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Table 1 Design and structure-functional properties of wound dressings loaded with cell-conditioned medium

From: Advancing wound healing by hydrogel-based dressings loaded with cell-conditioned medium: a systematic review

Delivery system design

Preparation

Hydrogel composition

Mean pore size, µm

Bioactive molecule release kinetics

Mechanical properties

Reference

Soft hydrogel

Photopolymerization of hydrogel components

Gelatin methacrylate, lithiumphenyl-2,4,6-trimethylbenzoyl phosphinate (photoinitiator)

342.3-200.2-180.4

> 75% of protein loaded is released within 10 days

Hydrogel degradation time in PBS at 37 °C varied from 13 to 19 days; tensile strength and viscosity of the hydrogel increased with polymer concentration; the hydrogel was stable within 4–40 °C

[60]

Solid bandage-like dressing

Ionic crosslinking and hydrogel molding followed with subsequent freeze-drying, macrophage seeding or soaking with cell secretome solution

Calcium-crosslinked alginate

122.1 ± 43.6

Burst release in the first 24 h, release of loaded proteins completed within 3 days

Minimal differences in bandage mass were detected during soaking in RPMI

[53]

CM-impregnated dried alg-Ecm patches

Ionic crosslinking and hydrogel molding with subsequent drying with air and impregnation using CM

Calcium-crosslinked mixture of alginate and extracellular matrix of human lung fibroblasts

Homogenous nonporous matrix

Burst release in the first 12 h; steady-state protein quantity released within 3 days

Degradation time of 80% of hydrogel was 7 days; hydrogel is durable at 3 MPa and viscoelastic

[54]

Soft hydrogel

Ionic crosslinking and hydrogel molding

Calcium-crosslinked alginate-gelatin-conditioned medium mixture

Homogenous nonporous matrix

Prolonged release of VEGF within

4 days

Tensile strength was 14.0 ± 0.64 MPa; elongation ratio at break point and Young’s modulus

were 21.0 ± 2.5 and 2.5 ± 1.2 MPa

[55]

Soft hydrogel

Physical crosslinking due to temperature-induced gelation, molding

Collagen-CM mixture

-

The protein released from the ASP after 24 h (incubation with type I collagenase); most of the ASP was fully digested after 8 h

-

[61]

Soft hydrogel

Physical crosslinking due to temperature-induced gelation

CM - chitosan-collagen- β-glycerophosphate

-

-

Nonfluid gel after incubation at 37 °C; temperature-induced viscosity increase

[64]

Soft hydrogel

Photo-initiated free-radical crosslinking

Hyaluronic acid-based hydrogel grafted with methacrylic anhydride and N-(2-aminoethyl)-4-[4-(hydroxymethyl)-2-methoxy-5-nitrophenoxy]-butanamide

-

> 60% of protein loaded is released within 16 days

The final modulus increased with the degree of methacryloyl substitution (9182 ± 558 Pa); the ultimate tensile strengths of hydrogel were determined as 86.6 ± 3.1 kPa, 145.4 ± 5.0 kPa, and 103.4 ± 1.5 kPa; the increased crosslinking density caused the hydrogel to become brittle

[63]

Solid sponge-like dressing

Physical crosslinking, molding followed with subsequent freeze-drying

Sodium alginate

Wide mesh structure

Initial burst release, in the first 3 h (about 40% for proteins and 65% for lipids); protein and lipid release plateaued at 32 h

-

[56]

Soft hydrogel

Physical crosslinking

Carboxymethyl cellulose

-

-

-

[72]

Soft microstructured hydrogel

Particle in particle chemically ionic crosslinking

Soldium alginate/bioglass hydrogel with sodium alginate microparticles loaded with M2 macrophage secretome and PLGA microspheres with encapsulated pirfenidone

-

Sequential release of the encapsulated CM (95% of the cell secretome is released by day 5) and pirfenidone (95% of the encapsulated CM quantity is released by day 20)

Hydrogel was degraded to 80% after 14 days

[57]

Soft hydrogel

Physical crosslinking, solvent-induced gelation

Bioinspired octapeptide, GV8 (Ac-GLYGGYGV-NH2); cell secretome

10; 33

> 50% of secretome release at days 2–3

-

[52]

Soft hydrogel

Ionic crosslinking and hydrogel molding

Calcium-crosslinked alginate-gelatin-CM mixture

-

-

-

[65]

Solid sponge-like dressing

Ionic crosslinking, molding followed with subsequent freeze-drying

Genipin crosslinked collagen, CM

-

-

-

[62]

Soft hydrogel

Physical crosslinking, temperature-induced gelation

Decellularized extracellular matrix (ECM) of porcine skin, CM

-

-

-

[71]

Soft hydrogel

Physical crosslinking, temperature-induced gelation

Chitosan; medium from rat bone marrow MMSC

-

-

-

[59]

Soft nano-structured hydrogel

Physical crosslinking, temperature-induced gelation

Silk fibroin self-assembled nanofibers, concentrated CM

-

TGF-β1, IGFBP-1, and PDGF-AB are

release within 9 days

Viscosity increased with nanofiber concentration in hydrogel; CM addition decrease hydrogel viscosity

[69]

Soft hydrogel

Physical crosslinking, cryo-gelation

Suckerin-silk fusion proteins, CM

4–70; 42–206 (in case of a freeze-thawed hydrogel)

The cell secretome released by the day 18

Viscoelastic, with a higher shear storage modulus

than the loss modulus; with 90% of degradation occurring on days 13 and 18

[70]

Soft hydrogel patch

Physical and chemical crosslinking

Fibrinogen, chitosan, CM

3–5

EGF and KGF were released rapidly

during a week, and then maintained a relatively stable and

slow-releasing effect for up to 28 days

The Young’s modulus of elasticity in tension was 5.5 ± 1.2 MPa and tensile fracture amplitude was 44.6 ± 6.5%

[66]

Soft hydrogel

Physical crosslinking, temperature-induced gelation

PVA, carageenan, CM

-

-

-

[67]

Soft hydrogel patch

Ionic molding and crosslinking, punching

Calcium-crosslinked alginate

-

-

-

[58]

Soft hydrogel

Polymer dissolution and double enzymatic and covalent crosslinking

Aldehyde-based chondroitin sulfate-dopamine-carboxymethyl chitosan

Length 131.4 ± 23.3; width 75.8 ± 5.0

-

High plasticity; 13 s of the gelation time; withstands large elastic deformation; re-assembles after being damaged to form a complete hydrogel due to the natural dynamic; tensile strength, which is 0.72 MPa; completely degraded by day 10

[68]