A novel dressing for the combined delivery of platelet lysate and vancomycin hydrochloride to chronic skin ulcers: Hyaluronic acid particles in alginate matrices

Eur J Pharm Sci. 2018 Jun 15:118:87-95. doi: 10.1016/j.ejps.2018.03.024. Epub 2018 Mar 21.

Abstract

The aim of the present work was to develop a medication allowing for the combined delivery of platelet lysate (PL) and an anti-infective model drug, vancomycin hydrochloride (VCM), to chronic skin ulcers. A simple method was set up for the preparation of hyaluronic acid (HA) core-shell particles, loaded with PL and coated with calcium alginate, embedded in a VCM containing alginate matrix. Two different CaCl2 concentrations were investigated to allow for HA/PL core-shell particle formation. The resulting dressings were characterized for mechanical and hydration properties and tested in vitro (on fibroblasts) and ex-vivo (on skin biopsies) for biological activity. They were found of sufficient mechanical strength to withstand packaging and handling stress and able to absorb a high amount of wound exudate and to form a protective gel on the lesion area. The CaCl2 concentration used for shell formation did not affect VCM release from the alginate matrix, but strongly modified the release of PGFAB (chosen as representative of growth factors present in PL) from HA particles. In vitro and ex vivo tests provided sufficient proof of concept of the ability of dressings to improve skin ulcers healing.

Keywords: Alginate matrix; Chronic skin ulcers; Healing enhancement; Platelet lysate; Sodium hyaluronate particles; Vancomycin.

MeSH terms

  • Adult
  • Alginates / administration & dosage*
  • Anti-Bacterial Agents / administration & dosage*
  • Bandages*
  • Blood Platelets*
  • Cell Proliferation / drug effects
  • Cells, Cultured
  • Drug Delivery Systems
  • Fibroblasts / drug effects
  • Glucuronic Acid / administration & dosage
  • Hexuronic Acids / administration & dosage
  • Humans
  • Hyaluronic Acid / administration & dosage*
  • Skin
  • Skin Ulcer / drug therapy*
  • Vancomycin / administration & dosage*
  • Wound Healing / drug effects

Substances

  • Alginates
  • Anti-Bacterial Agents
  • Hexuronic Acids
  • Vancomycin
  • Glucuronic Acid
  • Hyaluronic Acid