ABSTRACT
Blood loss is the major cause of death in both civilian and battlefield traumas. Methods to staunch bleeding include pressure dressings and absorbent materials. For example, QuikClot effectively halts bleeding by absorbing large quantities of fluid and concentrating platelets to augment clotting, but these treatments are limited to compressible and exposed wounds. An ideal treatment would halt bleeding only at the injury site, be stable at room temperature, be administered easily, and work effectively for internal injuries. We have developed synthetic platelets based on Arg-Gly-Asp functionalized nanoparticles, which halve bleeding time after intravenous administration in a rat model of major trauma. The effects of these synthetic platelets surpass other treatments, including recombinant factor VIIa, which is used clinically for uncontrolled bleeding. Synthetic platelets were cleared within 24 hours at a dose of 20 mg/ml, and no complications were seen out to 7 days after infusion, the longest time point studied. These synthetic platelets may be useful for early intervention in trauma and demonstrate the role that nanotechnology can have in addressing unmet medical needs.
Subject(s)
Hemorrhage/therapy , Hemostatic Techniques/instrumentation , Hemostatics , Nanoparticles , Nanotechnology , Oligopeptides/therapeutic use , Adolescent , Adult , Animals , Blood Coagulation/drug effects , Blood Platelets/metabolism , Child , Child, Preschool , Hemostatics/chemistry , Hemostatics/pharmacology , Hemostatics/therapeutic use , Humans , Male , Nanoparticles/chemistry , Nanoparticles/therapeutic use , Nanotechnology/instrumentation , Nanotechnology/methods , Oligopeptides/chemistry , Rats , Rats, Sprague-Dawley , Warfare , Wounds and Injuries/therapy , Young AdultABSTRACT
We describe the synthesis of thermoresponsive polymers made from N-isopropylacrylamide and varying amounts of a thiol-containing co-monomer, N,N'-cystaminebisacrylamide (P(NIPAm-co-CBAm)). Infrared spectroscopy revealed a backbone similar to that seen with pure PNIPAm. UV-vis spectroscopy showed that P(NIPAm-co-CBAm) undergoes a thermoresponsive phase transition around 32 degrees C in aqueous solution. The presence of the thiol groups enabled the polymer to adsorb onto gold surfaces. Following adsorption onto a gold surface, X-ray photoelectron spectroscopy showed a carbon/gold atomic ratio of 0.93 for a sample without CBAm and a ratio of 1.61 for a P(NIPAm-co-CBAm) sample with 0.20% CBAm. Quartz crystal microbalance (QCM) analysis showed increases in the mass of polymer adsorbed when the CBAm content in the polymer increased. The thermoresponsive behavior of the thin films on gold was investigated with contact angle and dissipative QCM analysis. Contact angles were measured for polymer films at both 25 and 60 degrees C. The largest temperature-induced alteration in the contact angle was seen with the 1.00% CBAm sample. Similarly, QCM-D results showed a significantly greater change in frequency and dissipation following a temperature change when CBAm was present than in pure NIPAm polymers.
ABSTRACT
We report the changes in the structure and thermoresponsive behavior of poly(N-isopropylacrylamide) (PNIPAm) hydrogels when gold nanostructures are synthesized in situ within the hydrogel matrix. Cross-linked PNIPAm hydrogels were synthesized using NIPAm and 0.00-3.50% (w/w versus NIPAm) of N,N'-methylenebisacrylamide (MBAm) and/or N,N'-cystaminebisacrylamide (CBAm) as cross-linking agents. The hydrogels were soaked in potassium tetrachloroaurate to introduce gold ions. The hydrogels containing Au3+ were then immersed in a sodium borohydride solution to reduce the gold ions. Infrared spectroscopy, UV-visible spectroscopy, and equilibrium swelling were used to examine the structural/physical differences between gels of different compositions; UV-visible spectroscopy and mass measurements were used to observe the kinetics and thermodynamics of the hydrogel volume phase transition. These studies revealed several differences in the physical characteristics and thermoresponsive behavior of hydrogels based on cross-linker identity and the presence or absence of gold nanostructures. Hydrogels with gold nanostructures and high CBAm and low MBAm content have equilibrium swelling masses 3-20 times their native analogues. In comparison, gold-containing hydrogels with high MBAm and low CBAm content have swelling masses that are equal to their native analogues. Additionally, the gold-containing PNIPAm hydrogels cross-linked with only CBAm have a deswelling temperature of approximately 40 degrees C, approximately 8 degrees C above the samples cross-linked with only MBAm. Varying the CBAm content and introducing gold enables tuning of the deswelling temperature.
