Injectable in situ cross-linking chitosan-hyaluronic acid based hydrogels for abdominal tissue regeneration

Abstract Abdominal wall defect caused by open abdomen (OA) or abdominal trauma is a serious issue since it induces several clinical problems. Although a variety of prosthetic materials are commonly employed, complications occur including host soft tissue response, fistula formation and chronic patie...

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Main Authors: Youming Deng, Jianan Ren, Guopu Chen, Guanwei Li, Xiuwen Wu, Gefei Wang, Guosheng Gu, Jieshou Li
Format: Article
Language:English
Published: Nature Portfolio 2017-06-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-017-02962-z
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author Youming Deng
Jianan Ren
Guopu Chen
Guanwei Li
Xiuwen Wu
Gefei Wang
Guosheng Gu
Jieshou Li
author_facet Youming Deng
Jianan Ren
Guopu Chen
Guanwei Li
Xiuwen Wu
Gefei Wang
Guosheng Gu
Jieshou Li
author_sort Youming Deng
collection DOAJ
description Abstract Abdominal wall defect caused by open abdomen (OA) or abdominal trauma is a serious issue since it induces several clinical problems. Although a variety of prosthetic materials are commonly employed, complications occur including host soft tissue response, fistula formation and chronic patient discomfort. Recently, abundant natural polymers have been used for injectable hydrogel synthesis in tissue regeneration. In this study, we produced the chitosan - hyaluronic acid (CS/HA) hydrogel and investigated its effects on abdominal tissue regeneration. The physical and biological properties of the hydrogel were demonstrated to be suitable for application in abdominal wounds. In a rat model simulating open abdomen and large abdominal wall defect, rapid cellular response, sufficient ECM deposition and marked neovascularization were found after the application of the hydrogel, compared to the control group and fibrin gel group. Further, the possible mechanism of these findings was studied. Cytokines involved in angiogenesis and cellular response were increased and the skew toward M2 macrophages credited with the functions of anti-inflammation and tissue repair was showed in CS/HA hydrogel group. These findings suggested that CS/HA hydrogel could prevent the complications and was promising for abdominal tissue regeneration.
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spelling doaj.art-d4cc6627be354173803dfc80bed03bf72022-12-21T20:36:43ZengNature PortfolioScientific Reports2045-23222017-06-017111310.1038/s41598-017-02962-zInjectable in situ cross-linking chitosan-hyaluronic acid based hydrogels for abdominal tissue regenerationYouming Deng0Jianan Ren1Guopu Chen2Guanwei Li3Xiuwen Wu4Gefei Wang5Guosheng Gu6Jieshou Li7Department of General Surgery, Jinling Hospital, Medical School of Nanjing UniversityDepartment of General Surgery, Jinling Hospital, Medical School of Nanjing UniversityDepartment of General Surgery, Jinling Hospital, Medical School of Nanjing UniversityDepartment of General Surgery, Jinling Hospital, Medical School of Nanjing UniversityDepartment of General Surgery, Jinling Hospital, Medical School of Nanjing UniversityDepartment of General Surgery, Jinling Hospital, Medical School of Nanjing UniversityDepartment of General Surgery, Jinling Hospital, Medical School of Nanjing UniversityDepartment of General Surgery, Jinling Hospital, Medical School of Nanjing UniversityAbstract Abdominal wall defect caused by open abdomen (OA) or abdominal trauma is a serious issue since it induces several clinical problems. Although a variety of prosthetic materials are commonly employed, complications occur including host soft tissue response, fistula formation and chronic patient discomfort. Recently, abundant natural polymers have been used for injectable hydrogel synthesis in tissue regeneration. In this study, we produced the chitosan - hyaluronic acid (CS/HA) hydrogel and investigated its effects on abdominal tissue regeneration. The physical and biological properties of the hydrogel were demonstrated to be suitable for application in abdominal wounds. In a rat model simulating open abdomen and large abdominal wall defect, rapid cellular response, sufficient ECM deposition and marked neovascularization were found after the application of the hydrogel, compared to the control group and fibrin gel group. Further, the possible mechanism of these findings was studied. Cytokines involved in angiogenesis and cellular response were increased and the skew toward M2 macrophages credited with the functions of anti-inflammation and tissue repair was showed in CS/HA hydrogel group. These findings suggested that CS/HA hydrogel could prevent the complications and was promising for abdominal tissue regeneration.https://doi.org/10.1038/s41598-017-02962-z
spellingShingle Youming Deng
Jianan Ren
Guopu Chen
Guanwei Li
Xiuwen Wu
Gefei Wang
Guosheng Gu
Jieshou Li
Injectable in situ cross-linking chitosan-hyaluronic acid based hydrogels for abdominal tissue regeneration
Scientific Reports
title Injectable in situ cross-linking chitosan-hyaluronic acid based hydrogels for abdominal tissue regeneration
title_full Injectable in situ cross-linking chitosan-hyaluronic acid based hydrogels for abdominal tissue regeneration
title_fullStr Injectable in situ cross-linking chitosan-hyaluronic acid based hydrogels for abdominal tissue regeneration
title_full_unstemmed Injectable in situ cross-linking chitosan-hyaluronic acid based hydrogels for abdominal tissue regeneration
title_short Injectable in situ cross-linking chitosan-hyaluronic acid based hydrogels for abdominal tissue regeneration
title_sort injectable in situ cross linking chitosan hyaluronic acid based hydrogels for abdominal tissue regeneration
url https://doi.org/10.1038/s41598-017-02962-z
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