journal article·2024-01-02Open access

The utilization of chitosan/Bletilla striata hydrogels to elevate anti-adhesion, anti-inflammatory and pro-angiogenesis properties of polypropylene mesh in abdominal wall repair

Yuntao Di, Lu Wang, Wei He, Shuyan Liu, Yuqi He, Jie Liao, Ruihong Zhang, Lan Yin, Zhiwei Xu, Xiaoming Li

Abstract

Abstract Polypropylene (PP) mesh is commonly used in abdominal wall repair due to its ability to reduce the risk of organ damage, infections and other complications. However, the PP mesh often leads to adhesion formation and does not promote functional tissue repair. In this study, we synthesized one kind of aldehyde Bletilla striata polysaccharide (BSPA) modified chitosan (CS) hydrogel based on Schiff base reaction. The hydrogel exhibited a porous network structure, a highly hydrophilic surface and good biocompatibility. We wrapped the PP mesh inside the hydrogel and evaluated the performance of the resulting composites in a bilateral 1 × 1.5 cm abdominal wall defect model in rats. The results of gross observation, histological staining and immunohistochemical staining demonstrated the positive impact of the CS hydrogel on anti-adhesion and wound healing effects. Notably, the addition of BSPA to the CS hydrogel further improved the performance of the composites in vivo, promoting wound healing by enhancing collagen deposition and capillary rearrangement. This study suggested that the BSPA-modified CS hydrogel significantly promoted the anti-adhesion, anti-inflammatory and pro-angiogenesis properties of PP meshes during the healing process. Overall, this work offers a novel approach to the design of abdominal wall repair patches.
Source: crossref · Quality: baseline

Research context

OpenAlex topics: Biological and pharmacological studies of plants · Wound Healing and Treatments · Music Therapy and Health

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

Department of Neurosurgery, The Fourth Central Hospital of Baoding City , Baoding 072350, China

Research Center for Biomedical Engineering, Medical Innovation & Research Division, Chinese PLA General Hospital, Key Laboratory of Biomedical Engineering and Translational Medicine, Ministry of Industry and Information Technology , Beijing 100853, China

Key Laboratory for Biomechanics and Mechanobiology of Ministry of Education, Beijing Advanced Innovation Center for Biomedical Engineering, School of Biological Science and Medical Engineering, Beihang University , Beijing 100083, China

College of Lab Medicine, Hebei North University , Zhangjiakou 075000, China

Key Laboratory of Advanced Materials of Ministry of Education, Tsinghua University , Beijing 100084, China

Funding

National Natural Science Foundation of China

References (50)

Show source-provided references
1. Chinese expert consensus on adult ventral abdominal wall defect repair and reconstruction10.1016/j.amjsurg.2020.11.024 ↗
2. Pure tissue inguinal hernia repair with the use of biological mesh: a 10-year follows up. A prospective study10.1007/s10029-019-01976-y ↗
3. Abdominal wall hernia repair: from prosthetic meshes to smart materials10.1016/j.mtbio.2023.100691 ↗
4. Prevention strategies of postoperative adhesion in soft tissues by applying biomaterials: based on the mechanisms of occurrence and development of adhesions
5. Infections associated with mesh repairs of abdominal wall hernias: are antimicrobial biomaterials the longed-for solution?10.1016/j.biomaterials.2018.03.017 ↗
6. Long-term recurrence and complications associated with elective incisional hernia repair10.1001/jama.2016.15217 ↗
7. Polypropylene mesh implantation for hernia repair causes myeloid cell-driven persistent inflammation10.1172/jci.insight.123862 ↗
8. Tannic acid-loaded hydrogel coating endues polypropylene mesh with hemostatic and anti-inflammatory capacity for facilitating pelvic floor repair10.1093/rb/rbac074 ↗
9. Dihydromyricetin-incorporated multilayer nanofibers accelerate chronic wound healing by remodeling the harsh wound microenvironment10.1007/s42765-022-00180-5 ↗
10. Structural and functional design of electrospun nanofibers for hemostasis and wound healing10.1007/s42765-022-00178-z ↗
11. Evaluation of the effectiveness of alginate-based hydrogels in preventing peritoneal adhesions10.1093/rb/rbad017 ↗
12. Functionalized strategies and mechanisms of the emerging mesh for abdominal wall repair and regeneration10.1021/acsbiomaterials.1c00118 ↗
13. Amino acid-based poly(ester urea) copolymer films for hernia-repair applications10.1016/j.biomaterials.2018.08.003 ↗
14. Tissue-Adhesive decellularized extracellular matrix patches reinforced by a supramolecular gelator to repair abdominal wall defects10.1021/acs.biomac.2c01210 ↗
15. Biomimetic peptide dynamic hydrogel inspired by humanized defensin nanonets as the wound-healing gel coating10.1016/j.cej.2023.144266 ↗
16. Combination of polypropylene mesh and in situ injectable Mussel-Inspired hydrogel in laparoscopic hernia repair for preventing post-surgical adhesions in the piglet model10.1021/acsbiomaterials.9b01333 ↗
17. Resorbable synthetic meshes for abdominal wall defects in preclinical setting: a literature review10.1016/j.jss.2018.11.054 ↗
18. Physically cross-linked chitosan-based hydrogels for tissue engineering applications: a state-of-the-art review10.1016/j.eurpolymj.2020.110176 ↗
19. Chitosan: structural modification, biological activity and application10.1016/j.ijbiomac.2020.09.042 ↗
20. Multilayer fibroin/chitosan oligosaccharide lactate and pullulan immunomodulatory patch for treatment of hernia and prevention of intraperitoneal adhesion10.1016/j.carbpol.2021.118066 ↗
21. Biodegradable and injectable in situ cross-linking chitosan-hyaluronic acid based hydrogels for postoperative adhesion prevention10.1016/j.biomaterials.2014.01.050 ↗
22. Chitin and derivative chitosan-based structures—preparation strategies aided by deep eutectic solvents: a review10.1016/j.carbpol.2021.118702 ↗
23. A CS-based composite scaffold with excellent photothermal effect and its application in full-thickness skin wound healing10.1093/rb/rbad028 ↗
24. Bletilla striata: medicinal uses, phytochemistry and pharmacological activities10.1016/j.jep.2016.11.026 ↗
25. Extraction, characterization, utilization as wound dressing and drug delivery of Bletilla striata polysaccharide: a review10.1016/j.ijbiomac.2018.09.028 ↗
26. Bletilla striata polysaccharide inhibits angiotensin II-induced ROS and inflammation via NOX4 and TLR2 pathways10.1016/j.ijbiomac.2016.05.002 ↗
27. Oxidized Bletilla rhizome polysaccharide-based aerogel with synergistic antibiosis and hemostasis for wound healing10.1016/j.carbpol.2022.119696 ↗
28. Development of the mussel-inspired pH-responsive hydrogel based on Bletilla striata polysaccharide with enhanced adhesiveness and antioxidant properties10.1016/j.colsurfb.2021.112066 ↗
29. Investigation into the physical properties, antioxidant and antibacterial activity of Bletilla striata polysaccharide/chitosan membranes10.1016/j.ijbiomac.2021.04.037 ↗
30. Fabrication of sustainable hydrogels-based chitosan schiff base and their potential applications10.1016/j.arabjc.2021.103511 ↗
31. Preparation and evaluation of chitosan/alginate porous microspheres/Bletilla striata polysaccharide composite hemostatic sponges10.1016/j.carbpol.2017.06.112 ↗
32. Effect of microporosity on scaffolds for bone tissue engineering10.1093/rb/rby001 ↗
33. Synthesis and characterization of new chitosan-based schiff base compounds10.1016/j.carbpol.2016.02.076 ↗
34. Assembled anti-adhesion polypropylene mesh with self-fixable and degradable in situ mussel-inspired hydrogel coating for abdominal wall defect repair10.1039/C8BM00824H ↗
35. Self-healing chitosan/vanillin hydrogels based on schiff-base bond/hydrogen bond hybrid linkages10.1016/j.polymertesting.2018.01.016 ↗
36. Collagen-based injectable and self-healing hydrogel with multifunction for regenerative repairment of infected wounds10.1093/rb/rbad018 ↗
37. What affects the biocompatibility of polymers?10.1016/j.cis.2021.102451 ↗
38. Bone marrow mesenchymal stem cell sheets with high expression of hBD3 and CTGF promote periodontal regeneration10.1016/j.msec.2022.112657 ↗
39. Evaluation of polypropylene mesh coated with biological hydrogels for temporary closure of open abdomen10.1177/0885328216645950 ↗
40. Mussel-inspired copolymer-coated polypropylene mesh with anti-adhesion efficiency for abdominal wall defect repair10.1039/C8BM01198B ↗
41. Silk fibroin hydrogels for biomedical applications10.1002/SMMD.20220011 ↗
42. Wound healing: bioinspired multifunctional hybrid hydrogel promotes wound healing10.1002/adfm.201801386 ↗
43. Chitosan, alginate, hyaluronic acid and other novel multifunctional hydrogel dressings for wound healing: a review10.1016/j.ijbiomac.2023.124321 ↗
44. Immunomodulatory biomaterial-based wound dressings advance the healing of chronic wounds via regulating macrophage behavior10.1093/rb/rbac065 ↗
45. The dynamic changes of monocytes and cytokines during wound healing post-burn injury10.1016/j.cyto.2023.156231 ↗
46. Monocyte phenotype as a predictive marker for wound healing in diabetes-related foot ulcers10.1016/j.jdiacomp.2021.107889 ↗
47. Degradative polylactide nanofibers promote M2 macrophage polarization via STAT6 pathway in peritendinous adhesion10.1016/j.compositesb.2023.110520 ↗
48. Antimicrobial and wound healing properties associated with umbilical cord derived monocytes and platelet rich plasma10.1016/j.jcyt.2018.02.322 ↗
49. Ghrelin and leptin regulating wound healing10.1016/j.it.2022.08.005 ↗
50. Recent advances in strategies to target the behavior of macrophages in wound healing10.1016/j.biopha.2023.115199 ↗