Silver-loaded carboxymethyl cellulose nonwoven sheet with controlled counterions for infected wound healing

Carbohydr Polym. 2022 Jun 15:286:119289. doi: 10.1016/j.carbpol.2022.119289. Epub 2022 Feb 26.

Abstract

Carboxymethyl cellulose (CMC) is a promising material for moist wound healing, and silver loading onto CMC has been examined for anti-bacterial activity. In this study, we developed silver-loaded CMC nonwoven sheets with different counterions, namely sodium CMC (CMC-Na/Ag) and partially protonated CMC (CMC-H/Ag), to examine their anti-bacterial and wound-healing properties. Owing to the presence of counter protons, CMC-H/Ag showed slower water adsorption, dissolution, and Ag release than CMC-Na/Ag. In addition, CMC-H/Ag and CMC-Na/Ag exhibited differences in anti-bacterial activities in shake-flask and inhibition zone tests in vitro. An in vivo experiment using a pressure ulcer mouse model with Pseudomonas aeruginosa infection showed that CMC-Na/Ag significantly accelerated wound healing compared to CMC-H/Ag and a commercially available Ag-loaded CMC nonwoven sheet, Aquacel Ag. These results suggest the importance of controlling CMC counterions and the therapeutic potential of the developed product as a wound dressing.

Keywords: Anti-bacterial; Carboxymethyl cellulose; Counterions; Silver release; Wound dressings; Wound healing.

MeSH terms

  • Animals
  • Bandages
  • Carboxymethylcellulose Sodium / pharmacology
  • Mice
  • Silver* / pharmacology
  • Silver* / therapeutic use
  • Wound Healing
  • Wound Infection* / drug therapy

Substances

  • Silver
  • Carboxymethylcellulose Sodium