Platelet-Rich Plasma-Loaded Poly(d,l-lactide)-Poly(ethylene glycol)-Poly(d,l-lactide) Hydrogel Dressing Promotes Full-Thickness Skin Wound Healing in a Rodent Model

Int J Mol Sci. 2016 Jun 24;17(7):1001. doi: 10.3390/ijms17071001.

Abstract

Traditional therapeutic methods for skin wounds have many disadvantages, and new wound dressings that can facilitate the healing process are thus urgently needed. Platelet-rich plasma (PRP) contains multiple growth factors (GFs) and shows a significant capacity to heal soft tissue wounds. However, these GFs have a short half-life and deactivate rapidly; we therefore need a sustained delivery system to overcome this shortcoming. In this study, poly(d,l-lactide)-poly(ethylene glycol)-poly(d,l-lactide) (PDLLA-PEG-PDLLA: PLEL) hydrogel was successfully created as delivery vehicle for PRP GFs and was evaluated systematically. PLEL hydrogel was injectable at room temperature and exhibited a smart thermosensitive in situ gel-formation behavior at body temperature. In vitro cell culture showed PRP-loaded PLEL hydrogel (PRP/PLEL) had little cytotoxicity, and promoted EaHy926 proliferation, migration and tube formation; the factor release assay additionally indicated that PLEL realized the controlled release of PRP GFs for as long as 14 days. When employed to treat rodents' full-thickness skin defects, PRP/PLEL showed a significantly better ability to raise the number of both newly formed and mature blood vessels compared to the control, PLEL and PRP groups. Furthermore, the PRP/PLEL-treated group displayed faster wound closure, better reepithelialization and collagen formation. Taken together, PRP/PLEL provides a promising strategy for promoting angiogenesis and skin wound healing, which extends the potential of this dressing for clinical application.

Keywords: PDLLA-PEG-PDLLA; PLEL hydrogel; PRP; angiogenesis; drug-delivery system; wound healing.

MeSH terms

  • Animals
  • Bandages / adverse effects*
  • Cell Line
  • Hydrogels / adverse effects
  • Hydrogels / chemistry*
  • Intercellular Signaling Peptides and Proteins / pharmacology
  • Mice
  • Platelet-Rich Plasma / chemistry*
  • Polyesters / adverse effects
  • Polyesters / chemistry*
  • Polyethylene Glycols / adverse effects
  • Polyethylene Glycols / chemistry*
  • Rats
  • Rats, Sprague-Dawley
  • Skin / drug effects
  • Wound Healing*

Substances

  • Hydrogels
  • Intercellular Signaling Peptides and Proteins
  • Polyesters
  • polylactide-polyethylene glycol-polylactide
  • Polyethylene Glycols