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Erschienen in: European Journal of Plastic Surgery 5/2021

14.07.2021 | Experimental Study

Bromelain-ferula gum-loaded polyurethane nanofibers for bedsore healing in rats

verfasst von: Mir Ali Mousavi, Zahra Abdi, Narjes Khavasi, Saeed Sardari, Shahnaz Tofangchiha

Erschienen in: European Journal of Plastic Surgery | Ausgabe 5/2021

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Abstract

Background

Designing and preparing new dressing are encouraged to repair wounds in the hospitalized patients. In the present study, a new sandwich configuration, the polyurethane-polyvinyl alcohol (PU-PVA) dressing containing ferula gum (Fg) and bromelain (Br), was prepared with antibacterial property for bedsore treating.

Methods

PVA nanofibers containing bromelain were contained between two adjacent layers of the PU nanofibers containing Fg. Ischemia–reperfusion (I/R) injury was induced to the back region of rats on the left shoulder by five cycles per day for 5 days. The synthesized dressing was used for 10 days and was exchanged each day.

Results

According to the histological images using H&E staining method, the epidermal and dermal damages, bleeding and infiltration of monocytes, and neutrophils were observed in the PVA-Br and PU-Fg groups. The granulation, infiltration, bleeding, and inflammation were significantly decreased in the PU-F/PVA-Br/PU-Fg group. This group had more regular collagen fibers than the other groups, and the tissue was seemed to be the negative control group. The sore area in the PU-F/PVA-Br/PU-Fg group was significantly decreased compared with the other groups (p < 0.001).

Conclusions

The prepared dressing containing Br and Fg showed the healing properties in the skin of rats with bedsores. There is a need to test the synthesized dressing in the clinical setting to reach an effective result.
Level of evidence: Not ratable.
Literatur
1.
Zurück zum Zitat VanGilder C, Amlung S, Harrison P, Meyer S (2009) Results of the 2008–2009 International Pressure Ulcer Prevalence ™ Survey and a 3 year, acute care, unit specific analysis. Ostomy Wound Manag 55:39–45 VanGilder C, Amlung S, Harrison P, Meyer S (2009) Results of the 2008–2009 International Pressure Ulcer Prevalence ™ Survey and a 3 year, acute care, unit specific analysis. Ostomy Wound Manag 55:39–45
2.
Zurück zum Zitat Bhattacharya S, Mishra RK (2015) Pressure ulcers: current understanding and newer modalities of treatment. Indian J Plast Surg 48(1):4–16CrossRef Bhattacharya S, Mishra RK (2015) Pressure ulcers: current understanding and newer modalities of treatment. Indian J Plast Surg 48(1):4–16CrossRef
3.
Zurück zum Zitat Kirman CN, Geibel J. Pressure ulcers and wound care treatment and management. emedicine.medscape.com/article/190115‐treatment Kirman CN, Geibel J. Pressure ulcers and wound care treatment and management. emedicine.medscape.com/article/190115‐treatment
4.
Zurück zum Zitat Khil MS, Cha D, Kim HY, Kim IS, Bhattarai N (2003) Electrospun nanofibrous polyurethane membrane as wound dressing. J Biomed Mater Res B Appl Biomater 67(2):675–679CrossRef Khil MS, Cha D, Kim HY, Kim IS, Bhattarai N (2003) Electrospun nanofibrous polyurethane membrane as wound dressing. J Biomed Mater Res B Appl Biomater 67(2):675–679CrossRef
5.
Zurück zum Zitat Mousavi SN, Hosseini E, SeyedDorraji MS, Sheikh Mohammadi S, Pourmansouri Z, Rasoulifard MH, Doosti M, Chiti H (2021) Synthesis of a green bigel using cottonseed oil/cannabis oil/alginate/ferula gum for quercetin release: Synergistic effects for treating infertility in rats. Int J Biol Macromol 177:157–165CrossRef Mousavi SN, Hosseini E, SeyedDorraji MS, Sheikh Mohammadi S, Pourmansouri Z, Rasoulifard MH, Doosti M, Chiti H (2021) Synthesis of a green bigel using cottonseed oil/cannabis oil/alginate/ferula gum for quercetin release: Synergistic effects for treating infertility in rats. Int J Biol Macromol 177:157–165CrossRef
6.
Zurück zum Zitat Shidfar F, Faghihi A, Amiri HL, Mousavi SN (2018) Regression of nonalcoholic fatty liver disease with zinc and selenium co-supplementation after disease progression in rats. Iran J Med Sci 43(1):26–31PubMedPubMedCentral Shidfar F, Faghihi A, Amiri HL, Mousavi SN (2018) Regression of nonalcoholic fatty liver disease with zinc and selenium co-supplementation after disease progression in rats. Iran J Med Sci 43(1):26–31PubMedPubMedCentral
7.
Zurück zum Zitat Mousavi SN, Koohdani F, BaghabanEslaminejad M, Izadi P, Eshraghian M, AzamSayahpour F, Shafiei Neek L, Shidfar F (2016) Extra virgin olive oil in maternal diet increases osteogenic genes expression, but high amounts have deleterious effects on bones in mice offspring at adolescence. Iran J Basic Med Sci 19(12):1299–1307PubMedPubMedCentral Mousavi SN, Koohdani F, BaghabanEslaminejad M, Izadi P, Eshraghian M, AzamSayahpour F, Shafiei Neek L, Shidfar F (2016) Extra virgin olive oil in maternal diet increases osteogenic genes expression, but high amounts have deleterious effects on bones in mice offspring at adolescence. Iran J Basic Med Sci 19(12):1299–1307PubMedPubMedCentral
8.
Zurück zum Zitat Mousavi SN, Saboori S, Asbaghi O (2020) Effect of daily probiotic yogurt consumption on inflammation: a systematic review and meta-analysis of randomized Controlled Clinical trials. Obes Med. 18:100221CrossRef Mousavi SN, Saboori S, Asbaghi O (2020) Effect of daily probiotic yogurt consumption on inflammation: a systematic review and meta-analysis of randomized Controlled Clinical trials. Obes Med. 18:100221CrossRef
9.
Zurück zum Zitat Tadikonda A, Pentapati KC, Urala AS, Acharya S (2017) Anti-plaque and anti-gingivitis effect of Papain, Bromelain, Miswak and Neem containing dentifrice: A randomized controlled trial. J Clin Exp Dent 9(5):e649–e653PubMedPubMedCentral Tadikonda A, Pentapati KC, Urala AS, Acharya S (2017) Anti-plaque and anti-gingivitis effect of Papain, Bromelain, Miswak and Neem containing dentifrice: A randomized controlled trial. J Clin Exp Dent 9(5):e649–e653PubMedPubMedCentral
10.
Zurück zum Zitat Aiyegbusi AI, Duru FI, Anunobi CC, Noronha CC, Okanlawon AO (2011) Bromelain in the early phase of healing in acute crush Achilles tendon injury. Phytother Res 25(1):49–52CrossRef Aiyegbusi AI, Duru FI, Anunobi CC, Noronha CC, Okanlawon AO (2011) Bromelain in the early phase of healing in acute crush Achilles tendon injury. Phytother Res 25(1):49–52CrossRef
11.
Zurück zum Zitat MacKay D, Miller AL (2003) Nutritional support for wound healing. Altern Med Rev 8(4):359–377PubMed MacKay D, Miller AL (2003) Nutritional support for wound healing. Altern Med Rev 8(4):359–377PubMed
12.
Zurück zum Zitat Tan Y, Li P (2018) Bromelain has significant clinical benefits after extraction of the third molar during chemotherapy in patients with hematologic tumor. Oncol Lett 15(3):2962–2966PubMed Tan Y, Li P (2018) Bromelain has significant clinical benefits after extraction of the third molar during chemotherapy in patients with hematologic tumor. Oncol Lett 15(3):2962–2966PubMed
13.
Zurück zum Zitat Muhammad ZA, Ahmad T (2017) Therapeutic uses of pineapple-extracted bromelain in surgical care - A review. J Pak Med Assoc 67(1):121–125PubMed Muhammad ZA, Ahmad T (2017) Therapeutic uses of pineapple-extracted bromelain in surgical care - A review. J Pak Med Assoc 67(1):121–125PubMed
14.
Zurück zum Zitat Orsini RA (2006) Plastic Surgery Educational Foundation Technology Assessment Committee. Bromelain Plast Reconstr Surg 118(7):1640–1644CrossRef Orsini RA (2006) Plastic Surgery Educational Foundation Technology Assessment Committee. Bromelain Plast Reconstr Surg 118(7):1640–1644CrossRef
15.
Zurück zum Zitat Bhatnagar P, Patnaik S, Srivastava AK, Mudiam MK, Shukla Y, Panda AK, Pant AB, Kumar P, Gupta KC (2014) Anti-cancer activity of bromelain nanoparticles by oral administration. J Biomed Nanotechnol 10(12):3558–3575CrossRef Bhatnagar P, Patnaik S, Srivastava AK, Mudiam MK, Shukla Y, Panda AK, Pant AB, Kumar P, Gupta KC (2014) Anti-cancer activity of bromelain nanoparticles by oral administration. J Biomed Nanotechnol 10(12):3558–3575CrossRef
16.
Zurück zum Zitat Ataide JA, Gérios EF, Mazzola PG, Souto EB (2018) Bromelain-loaded nanoparticles: a comprehensive review of the state of the art. Adv Colloid Interf Sci 254:48–55CrossRef Ataide JA, Gérios EF, Mazzola PG, Souto EB (2018) Bromelain-loaded nanoparticles: a comprehensive review of the state of the art. Adv Colloid Interf Sci 254:48–55CrossRef
17.
Zurück zum Zitat Rachmawati H, Sulastri E, Immaculata Iwo M, Safitri D, Rahma A (2016) Bromelain encapsulated in self assembly nanoemulsion exhibits better debridement effect in animal model of burned skin. J Nano Res 40:158–166CrossRef Rachmawati H, Sulastri E, Immaculata Iwo M, Safitri D, Rahma A (2016) Bromelain encapsulated in self assembly nanoemulsion exhibits better debridement effect in animal model of burned skin. J Nano Res 40:158–166CrossRef
18.
Zurück zum Zitat Raghavan S (2007) Handbook of spices, seasonings, and flavorings. CRC Press, Boca Raton Raghavan S (2007) Handbook of spices, seasonings, and flavorings. CRC Press, Boca Raton
19.
Zurück zum Zitat Rollinger JM, Steindl TM, Schuster D, Kirchmair J, Anrain K, Ellmerer EP, Langer T, Stuppner H, Wutzler P, Schmidtke M (2008) Structure-based virtual screening for the discovery of natural inhibitors for human rhinovirus coat protein. J Med Chem 51:842–851CrossRef Rollinger JM, Steindl TM, Schuster D, Kirchmair J, Anrain K, Ellmerer EP, Langer T, Stuppner H, Wutzler P, Schmidtke M (2008) Structure-based virtual screening for the discovery of natural inhibitors for human rhinovirus coat protein. J Med Chem 51:842–851CrossRef
21.
Zurück zum Zitat Li C, Di Piro N, Cao Y, Szlachcic Y, Krause J (2016) The association between metabolic syndrome and pressure ulcers among individuals living with spinal cord injury. Spinal Cord 54(11):967CrossRef Li C, Di Piro N, Cao Y, Szlachcic Y, Krause J (2016) The association between metabolic syndrome and pressure ulcers among individuals living with spinal cord injury. Spinal Cord 54(11):967CrossRef
22.
Zurück zum Zitat Iyun AO, Malomo AO, Oluwatosin OM, Ademola SA, Shokunbi MT (2012) Pattern of presentation of pressure ulcers in traumatic spinal cord injured patients in university college hospital. Ibadan Int Wound J 9(2):206–213CrossRef Iyun AO, Malomo AO, Oluwatosin OM, Ademola SA, Shokunbi MT (2012) Pattern of presentation of pressure ulcers in traumatic spinal cord injured patients in university college hospital. Ibadan Int Wound J 9(2):206–213CrossRef
23.
Zurück zum Zitat Mokhtary N, Mousavi SN, Sotoudeh G, Qorbani M, Kalantar Z, Koohdani F (2020) Association between dietary inflammatory indices (DII, EDII) and obesity with consideration of Insertion/Deletion Apo B polymorphism in type 2 diabetic patients. Obesity Medicine. 19:100241CrossRef Mokhtary N, Mousavi SN, Sotoudeh G, Qorbani M, Kalantar Z, Koohdani F (2020) Association between dietary inflammatory indices (DII, EDII) and obesity with consideration of Insertion/Deletion Apo B polymorphism in type 2 diabetic patients. Obesity Medicine. 19:100241CrossRef
24.
Zurück zum Zitat Pham QP, Sharma U, Mikos AG (2006) Electrospinning of polymeric nanofibers for tissue engineering applications: a review. Tissue Eng 12:5CrossRef Pham QP, Sharma U, Mikos AG (2006) Electrospinning of polymeric nanofibers for tissue engineering applications: a review. Tissue Eng 12:5CrossRef
25.
Zurück zum Zitat Doosti M, SeyedDorraji MS, Mousavi SN, Rasoulifard MH, Hosseini SH (2019) Enhancing quercetin bioavailability by super paramagnetic starch-based hydrogel grafted with fumaric acid: An in vitro and in vivo study. Colloids Surf B: Biointerfaces 183:110487CrossRef Doosti M, SeyedDorraji MS, Mousavi SN, Rasoulifard MH, Hosseini SH (2019) Enhancing quercetin bioavailability by super paramagnetic starch-based hydrogel grafted with fumaric acid: An in vitro and in vivo study. Colloids Surf B: Biointerfaces 183:110487CrossRef
26.
Zurück zum Zitat Miguel SP, Figueira DR, Simões D, Ribeiro MP, Coutinho P, Ferreira P, Correia IJ (2018) Electrospun polymeric nanofibres as wound dressings: a review. Colloids Surf, B 169:60–71CrossRef Miguel SP, Figueira DR, Simões D, Ribeiro MP, Coutinho P, Ferreira P, Correia IJ (2018) Electrospun polymeric nanofibres as wound dressings: a review. Colloids Surf, B 169:60–71CrossRef
27.
Zurück zum Zitat Soheilifar S, Bidgoli M, Hooshyarfard A, Shahbazi A, Vahdatinia F, Khoshkhooie F (2018) Effect of oral bromelain on wound healing, pain, and bleeding at donor site following free gingival grafting: a clinical trial. J Dent 15:309–316 Soheilifar S, Bidgoli M, Hooshyarfard A, Shahbazi A, Vahdatinia F, Khoshkhooie F (2018) Effect of oral bromelain on wound healing, pain, and bleeding at donor site following free gingival grafting: a clinical trial. J Dent 15:309–316
28.
Zurück zum Zitat Aichele K, Bubel M, Deubel G, Pohlemann T, Oberringer M (2013) Bromelain down-regulates myofibroblast differentiation in an in vitro wound healing assay. Naunyn Schmiedeberg’s Arch Pharmacol 386(10):853–863 Aichele K, Bubel M, Deubel G, Pohlemann T, Oberringer M (2013) Bromelain down-regulates myofibroblast differentiation in an in vitro wound healing assay. Naunyn Schmiedeberg’s Arch Pharmacol 386(10):853–863
29.
Zurück zum Zitat Gunde M, AmnerNar N (2016) An investigation on burn wound healing in rats with chitosan gel formulation containing plant enzymes. Int J Innov Res Sci Eng Technol 6:120–124 Gunde M, AmnerNar N (2016) An investigation on burn wound healing in rats with chitosan gel formulation containing plant enzymes. Int J Innov Res Sci Eng Technol 6:120–124
30.
Zurück zum Zitat Aminzare M, Abbasi Z, Amiri E, Hashemi M, Raeisi M, Mousavi N, Hassanzad Azar H (2017) Colibacillosis phytotherapy: an overview on the most important world medicinal plants effective on Escherichia coli. Pharm Sci Res. 5:629–636 Aminzare M, Abbasi Z, Amiri E, Hashemi M, Raeisi M, Mousavi N, Hassanzad Azar H (2017) Colibacillosis phytotherapy: an overview on the most important world medicinal plants effective on Escherichia coli. Pharm Sci Res. 5:629–636
31.
Zurück zum Zitat Mousavi SN, Faghihi A, Motaghinejad M, Shiasi M, Imanparast F, Amiri HL, Shidfar F (2018) Zinc and selenium co-supplementation reduces some lipid peroxidation and angiogenesis markers in a rat model of NAFLD-fed high fat diet. Biol Trace Elem Res 181(2):288–295CrossRef Mousavi SN, Faghihi A, Motaghinejad M, Shiasi M, Imanparast F, Amiri HL, Shidfar F (2018) Zinc and selenium co-supplementation reduces some lipid peroxidation and angiogenesis markers in a rat model of NAFLD-fed high fat diet. Biol Trace Elem Res 181(2):288–295CrossRef
32.
Zurück zum Zitat Pavan R, Jain S, Kumar A (2012) Properties and therapeutic application of bromelain: a review. Biotechnol Res Int 976203:1–6CrossRef Pavan R, Jain S, Kumar A (2012) Properties and therapeutic application of bromelain: a review. Biotechnol Res Int 976203:1–6CrossRef
33.
Zurück zum Zitat Sajeev US, AnoopAnand K, Menon D, Nair S (2008) Control of nanostructures in PVA, PVA/chitosan blends and PCL through electrospinning. Bull Mater Sci 31:343–351CrossRef Sajeev US, AnoopAnand K, Menon D, Nair S (2008) Control of nanostructures in PVA, PVA/chitosan blends and PCL through electrospinning. Bull Mater Sci 31:343–351CrossRef
Metadaten
Titel
Bromelain-ferula gum-loaded polyurethane nanofibers for bedsore healing in rats
verfasst von
Mir Ali Mousavi
Zahra Abdi
Narjes Khavasi
Saeed Sardari
Shahnaz Tofangchiha
Publikationsdatum
14.07.2021
Verlag
Springer Berlin Heidelberg
Erschienen in
European Journal of Plastic Surgery / Ausgabe 5/2021
Print ISSN: 0930-343X
Elektronische ISSN: 1435-0130
DOI
https://doi.org/10.1007/s00238-021-01848-8

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