Nanosilver-Functionalized Hybrid Hydrogels of Carboxymethyl Cellulose/Poly(Vinyl Alcohol) with Antibacterial Activity for Prevention and Therapy of Infections of Diabetic Chronic Wounds

Diabetic foot ulcers (DFUs) are considered one of the most severe chronic complications of diabetes and can lead to amputation in severe cases. In addition, bacterial infections in diabetic chronic wounds aggravate this scenario by threatening human health. Wound dressings made of polymer matrices w...

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Veröffentlicht in:Polymers 2023-11, Vol.15 (23), p.4542
Hauptverfasser: Capanema, Nádia S V, Mansur, Alexandra A P, Carvalho, Sandhra M, Martins, Talita, Gonçalves, Maysa S, Andrade, Rafaella S, Dorneles, Elaine M S, Lima, Letícia C D, de Alvarenga, Érika L F C, da Fonseca, Emanuel V B, Sá, Marcos Augusto de, Lage, Andrey P, Lobato, Zelia I P, Mansur, Herman S
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container_end_page
container_issue 23
container_start_page 4542
container_title Polymers
container_volume 15
creator Capanema, Nádia S V
Mansur, Alexandra A P
Carvalho, Sandhra M
Martins, Talita
Gonçalves, Maysa S
Andrade, Rafaella S
Dorneles, Elaine M S
Lima, Letícia C D
de Alvarenga, Érika L F C
da Fonseca, Emanuel V B
Sá, Marcos Augusto de
Lage, Andrey P
Lobato, Zelia I P
Mansur, Herman S
description Diabetic foot ulcers (DFUs) are considered one of the most severe chronic complications of diabetes and can lead to amputation in severe cases. In addition, bacterial infections in diabetic chronic wounds aggravate this scenario by threatening human health. Wound dressings made of polymer matrices with embedded metal nanoparticles can inhibit microorganism growth and promote wound healing, although the current clinical treatments for diabetic chronic wounds remain unsatisfactory. In this view, this research reports the synthesis and characterization of innovative hybrid hydrogels made of carboxymethyl cellulose (CMC) and poly(vinyl alcohol) (PVA) chemically crosslinked by citric acid (CA) functionalized with silver nanoparticles (AgNPs) generated in situ using an eco-friendly aqueous process. The results assessed through comprehensive in vitro and in vivo assays demonstrated that these hybrid polymer hydrogels functionalized with AgNPs possess physicochemical properties, cytocompatibility, hemocompatibility, bioadhesion, antibacterial activity, and biocompatibility suitable for wound dressings to support chronic wound healing process as well as preventing and treating bacterial infections. Hence, it can be envisioned that, with further research and development, these polymer-based hybrid nanoplatforms hold great potential as an important tool for creating a new generation of smart dressings for treating chronic diabetic wounds and opportunistic bacterial infections.
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In addition, bacterial infections in diabetic chronic wounds aggravate this scenario by threatening human health. Wound dressings made of polymer matrices with embedded metal nanoparticles can inhibit microorganism growth and promote wound healing, although the current clinical treatments for diabetic chronic wounds remain unsatisfactory. In this view, this research reports the synthesis and characterization of innovative hybrid hydrogels made of carboxymethyl cellulose (CMC) and poly(vinyl alcohol) (PVA) chemically crosslinked by citric acid (CA) functionalized with silver nanoparticles (AgNPs) generated in situ using an eco-friendly aqueous process. The results assessed through comprehensive in vitro and in vivo assays demonstrated that these hybrid polymer hydrogels functionalized with AgNPs possess physicochemical properties, cytocompatibility, hemocompatibility, bioadhesion, antibacterial activity, and biocompatibility suitable for wound dressings to support chronic wound healing process as well as preventing and treating bacterial infections. 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subjects Antibacterial agents
Antibiotics
Bacteria
Bacterial infections
Biocompatibility
Biopolymers
Carboxymethyl cellulose
Care and treatment
Cellulose
Chemical properties
Chronic illnesses
Citric acid
Composite materials
Debridement
Diabetes
Diabetic foot
Drug resistance
Foot diseases
Gram-positive bacteria
Health aspects
Hydrogels
Hyperglycemia
Infection
Infections
Microorganisms
Nanoparticles
Polymers
Polyvinyl alcohol
R&D
Research & development
Silver
Skin
Tissue engineering
Type 2 diabetes
Ulcers
Wound healing
Wounds and injuries
title Nanosilver-Functionalized Hybrid Hydrogels of Carboxymethyl Cellulose/Poly(Vinyl Alcohol) with Antibacterial Activity for Prevention and Therapy of Infections of Diabetic Chronic Wounds
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