Uncontrolled hemorrhage stands as the primary cause of potentially preventable deaths following traumatic injuries in both civilian and military populations. Addressing this critical medical need requires the development of a hemostatic material with rapid hemostatic performance and biosafety. This work describes the engineering of a chitosan-based cryogel construct using thermo-assisted cross-linking with α-ketoglutaric acid after freeze-drying. The resulting cryogel exhibited a highly interconnected macro-porous structure with low thermal conductivity, exceptional mechanical properties, and great fluid absorption capacity. Notably, assessments using rabbit whole blood in vitro, as well as rat liver volume defect and femoral artery injury models simulating severe bleeding, showed the remarkable hemostatic performance of the chitosan cryogel. Among the cryogel variants with different chitosan molecular weights, the 150 kDa one demonstrated superior hemostatic efficacy, reducing blood loss and hemostasis time by approximately 73 % and 63 % in the hepatic model, and by around 60 % and 68 %, in the femoral artery model. Additionally, comprehensive in vitro and in vivo evaluations underscored the good biocompatibility of the chitosan cryogel. Taken together, these results strongly indicate that the designed chitosan cryogel configuration holds significant potential as a safe and rapid hemostatic material for managing severe hemorrhage.
Zhongdong Wu,Zihan Li,Gangyong Li,Xuchao Zheng,Yuhe Su,Yan Yang,Youwei Liao,Zongqian Hu
Enzymes are promising electrocatalysts in many biological processes . We proposed two strategies, co-immobilization and three-dimensional (3D) space design, to strengthen electron transfer (ET). In this research, DNA base and CNT were mixed in an aqueous solution; then the mixture was dried and ground. Finally, the powder was annealed in N 2 to obtain DNA derived N-doped 3D conductive network ( [email protected] ). [email protected] immobilized mediators on itself through adsorption. Such 3D space structure shows high activity toward a set of critical electrochemical reactions and high-performance in enzymatic biofuel cells (EBFCs). It is found that [email protected] conductive network possesses an interconnected porous structure and well-developed porosity. As a result, the membrane-less EBFCs equipped with enzyme/mediator co-immobilization [email protected] bioelectrodes were measured in a model 5 mM glucose-containing aqueous solution, human serum, and rabbit whole blood, respectively, which can generate 0.34, 0.078, and 0.15 mW cm −2 power density, respectively. The constant-current discharge method carried out in a model 5 mM glucose-containing aqueous solution shows that the discharge time reached 19 h at a discharge current density of 0.01 mA cm −2 . The membrane EBFCs can deliver a high open circuit voltage of 0.68 V, a short-circuit current density of 2 mA cm −2 , and a maximum power density of 0.5 mW cm −2 .
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