Skip to main content
Log in

A robust polyacrylic acid/chitosan cryogel for rapid hemostasis

  • Article
  • Published:
Science China Technological Sciences Aims and scope Submit manuscript

Abstract

Currently, it is a challenge to develop hemostatic materials with high water absorption capacity and anti-fatigue properties for quickly preventing massive hemorrhage from arteries and visceral organs. A series of polyacrylic acid/chitosan (PAA/CS) cryogels were prepared by a cryostructurization technique to improve mechanical performance and hemostatic efficiency of chitosan (CS). In this system, the chemically cross-linked PAA network was used as a framework to improve water absorption behaviors and mechanical strength. The CS network was co-blended by hydrogen bonding and electrostatic interactions, both of which synergistically promoted hemostasis. These cryogels had high porosity (>94%), rapid water absorption rate (<3 s), high blood absorption capacity (>2000%), outstanding mechanical strength, and fatigue resistance. Moreover, the results of cytotoxicity and hemolysis demonstrated that the cryogels had good biocompatibility. Notably, the PAA/CS cryogels exhibited superior whole blood coagulation ability and red blood cell and platelet adhesion ability compared to those of commercial hemostatic dressing (gauze, gelatin sponges, and CS sponges). Based on these results, mouse femoral artery hemorrhage models and liver hemorrhage models were prepared to investigate the hemostatic ability of the prepared PAA/CS cryogels. Results suggested that the hemostatic ability of PAA5/CS cryogels was superior to that of commercial hemostatic materials. Therefore, the PAA/CS cryogels showed potential application in preventing massive hemorrhage from arteries and visceral organs.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Hickman D S A, Pawlowski C L, Sekhon U D S, et al. Biomaterials and advanced technologies for hemostatic management of bleeding. Adv Mater, 2018, 30: 1700859

    Article  Google Scholar 

  2. Khan M A, Mujahid M. A review on recent advances in chitosan based composite for hemostatic dressings. Int J Biol Macromol, 2019, 124: 138–147

    Article  Google Scholar 

  3. Leng F, Chen F, Jiang X. Modified porous carboxymethyl chitin microspheres by an organic solvent-free process for rapid hemostasis. Carbohydr Polym, 2021, 270: 118348

    Article  Google Scholar 

  4. Li Z, Li B, Li X, et al. Ultrafast in-situ forming halloysite nanotube-doped chitosan/oxidized dextran hydrogels for hemostasis and wound repair. Carbohydr Polym, 2021, 267: 118155

    Article  Google Scholar 

  5. Peng X, Xu X, Deng Y, et al. Ultrafast self-gelling and wet adhesive powder for acute hemostasis and wound healing. Adv Funct Mater, 2021, 31: 2102583

    Article  Google Scholar 

  6. Chen Y, Wu L, Li P, et al. Polysaccharide based hemostatic strategy for ultrarapid hemostasis. Macromol Biosci, 2020, 20: 1900370

    Article  Google Scholar 

  7. Du X, Liu Y, Yan H, et al. Anti-infective and pro-coagulant chitosan-based hydrogel tissue adhesive for sutureless wound closure. Biomacromolecules, 2020, 21: 1243–1253

    Article  Google Scholar 

  8. Zhao X, Guo B, Wu H, et al. Injectable antibacterial conductive nanocomposite cryogels with rapid shape recovery for noncompressible hemorrhage and wound healing. Nat Commun, 2018, 9: 2784

    Article  Google Scholar 

  9. Behrens A M, Sikorski M J, Kofinas P. Hemostatic strategies for traumatic and surgical bleeding. J Biomed Mater Res A, 2014, 102: 4182–4194

    Article  Google Scholar 

  10. Pourshahrestani S, Zeimaran E, Kadri N A, et al. Potency and cytotoxicity of a novel gallium-containing mesoporous bioactive glass/chitosan composite scaffold as hemostatic agents. ACS Appl Mater Interfaces, 2017, 9: 31381–31392

    Article  Google Scholar 

  11. Zheng C, Liu X, Luo X, et al. Development of a novel bio-inspired “cotton-like” collagen aggregate/chitin based biomaterial with a biomimetic 3D microstructure for efficient hemostasis and tissue repair. J Mater Chem B, 2019, 7: 7338–7350

    Article  Google Scholar 

  12. Yuan H, Chen L, Hong F F. A biodegradable antibacterial nanocomposite based on oxidized bacterial nanocellulose for rapid hemostasis and wound healing. ACS Appl Mater Interfaces, 2020, 12: 3382–3392

    Article  Google Scholar 

  13. Zhang S, Li J, Chen S, et al. Oxidized cellulose-based hemostatic materials. Carbohydr Polym, 2020, 230: 115585

    Article  Google Scholar 

  14. Che C, Liu L, Wang X, et al. Surface-adaptive and on-demand antibacterial sponge for synergistic rapid hemostasis and wound disinfection. ACS Biomater Sci Eng, 2020, 6: 1776–1786

    Article  Google Scholar 

  15. Cziperle D J. Avitene™ microfibrillar collagen hemostat for adjunctive hemostasis in surgical procedures: A systematic literature review. Med Devices, 2021, Volume 14: 155–163

    Article  Google Scholar 

  16. Hong Y, Zhou F, Hua Y, et al. A strongly adhesive hemostatic hydrogel for the repair of arterial and heart bleeds. Nat Commun, 2019, 10: 2060

    Article  Google Scholar 

  17. Pourshahrestani S, Zeimaran E, Djordjevic I, et al. Inorganic hemostats: The state-of-the-art and recent advances. Mater Sci Eng C Mater Biol Appl, 2016, 58: 1255–1268

    Article  Google Scholar 

  18. Yu L, Shang X, Chen H, et al. A tightly-bonded and flexible mesoporous zeolite-cotton hybrid hemostat. Nat Commun, 2019, 10: 1932

    Article  Google Scholar 

  19. Sanandiya N D, Lee S, Rho S, et al. Tunichrome-inspired pyrogallol functionalized chitosan for tissue adhesion and hemostasis. Carbohydr Polym, 2019, 208: 77–85

    Article  Google Scholar 

  20. Wei X, Ding S, Liu S, et al. Polysaccharides-modified chitosan as improved and rapid hemostasis foam sponges. Carbohydr Polym, 2021, 264: 118028

    Article  Google Scholar 

  21. Xue H, Hu L, Xiong Y, et al. Quaternized chitosan-matrigel-polyacrylamide hydrogels as wound dressing for wound repair and regeneration. Carbohydr Polym, 2019, 226: 115302

    Article  Google Scholar 

  22. Biranje S S, Madiwale P V, Patankar K C, et al. Cytotoxicity and hemostatic activity of chitosan/carrageenan composite wound healing dressing for traumatic hemorrhage. Carbohydr Polym, 2020, 239: 116106

    Article  Google Scholar 

  23. Lan G, Li Q, Lu F, et al. Improvement of platelet aggregation and rapid induction of hemostasis in chitosan dressing using silver nanoparticles. Cellulose, 2019, 27: 385–400

    Article  Google Scholar 

  24. Sundaram M N, Mony U, Varma P K, et al. Vasoconstrictor and coagulation activator entrapped chitosan based composite hydrogel for rapid bleeding control. Carbohydr Polym, 2021, 258: 117634

    Article  Google Scholar 

  25. Shi Z, Lan G, Hu E, et al. Puff pastry-like chitosan/konjac glucomannan matrix with thrombin-occupied microporous starch particles as a composite for hemostasis. Carbohydr Polym, 2020, 232: 115814

    Article  Google Scholar 

  26. Kheirabadi B. Evaluation of topical hemostatic agents for combat wound treatment. US Army Med Dep J, 2011, Apr–Jun: 25–37

  27. Tripathi A, Melo J S. Cryostructurization of polymeric systems for developing macroporous cryogel as a foundational framework in bioengineering applications. J Chem Sci, 2019, 131: 92

    Article  Google Scholar 

  28. Kao H H, Kuo C Y, Chen K S, et al. Preparation of gelatin and gelatin/hyaluronic acid cryogel scaffolds for the 3D culture of mesothelial cells and mesothelium tissue regeneration. Int J Mol Sci, 2019, 20: 4527

    Article  Google Scholar 

  29. Carvalho B M A, Da Silva S L, Da Silva L H M, et al. Cryogel poly (acrylamide): Synthesis, structure and applications. Sep Purif Rev, 2013, 43: 241–262

    Article  Google Scholar 

  30. Huang Y, Zhao X, Zhang Z, et al. Degradable gelatin-based IPN cryogel hemostat for rapidly stopping deep noncompressible hemorrhage and simultaneously improving wound healing. Chem Mater, 2020, 32: 6595–6610

    Article  Google Scholar 

  31. Hou S, Liu Y, Feng F, et al. Polysaccharide-peptide cryogels for multidrug-resistant-bacteria infected wound healing and hemostasis. Adv Healthc Mater, 2020, 9: 1901041

    Article  Google Scholar 

  32. Henderson T M A, Ladewig K, Haylock D N, et al. Cryogels for biomedical applications. J Mater Chem B, 2013, 1: 2682–2695

    Article  Google Scholar 

  33. Liu Y, Xu K, Chang Q, et al. Highly flexible and resilient elastin hybrid cryogels with shape memory, injectability, conductivity, and magnetic responsive properties. Adv Mater, 2016, 28: 7758–7767

    Article  Google Scholar 

  34. Meena L K, Raval P, Kedaria D, et al. Study of locust bean gum reinforced cyst-chitosan and oxidized dextran based semi-IPN cryogel dressing for hemostatic application. Bioact Mater, 2018, 3: 370–384

    Article  Google Scholar 

  35. Wahid F, Hu X H, Chu L Q, et al. Development of bacterial cellulose/chitosan based semi-interpenetrating hydrogels with improved mechanical and antibacterial properties. Int J Biol Macromol, 2019, 122: 380–387

    Article  Google Scholar 

  36. Li X, He L, Li Y, et al. Healable, degradable, and conductive MXene nanocomposite hydrogel for multifunctional epidermal sensors. ACS Nano, 2021, 15: 7765–7773

    Article  Google Scholar 

  37. Chen X, Cui C, Liu Y, et al. A robust poly(N-acryloyl-2-glycine)-based sponge for rapid hemostasis. Biomater Sci, 2020, 8: 3760–3771

    Article  Google Scholar 

  38. Quan K, Li G, Tao L, et al. Diaminopropionic acid reinforced graphene sponge and its use for hemostasis. ACS Appl Mater Interfaces, 2016, 8: 7666–7673

    Article  Google Scholar 

  39. Xia Q, Liu Z, Wang C, et al. A biodegradable trilayered barrier membrane composed of sponge and electrospun layers: Hemostasis and antiadhesion. Biomacromolecules, 2015, 16: 3083–3092

    Article  Google Scholar 

  40. Bencherif S A, Sands R W, Bhatta D, et al. Injectable preformed scaffolds with shape-memory properties. Proc Natl Acad Sci USA, 2012, 109: 19590–19595

    Article  Google Scholar 

  41. Liu S, Zheng Z, Wang S, et al. Polydopamine-coated chitosan/calcium pyrophosphate hybrid microflowers as an effective hemostatic agent. Carbohydr Polym, 2019, 224: 115175

    Article  Google Scholar 

  42. Zhang K, Li J, Wang Y, et al. Hydroxybutyl chitosan/diatom-biosilica composite sponge for hemorrhage control. Carbohydr Polym, 2020, 236: 116051

    Article  Google Scholar 

  43. Zhang Z, Kuang G, Zong S, et al. Sandwich-like fibers/sponge composite combining chemotherapy and hemostasis for efficient postoperative prevention of tumor recurrence and metastasis. Adv Mater, 2018, 30: 1803217

    Article  Google Scholar 

  44. Cines D B, Lebedeva T, Nagaswami C, et al. Clot contraction: Compression of erythrocytes into tightly packed polyhedra and redistribution of platelets and fibrin. Blood, 2014, 123: 1596–1603

    Article  Google Scholar 

  45. Moses K, Klein J C, Männ L, et al. Survival of residual neutrophils and accelerated myelopoiesis limit the efficacy of antibody-mediated depletion of Ly-6G+ cells in tumor-bearing mice. J Leukoc Biol, 2016, 99: 811–823

    Article  Google Scholar 

  46. Li Y, Fu R, Duan Z, et al. Construction of multifunctional hydrogel based on the tannic acid-metal coating decorated MoS2 dual nanozyme for bacteria-infected wound healing. Bioact Mater, 2022, 9: 461–474

    Article  Google Scholar 

  47. Zhu J, Li F, Wang X, et al. Hyaluronic acid and polyethylene glycol hybrid hydrogel encapsulating nanogel with hemostasis and sustainable antibacterial property for wound healing. ACS Appl Mater Interfaces, 2018, 10: 13304–13316

    Article  Google Scholar 

  48. Leu J G, Chen S A, Chen H M, et al. The effects of gold nanoparticles in wound healing with antioxidant epigallocatechin gallate and α-lipoic acid. Nanomedicine, 2012, 8: 767–775

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding authors

Correspondence to Hong Zhang, Hong Sun or JunJie Li.

Additional information

This work was supported by the National Natural Science Foundation of China (Grant Nos. U20A20261, 31870948, 31971250, and 52073205) and Natural Science Foundation of Tianjin (Grant No. 20JCYBJC00660).

Supporting Information

The supporting information is available online at https://tech.scichina.com and https://link.springer.com. The supporting materials are published as submitted, without typesetting or editing. The responsibility for scientific accuracy and content remains entirely with the authors.

Supplementary Information

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Shi, M., Jiang, L., Yu, C. et al. A robust polyacrylic acid/chitosan cryogel for rapid hemostasis. Sci. China Technol. Sci. 65, 1029–1042 (2022). https://doi.org/10.1007/s11431-021-1986-9

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11431-021-1986-9

Keywords

Navigation