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2017, Cellulose
Diabetic patients with foot ulcer showed 150-fold increased risk of amputation, which is primarily caused by microbial infection. Silver ions are commonly incorporated into wound dressing to enhance the antimicrobial property. However, concerns have been expressed about the development of bacterial resistance to heavy metals. In this study, we evaluate the in vitro and in vivo efficacy of cellulose nanocrystal film to be used as antimicrobial drug delivery system in a diabetic wound dressing. Cellulose nanocrystals were successfully isolated from medical grade cotton fibers. We observe needle-like cellulose nanocrystals with an average length of 159 nm under transmission electron microscope. The developed film with curcumin shows a uniform yellow color, with a thickness of 0.4 mm. The film obtained is soft and flexible, based on the mechanical characterization study of the film. For the curcumin release test, the release reaches plateau condition at 36 h with a total release of 98.9% from the cellulose nanocrystal film. No burst release effect was detected during the test period. The film exhibited significant inhibitory activity on 3 Gram positive bacteria, 2 Gram negative bacteria and 1 yeast. On Hohenstein challenge test, all test microorganisms showed significant growth reduction, with the treatment of curcumin loaded film. 5 of 6 test microorganisms showed 99% of growth reduction relative to growth control. We also notice that the antimicrobial activity of the film sustained even after 15 washes. In the in vivo study using diabetic rat models, a significant reduction of wound size was observed from Day 7 with the topical application of curcumin loaded film. At the end of the study, the lesion was covered by epithelial tissue and the hair started to grow from the skin. A bacterial growth reduction of 99.99% was observed from the skin sample excised from the animal models. The histological examination of skin sample also showed that curcumin loaded film significantly improved the regeneration of hair follicles and sebaceous glands of the skin. Our results indicate that the curcumin load cellulose nanocrystal films can be used for diabetic wound healing applications.
Cellular and Molecular Biology
About 80% higher risk of amputation resulting from microbial infection was indicated for patients with diabetic foot ulcers (DFUs). Micro and nano-scaffolds made of natural polymers specifically cellulose, chitosan, and collagen can donate the biocompatibility, biodegradability, and bioavailability properties appropriate to accelerate wound closure before microbial biofilm formation. The antimicrobial activity of these wound dressings can be improved by the incorporation of bioactive compounds extracted from medicinal plant species such as curcumin. Low water solubility and poor bioavailability are recognized as two main disadvantages of curcumin, lipophilic phytopolyphenol, which could be controlled by targeted polymeric micro and nano-scaffolds. Consequently, this review has discussed the capacity and challenges of these types of formulations according to recent investigations.
International Journal of Nanoparticles, 2015
Impaired wound healing is a common complication of diabetes mellitus. Nanofibre can be served as powerful tools in advanced wound care management. The aim of this work is to evaluate the role of antibacterial nanofibres by incorporating silver nanoparticles into celluose acetate nanofibres as wound dressing on excisional wound healing in diabetic mice. Celluose acetate nanofibres were prepared by electrospinning technique. The prepared nanofibres were characterised using scanning electron microscope (SEM), and Fourier-transform infrared (FTIR) spectrophotometer. The antimicrobial activity was tested against Gram-positive and Gram-negative bacteria. A full thickness of the excision wound of circular area 95 mm 2 and 2 mm depth was created. Wound dressed by silver containing nanofibres, the wound closure rate were assessed, skin wounds were processed for histopathological examination Preparation and characterisation of antibacterial 83 and comparing the mechanical properties of healed skin. It was found that, wounds dressed with silver containing nanofibres showed marked increase in collagen production which improve the skin mechanical properties.
Scientific reports, 2017
The ever increasing incidences of non-healing skin wounds have paved way for many efforts on the convoluted process of wound healing. Unfortunately, the lack of relevance and success of modern wound dressings in healing of acute and diabetic wounds still remains a matter of huge concern. Here, an in situ three step approach was embraced for the development of nanocomposite (NCs) dressings by impregnating silver nanoparticles (AgNPs) onto a matrix of cellulose nanocrystals (CNCs) isolated from Syzygium cumini leaves using an environmental friendly approach. Topical application of NCs (ointments and strips) on acute and diabetic wounds of mice documented enhanced tissue repair (~99% wound closure) via decrease in inflammation; increase in angiogenesis, collagen deposition, and rate of neo-epithelialization that ultimately led to formation of aesthetically sound skin in lesser time than controls. Due to the synergistic action of CNCs (having high water uptake capacity) and AgNPs (anti-...
International Journal of Biological Macromolecules, 2020
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Iranian Journal of Veterinary Surgery, 2020
Objective- In diabetes impaired wound healing and other tissue abnormalities are considered as major concerns. The novel therapeutic options for treatment of wound in diabetic patients are urgently needed. The aim of the present study was to assess beneficial effects of chitosan nanocurcumin biofilm on healing of full thickness excisional wounds in diabetic rats.Design- Experimental StudyAnimals- Forty male diabetic Wistar ratsProcedures- The animals were randomized into four groups of ten animals each. Induction of diabetes was achieved using 60 mg/kg streptozotocin. In group I, 0.1 mL sterile saline 0.9% solution was added to the wounds with no dressing. In group II, the wounds were dressed with chitosan thin-film membranes. In group III, the wounds were treated with curcumin nanoparticles. In group IV, animals with were dressed with chitosan nanocurcumin biofilm. Results- Planimetric, histological and quantitative morphometric studies and determination of hydroxyproline levels sh...
2023
Background: Curcumin Is Phenolic Compounds And Nanofibers Are Produced By Electro Spinning Method Exhibit Wide Variety Of Biological Function And Have Role In Promoting Wound Healing. Purpose: The Purpose Of This Study Was To Summarize And Assess The Available Research Regarding The Potential Healing Effects Of Curcumin-Loaded Nanofibers On Skin Wounds In Animal Models. Study Design: The Review Was Reported Following Preferred Reporting Items For Systematic Review And Meta-Analysis (Prisma) Guidelines. This Led To The Creation Of Nanofibres That Are Loaded With Curcumin And The Investigation Of Potential Nanofibres Sources. Methods: The Chief Search Was Carried Out In Electronic Database: Pub Med, Scopus And Doaj By Linking Search Terms Related To The Following Area Of Interest: Curcumin Loaded Or Cur-Loaded And Nanofibers Or Nanofiber Or Nanofibrous And Wound Healing. An Ancillary Search Of Literature Was Managed In Order To Check The Reference Included In The Study. Result: The Articles Contain Details About Author/Year/Country, Type Of Nanofibres, Formulation, Animal Strain/ Weight/Age, Wound Range, Biomaterial For Positive And Negative Group And Main Findings Were Analysed And Reported. Further Investigation Validated And Determined The Bioavailability And Benefit Of Wound Healing. The Included 13 Studies Met The Inclusion Criteria For The Review. The Included Studies Suggest That Application Of Curcumin-Loaded Nanofibres Improves The Wound Healing Process By Decreases The Wound Depth And Hasten Re-Epithelialization. Conclusion: This Study Presents A Scientific Framework For Future Research On Curcumin-Loaded Nanofibers, Which Are Helpful Tool In The Development Of Therapeutics To Treat Wound Healing
The aim of this study was to investigate the feasibility of Curcumin patches formulation (CPF) as a transdermal therapeutic system for wound healing potential. A combination of Poly Vinyl Pyrrolidone (PVP) and Ethyl Cellulose (EC) most strongly enhanced the permeation of Curcumin patch which permeated through the skin could effectively pass into the systemic circulation and attend therapeutic concentration. All formulation showed good physicochemical properties like thickness, weight variation, drug content, folding endurance, moisture content .The drug release through the transdermal patches of Curcumin follows first order kinetics with diffusion controlled mechanism. The results showed wound healing and repair is accelerated by applying CPF-1 formulation of the wound area by an organized epidermis. Study on animal models showed enhanced rate of wound contraction and drastic reduction in healing time than control, which might be due to enhanced epithelialization. The animals treated with Vicco-turmeric Cream and CPF-1 Formulation showed significant (* p< 0.01) wound healing results when compared with control groups. The treated wound after nine days itself exhibit marked dryness of wound margins with tissue regeneration. Group treated with CPF-1 formulation showed better wound closure compared to control group. Histopathological studies of Curcumin patches showed well-organized collagen fibers, increased in fibroblast cells and new blood vessels formation as compared to control group.
International Journal of Biological Macromolecules, 2016
loaded chitosan nanoparticles impregnated into collagen-alginate scaffolds for diabetic wound healing, International Journal of Biological Macromolecules
The objective of present work is to fabricate porous three-dimensional biocomposite scaffolds with interconnected pore networks and mechanical strength for wound healing. Variable concentrations of chitosan and methylcellulose hydrogels were blended in the presence of calcium cations to prepare scaffolds by freeze-drying method. Curcumin-aerosol was deposited over the scaffold surface to improve antimicrobial efficacy. Scaffold stability and curcumin interaction were evaluated by Differential Scanning Calorimeter, Thermal Gravimetric Analyzer and Fourier Transform Infrared Spectrophotometer. Scanning Electron Microscopy indicate multi-layered porosity, mesh-like structure and pore-size ranging from 50 to 500 μm. Erythrocyte interaction with chitosan and methylcellulose using Surface Plasmon Resonance assay in the presence of curcumin depicted high binding affinity of chitosan alone than curcumin. The antibacterial activity of SCF-4C against Escherichia coli and Staphylococcus aureus and the instant haemostasis in erythrocyte-agglutination assay by SCF-7 indicate good material properties for wound treatment. Bleeding time and wound healing efficacy conducted on Sprague Dawley rats depict minimum clotting time of SCF-4 (~32 AE 2 s) compared to SCF-4C (~45 AE 2 s), while highest~85 AE 5 s was observed in curcumin alone. SCF-4C exhibit complete wound healing on day14 in diabetic animals. In-vivo studies confirmed that high concentration of chitosan in presence of curcumin enhances diabetic wound healing process.
Nanomedicine: Nanotechnology, Biology and Medicine, 2015
Burn wounds are often complicated by bacterial infection, contributing to morbidity and mortality. Agents commonly used to treat burn 17 wound infection are limited by toxicity, incomplete microbial coverage, inadequate penetration, and rising resistance. Curcumin is a naturally 18 derived substance with innate antimicrobial and wound healing properties. Acting by multiple mechanisms, curcumin is less likely than 19 current antibiotics to select for resistant bacteria. Curcumin's poor aqueous solubility and rapid degradation profile hinder usage; nanoparticle 20 encapsulation overcomes this pitfall and enables extended topical delivery of curcumin. In this study, we synthesized and characterized 21 curcumin nanoparticles (curc-np), which inhibited in vitro growth of methicillin-resistant Staphylococcus aureus (MRSA) and Pseudomonas 22 aeruginosa in dose-dependent fashion, and inhibited MRSA growth and enhanced wound healing in an in vivo murine wound model. Curc-np 23 may represent a novel topical antimicrobial and wound healing adjuvant for infected burn wounds and other cutaneous injuries.
International Journal of Molecular Sciences
Curcumin and triangular silver nanoplates (TSNP)-incorporated bacterial cellulose (BC) films present an ideal antimicrobial material for biomedical applications as they afford a complete set of requirements, including a broad range of long-lasting potency and superior efficacy antimicrobial activity, combined with low toxicity. Here, BC was produced by Komagataeibacter medellinensis ID13488 strain in the presence of curcumin in the production medium (2 and 10%). TSNP were incorporated in the produced BC/curcumin films using ex situ method (21.34 ppm) and the antimicrobial activity was evaluated against Escherichia coli ATCC95922 and Staphylococcus aureus ATCC25923 bacterial strains. Biological activity of these natural products was assessed in cytotoxicity assay against lung fibroblasts and in vivo using Caenorhabditis elegans and Danio rerio as model organisms. Derived films have shown excellent antimicrobial performance with growth inhibition up to 67% for E. coli and 95% for S. a...
Pharmaceutics
Wound healing is an intricate process of tissue repair or remodeling that occurs in response to injury. Plants and plant-derived bioactive constituents are well explored in the treatment of various types of wounds. Curcumin is a natural polyphenolic substance that has been used since ancient times in Ayurveda for its healing properties, as it reduces inflammation and acts on several healing stages. Several research studies for curcumin delivery at the wound site reported the effectiveness of curcumin in eradicating reactive oxygen species and its ability to enhance the deposition of collagen, granulation tissue formation, and finally, expedite wound contraction. Curcumin has been widely investigated for its wound healing potential but its lower solubility and rapid metabolism, in addition to its shorter plasma half-life, have limited its applications in wound healing. As nanotechnology has proven to be an effective technique to accelerate wound healing by stimulating appropriate mob...
Novel Curcumin-Encapsulated α-Tocopherol Nanoemulsion System and Its Potential Application for Wound Healing in Diabetic Animals
Objective. This project was aimed at formulating a novel nanoemulsion system and evaluating it for open incision wound healing in diabetic animals. Methods. The nanoemulsions were characterized for droplet size and surface charge, drug content, antioxidant and antimicrobial profiling, and wound healing potential in diabetic animals. The skin samples excised were also analyzed for histology, mechanical strength, and vibrational and thermal analysis. Results. The optimized nanoemulsion (CR-NE-II) exhibited droplet size of26:76 ± 0:9 nm with negative surface charge (−10:86 ± 1:06 mV), was homogenously dispersed with drug content of68:05 ± 1:2%, released almost82:95 ± 2:2%of the drug within first 2 h of experiment with synergistic antioxidant (95 ± 2:1%) and synergistic antimicrobial activity against selected bacterial strains in comparison to blank nanoemulsion, and promoted significantly fast percent reepithelization (96.47%). The histological, vibrational, thermal, and strength analysis of selected skin samples depicted a uniform and even distribution of collagen fibers which translated into significant increase in strength of skin samples in comparison to the control group. Conclusions. The optimized nanoemulsion system significantly downregulated the oxidative stress, enhanced collagen deposition, and precluded bacterial contamination of wound, thus accelerating the skin tissue regeneration process.
Macromolecular Materials and Engineering, 2018
A fibrous scaffold of curdlan/poly(vinyl alcohol) (PVA) blend is prepared by electrospinning technique and antimicrobial property is imparted to it by the addition of silver nitrate (1, 3, and 5 wt%). All the scaffolds except the PVA/curdlan with 5 wt% AgNO3 show good viability of Swiss 3T3 fibroblast cells. Significant reductions in the growth of Staphylococcus aureus and Escherichia coli are also observed in all the scaffolds. In vitro scratch assay and cell adhesion studies indicate that the scaffold containing 1% AgNO3 shows significant wound healing and better cell spreading. The in vivo results also show faster healing of excision wounds in diabetic rats treated with the same material when compared to the control and the commercial sample. Furthermore, downregulation of proinflammatory cytokines and upregulation of anti‐inflammatory cytokines on the skin of the treated animals confirm that PVA/curdlan/1% AgNO3 electrospun mat could be a promising material for diabetic wound he...
Applied Sciences, 2018
Curcumin-loaded bacterial cellulose films were developed in this study. Curcumin was absorbed into never-dried bacterial cellulose pellicles by 24-h immersion in solutions of curcumin in the range of 0.2–1.0 mg /mL. The curcumin-loaded bacterial cellulose pellicles were then air-dried and characterized. The mechanical properties of curcumin-loaded bacterial cellulose films, particularly the stretching properties, appeared to be lower than those of bacterial cellulose film. This was especially evident when the loading concentration of curcumin was higher than 0.4 mg/mL. Fourier-transform infrared spectroscopy analysis indicated an interaction between bacterial cellulose microfibrils and curcumin. Controlled release of curcumin was achieved in buffer solutions containing Tween 80 and methanol additives, at pH 5.5 and 7.4. Curcumin-loaded bacterial cellulose films prepared with curcumin solutions at concentrations of 0.5 and 1.0 mg/mL displayed antifungal activities against Aspergillus...
Macromolecular Materials and Engineering, 2018
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International Journal of Nanomedicine
Foot ulceration is one of the most severe and debilitating complications of diabetes, which leads to the cause of nontraumatic lower-extremity amputation in 15-24% of affected individuals. The healing of diabetic foot (DF) is a significant therapeutic problem due to complications from the multifactorial healing process. Electrospun nanofibrous scaffold loaded with various wound dressing materials has excellent wound healing properties due to its multifunctional action. Purpose: This work aimed to develop and characterize chitosan (CS)-polyvinyl alcohol (PVA) blended electrospun multifunctional nanofiber loaded with curcumin (CUR) and zinc oxide (ZnO) to accelerate diabetic wound healing in STZ-induced diabetic rats. Results: In-vitro characterization results revealed that nanofiber was fabricated successfully using the electrospinning technique. SEM results confirmed the smooth surface with web-like fiber nanostructure diameter ranging from 200-250 nm. An in-vitro release study confirmed the sustained release of CUR and ZnO for a prolonged time. In-vitro cell-line studies demonstrated significantly low cytotoxicity of nanofiber in HaCaT cells. Anti-bacterial studies demonstrated good anti-bacterial and anti-biofilm activities of nanofiber. In-vivo animal studies demonstrated an excellent wound-healing efficiency of the nanofibers in STZ-induced diabetic rats. Furthermore, the ELISA assay revealed that the optimized nanofiber membrane terminated the inflammatory phases successfully by downregulating the pro-inflammatory cytokines (TNF-α, MMP-2, and MMP-9) in wound healing. In-vitro and in-vivo studies conclude that the developed nanofiber loaded with bioactive material can promote diabetic wound healing efficiently via multifunction action such as the sustained release of bioactive molecules for a prolonged time of duration, proving anti-bacterial/anti-biofilm properties and acceleration of cell migration and proliferation process during the wound healing. Discussion: CUR-ZnO electrospun nanofibers could be a promising drug delivery platform with the potential to be scaled up to treat diabetic foot ulcers effectively.
Clinical and Experimental Pharmacology and Physiology, 2009
Summary Curcumin is a naturally occurring poly‐phenolic compound with a broad range of favourable biological functions, including anti‐cancer, anti‐oxidant and anti‐inflammatory activities. The low bioavailability and in vivo stability of curcumin require the development of suitable carrier vehicles to deliver the molecule in a sustained manner at therapeutic levels. In the present study, we investigated the feasibility and potential of poly(caprolactone) (PCL) nanofibres as a delivery vehicle for curcumin for wound healing applications. By optimizing the electrospinning parameters, bead‐free curcumin‐loaded PCL nanofibres were developed. The fibres showed sustained release of curcumin for 72 h and could be made to deliver a dose much lower than the reported cytotoxic concentration while remaining bioactive. Human foreskin fibroblast cells (HFF‐1) showed more than 70% viability on curcumin‐loaded nanofibres. The anti‐oxidant activity of curcumin‐loaded nanofibres was demonstrated us...
Biomaterials, 2004
The wound healing process involves extensive oxidative stress to the system, which generally inhibits tissue remodeling. In the present study, an improvement in the quality of wound healing was attempted by slow delivery of antioxidants like curcumin from collagen, which also acts as a supportive matrix for the regenerative tissue. Curcumin incorporated collagen matrix (CICM) treated groups were compared with control and collagen treated rats. Biochemical parameters and histological analysis revealed that increased wound reduction, enhanced cell proliferation and efficient free radical scavenging in CICM group. The higher shrinkage temperature of CICM films suggests increased hydrothermal stability when compared to normal collagen films. Spectroscopic studies revealed that curcumin was bound to the collagen without affecting its triple helicity. Further we adopted the antioxidant assay using 2,2 0-azobisisobutyronitrile to assess in vitro antioxidant activity of CICM. The antioxidant studies indicated that CICM quenches free radicals more efficiently. This study provides a rationale for the topical application of CICM as a feasible and productive approach to support dermal wound healing.
Curcumin, a greatly potent, non-toxic and naturally existing bioactive material in turmeric is widely employed to develop biomedical functional materials due to its environmental friendly nature. In general, curcumin functional materials were prepared by administrating non-aqueous solvents as a dissolving medium for curcumin. These non-aqueous solvents cause adverse effects for the environment and humans. However, if the curcumin functional materials are developed based on aqueous solution then the adverse effects can be eliminated. In view of this, for the first time aqueous based nanocurcumin (nanoparticles of curcumin) impregnated gelatin cellulose fibers (NCGCFs) were developed by a green process. The required nanocurcumin was prepared by ultrasonication process. Transmission electron microscopy showed the sizes of nanocurcumin exist in the range $2 to 15 nm. Nuclear magnetic resonance spectra showed no structural modification of nanocurcumin to that of curcumin. The developed fibres were characterized by fourier transform infrared spectroscopy, scanning electron microscopy, thermal analysis and swelling studies. Cumulative releasing studies showed slow and sustained releasing patterns for NCGCFs. A comparative antimicrobial study was performed for nanocurcumin impregnated gelatin cellulose fibres (NCGCFs) and curcumin impregnated gelatin cellulose fibres (CGCFs) against E. coli and S. aureus. The results indicated the superior performance of NCGCFs over CGCFs. Hence, NCGCFs prepared completely from naturally available materials can be considered as a novel kind of functional materials for wound dressing and antimicrobial applications.
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