Generic placeholder image

Current Biotechnology

Editor-in-Chief

ISSN (Print): 2211-5501
ISSN (Online): 2211-551X

Research Article

Evaluating the Safety and Toxicity of a Modified Dextran-based Biopolymer as a Hemostat

Author(s): Narges Maleksabet, Mohammadreza Masoumian and Asieh Aramvash*

Volume 9, Issue 4, 2020

Page: [290 - 296] Pages: 7

DOI: 10.2174/2211550109999201026090415

Price: $65

Abstract

Background: As an effective alternative to conventional suture techniques, topical hemostatic agents are widely used to control bleeding and close wounds in surgeries.

Objective: This study was conducted to evaluate the efficacy and safety of a novel hydrogel hemostat that is easy to use in an applicator under normal conditions according to ISO 10993.

Methods: The safety of DexGel, a natural surgical hemostat containing mainly dextran that is an effective hydrogel in bleeding stop, was evaluated and compared to that of AristaTM. APTT test and cytotoxicity tests (i.e., MTT assay, Crystal violet assay, and qualitative estimation) were carried out for considering safety in skin sensitization in a guinea pig model.

Results: This study has shown that DexGel does not cause any noticeable sensitization such as edema and erythema or observable toxicity for skin and does not disturb the coagulation process. In addition, cytotoxicity results approve its safety for cell survival.

Conclusion: It can be concluded that the safety and efficacy of DexGel (5 g) are comparable or even better to that of AristaTM, which is a commercial and frequently used hemostat, and the lack of skin irritation and toxicity for DexGel alleviates initial safety concerns for products based on these polymers and oligomers.

Keywords: Blood-material interaction, biocompatibility, coagulation, cytotoxicity, hemostasis, dextran-based biopolymer.

Graphical Abstract

[1]
Spotnitz WD. Hemostats, sealants, and adhesives: A practical guide for the surgeon. Am Surg 2012; 78(12): 1305-21.
[http://dx.doi.org/10.1177/000313481207801221] [PMID: 23265118]
[2]
Minato N, Katayama Y, Yunoki J, Kawasaki H, Satou H. Hemostatic effectiveness of a new application method for fibrin glue, the “rub-and-spray method”, in emergency aortic surgery for acute aortic dissection. Ann Thorac Cardiovasc Surg 2009; 15(4): 265-71.
[PMID: 19763062]
[3]
Matsushita T, Masuda S, Inoue T. Early experience with combined use of two plant-based hemostatic agents. Ann Thorac Surg 2010; 90(1): 327-8.
[http://dx.doi.org/10.1016/j.athoracsur.2009.08.067] [PMID: 20609820]
[4]
Sun G, Shen Y-I, Ho CC, Kusuma S, Gerecht S. Functional groups affect physical and biological properties of dextran-based hydrogels. J Biomed Mater Res A 2010; 93(3): 1080-90.
[PMID: 19753626]
[5]
Sun G, Shen YI, Kusuma S, Fox-Talbot K, Steenbergen CJ, Gerecht S. Functional neovascularization of biodegradable dextran hydrogels with multiple angiogenic growth factors. Biomaterials 2011; 32(1): 95-106.
[http://dx.doi.org/10.1016/j.biomaterials.2010.08.091] [PMID: 20870284]
[6]
Sun G, Zhang X, Shen YI, et al. Dextran hydrogel scaffolds enhance angiogenic responses and promote complete skin regeneration during burn wound healing. Proc Natl Acad Sci USA 2011; 108(52): 20976-81.
[http://dx.doi.org/10.1073/pnas.1115973108] [PMID: 22171002]
[7]
Hansen MB, Nielsen SE, Berg K. Re-examination and further development of a precise and rapid dye method for measuring cell growth/cell kill. J Immunol Methods 1989; 119(2): 203-10.
[http://dx.doi.org/10.1016/0022-1759(89)90397-9] [PMID: 2470825]
[8]
Jung YS, Kato R, Tsuchiya T. Biodegradable polymers induce CD54 on THP-1 cells in skin sensitization test. Int J Biomater 2011; 2011: 424571.
[http://dx.doi.org/10.1155/2011/424571] [PMID: 21826143]
[9]
Xu LC, Bauer JW, Siedlecki CA. Proteins, platelets, and blood coagulation at biomaterial interfaces. Colloids Surf B Biointerfaces 2014; 124: 49-68.
[http://dx.doi.org/10.1016/j.colsurfb.2014.09.040] [PMID: 25448722]
[10]
ISO 10993-5:2009 Biological. Evaluation of medical devices Part 5: Tests for in vitro cytotoxicity.
[11]
Aramvash A, Rabbani Chadegani A, Lotfi S. Evaluation of apoptosis in multipotent hematopoietic cells of bone marrow by anthracycline antibiotics. Iran J Pharm Res 2017; 16(3): 1204-13.
[PMID: 29201109]
[12]
Feoktistova M, Geserick P, Leverkus M. Crystal violet assay for determining viability of cultured cells. Cold Spring Harb Protoc 2016; 2016(4): pdb.prot087379.
[http://dx.doi.org/10.1101/pdb.prot087379] [PMID: 27037069]
[13]
Mohandas H, Sivakumar G, Kasi P, Jaganathan SK, Supriyanto E. Microwave-assisted surface modification of metallocene polyethylene for improving blood compatibility. BioMed Res Int 2013; 2013: 253473.
[http://dx.doi.org/10.1155/2013/253473] [PMID: 23841059]
[14]
Guo B, Qu J, Zhao X, Zhang M. Degradable conductive self-healing hydrogels based on dextran-graft-tetraaniline and N-carboxyethyl chitosan as injectable carriers for myoblast cell therapy and muscle regeneration. Acta Biomater 2019; 84: 180-93.
[http://dx.doi.org/10.1016/j.actbio.2018.12.008] [PMID: 30528606]
[15]
Zhao X, Wu H, Guo B, Dong R, Qiu Y, Ma PX. Antibacterial anti-oxidant electroactive injectable hydrogel as self-healing wound dressing with hemostasis and adhesiveness for cutaneous wound healing. Biomaterials 2017; 122: 34-47.
[http://dx.doi.org/10.1016/j.biomaterials.2017.01.011] [PMID: 28107663]
[16]
Lehtovaara BC, Gu FX. Pharmacological, structural, and drug delivery properties and applications of 1,3-β-glucans. J Agric Food Chem 2011; 59(13): 6813-28.
[http://dx.doi.org/10.1021/jf200964u] [PMID: 21609131]
[17]
Logeart-Avramoglou D, Jozefonvicz J. Carboxymethyl benzylamide sulfonate dextrans (CMDBS), a family of biospecific polymers endowed with numerous biological properties: A review. J Biomed Mater Res 1999; 48(4): 578-90.
[http://dx.doi.org/10.1002/(SICI)1097-4636(1999)48:4<578::AID-JBM26>3.0.CO;2-8] [PMID: 10421704]
[18]
Czaja W, Krystynowicz A, Bielecki S, Brown RM Jr. Microbial cellulose--the natural power to heal wounds. Biomaterials 2006; 27(2): 145-51.
[http://dx.doi.org/10.1016/j.biomaterials.2005.07.035]
[19]
Rawala-Sheikh R, Ahmad SS, Ashby B, Walsh PN. Kinetics of coagulation factor X activation by platelet-bound factor IXa. Biochemistry 1990; 29(10): 2606-11.
[http://dx.doi.org/10.1021/bi00462a025] [PMID: 2110473]
[20]
Drummond JC, Petrovich CT, Lane TA. Hemostasis and transfusion medicine. In: Barash PG, Cullen BF, Stoelting RK, Cahalan MK, Stock MC, Eds. Clinical Anesthesia. 6th ed. Philadelphia: Lippincott Willams and Wilkins 2009.
[21]
Bolliger D, Görlinger K, Tanaka KA. Pathophysiology and treatment of coagulopathy in massive hemorrhage and hemodilution. Anesthesiology 2010; 113(5): 1205-19.
[http://dx.doi.org/10.1097/ALN.0b013e3181f22b5a] [PMID: 20881594]

Rights & Permissions Print Cite
© 2024 Bentham Science Publishers | Privacy Policy