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. 2021 Jan 30;13(2):183. doi: 10.3390/pharmaceutics13020183

Table 2.

Biological performance of the asymmetric membranes produced through electrospinning aimed to be used as wound dressings.

Composition Antibacterial Activity Antioxidant Activity Cell Behavior Wound Healing Ref
PCL-PLA/GelMA-ChMA N.A. N.A. Fibroblasts cellular viability of ≈101.1% and ≈106.7%, for the top and bottom layer, respectively, after 7 days;
After seven days, a continuous layer of cells with typical fibroblastic morphology and lamellipodia connecting to surrounding mesh was observed
N.A. [55]
CS-PCL/HA The optical density of E. coli was ≈0.09 for asymmetric membrane and ≈0.37 for the control (PCL), after 24 h of incubation N.A. Vero cells viability of ≈147.52%, after 5 days;
Vero cells adhered to the asymmetric membrane showed a good cell–cell interaction as well as an improved cell/fibrous scaffold integration, after 5 days
N.A. [26]
CS/PDLLA N.A. N.A. Efficient attachment of fibroblast cells to the membrane, after 5 days of incubation;
Infiltration of fibroblast cells into CS/PDLLA membranes up to a depth of ≈32.5 μm
The histology analysis, after 7 days of the wound treatment with the asymmetric membrane, demonstrated that the epidermis and dermis layer were gradually restored with the successful regeneration of keratinocytes and fibroblasts, respectively [64]
BGB/BGA N.A. N.A. The proliferation of fibroblast cells on the top and bottom layer was ≈184.41% and ≈208.68%, respectively, after 7 days;
The proliferation of keratinocytes on the top and bottom layer was ≈190.18% and ≈183.74%, respectively, after 7 days
The asymmetric membranes induced the reduction of the wound size in ≈83.1% after 14 days;
The histology analysis of the wound covered with the asymmetric membrane showed the re-epithelialization and a structure resembling the normal skin, with skin-like organized collagen fibers
[61]
PCL-mupirocin_ CS-LID The membrane showed excellent activity against S. aureus (35 mm of inhibition zone), P. aeruginosa (30 mm of inhibition zone), and E. coli (28 mm of inhibition zone) N.A. The relative cell number (OD) of the fibroblast cells was ≈0.61 after 7 days N.A. [68]
PeCL(nylon mesh pore size 40)/Gel-pio The top layer exhibited lower bacterial adhesion in comparison to the control, against S. aureus, E. coli, and P. aeruginosa N.A. The viabilities of fibroblast cells and HUVECs were ≈179.38% and ≈353.85%, respectively, after 3 days;
The percentages of fibroblast cells and HUVECs migration were 61.54% and 68.57%, respectively
Type 2 Diabetic Mice:
The wounds treated with PCL40/Gel-pio were almost completely closed on day 10, whereas the other groups needed more than 14 days;
The blood glucose concentrations of the PCL40/Gel-pio group were maintained at a low level and increased after day 7, while the others increased continuously over time;
Completely regenerated epidermis and dense dermis, and continuous and uniform granulation tissue on day 14;
The relative collagen content on day 14 was 59.52%;
The asymmetric membranes group showed the highest density of newly formed blood vessels (≈30.32 mature vessels per field) after 7 days;
The asymmetric membranes group showed the most potent effect on cell proliferation (higher Ki67 expression, ≈73.23 positive cells per field)
[54]
Type 1 Diabetic Rat:
Showed the fastest wound healing effect;
The wounds treated with PCL40/Gel-pio were almost completely closed on day 14;
Showed the higher density of collagen fibers (≈61.46%) after 7 days;
Showed the highest density of newly formed blood vessels (≈32.27 vessels per field) after 5 days, and decreased to the day 14 (≈12.69 vessels per field);
The asymmetric membranes group showed the most potent effect on cell proliferation (higher Ki67 expression, ≈56.55 positive cells per field), on day 14
PLA-VE/PCL-VE N.A. N.A. Fibroblast cells viability of ≈87.44%, after 10 days;
The surface of the membrane was highly colonized by fibroblast cells, and the cells’ attachment inside the pores of the membranes was also observed, after 10 days
After 14 days, the chick chorioallantoic membrane assay revealed the complete coverage of the asymmetric membrane with the newly formed vessels (≈48.99 blood vessels) [57]
PCL/PVAc-CRV
(Sample I-PVAc in DMF/ETOH; sample II-PVAc in DMF)
Sample I inhibited the proliferation of E. coli (from 1.6 × 109 to 1.2 × 107 CFU/mL) and S. aureus (5.7 × 1010 to 2.3 × 107 CFU/mL)
Sample II inhibited the proliferation of E. coli (from 1.6 × 109 to 1.4 × 106) and S. aureus (5.7 × 1010 to 3.1 × 106)
N.A. The fibroblast cells viability was ≈108.24% and ≈145.29% for sample I and sample II, respectively, after 3 days
After 3 days, fibroblast cells properly adhered and spread homogeneously on the membrane;
No significant effects on cells migration in in vitro wound closure assays, after 3 days
N.A. [66]
PCL-HA/CS-ZN-SA The asymmetric membranes showed an inhibitory effect of ≈99% against S. aureus and presented an inhibitory halo of 9.84 ± 3.64 mm N.A. The fibroblast cells viability was ≈106.05%, after 7 days;
After 7 days, the cells presented filopodia protrusions and were completely attached on both layers
N.A. [28]
PCL/PEO-CS-AV Low bacteria adhesion to the upper side of the top layer;
The asymmetric membranes showed antibacterial activity of 99.99% and 99.97% against S. aureus and E. coli, respectively
N.A. The fibroblast cells viability was ≈94.44%, after 7 days;
After 3 days, the fibroblast cells attached and proliferated;
The fibroblasts migrated to the interior of the asymmetric membrane (8–10 µm within the polymeric structure), after 3 days
N.A. [67]
PCL-SF/SF-HA-THY The PCL-SF layer avoided the bacterial infiltration of S. aureus and P. aeruginosa;
The SF-HA-THY layer showed antibacterial activity of 87.42% (and an inhibition zone of ≈69.90%) and 58.43% (and an inhibition zone of ≈52.38%), against S. aureus and P. aeruginosa, respectively
Antioxidant activity of 9.22% and ≈45.64% for the PCL-SF and SF-HA-THY membranes, respectively, after 8 h of incubation The fibroblast cells viability was ≈93.44% and ≈93.82% for the PCL-SF and SF-HA-THY membranes, respectively, after 7 days;
Both membranes promoted the cell adhesion, but in the SF_HA_THY layer, the fibroblast cells appeared to present more filopodia protrusions, higher cell adhesion, and proliferation
N.A. [20]
PeCL/PDO-TiO2 nanoparticles (concentration of 3% (PP3T5T) and 5% (PP5T5T))-TTC PP3T5T presented an inhibition zone of 12.78 ± 2.5 and 16.28 ± 4.7 µm, against S. aureus and E. coli, respectively;
PP5T5T presented an inhibition zone of 26.14 ± 6.7 and 36.94 ± 5.6 µm, against S. aureus and E. coli, respectively
N.A. The fibroblast cells proliferation was ≈107.77% and ≈110.83% for PP3T5T and PP5T5T, respectively, after 6 days;
The fibroblast cells penetrated up to a depth of 40 and 35 µm for PP3T5T and PP5T5T, respectively, after 4 days
N.A. [69]
PLLA-SS (1:1, 2:1, 4:1)-NFZ (0.2%, 0.5%, 1.0%)/NFZ-PLLA Inhibition zones of 20.41 ± 0.43 to 24.28 ± 0.10 mm against E. coli and 21.47 ± 0.19 to 27.04 ± 0.35 mm against B. subtilis N.A. The fibroblast cells viabilities were all above 95% for the PLLA-SS(2:1)–0.2% NFZ (with concentrations ranging from 10 to 2.5 mg × mL−1), after 3 days The asymmetric membranes induced the reduction of the wound size in 97% after 12 days [71]

AV: Aloe vera; BGA: β-glucan acetate; BGB: β-glucan butyrate; ChMA: Methacrylated chitosan; CRV: carvacrol; CS: Chitosan; Gel: Gelatin; GelMA: Methacrylated gelatin; HA: Hyaluronic acid; LID: Lidocaine hydrochloride; N.A.: Not available; NFZ: Nitrofurazone; PCL: Polycaprolactone; PDO: Polydioxanone; PeCL: Poly(ε-caprolactone); PEO: Polyethylene oxide; Pio: Pioglitazone; PLA: Poly(l,d-lactic acid); PLLA: Poly(l-lactide); PVAc: Polyvinyl acetate; SA: Salicylic acid; SF: Silk fibroin; SS: Sericin; THY: Thymol; VE: Vitamin E derivative; ZN: Zein.