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One-layer wound dressings cannot meet all the clinical needs due to their individual characteristics and shortcomings. Therefore, bilayer wound dressings which are composed of two layers with different properties have gained lots of attention. In the present study, polycaprolactone/gelatin (PCL/Gel) scaffold was electrospun on a dense membrane composed of polyurethane and ethanolic extract of propolis (PU/EEP). The PU/EEP membrane was used as the top layer to protect the wound area from external contamination and dehydration, while the PCL/Gel scaffold was used as the sublayer to facilitate cells' adhesion and proliferation. The bilayer wound dressing was investigated regarding its microstructure, mechanical properties, surface wettability, anti-bacterial activity, biodegradability, biocompatibility, and its efficacy in the animal wound model and histopathological analyzes. Scanning electron micrographs exhibited uniform morphology and bead-free structure of the PCL/Gel scaffold with average fibers' diameter of 237.3 ± 65.1 nm. Significant anti-bacterial activity was observed against Staphylococcal aureus (5.4 ± 0.3 mm), Escherichia coli (1.9 ± 0.4 mm) and Staphylococcus epidermidis (1.0 ± 0.2 mm) according to inhibition zone test. The bilayer wound dressing exhibited high hydrophilicity (51.1 ± 4.9°), biodegradability, and biocompatibility. The bilayer wound dressing could significantly accelerate the wound closure and collagen deposition in the Wistar rats' skin wound model. Taking together, the PU/EEP-PCL/Gel bilayer wound dressing can be a potential candidate for biomedical applications due to remarkable mechanical properties, biocompatibility, antibacterial features, and wound healing activities.

Modern dressings increase the rate of wound healing rather than just covering them. Dressing can protect the injured skin and keep it appropriately moist to speed up the healing process. In this study, the ethanolic extract of propolis loaded with corn starch was successfully prepared using solvent casting. Characterizations of the samples performed in respect to their mechanical properties were examined by scanning electron microscopy, contact angle, and attenuated total reflectance—fourier transform infrared spectroscopy, as well as antimicrobial capacities. The MTT assay using fibroblast cells showed the cell viability of corn starch in the ethanolic extract of propolis wound dressing. The results showed that by increasing the amount of ethanolic propolis extract from 0.25 to 1%, the tensile strength and the Young’s modulus of the samples were decreased, the elongation at the break increased about 15% as compared to the control films, and the contact angle properties were detected by a slightly hydrophobic character of the films in the antibacterial activity against Escherichia coli and Staphylococcus aureus even at low ethanolic extract of propolis concentrations (1%), mainly due to its phenolic compounds. Therefore, ethanolic extract of propolis loaded with corn starch film will be a potential candidate for wound dressing and skin tissue engineering. [ABSTRACT FROM AUTHOR]

Background: Wound healing is a complex biological process. Some injuries lead to chronic nonhealing ulcers, and healing process is a challenge to both the patient and the medical team. We still look forward an appropriate wound dressing. Materials and Methods: In this study, starch-based nanocomposite hydrogel scaffolds reinforced by zeolite nanoparticles (nZ) were prepared for wound dressing. In addition, a herbal drug (chamomile extract) was added into the matrix to accelerate healing process. To estimate the cytocompatibility of hydrogel dressings, fibroblast mouse cells (L929) were cultured on scaffolds. Then, 3-(4, 5-dimethylthiazol-2-yl)-2, 5-diphenyltetrazolium-bromide assay test and interaction of cells and scaffolds were evaluated. For evaluating healing process, 48 male rats were randomly divided into four groups of four animals each (16 rats at each step). The ulcers of the first group were treated with the same size of pure hydrogels. The second group received a bandage with the same size of hydrogel/extract/4 wt% nZ (hydrogel NZE). The third group was treated with chamomile extract, and the fourth group was considered as control without taking any medicament. Finally, the dressings were applied on the chronic refractory ulcers of five patients. Results: After successful surface morphology and cytocompatibility tests, the animal study was carried out. There was a significant difference between starch/extract/4 wt% nZ and other groups on wound size decrement after day 7 (P < 0.05). At the clinical pilot study step, the refractory ulcers of all five patients were healed without any hypersensitivity reaction. Conclusion: Starch-based hydrogel/zeolite dressings may be safe and effective for chronic refractory ulcers. [ABSTRACT FROM AUTHOR]

A biocompatible and antibacterial scaffold with efficient wound healing activity can be an appropriate option for wound dressing application. In this study, polyurethane-hyaluronic acid (PU-HA) nanofibrous wound dressing was fabricated and then enriched with three different concentrations of ethanolic extract of propolis (EEP). The obtained samples were characterized by attenuated total reflectance/Fourier transform infrared spectroscopy, thermal gravimetric analysis, scanning electron microscopy, mechanical investigations, antibacterial tests, water uptake exam, and in vitro and in vivo evaluations. The PU-HA/1% EEP and PU-HA/2% EEP samples exhibited higher antibacterial activity against Staphylococcus aureus (2.36 ± 0.33 and 5.63 ± 0.87 mm), Escherichia coli (1.94 ± 0.12 and 3.18 ± 0.63 mm) in comparison with other samples. However, the PU-HA/1% EEP sample exhibited significantly higher biocompatibility for L929 fibroblast cells in comparison with PU-HA/2% EEP. Also, the PU-HA/1% EEP sample could significantly accelerate the wound healing progression and wound closure at the animal model. At the histopathological analyses, improved dermis development and collagen deposition at the healed wound area of the PU-HA/1% EEP sample in comparison with other groups was observed. These results indicate that 1 wt% EEP enriched PU-HA nanofibrous scaffold can be a promising candidate with considerable biocompatibility, wound healing, and antibacterial activities for further biomedical applications. • An ethanolic extract propolis incorportated polyurethane-hyaluronic acid blend was fabricated by electrospinning. • Remarkable antibacterial activity was observed for the wound dressing. • The wound dressing exhibited significant biocompatibility with fibroblast cells to enhance their adhesion and proliferation. • The wound dressing could significantly accelerate wound healing at animal model. [ABSTRACT FROM AUTHOR]

• Corn starch/hyalorinc acid/ethanolic extract propolis wound dressing was prepared and characterized. • The wound dressing had good cell biocompatibility for the fibroblasts. • The wound dressing could significantly accelerate wound healing. The unique physicochemical and functional characteristics of starch-based biomaterials and wound dressings have been proposed for several biomedical applications. Film dressings of cornstarch/hyaluronic acid/ ethanolic extract of propolis (CS/HA/EEP) were prepared by solvent-casting and characterized by attenuated total reflectance/Fourier transform infrared spectroscopy, scanning electron microscopy, gas chromatography/mass spectrometry, light transmission, opacity measurements, EEP release, equilibrium swelling, and in vitro and in vivo evaluations. The CS/HA/0.5%EEP film dressing exhibited higher antibacterial activity against Staphylococcus aureus (2.08 ± 0.14 mm), Escherichia coli (2.64 ± 0.18 mm), and Staphylococcus epidermidis (1.02 ± 0.15 mm) in comparison with the CS, CS/HA, and CS/HA/0.25%EEP films. Also, it showed no cytotoxicity for the L929 fibroblast cells. This wound dressing could effectively accelerate the wound healing process at Wistar rats' skin excisions. These results indicate that enrichment of cornstarch wound dressings with HA and EEP can significantly enhance their potential efficacy as wound dressing material. [ABSTRACT FROM AUTHOR]