Assessment of Antimicrobial Agents, Analgesics, and Epidermal Growth Factors-Embedded Anti-Adhesive Poly(Lactic-Co-Glycolic Acid) Nanofibrous Membranes: In vitro and in vivo Studies.

BACKGROUND: Postoperative tissue adhesion is a major concern for most surgeons and is a nearly unpreventable complication after abdominal or pelvic surgeries. This study explored the use of sandwich-structured antimicrobial agents, analgesics, and human epidermal growth factor (hEGF)-incorporated anti-adhesive poly(lactic-co-glycolic acid) nanofibrous membranes for surgical wounds. MATERIALS AND METHODS: Electrospinning and co-axial electrospinning techniques were utilized in fabricating the membranes. After spinning, the properties of the prepared membranes were assessed. Additionally, high-performance liquid chromatography and enzyme-linked immunosorbent assays were utilized in assessing the in vitro and in vivo liberation profiles of the pharmaceuticals and the hEGF from the membranes. RESULTS: The measured data suggest that the degradable anti-adhesive membranes discharged high levels of vancomycin/ceftazidime, ketorolac, and hEGF in vitro for more than 30, 24, and 27 days, respectively. The in vivo assessment in a rat laparotomy model indicated no adhesion in the peritoneal cavity at 14 days post-operation, demonstrating the anti-adhesive capability of the sandwich-structured nanofibrous membranes. The nanofibers also released effective levels of vancomycin, ceftazidime, and ketorolac for more than 28 days in vivo. Histological examination revealed no adverse effects. CONCLUSION: The outcomes of this study implied that the anti-adhesive nanofibers with sustained release of antimicrobial agents, analgesics, and growth factors might offer postoperative pain relief and infection control, as well as promote postoperative healing of surgical wounds.

The transcription factor MtSERF1 may function as a nexus between stress and development in somatic embryogenesis in Medicago truncatula.

In Medicago truncatula high rates of somatic embryo formation can be induced in the Jemalong genotype 2HA by application of the hormones auxin and cytokinin. Biosynthesis of the stress-related hormone ethylene is also necessary for somatic embryogenesis (SE) and is most likely a response to wounding and the presence of auxin in the medium. We have demonstrated that expression of a gene designated Mt SOMATIC EMBRYO RELATED FACTOR 1 (MtSERF1) induced by ethylene, in the presence of auxin plus cytokinin, is essential for SE. The promoter region of this transcription factor, a member of the ERF sub-family of the AP2/ERF super family, contains putative binding sites relating to auxin and cytokinin in addition to ethylene. An additional finding was the presence of WUSCHEL (WUS) binding sites in the MtSERF1 promoter region, which is discussed. Here we also discuss the Medicago data in the context of embryogenesis studies in Arabidopsis and suggest that MtSERF1 has a key developmental role, possibly in conjunction with WUS, in regulating downstream genes required for the initiation of SE.