Fabrication of fiber-particle structures by electrospinning/electrospray combination as an intrinsic antioxidant and oxygen-releasing wound dressing
In this study, we employed a combination of electrospinning and electrospray techniques to fabricate wound dressings with a particle-fiber structure, providing dual characteristics of oxygen-releasing and intrinsic antioxidant properties, simultaneously. The electrospun part of the dressing was prep...
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Veröffentlicht in: | Journal of materials chemistry. B, Materials for biology and medicine Materials for biology and medicine, 2024-09, Vol.12 (36), p.974-997 |
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creator | Soheili, Shima Dolatyar, Banafsheh Adabi, Mohammad Reza Lotfollahi, Darya Shahrousvand, Mohsen Zahedi, Payam Seyedjafari, Ehsan Mohammadi-Rovshandeh, Jamshid |
description | In this study, we employed a combination of electrospinning and electrospray techniques to fabricate wound dressings with a particle-fiber structure, providing dual characteristics of oxygen-releasing and intrinsic antioxidant properties, simultaneously. The electrospun part of the dressing was prepared from a blend of polycaprolactone/gallic acid-
grafted
-gelatin (GA-
g
-GE), enabling intrinsic ROS scavenging. To the best of our knowledge, this is the first time that PCL/GA-
g
-GE was fabricated by electrospinning. Furthermore, polyvinyl pyrrolidone (PVP) microparticles, containing calcium peroxide nanoparticles (CNPs), were considered as the oxygen production agent through the electrospray part. The CNP content was 1% and 3% w/w of PVP while biopolymer:PCL was 10% w/w. The fabricated structures were characterized in terms of fiber/particle morphology, elemental analysis, oxygen release behavior, ROS inhibition capacity, and water contact angle assessments. The covalent bonding of gallic acid to gelatin was confirmed by
1
H-NMR, UV spectroscopy, and FTIR. According to the SEM results, the morphology of the prepared PCL/biopolymer fibers was bead-free and with a uniform average diameter. The analysis of released oxygen showed that by increasing the weight percentage of CNPs from 1 to 3 wt%, the amount of released oxygen increased from 120 mmHg to 195 mmHg in 24 h, which remained almost constant until 72 h. The obtained DPPH assay results revealed that the introduction of GA-
g
-GE into the fibrous structure could significantly improve the antioxidant properties of wound dressing compared to the control group without CNPs and modified gelatine.
In vitro
, the fabricated wound dressings were evaluated in terms of biocompatibility and the potential of the dressing to protect human dermal fibroblasts under oxidative stress and hypoxia conditions by an MTT assay. The presence of GA-
g
-GE led to remarkable protection of the cells against oxidative stress and hypoxia conditions.
In vivo
studies revealed that the incorporation of intrinsic ROS inhibition and oxygen-releasing properties could significantly accelerate the wound closure rate during the experimental period (7, 14, and 21 days). Additionally, histopathological investigations in terms of H&E and Masson's trichrome staining showed that the incorporation of the two mentioned capabilities remarkably facilitated the wound-healing process.
A schematic representation of the fabrication process of wound dres |
doi_str_mv | 10.1039/d4tb00270a |
format | Article |
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grafted
-gelatin (GA-
g
-GE), enabling intrinsic ROS scavenging. To the best of our knowledge, this is the first time that PCL/GA-
g
-GE was fabricated by electrospinning. Furthermore, polyvinyl pyrrolidone (PVP) microparticles, containing calcium peroxide nanoparticles (CNPs), were considered as the oxygen production agent through the electrospray part. The CNP content was 1% and 3% w/w of PVP while biopolymer:PCL was 10% w/w. The fabricated structures were characterized in terms of fiber/particle morphology, elemental analysis, oxygen release behavior, ROS inhibition capacity, and water contact angle assessments. The covalent bonding of gallic acid to gelatin was confirmed by
1
H-NMR, UV spectroscopy, and FTIR. According to the SEM results, the morphology of the prepared PCL/biopolymer fibers was bead-free and with a uniform average diameter. The analysis of released oxygen showed that by increasing the weight percentage of CNPs from 1 to 3 wt%, the amount of released oxygen increased from 120 mmHg to 195 mmHg in 24 h, which remained almost constant until 72 h. The obtained DPPH assay results revealed that the introduction of GA-
g
-GE into the fibrous structure could significantly improve the antioxidant properties of wound dressing compared to the control group without CNPs and modified gelatine.
In vitro
, the fabricated wound dressings were evaluated in terms of biocompatibility and the potential of the dressing to protect human dermal fibroblasts under oxidative stress and hypoxia conditions by an MTT assay. The presence of GA-
g
-GE led to remarkable protection of the cells against oxidative stress and hypoxia conditions.
In vivo
studies revealed that the incorporation of intrinsic ROS inhibition and oxygen-releasing properties could significantly accelerate the wound closure rate during the experimental period (7, 14, and 21 days). Additionally, histopathological investigations in terms of H&E and Masson's trichrome staining showed that the incorporation of the two mentioned capabilities remarkably facilitated the wound-healing process.
A schematic representation of the fabrication process of wound dressing with intrinsic antioxidant and oxygen-releasing properties.</description><identifier>ISSN: 2050-750X</identifier><identifier>ISSN: 2050-7518</identifier><identifier>EISSN: 2050-7518</identifier><identifier>DOI: 10.1039/d4tb00270a</identifier><identifier>PMID: 39171375</identifier><language>eng</language><publisher>England: Royal Society of Chemistry</publisher><subject>Animals ; Antioxidants ; Antioxidants - chemistry ; Antioxidants - pharmacology ; Bandages ; Biocompatibility ; Biocompatible Materials - chemical synthesis ; Biocompatible Materials - chemistry ; Biocompatible Materials - pharmacology ; Biopolymers ; Bonding ; Chemical analysis ; Contact angle ; Electrospinning ; Electrospraying ; Fabrication ; Fibrous structure ; Gallic acid ; Gallic Acid - chemistry ; Gallic Acid - pharmacology ; Gelatin ; Gelatin - chemistry ; Humans ; Hypoxia ; In vivo methods and tests ; Medical dressings ; Microparticles ; Morphology ; Nanoparticles ; Nanoparticles - chemistry ; NMR ; Nuclear magnetic resonance ; Oxidative stress ; Oxygen ; Oxygen - chemistry ; Oxygen production ; Particle Size ; Polycaprolactone ; Polyesters - chemistry ; Polyvinylpyrrolidone ; Rats ; Reactive oxygen species ; Reactive Oxygen Species - metabolism ; Releasing ; Scavenging ; Ultraviolet spectroscopy ; Wound healing ; Wound Healing - drug effects</subject><ispartof>Journal of materials chemistry. B, Materials for biology and medicine, 2024-09, Vol.12 (36), p.974-997</ispartof><rights>Copyright Royal Society of Chemistry 2024</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c226t-6b9ba87e4fcd45a2c88ae68a697f74acbdb45933c81a9e1da9709b14d7e32cf43</cites><orcidid>0000-0002-9514-2575 ; 0000-0002-0461-8145 ; 0000-0001-5715-2679 ; 0000-0001-6636-4534</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39171375$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Soheili, Shima</creatorcontrib><creatorcontrib>Dolatyar, Banafsheh</creatorcontrib><creatorcontrib>Adabi, Mohammad Reza</creatorcontrib><creatorcontrib>Lotfollahi, Darya</creatorcontrib><creatorcontrib>Shahrousvand, Mohsen</creatorcontrib><creatorcontrib>Zahedi, Payam</creatorcontrib><creatorcontrib>Seyedjafari, Ehsan</creatorcontrib><creatorcontrib>Mohammadi-Rovshandeh, Jamshid</creatorcontrib><title>Fabrication of fiber-particle structures by electrospinning/electrospray combination as an intrinsic antioxidant and oxygen-releasing wound dressing</title><title>Journal of materials chemistry. B, Materials for biology and medicine</title><addtitle>J Mater Chem B</addtitle><description>In this study, we employed a combination of electrospinning and electrospray techniques to fabricate wound dressings with a particle-fiber structure, providing dual characteristics of oxygen-releasing and intrinsic antioxidant properties, simultaneously. The electrospun part of the dressing was prepared from a blend of polycaprolactone/gallic acid-
grafted
-gelatin (GA-
g
-GE), enabling intrinsic ROS scavenging. To the best of our knowledge, this is the first time that PCL/GA-
g
-GE was fabricated by electrospinning. Furthermore, polyvinyl pyrrolidone (PVP) microparticles, containing calcium peroxide nanoparticles (CNPs), were considered as the oxygen production agent through the electrospray part. The CNP content was 1% and 3% w/w of PVP while biopolymer:PCL was 10% w/w. The fabricated structures were characterized in terms of fiber/particle morphology, elemental analysis, oxygen release behavior, ROS inhibition capacity, and water contact angle assessments. The covalent bonding of gallic acid to gelatin was confirmed by
1
H-NMR, UV spectroscopy, and FTIR. According to the SEM results, the morphology of the prepared PCL/biopolymer fibers was bead-free and with a uniform average diameter. The analysis of released oxygen showed that by increasing the weight percentage of CNPs from 1 to 3 wt%, the amount of released oxygen increased from 120 mmHg to 195 mmHg in 24 h, which remained almost constant until 72 h. The obtained DPPH assay results revealed that the introduction of GA-
g
-GE into the fibrous structure could significantly improve the antioxidant properties of wound dressing compared to the control group without CNPs and modified gelatine.
In vitro
, the fabricated wound dressings were evaluated in terms of biocompatibility and the potential of the dressing to protect human dermal fibroblasts under oxidative stress and hypoxia conditions by an MTT assay. The presence of GA-
g
-GE led to remarkable protection of the cells against oxidative stress and hypoxia conditions.
In vivo
studies revealed that the incorporation of intrinsic ROS inhibition and oxygen-releasing properties could significantly accelerate the wound closure rate during the experimental period (7, 14, and 21 days). Additionally, histopathological investigations in terms of H&E and Masson's trichrome staining showed that the incorporation of the two mentioned capabilities remarkably facilitated the wound-healing process.
A schematic representation of the fabrication process of wound dressing with intrinsic antioxidant and oxygen-releasing properties.</description><subject>Animals</subject><subject>Antioxidants</subject><subject>Antioxidants - chemistry</subject><subject>Antioxidants - pharmacology</subject><subject>Bandages</subject><subject>Biocompatibility</subject><subject>Biocompatible Materials - chemical synthesis</subject><subject>Biocompatible Materials - chemistry</subject><subject>Biocompatible Materials - pharmacology</subject><subject>Biopolymers</subject><subject>Bonding</subject><subject>Chemical analysis</subject><subject>Contact angle</subject><subject>Electrospinning</subject><subject>Electrospraying</subject><subject>Fabrication</subject><subject>Fibrous structure</subject><subject>Gallic acid</subject><subject>Gallic Acid - chemistry</subject><subject>Gallic Acid - pharmacology</subject><subject>Gelatin</subject><subject>Gelatin - chemistry</subject><subject>Humans</subject><subject>Hypoxia</subject><subject>In vivo methods and tests</subject><subject>Medical dressings</subject><subject>Microparticles</subject><subject>Morphology</subject><subject>Nanoparticles</subject><subject>Nanoparticles - chemistry</subject><subject>NMR</subject><subject>Nuclear magnetic resonance</subject><subject>Oxidative stress</subject><subject>Oxygen</subject><subject>Oxygen - chemistry</subject><subject>Oxygen production</subject><subject>Particle Size</subject><subject>Polycaprolactone</subject><subject>Polyesters - chemistry</subject><subject>Polyvinylpyrrolidone</subject><subject>Rats</subject><subject>Reactive oxygen species</subject><subject>Reactive Oxygen Species - metabolism</subject><subject>Releasing</subject><subject>Scavenging</subject><subject>Ultraviolet spectroscopy</subject><subject>Wound healing</subject><subject>Wound Healing - drug effects</subject><issn>2050-750X</issn><issn>2050-7518</issn><issn>2050-7518</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkU1LHTEUhoNYqlg33SsBN6UwNZlk8rG0trYFoRsL3Q0nHyORuck1yaD3f_QHN_baK5jNOe_Jw3tCXoTeU_KJEqbPHa-GkF4S2EOHPRlIJweq9nc9-X2Ajku5I-0oKhTjb9EB01RSJodD9OcKTA4WakgRpwlPwfjcrSHXYGePS82LrUv2BZsN9rO3NaeyDjGGeHu-0xk22KaVCXFrBAVDxCHWHGIJtok2fgyu1dY7nB43tz52uRlAaU74IS1t7NqeJ_kOvZlgLv74uR6hX1dfby6_d9c_v_24vLjubN-L2gmjDSjp-WQdH6C3SoEXCoSWk-RgjTN80IxZRUF76kBLog3lTnrW24mzI_Rh67vO6X7xpY6rUKyfZ4g-LWVkRA9C9b2WDT17hd6lJcf2upFRIjgVnIhGfdxStv1KyX4a1zmsIG9GSsanuMYv_Obzv7guGnz6bLmYlXc79H84DTjZArnY3e1L3uwv6DieEg</recordid><startdate>20240918</startdate><enddate>20240918</enddate><creator>Soheili, Shima</creator><creator>Dolatyar, Banafsheh</creator><creator>Adabi, Mohammad Reza</creator><creator>Lotfollahi, Darya</creator><creator>Shahrousvand, Mohsen</creator><creator>Zahedi, Payam</creator><creator>Seyedjafari, Ehsan</creator><creator>Mohammadi-Rovshandeh, Jamshid</creator><general>Royal Society of Chemistry</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QF</scope><scope>7QO</scope><scope>7QQ</scope><scope>7SC</scope><scope>7SE</scope><scope>7SP</scope><scope>7SR</scope><scope>7TA</scope><scope>7TB</scope><scope>7U5</scope><scope>8BQ</scope><scope>8FD</scope><scope>F28</scope><scope>FR3</scope><scope>H8D</scope><scope>H8G</scope><scope>JG9</scope><scope>JQ2</scope><scope>KR7</scope><scope>L7M</scope><scope>L~C</scope><scope>L~D</scope><scope>P64</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-9514-2575</orcidid><orcidid>https://orcid.org/0000-0002-0461-8145</orcidid><orcidid>https://orcid.org/0000-0001-5715-2679</orcidid><orcidid>https://orcid.org/0000-0001-6636-4534</orcidid></search><sort><creationdate>20240918</creationdate><title>Fabrication of fiber-particle structures by electrospinning/electrospray combination as an intrinsic antioxidant and oxygen-releasing wound dressing</title><author>Soheili, Shima ; Dolatyar, Banafsheh ; Adabi, Mohammad Reza ; Lotfollahi, Darya ; Shahrousvand, Mohsen ; Zahedi, Payam ; Seyedjafari, Ehsan ; Mohammadi-Rovshandeh, Jamshid</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c226t-6b9ba87e4fcd45a2c88ae68a697f74acbdb45933c81a9e1da9709b14d7e32cf43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Animals</topic><topic>Antioxidants</topic><topic>Antioxidants - chemistry</topic><topic>Antioxidants - pharmacology</topic><topic>Bandages</topic><topic>Biocompatibility</topic><topic>Biocompatible Materials - chemical synthesis</topic><topic>Biocompatible Materials - chemistry</topic><topic>Biocompatible Materials - pharmacology</topic><topic>Biopolymers</topic><topic>Bonding</topic><topic>Chemical analysis</topic><topic>Contact angle</topic><topic>Electrospinning</topic><topic>Electrospraying</topic><topic>Fabrication</topic><topic>Fibrous structure</topic><topic>Gallic acid</topic><topic>Gallic Acid - chemistry</topic><topic>Gallic Acid - pharmacology</topic><topic>Gelatin</topic><topic>Gelatin - chemistry</topic><topic>Humans</topic><topic>Hypoxia</topic><topic>In vivo methods and tests</topic><topic>Medical dressings</topic><topic>Microparticles</topic><topic>Morphology</topic><topic>Nanoparticles</topic><topic>Nanoparticles - chemistry</topic><topic>NMR</topic><topic>Nuclear magnetic resonance</topic><topic>Oxidative stress</topic><topic>Oxygen</topic><topic>Oxygen - chemistry</topic><topic>Oxygen production</topic><topic>Particle Size</topic><topic>Polycaprolactone</topic><topic>Polyesters - chemistry</topic><topic>Polyvinylpyrrolidone</topic><topic>Rats</topic><topic>Reactive oxygen species</topic><topic>Reactive Oxygen Species - metabolism</topic><topic>Releasing</topic><topic>Scavenging</topic><topic>Ultraviolet spectroscopy</topic><topic>Wound healing</topic><topic>Wound Healing - drug effects</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Soheili, Shima</creatorcontrib><creatorcontrib>Dolatyar, Banafsheh</creatorcontrib><creatorcontrib>Adabi, Mohammad Reza</creatorcontrib><creatorcontrib>Lotfollahi, Darya</creatorcontrib><creatorcontrib>Shahrousvand, Mohsen</creatorcontrib><creatorcontrib>Zahedi, Payam</creatorcontrib><creatorcontrib>Seyedjafari, Ehsan</creatorcontrib><creatorcontrib>Mohammadi-Rovshandeh, Jamshid</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Aluminium Industry Abstracts</collection><collection>Biotechnology Research Abstracts</collection><collection>Ceramic Abstracts</collection><collection>Computer and Information Systems Abstracts</collection><collection>Corrosion Abstracts</collection><collection>Electronics & Communications Abstracts</collection><collection>Engineered Materials Abstracts</collection><collection>Materials Business File</collection><collection>Mechanical & Transportation Engineering Abstracts</collection><collection>Solid State and Superconductivity Abstracts</collection><collection>METADEX</collection><collection>Technology Research Database</collection><collection>ANTE: Abstracts in New Technology & Engineering</collection><collection>Engineering Research Database</collection><collection>Aerospace Database</collection><collection>Copper Technical Reference Library</collection><collection>Materials Research Database</collection><collection>ProQuest Computer Science Collection</collection><collection>Civil Engineering Abstracts</collection><collection>Advanced Technologies Database with Aerospace</collection><collection>Computer and Information Systems Abstracts Academic</collection><collection>Computer and Information Systems Abstracts Professional</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of materials chemistry. B, Materials for biology and medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Soheili, Shima</au><au>Dolatyar, Banafsheh</au><au>Adabi, Mohammad Reza</au><au>Lotfollahi, Darya</au><au>Shahrousvand, Mohsen</au><au>Zahedi, Payam</au><au>Seyedjafari, Ehsan</au><au>Mohammadi-Rovshandeh, Jamshid</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Fabrication of fiber-particle structures by electrospinning/electrospray combination as an intrinsic antioxidant and oxygen-releasing wound dressing</atitle><jtitle>Journal of materials chemistry. B, Materials for biology and medicine</jtitle><addtitle>J Mater Chem B</addtitle><date>2024-09-18</date><risdate>2024</risdate><volume>12</volume><issue>36</issue><spage>974</spage><epage>997</epage><pages>974-997</pages><issn>2050-750X</issn><issn>2050-7518</issn><eissn>2050-7518</eissn><abstract>In this study, we employed a combination of electrospinning and electrospray techniques to fabricate wound dressings with a particle-fiber structure, providing dual characteristics of oxygen-releasing and intrinsic antioxidant properties, simultaneously. The electrospun part of the dressing was prepared from a blend of polycaprolactone/gallic acid-
grafted
-gelatin (GA-
g
-GE), enabling intrinsic ROS scavenging. To the best of our knowledge, this is the first time that PCL/GA-
g
-GE was fabricated by electrospinning. Furthermore, polyvinyl pyrrolidone (PVP) microparticles, containing calcium peroxide nanoparticles (CNPs), were considered as the oxygen production agent through the electrospray part. The CNP content was 1% and 3% w/w of PVP while biopolymer:PCL was 10% w/w. The fabricated structures were characterized in terms of fiber/particle morphology, elemental analysis, oxygen release behavior, ROS inhibition capacity, and water contact angle assessments. The covalent bonding of gallic acid to gelatin was confirmed by
1
H-NMR, UV spectroscopy, and FTIR. According to the SEM results, the morphology of the prepared PCL/biopolymer fibers was bead-free and with a uniform average diameter. The analysis of released oxygen showed that by increasing the weight percentage of CNPs from 1 to 3 wt%, the amount of released oxygen increased from 120 mmHg to 195 mmHg in 24 h, which remained almost constant until 72 h. The obtained DPPH assay results revealed that the introduction of GA-
g
-GE into the fibrous structure could significantly improve the antioxidant properties of wound dressing compared to the control group without CNPs and modified gelatine.
In vitro
, the fabricated wound dressings were evaluated in terms of biocompatibility and the potential of the dressing to protect human dermal fibroblasts under oxidative stress and hypoxia conditions by an MTT assay. The presence of GA-
g
-GE led to remarkable protection of the cells against oxidative stress and hypoxia conditions.
In vivo
studies revealed that the incorporation of intrinsic ROS inhibition and oxygen-releasing properties could significantly accelerate the wound closure rate during the experimental period (7, 14, and 21 days). Additionally, histopathological investigations in terms of H&E and Masson's trichrome staining showed that the incorporation of the two mentioned capabilities remarkably facilitated the wound-healing process.
A schematic representation of the fabrication process of wound dressing with intrinsic antioxidant and oxygen-releasing properties.</abstract><cop>England</cop><pub>Royal Society of Chemistry</pub><pmid>39171375</pmid><doi>10.1039/d4tb00270a</doi><tpages>24</tpages><orcidid>https://orcid.org/0000-0002-9514-2575</orcidid><orcidid>https://orcid.org/0000-0002-0461-8145</orcidid><orcidid>https://orcid.org/0000-0001-5715-2679</orcidid><orcidid>https://orcid.org/0000-0001-6636-4534</orcidid></addata></record> |
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source | MEDLINE; Royal Society Of Chemistry Journals |
subjects | Animals Antioxidants Antioxidants - chemistry Antioxidants - pharmacology Bandages Biocompatibility Biocompatible Materials - chemical synthesis Biocompatible Materials - chemistry Biocompatible Materials - pharmacology Biopolymers Bonding Chemical analysis Contact angle Electrospinning Electrospraying Fabrication Fibrous structure Gallic acid Gallic Acid - chemistry Gallic Acid - pharmacology Gelatin Gelatin - chemistry Humans Hypoxia In vivo methods and tests Medical dressings Microparticles Morphology Nanoparticles Nanoparticles - chemistry NMR Nuclear magnetic resonance Oxidative stress Oxygen Oxygen - chemistry Oxygen production Particle Size Polycaprolactone Polyesters - chemistry Polyvinylpyrrolidone Rats Reactive oxygen species Reactive Oxygen Species - metabolism Releasing Scavenging Ultraviolet spectroscopy Wound healing Wound Healing - drug effects |
title | Fabrication of fiber-particle structures by electrospinning/electrospray combination as an intrinsic antioxidant and oxygen-releasing wound dressing |
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