Instructive Wound Dressings Silk Fibroin and Paramylon Revolution
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"In her groundbreaking book, 'Instructive Wound Dressings: Silk Fibroin and Paramylon Revolution,' author Abigail Cowen delves into the cutting-edge realm of wound care with a meticulous exploration of silk fibroin and paramylon as revolutionary materials. With a keen eye for scientific detail and a passion for innovation, Cowen navigates the reader through the fascinating landscape of biomaterials, offering a comprehensive guide to their applications in wound dressings.
Silk fibroin, known for its remarkable strength and biocompatibility, takes center stage as Cowen unravels its potential to transform wound care. The book goes beyond the conventional as it introduces paramylon, a unique polysaccharide with promising attributes for enhancing the healing process. Cowen's expertise and engaging narrative style make complex scientific concepts accessible, ensuring that both healthcare professionals and curious minds alike can grasp the significance of these advancements.
'Instructive Wound Dressings' not only serves as a valuable resource for those in the medical field but also sparks curiosity about the limitless possibilities of nature-inspired solutions. Abigail Cowen invites readers on a journey into the future of wound care, where silk fibroin and paramylon stand at the forefront of a transformative revolution in healthcare."
"In her groundbreaking book, 'Instructive Wound Dressings: Silk Fibroin and Paramylon Revolution,' author Abigail Cowen delves into the cutting-edge realm of wound care with a meticulous exploration of silk fibroin and paramylon as revolutionary materials. With a keen eye for scientific detail and a passion for innovation, Cowen navigates the reader through the fascinating landscape of biomaterials, offering a comprehensive guide to their applications in wound dressings.
Silk fibroin, known for its remarkable strength and biocompatibility, takes center stage as Cowen unravels its potential to transform wound care. The book goes beyond the conventional as it introduces paramylon, a unique polysaccharide with promising attributes for enhancing the healing process. Cowen's expertise and engaging narrative style make complex scientific concepts accessible, ensuring that both healthcare professionals and curious minds alike can grasp the significance of these advancements.
'Instructive Wound Dressings' not only serves as a valuable resource for those in the medical field but also sparks curiosity about the limitless possibilities of nature-inspired solutions. Abigail Cowen invites readers on a journey into the future of wound care, where silk fibroin and paramylon stand at the forefront of a transformative revolution in healthcare."
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Instructive Wound Dressings Silk Fibroin and Paramylon Revolution - Abigail Cowen
ABSTRACT
Chronic wounds are one among the dangerous issues that are predicted to affect 2-6 crore people around the world by 2026 due to the endless rising of obesity, aging, diabetes and change in lifestyle. These wounds are more than just a cost burden, as they create immobility and worthlessness of life due to the disability to perform daily tasks. Factors responsible for the chronicity in wounds are continuous trauma, debilitating illness, increased bacterial protein, ischemia, excessive proteases, destruction of extracellular matrix (ECM) and growth factors that are mandatory for healing. Thus, to positively regulate the proteases like Matrix metalloproteases and to activate the growth factors and ECM, Biomimetics is one of the favourable approaches to develop an ECM like dressing to progress the wound healing process in chronic wounds. Due to the increasing interest and the ECM framework, Protein-Polysaccharide complex driven the curiosity in developing a biomimetic and instructive wound dressing usind silk fibroin protein and Paramylon polysaccharide-based complex of different forms have been studied to develop a self-care wound dressing for chronic wounds.
Primarily to study the suitability, silk fibroin and paramylon blended films was prepared in different ratio (100:0, 75:25, 50:50, 75:25 and 0:100). Later three forms of Silk fibroin and paramylon-based materials was fabricated such as (1) Silk Fibroin based non-woven mat functionalized with 0.25%, 0.5% and 1% paramylon (2) Alum loaded FG 75:25 coated cellulose sponge for exudate wounds and (3) Paramylon coated silk fibroin sponge sheet. The surface topography, molecular confirmation, wettability, porosity, swelling capacity, enzymatic degradation, hemolysis and cytotoxicity studies were studied for all three forms. In which, one from each was considered to
study the wound healing activity along with the paramylon release kinetics. It was observed that based on the swelling, degradation, porosity measurement and cytotoxicity studies, the nonwoven mats SBM25 was further studied for knowing its release and wound healing property that resulted in 92-99% of wound closure with 50% release of paramylon release. In the sponge forms, CAP and BPFS was considered based on the cytotoxicity and moderate swelling capacity. Eventhough CAP showed 97-99% of wound closure with about 50% release of paramylon, BPFS sponge showed only 37-49% wound closure with low release profile of paramylon below 19%. Thus, SBM25 nonwoven mat and CAP sponge was suggested for the future studies to be optimized and used as bandage for low depth wound and in wounds with more exudates respectively.
LIST OF FIGURES
FIGURE NO. TITLE PAGE NO.
Anatomy of Skin 2
Hemostasis 4
Inflammatory Phase 6
Proliferative Phase 7
Remodelling Phase 8
Acute Versus Chronic Wound Healing 9
Inflammation cycle that contributes to the
chronicity 12
Mechanisms during normal and abnormal ECM
turnover in the skin 16
(a) Mulberry Silk Cocoon (b) Microscopic image of Silk Protein with the core Fibroins & Sericin
coat 26
Applications of Various forms of Silk Fibroin 27
Appearance of SF, BG and Blend Films 35
Weight remaining pecentage of Silk Fibroin, Paramylon(BG) and their blend films in enzymatic and non-enzymatic degradation environment. Data represent mean±standard
error of the mean(n=3) 39
Percentage of Haemolytic activity in SF,
Paramylon (BG) and their blend films. Data
represent mean±standard error of the mean(n=3) 40
FIGURE NO. TITLE PAGE NO.
Effect of SF, BG and their blend films on HEK 293T cell viability. MTT assay of HEK 293T cells for 24 and 72 hours. Data represent
mean±standard error of the mean(n=3) 41
Intrinsic coagulation factors activation
measurement curve 42
ln vitro drug release profile of FG 75:25 film:
(a) Paramylon calibration curve (b) Paramylon release profile of FG 75:25 films according to
first-order model 43
Scratch wound assay using L929 fibroblasts incubated with FG75:25 films (25, 50, 75 & µg)
at 0, 4, 18, 24 hours 44
Percentage of wound closure at 0, 4, 18, 24 hours 44
SEM image of silk fiber before and after the
removal of sericin 56
Surface morphology of (a) silk fibroin nonwoven mat, paramylon functionalized silk fibroin nonwoven mat (b) 0.25% (c) 0.5% (d) 1% and
Appearance of (e) fabricated nonwoven mat 56
FTIR spectrum of silk fibroin based nonwoven
mat 57
Water Contact angle of silk fibroin based nonwoven mat. Data represents the
mean±standard error (n=3) 58
Porosity percentage of silk fibroin based nonwoven mat. Data represents the
mean±standard error (n=3) 59
FIGURE NO. TITLE PAGE NO.
Swelling ratio of silk fibroin based nonwoven mat.
Data represents the mean±standard error (n=3) 59
Weight remaining percentage of silk fibroin based non-woven mat in enzymatic and
non-enzymatic degradation environment. Data
represent mean±standard error of the mean(n=3) 60
Percentage of Haemolytic activity in silk fibroin based non-woven mats. Data represent
mean±standard error of the mean(n=3) 61
Effect of silk fibroin based nonwoven mats on L929 cell viability. MTT assay of L929 cells for 24 h. hours. Data represent mean±standard error
of the mean(n=3) 62
Intrinsic coagulation factors activation measurement curve. Data represent
mean±standard error of the mean(n=3) 63
ln vitro drug release profile of silk fibroin based nonwoven mat: (a) Paramylon calibration curve
(b) Paramylon release profile of SBM25 nonwoven mat according to first-order model.
Data represent mean±standard error of the
mean(n=3) 64
Scratch wound assay using L929 fibroblasts incubated with SBM25 nonwoven mat
(25, 50, 75 & µg) at 0, 4, 18, 24 hours 65
Percentage of wound closure at 0, 4, 18, 24 hours. Data represent mean±standard error of the
mean(n=3) 65
FIGURE NO. TITLE PAGE NO.
––––––––
Porous nature of the sponges (a) C (b) CA (c) CP
(d) CAP, (e)-(g) hydrophillic surface of C-CP,
(f)-(h) hydrophobic surface of CA-CAP 76
SEM images of (a) cellulose-C and cellulose sponges supported Alum-CP (b), FG 75:25 blends-CA(c), and both Alum and FG 75:25
blends-CAP (d) 77
FTIR spectrum of Film (A, AP) , Cellulose Sponge (C), Cellulose sponge supported Alum (CP), FG 75:25 blends (CA) and with both Alum
& FG 75:25 blends (CAP) 78
Porosity of Film (A), Cellulose Sponge (C), Cellulose sponge supported Alum (CP), FG 75:25 blends (CA) and with both Alum & FG 75:25 blends (CAP). Each bar represents
mean±standard error (n=3) 79
Swelling capacity of Film (A), Cellulose Sponge (C), Cellulose sponge supported Alum (CP), FG 75:25 blends (CA) and with both Alum & FG 75:25 blends (CAP) . Each bar represents
mean±standard error (n=3) 80
Weight remaining percentage of FG 75:25 film
(A) Cellulose Sponge (C), Cellulose sponge supported Alum (CP), FG 75:25 blends (CA) and with both Alum & FG 75:25 blends (CAP) in enzymatic and non-enzymatic degradation environment. Data represent mean±standard
error of the mean(n=3) 81
FIGURE NO. TITLE PAGE NO.
Percentage of Haemolytic activity in FG 75:25 Film (A), Cellulose Sponge (C), Cellulose sponge supported Alum (CP), FG 75:25 blends (CA) and with both Alum & FG 75:25 blends (CAP). Data represent mean±standard error of
the mean(n=3) 82
Effect of Cellulose Sponge (C), Cellulose sponge supported Alum (CP), FG 75:25 blends (CA) and with both Alum & FG 75:25 blends (CAP) on L929 cell viability. MTT assay of L929 cells for 24 h. hours. Data represent mean±standard error
of the mean(n=3) 83
Intrinsic coagulation factors activation measurement curve. Data represent
mean±standard error of the mean(n=3) 84
ln vitro drug release profile of Cellulose supported sponge: (a) Paramylon calibration curve (b) Paramylon release profile of CAP Sponge according to first-order model. Data
represent mean±standard error of the mean(n=3) 85
Scratch wound assay using L929 fibroblasts incubated with CAP Sponge (25, 50, 75 & µg) at
0, 4, 18, 24 hours 86
Percentage of wound closure at 0, 4, 18, 24 hours. Data represent mean±standard error of the
mean(n=3) 86
Surface morphology of (a) SFS, (b) PFS (c) BFS
(d) BPFS 96
FIGURE NO. TITLE PAGE NO.
FTIR spectrum of Functionalized and
Non-functionalized silk fibroin sponge 97
Water Contact angle of Functionalized and Non-functionalized silk fibroin sponge. Data
represents the mean±standard error (n=3) 98
Porosity percentage of Functionalized and Non-functionalized silk fibroin sponge. Data
represents the mean±standard error (n=3) 99
Swelling ratio of Functionalized and
Non-functionalized silk fibroin sponge. Data
represents the mean±standard error (n=3) 100
Weight remaining percentage of Functionalized and Non-functionalized silk fibroin sponge in enzymatic and non-enzymatic degradation environment. Data represent
mean±standard error of the mean(n=3) 101
Percentage of Haemolytic activity in Functionalized and Non-functionalized silk fibroin sponge. Data represent mean±standard
error of the mean(n=3) 102
Effect of Functionalized