Systematic Review: Adipose-Derived Mesenchymal Stem Cells,Platelet-Rich Plasma and Biomaterials as New Regenerative Strategies in Chronic Skin Wounds and Soft Tissue Defects

The number of clinical trials evaluating adipose-derived mesenchymal stem cells (AD-MSCs), platelet-rich plasma (PRP), and biomaterials efficacy in regenerative plastic surgery has exponentially increased during the last ten years. AD-MSCs are easily accessible from various fat depots and show intrinsic plasticity in giving rise to cell types involved in wound healing and angiogenesis. AD-MSCs have been used in the treatment of soft tissue defects and chronic wounds, employed in conjunction with a fat grafting technique or with dermal substitute scaffolds and platelet-rich plasma. In this systematic review, an overview of the current knowledge on this topic has been provided, based on existing studies and the authors’ experience. A multistep search of the PubMed, MEDLINE, Embase, PreMEDLINE, Ebase, CINAHL, PsycINFO, Clinicaltrials.gov, Scopus database, and Cochrane databases has been performed to identify papers on AD-MSCs, PRP, and biomaterials used in soft tissue defects and chronic wounds. Of the 2136 articles initially identified, 422 articles focusing on regenerative strategies in wound healing were selected and, consequently, only 278 articles apparently related to AD-MSC, PRP, and biomaterials were initially assessed for eligibility. Of these, 85 articles were excluded as pre-clinical, experimental, and in vitro studies. For the above-mentioned reasons, 193 articles were selected; of this amount, 121 letters, expert opinions, commentary, and editorials were removed. The remaining 72 articles, strictly regarding the use of AD-MSCs, PRP, and biomaterials in chronic skin wounds and soft tissue defects, were analyzed. The studies included had to match predetermined criteria according to the patients, intervention, comparator, outcomes, and study design (PICOS) approach. The information analyzed highlights the safety and efficacy of AD-MSCs, PRP, and biomaterials on soft tissue defects and chronic wounds, without major side effects.     

Effects of 3‐D microwell culture on initial fate specification in human embryonic stem cells

Several studies have demonstrated that three‐dimensional (3‐D) culture systems influence human embryonic stem cell (hESC) phenotypes and fate choices. However, the effect that these microenvironmental changes have on signaling pathways governing hESC behaviors is not well understood. Here, a 3‐D microwell array was used to investigate differences in activation of developmental pathways between 2‐D and 3‐D cultures of both undifferentiated hESCs and hESCs undergoing initial differentiation in embryoid bodies (EBs). An increased induction into mesoderm and endoderm and differences in expression of genes from multiple signaling pathways that regulate development, including Wnt/β‐catenin, TGF‐β superfamily, Notch, and FGF during EB‐mediated differentiation were observed in 3‐D microwells as compared with the 2‐D substrates. In undifferentiated hESCs, differences in epithelial‐mesenchymal transition phenotypes and the TGFβ/BMP pathway between cultures in 3‐D and 2‐D were also observed. These results illustrate that 3‐D culture influences multiple pathways that may regulate the differentiation trajectories of hESCs. © 2014 American Institute of Chemical Engineers AIChE J, 60: 1225–1235, 2014     

The development of a highly efficient photo‐initiator system and its application in the photo‐immobilization of activated sludge

In this study, a highly efficient photo‐initiator system was developed, which contained potassium persulfate, N, N, N ′, N ′‐tetramethylethylethylenediamine plus benzil dimethyl ketal. The photo‐initiator system could successfully initiate poly (ethylene glycol) dimethyl‐acrylate prepolymer to polymerize and crosslink under the irradiation of UV rays, in the presence of concentrated activated sludge, finally leading to the formation of immobilized activate sludge pellet beads. The presence of O₂ and thickness of the reaction solution did not influence the photo‐immobilization process. Respiratory measurement result demonstrated that most activated sludge kept alive during the photo‐immobilization. Mechanical strength of the immobilized cells could be improved by optimizing contents and ratio of the initiator system. The corresponding mechanism was also discussed. © 2013 Wiley Periodicals, Inc. J. Appl. Polym. Sci. 2014 , 131, 39838.     

Influence of gelling properties on protein imprinted agarose gel membrane

A method based on molecular imprinting technique was presented for preparing protein‐imprinted agarose gel membrane (AGM) under moderate conditions, and the influencing factors such as molecular weights and modified chemical groups on the adsorption ability and selectivity of AGMs were investigated. The agaroses used for AGMs were prepared through ultrasonic degradation, oxidation degradation, gel‐melting method, and sulfation, respectively. Bovine serum albumin (BSA) and hemoglobin were selectively recognized on AGMs. Results showed that the molecular weight was the most crucial influencing factor for the protein recognition ability of AGMs. The lower and upper limit of molecular weight was 100 and 130 kDa, respectively, where the AGMs could maintain both good mechanical strength and high recognition ability, with K value around 4.0. The enhancement of ionic strength could make the imprinting effect disappeared even when the concentration of salt was as low as 2 mmol/L. © 2014 Wiley Periodicals, Inc. J. Appl. Polym. Sci. 2014 , 131, 40323.     

Thermal properties and crystallization behavior of bamboo fiber/high‐density polyethylene composites: Nano‐TiO2 effects

In this study, bamboo fiber/high‐density polyethylene (HDPE) composites were prepared, and the effects of nano‐TiO₂ on their thermal properties and crystallization behavior were investigated via thermal gravimetric analysis (TGA), differential scanning calorimetry (DSC), X‐ray diffraction (XRD), and Fourier transform infrared spectroscopy (FTIR). The results show that the addition of nano‐TiO₂ improved the thermal stability and had a dual function in the crystallization behavior of the composites. On one hand, it functioned as a nucleating agent. The addition of 2 wt % nano‐TiO₂ promoted the crystallization, which caused the increase of the crystallization rate and crystallinity degree, as well as the micronization of the crystalline grain. On the other hand, intermolecular hydrogen bonds and covalent bonds were formed between nano‐TiO₂ and the polymer matrix, which hindered the crystallization of the composites. When the content of nano‐TiO₂ was continually increased, the inhibitory effect of the crystallization was gradually enhanced, which resulted in a decrease in the crystallization rate and crystallinity degree of the composites. © 2013 Wiley Periodicals, Inc. J. Appl. Polym. Sci. 2014 , 131, 39846.     

Sorption,solubility, and mass changes of hydroxyapatite‐containing composites in artificial saliva,food simulating solutions,tea, and coffee

The purpose of this study was to evaluate the influence of preparation/storage conditions on the sorption, solubility, and mass changes of new proposed hydroxyapatite‐containing resin‐based composites. Seventy cylindrical samples of composite were prepared according to the ISO 4049 and stored in different storage solutions (distilled water, artificial saliva, 10% ethanol, 3% acetic acid, heptane, tea, and coffee) for 7, 14, and 28 days at 37°C. Principal component analysis and analysis of the variance were used to determine the impact of the preparation and storage conditions (e.g., curing time, storage time, and type of storage solution) on the changes of stability of examined material. Sorption, solubility, and mass changes of examined samples were specified. The tendency of these changes depending on the curing time, storage time, and type of storage solutions were presented. Due to the observed behavior, three groups of storage solutions were distinguished: “aqueous,” acidic, and hydrophobic (“fat”) solutions. Investigated properties changed in different way, characteristic for each of the above groups. No general tendency of the influence of storage and curing time was observed. The type of storage solution has the greatest impact on the sorption, solubility, and mass changes of examined material. The influence of the curing and storage time may be neglected. © 2013 Wiley Periodicals, Inc. J. Appl. Polym. Sci. 2014 , 131, 39856.     

Rheological and thermal properties of saponified cassava starch‐g‐poly(acrylamide) superabsorbent polymers varying in grafting parameters and absorbency

Cassava starch‐graft‐poly(acrylamide) superabsorbent polymers (SAPs) with varying absorbencies were synthesized. Weight average molecular weight (M_w) of the hydrolyzed starch‐graft‐copolymers ranged from 1.6 × 10⁶ to 2.8 × 10⁶ g/mol, the largest being shown by the sample with highest percentage grafting. The storage (G′) and loss modulus (G″) of hydrogels were determined as a function of frequency. G″ was larger than G′ for the hydrogels with higher absorbencies and exhibited a liquid‐like behavior. However, hydrogels with lower absorbencies showed a reverse viscoelastic behavior. The viscosity of hydrogels determined using a Brookfield viscometer at different shear rates was found to be larger for the hydrogels with higher absorbencies. The melting temperature (T_m) and enthalpy change of fusion (ΔH_f) of the SAPs ranged from 149.7 to 177.7°C and 65 to 494.9 J/g, respectively and showed a positive correlation with grafting parameters and M_w. Heavy metal ion removal capacity of hydrogel followed the order Cu²⁺ > Pb²⁺ > Zn²⁺. © 2014 Wiley Periodicals, Inc. J. Appl. Polym. Sci. 2014 , 131, 40368.     

Preparation and characterization of a poly(methyl methacrylate) based composite bone cement containing poly(acrylate‐co‐silane) modified hydroxyapatite nanoparticles

The purpose of this study was to study the mechanical properties of poly(methyl methacrylate) (PMMA)‐based bone cement incorporated with hydroxyapatite (HA) nanoparticles after surface modification by poly(methyl methacrylate‐co‐γ‐methacryloxypropyl timethoxysilane) [P(MMA‐co‐MPS)]. PMMA and P(MMA‐co‐MPS) were synthesized via free‐radical polymerization. P(MMA‐co‐MPS)‐modified hydroxyapatite (m‐HA) was prepared via a dehydration process between silane and HA; the bone cement was then prepared via the in situ free‐radical polymerization of methyl methacrylate in the presence of PMMA and P(MMA‐co‐MPS)–m‐HA. Fourier transform infrared (FTIR) spectroscopy, ¹H‐NMR, and gel permeation chromatography were used to characterize the P(MMA‐co‐MPS). Thermogravimetric analysis and FTIR were used as quantitative analysis methods to measure the content of P(MMA‐co‐MPS) on the surface of HA. The effect of the proportion of m‐HA in the PMMA‐based bone cement on the mechanical properties was studied with a universal material testing machine. A 3‐(4,5‐dimethylthiazol‐2‐yl)‐2,5‐diphenyltetrazolium bromide assay was also carried out to determine the cytotoxicity of the composite bone cement. The results showed that the surface modification of HA greatly improved the interaction between the inorganic and organic interfaces; this enhanced the mechanical properties of bone cement for potential clinical applications. © 2014 Wiley Periodicals, Inc. J. Appl. Polym. Sci. 2014 , 131, 40587.     

Cassava starch‐graft‐polymethacrylamide copolymers as flocculants and textile sizing agents

Cassava starch‐graft‐polymethacrylamide (PMAM) copolymers were synthesized by a free‐radical‐initiated polymerization reaction, and the products were tested for their efficiency as flocculants and textile sizing agents. The highest percentages of grafting and monomer conversion were 79.9 and 78.0%, respectively. The grafted starches were characterized by Fourier transform infrared spectroscopy, X‐ray diffraction analysis, scanning electron microscopy, differential scanning calorimetry, and thermogravimetric analysis. The average molecular weight of PMAM chains in the grafted starches ranged from 15.9 to 30.8 × 10⁵ g/mol. The grafted starches exhibited a higher peak viscosity and paste stability in comparison to the native starch (NS). Dynamic mechanical analysis showed that grafting provided fairly shear‐stable hydrogels, and the highest storage modulus obtained was 17,900 Pa compared to 1879 Pa for NS. The flocculation studies demonstrated the superiority of starch‐g‐PMAM over cassava starch and PMAM as an efficient flocculant. The tensile strength of cotton yarns sized with the starch‐grafted copolymer was significantly higher (104 MPa) compared to that sized with NS (34 MPa). © 2013 Wiley Periodicals, Inc. J. Appl. Polym. Sci. 2014 , 131, 39810.