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The inhibition of matrix metalloproteinase activity in chronic wounds by a polyacrylate superabsorber

Scientific Content

The inhibition of matrix metalloproteinase activity in chronic wounds by a polyacrylate superabsorber

Type
Clinical Case Publication
Topics
Wound Healing, Chronic Wounds, Debridement, Exudate Management, Leg Ulcer, Absorption
Language
EN
Publication Year
2008
Author(s)
Sabine Eming et al.
Approx. reading time
45 min (10 pages)

Summary

Excessive matrix metalloproteinase (MMP) levels have been observed in wound fluid of impaired healing wounds.

This is thought to interfere with granulation tissue formation as newly formed extracellular matrix and cytokines are degraded and the wound becomes deadlocked, unable to progress to the next healing stages. In the cleansing phase, associated with high MMP activity levels, hydroactive wound dressings containing polyacrylate superabsorber particles are particularly effective.

We tested whether these particles can block MMP activity in wound fluid obtained from chronic venous leg ulcers. Polyacrylate superabsorber particles inhibited MMP activity by more than 87% in a fluorogenic peptide substrate assay. Further analysis revealed two underlying molecular mechanisms. First, experiments showed direct binding of MMPs to the particles.

Secondly, polyacrylate superabsorber particles can bind Ca2þ and Zn2þ ions competing with MMPs for divalent ions required for enzymatic activity. Furthermore, we provide the first evidence in vivo that MMPs bind effectively to polyacrylate superabsorber particles within the hostile environment of chronic wounds.

We conclude that polyacrylate superabsorber particles can rescue the highly proteolytic microenvironment of non-healing wounds from MMP activity so that more conductive conditions allow healing to proceed.

Authors

Sabine Eming et al.
Department of Dermatology, University of Cologne, Germany

Citation reference

Eming S et al. (2008)
The inhibition of matrix metalloproteinase activity in chronic wounds by a polyacrylate superabsorber. Biomaterials 29

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