Chitosan-Based Hemostatic Hydrogels: The Concept, Mechanism, Application, and Prospects

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Abstract

The design of new hemostatic materials to mitigate uncontrolled bleeding in emergencies is challenging. Chitosan-based hemostatic hydrogels have frequently been used for hemostasis due to their unique biocompatibility, tunable mechanical properties, injectability, and ease of handling. Moreover, chitosan (CS) absorbs red blood cells and activates platelets to promote hemostasis. Benefiting from these desired properties, the hemostatic application of CS hydrogels is attracting ever-increasing research attention. This paper reviews the recent research progress of CS-based hemostatic hydrogels and their advantageous characteristics compared to traditional hemostatic materials. The effects of the hemostatic mechanism, effects of deacetylation degree, relative molecular mass, and chemical modification on the hemostatic performance of CS hydrogels are summarized. Meanwhile, some typical applications of CS hydrogels are introduced to provide references for the preparation of efficient hemostatic hydrogels. Finally, the future perspectives of CS-based hemostatic hydrogels are presented.

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Dual-Dynamic-Bond Cross-Linked Antibacterial Adhesive Hydrogel Sealants with On-Demand Removability for Post-Wound-Closure and Infected Wound Healing

Yuqing Liang, Zhenlong Li, Ying Huang … (2021)

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CHITOSAN AS AN ENVIRONMENT FRIENDLY BIOMATERIAL – A REVIEW ON RECENT MODIFICATIONS AND APPLICATIONS

Prasanna Bakshia, D. Selvakumara, K. Kadirvelub … (2019)

Amongst the natural polymers, chitin is the second most abundant, present mainly in fungi and exoskeleton of crustaceans. It forms a major part of the seafood waste as compiled and presented in this review and is de-acetylated to produce chitosan. Structure and properties of chitosan have been described. Biocompatible and biodegradable characteristics of chitosan have been well studied. In addition to the environmental sustainability associated with its use, the malleability of chitosan due to its reactive amino and hydroxyl groups, adds to its wide repertoire in usage through various modifications. Recent publications of chitosan and derivatives have been classified into its various applications in food, pharmaceutical, biotechnology, medical, textile, paper, agriculture and environmental applications. The abundance of chitosan and diversity in modifications can be effectively utilized in various applications leading to environmental friendly solutions as highlighted in this review.

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New fundamentals in hemostasis.

Pieter Reitsma, Henri Versteeg, Marcel Levi … (2012)

Hemostasis encompasses the tightly regulated processes of blood clotting, platelet activation, and vascular repair. After wounding, the hemostatic system engages a plethora of vascular and extravascular receptors that act in concert with blood components to seal off the damage inflicted to the vasculature and the surrounding tissue. The first important component that contributes to hemostasis is the coagulation system, while the second important component starts with platelet activation, which not only contributes to the hemostatic plug, but also accelerates the coagulation system. Eventually, coagulation and platelet activation are switched off by blood-borne inhibitors and proteolytic feedback loops. This review summarizes new concepts of activation of proteases that regulate coagulation and anticoagulation, to give rise to transient thrombin generation and fibrin clot formation. It further speculates on the (patho)physiological roles of intra- and extravascular receptors that operate in response to these proteases. Furthermore, this review provides a new framework for understanding how signaling and adhesive interactions between endothelial cells, leukocytes, and platelets can regulate thrombus formation and modulate the coagulation process. Now that the key molecular players of coagulation and platelet activation have become clear, and their complex interactions with the vessel wall have been mapped out, we can also better speculate on the causes of thrombosis-related angiopathies.