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      A functional chitosan-based hydrogel as a wound dressing and drug delivery system in the treatment of wound healing

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      RSC Advances
      The Royal Society of Chemistry

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          Abstract

          Functional active wound dressings are expected to provide a moist wound environment, offer protection from secondary infections, remove wound exudate and accelerate tissue regeneration, as well as to improve the efficiency of wound healing. Chitosan-based hydrogels are considered as ideal materials for enhancing wound healing owing to their biodegradable, biocompatible, non-toxic, antimicrobial, biologically adhesive, biological activity and hemostatic effects. Chitosan-based hydrogels have been demonstrated to promote wound healing at different wound healing stages, and also can alleviate the factors against wound healing (such as excessive inflammatory and chronic wound infection). The unique biological properties of a chitosan-based hydrogel enable it to serve as both a wound dressing and as a drug delivery system (DDS) to deliver antibacterial agents, growth factors, stem cells and so on, which could further accelerate wound healing. For various kinds of wounds, chitosan-based hydrogels are able to promote the effectiveness of wound healing by modifying or combining with other polymers, and carrying different types of active substances. In this review, we will take a close look at the application of chitosan-based hydrogels in wound dressings and DDS to enhance wound healing.

          Abstract

          Functional active wound dressings are expected to provide a moist wound environment, offer protection from secondary infections, remove wound exudate and accelerate tissue regeneration, as well as to improve the efficiency of wound healing.

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          Most cited references153

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          Hydrogels for tissue engineering.

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            Hydrogels in regenerative medicine.

            Hydrogels, due to their unique biocompatibility, flexible methods of synthesis, range of constituents, and desirable physical characteristics, have been the material of choice for many applications in regenerative medicine. They can serve as scaffolds that provide structural integrity to tissue constructs, control drug and protein delivery to tissues and cultures, and serve as adhesives or barriers between tissue and material surfaces. In this work, the properties of hydrogels that are important for tissue engineering applications and the inherent material design constraints and challenges are discussed. Recent research involving several different hydrogels polymerized from a variety of synthetic and natural monomers using typical and novel synthetic methods are highlighted. Finally, special attention is given to the microfabrication techniques that are currently resulting in important advances in the field.
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              Hydrogel nanoparticles in drug delivery.

              Hydrogel nanoparticles have gained considerable attention in recent years as one of the most promising nanoparticulate drug delivery systems owing to their unique potentials via combining the characteristics of a hydrogel system (e.g., hydrophilicity and extremely high water content) with a nanoparticle (e.g., very small size). Several polymeric hydrogel nanoparticulate systems have been prepared and characterized in recent years, based on both natural and synthetic polymers, each with its own advantages and drawbacks. Among the natural polymers, chitosan and alginate have been studied extensively for preparation of hydrogel nanoparticles and from synthetic group, hydrogel nanoparticles based on poly (vinyl alcohol), poly (ethylene oxide), poly (ethyleneimine), poly (vinyl pyrrolidone), and poly-N-isopropylacrylamide have been reported with different characteristics and features with respect to drug delivery. Regardless of the type of polymer used, the release mechanism of the loaded agent from hydrogel nanoparticles is complex, while resulting from three main vectors, i.e., drug diffusion, hydrogel matrix swelling, and chemical reactivity of the drug/matrix. Several crosslinking methods have been used in the way to form the hydrogel matix structures, which can be classified in two major groups of chemically- and physically-induced crosslinking.
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                Author and article information

                Journal
                RSC Adv
                RSC Adv
                RA
                RSCACL
                RSC Advances
                The Royal Society of Chemistry
                2046-2069
                16 February 2018
                14 February 2018
                16 February 2018
                : 8
                : 14
                : 7533-7549
                Affiliations
                [a] Orthopaedic Medical Center, The Second Hospital of Jilin University Changchun 130041 P. R. China heliu@ 123456ciac.ac.cn cathwang0111@ 123456hotmail.com evanlee1357@ 123456163.com qinyanguo@ 123456hotmail.com wangzhjlu@ 123456outlook.com 531040439@ 123456qq.com lizuhao1992@ 123456163.com jinchengwang@ 123456hotmail.com
                [b] Hallym University 1Hallymdaehak-gil Chuncheon Gangwon-do 200-702 Korea
                Author information
                https://orcid.org/0000-0001-7178-0276
                https://orcid.org/0000-0003-0700-2263
                Article
                c7ra13510f
                10.1039/c7ra13510f
                9078458
                35539132
                6f64be08-8071-43cc-b8f1-13ab9c5ce169
                This journal is © The Royal Society of Chemistry
                History
                : 20 December 2017
                : 12 February 2018
                Page count
                Pages: 17
                Funding
                Funded by: National Natural Science Foundation of China, doi 10.13039/501100001809;
                Award ID: 81171681
                Funded by: Jilin University, doi 10.13039/501100004032;
                Award ID: 2017032
                Categories
                Chemistry
                Custom metadata
                Paginated Article

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