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Nanofibrous Snake Venom Hemostat.

Vivek A Kumar1, Navindee C Wickremasinghe1, Siyu Shi1

  • 1Departments of Chemistry and Bioengineering, Rice University, 6100 Main Street, Houston, Texas 77030, United States.

ACS Biomaterials Science & Engineering
|January 12, 2016
PubMed
Summary

A novel peptide hydrogel loaded with Batroxobin (SB50) effectively stops bleeding, even in patients on anticoagulant therapy like heparin. This innovative hemostatic agent offers rapid control of surgical hemorrhage.

Keywords:
hemostasismultidomain peptideself-assemblysupramolecular chemistry

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Area of Science:

  • Biomaterials Science
  • Hemostasis Research
  • Nanotechnology

Background:

  • Perioperative bleeding poses significant risks, especially for patients on anticoagulant therapy.
  • Heparin therapy diminishes blood clotting potential, increasing hemorrhage risk.
  • Effective hemostatic agents are crucial for minimizing surgical complications and mortality.

Purpose of the Study:

  • To develop and evaluate a novel self-assembling peptide hydrogel (SLac) loaded with Batroxobin (SB50) as a rapid hemostatic agent.
  • To assess the efficacy of SB50 in controlling bleeding, particularly in the presence of heparin.
  • To compare the performance of SB50 against existing hemostatic agents.

Main Methods:

  • Fabrication of a self-assembling nanofibrous peptide hydrogel (SLac).
  • Loading of SLac with Batroxobin to create SB50 (50 μg/mL).
  • In vitro evaluation of clotting in fibrin and whole blood.
  • In vivo assessment of SB50 in a rat lateral liver incision model, including heparin-treated subjects.

Main Results:

  • SB50 demonstrated rapid hemostasis within 20 seconds in both normal and heparin-treated rats.
  • The Batroxobin-loaded hydrogel conformed to the wound site, providing a physical barrier and enhancing clotting.
  • SB50 outperformed standard (Gelfoam) and investigational (Puramatrix) hemostats in achieving rapid liver incision hemostasis.

Conclusions:

  • The Batroxobin-loaded peptide hydrogel (SB50) provides a facile and effective method for surgical hemostasis.
  • SB50 is highly effective even in the presence of anticoagulant therapies like heparin.
  • This injectable hydrogel represents a promising advancement in managing surgical bleeding.