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