1. Introduction
An intact
skin plays an indispensable role for human survival, functioning as a vital protective barrier against external pathogens and harmful substances[
1]. it prevents excess water loss while preserving essential electrolytes[
2]. Not less significant, the skin serves the body’s sensory organ and significantly contributes to the regulation of body temperature regulation[
3] For all of that and more, maintaining a healthy, intact skin is a must for human survival. Wound prevalence is a global health concern, either for acute cases or chronic conditions. Effective wound healing is critical for maintaining skin integrity and avoiding problems like infection and tissue damage. Timely healing promotes recovery, lowers healthcare costs, and improves patient quality of life, whereas delayed healing can pose major health hazards; Attempting to achieve rapid and efficient healing highlights the importance of advanced treatment strategies[
4]. Naturally, wound healing occurs in four phases. The first phase, hemostasis, begins immediately after injury, increasing blood flow to remove pathogens and initiating clot formation to prevent excessive bleeding[
5]. The second phase, inflammation, involves neutrophils and macrophages clearing pathogens, while cytokines and growth factors promote cell proliferation[
6]. In complicated wounds, anti-inflammatory agents may be prescribed to prevent prolonged inflammation[
6]. The third phase, tissue proliferation, sees the formation of a new extracellular matrix (ECM) and collagen deposits, which support tissue structure and angiogenesis[
7]. Lastly, during remodeling, the granulation tissue matures, and blood vessels restore normal function as inflammatory cells die[
8].
In order to stop bleeding, absorb excess exudates, and promote wound healing, a wound dressing is applied[
9]. A wound dressing can be either simple traditional one to protect the wound solely, or an advanced one that actively participates in the wound healing and tissue regeneration process. Clearly, an advanced dressing is the optimal choice, albeit more expensive so it is generally reserved for complicated wounds[
10]. While simple dressings are made of gauze or cotton, advanced dressings are usually fabricated from biomaterials. Ideally, a wound dressing should be biocompatible, biodegradable, nontoxic, nonirritant, of tailorable mechanical properties, and with good water and gas exchange properties[
8]. Several agents can be added to the dressing to hasten the healing process and prevent the formation of a permanent scar; such agents include anti-inflammatory, antimicrobial, antifungal and growth promoters.
Among the favorable candidates for wound dressings are electrospun nanofibrous sheets.
Nanofibers (NFs) have emerged as promising one-dimensional fiber-shaped nanomaterial with wide range of research and industrial applications due to their distinct features[
11]. They are considered ideal wound dressings as they closely resemble the structure of the natural ECM of the skin [
3,
12]. They provide large surface area which facilitates higher drug loading capacities[
13]. Additionally, NFs have high porosity which enables high rates of gaseous and water exchange[
14]. A plethora of biomaterials can be used in NFs fabrication which ensures fine tuning of properties such as degradability and mechanical properties. On top of that, the process of electrospinning is rather a simple and easily scalable technique[
15]. Thermoplastic polyurethane (TPU) is a synthetic biomaterial with good biocompatibility, minimal toxicity, and excellent mechanical behavior[
16,
17]. Such properties highlight the benefits of suggesting TPU as suitable biomaterial for NFs fabrication.
Anastatica hierochuntica (A. hierochuntica) is a well-known medicinal plant with various medicinal uses[
18]. For starters, it is commonly used to ease child delivery, alleviate menstrual cramps and hemorrhages[
19]. Not only that, but
A. hierochuntica can be used in diabetes, asthma, headache, fever, GIT disturbances, epilepsy, and heart diseases[
20,
21,
22]. Such numerous uses are attributed to its rich content of minerals such as Magnesium (Mg), Calcium (Ca), Manganese (Mn), Iron (Fe), Copper (Cu), and Zinc (Zn) as well as various flavonoids, phenolic compounds[
23,
24]. Owing to the large combination of ingredients,
A. hierochuntica exerts antioxidant, anti-inflammatory, antimicrobial, anti-hepatotoxic, anti-cancer, and even growth promotion effects[
21,
23,
25].
Previous studies indicated that extracts derived from A. hierochuntica exhibit significant antibacterial activity against a variety of pathogenic bacteria, including Staphylococcus aureus, and Pseudomonas aeruginosa[
26]
. The antimicrobial mechanisms were primarily attributed to its rich phytochemical composition, which includes flavonoids, tannins, and phenolic compounds. These bioactive molecules disrupt bacterial cell membranes, leading to increased permeability and, ultimately, cell death. Furthermore, A. hierochuntica extracts demonstrated remarkable antifungal activity against pathogens like Candida albicans and Aspergillus niger effectively inhibiting their growth[
27]
. The antifungal action is believed to result from the interference with fungal cell wall synthesis and metabolic processes. By significantly reducing the viability of both bacteria and fungi, A. Hierochuntica extract,
not only helps to prevent infections, but also enhances the healing process in wounds, thereby highlighting its potential as a natural antimicrobial agent in wound dressing formulations.
While previous studies have explored various natural materials for wound healing, to the best of our knowledge, no previous study has assessed the antimicrobial properties of Anastatica extracts in a nanofiber format. By leveraging the unique characteristics of Anastatica, including its bioactive compounds, in conjunction to the benefits of nanofibers, this study aimed to demonstrate not only the effectiveness of the developed nanofibers in inhibiting microbial growth but also its potential to enhance the wound healing process. The developed formulations were characterized for morphology, water contact angle, mechanical properties, as well as swelling behavior. Surface morphology of the fabricated NFs was scanned using SEM. The selected NF formulation was then tested for functional groups interaction via FT-IR scanning as well as in-vitro release behavior. The antimicrobial activity of the selected formulation was assessed against Acinetobacter baumannii, Pseudomonas aeruginosa, Staphylococcus aureus, and Aspergillus niger. Finally, Scratch assay was carried using human fibroblasts cell line to assess wound closure and cell migration.
Author contributions
Eman Abdelhakeem: Conceptualization, Methodology, Software, Formal analysis, Investigation, Resources, Review & Editing. Mona M. Hashem: Conceptualization, Methodology of phytochemical section, Heba Attia: Conceptualization, Methodology & Results analysis of microbiological section, Mohamed A. Abdel Khalek: Conceptualization, Methodology, Software, Formal analysis, Investigation, Resources, Shaimaa M. Badr-Eldin : Formal analysis, Review & Editing. Islam M. Adel: Conceptualization, Methodology, Software, Writing—Original Draft, Writing—Review & Editing.
Figure 1.
SEM images of the fabricated NFs showcasing the rod-shaped NFs with an overall smooth surface. Minute ridges are seen in case of the extract-loaded NFs. The images also illustrate the difference in diameter of the fabricated compared plain (A), 10% extract loaded NFs (B), and 20% extract loaded NFs (C).
Figure 1.
SEM images of the fabricated NFs showcasing the rod-shaped NFs with an overall smooth surface. Minute ridges are seen in case of the extract-loaded NFs. The images also illustrate the difference in diameter of the fabricated compared plain (A), 10% extract loaded NFs (B), and 20% extract loaded NFs (C).
Figure 2.
WCA measurements of NFP (A), NF10 (B), and NF20 (C). The images highlight the reduction in WCA with the inclusion and/or increasing the amount of the loaded extract.
Figure 2.
WCA measurements of NFP (A), NF10 (B), and NF20 (C). The images highlight the reduction in WCA with the inclusion and/or increasing the amount of the loaded extract.
Figure 3.
Stress-strain curves of the fabricated plain NFP (A), 10% extract loaded (B), and 20% extract loaded NFs (C). The curves reveal the effect of the extract loading onto increased elasticity and ability to withstand the applied force.
Figure 3.
Stress-strain curves of the fabricated plain NFP (A), 10% extract loaded (B), and 20% extract loaded NFs (C). The curves reveal the effect of the extract loading onto increased elasticity and ability to withstand the applied force.
Figure 4.
FT-IR spectra of the fabricated compared plain (A) and the selected NFs (B) confirming the hydrogen bond interaction between hydrophilic groups of the extract with the functiona groups of TPU polymer.
Figure 4.
FT-IR spectra of the fabricated compared plain (A) and the selected NFs (B) confirming the hydrogen bond interaction between hydrophilic groups of the extract with the functiona groups of TPU polymer.
Figure 5.
In-vitro release profile of A. hierochuntica extract from the selected NFs (NF20) as well as its pure alcoholic solution, represented as % drug release against time.
Figure 5.
In-vitro release profile of A. hierochuntica extract from the selected NFs (NF20) as well as its pure alcoholic solution, represented as % drug release against time.
Figure 6.
MIC values (mg/mL) of A. hierochuntica extract, NF20, and silymarin (n=9), against Acinetobacter baumannii ATCC 19606 (A), Pseudomonas aeruginosa PAO1 (B), Staphylococcus aureus ATCC 25923 (C), and Aspergillus niger ATCC32656 (D). MIC of NF20 was significantly lower than that of the A. hierochuntica extract against all tested strains. The MIC of silymarin was significantly lower than that of the extract in all strains except Staphylococcus aureus ATCC 25923.
Figure 6.
MIC values (mg/mL) of A. hierochuntica extract, NF20, and silymarin (n=9), against Acinetobacter baumannii ATCC 19606 (A), Pseudomonas aeruginosa PAO1 (B), Staphylococcus aureus ATCC 25923 (C), and Aspergillus niger ATCC32656 (D). MIC of NF20 was significantly lower than that of the A. hierochuntica extract against all tested strains. The MIC of silymarin was significantly lower than that of the extract in all strains except Staphylococcus aureus ATCC 25923.
Figure 7.
MBC/MFC values (mg/mL) of A. hierochuntica extract, NF20 and silymarin (n=9), against Acinetobacter baumannii ATCC 19606 (A), Pseudomonas aeruginosa PAO1 (B), Staphylococcus aureus ATCC 25923 (C), and Aspergillus niger ATCC32656 (D). MBC/MFC values of NF20 were significantly lower than both the A. hierochuntica extract and silymarin against all tested strains. There was no significant difference between MBC/MFC of silymarin and that of the A. hierochuntica extract against all tested strains.
Figure 7.
MBC/MFC values (mg/mL) of A. hierochuntica extract, NF20 and silymarin (n=9), against Acinetobacter baumannii ATCC 19606 (A), Pseudomonas aeruginosa PAO1 (B), Staphylococcus aureus ATCC 25923 (C), and Aspergillus niger ATCC32656 (D). MBC/MFC values of NF20 were significantly lower than both the A. hierochuntica extract and silymarin against all tested strains. There was no significant difference between MBC/MFC of silymarin and that of the A. hierochuntica extract against all tested strains.
Figure 8.
Biofilm inhibition activity of different concentrations (1/16, 1/8, ¼, and ½ X, where X is the calculated MIC) of both A. hierochuntica extract and NF20 against Acinetobacter baumannii ATCC 19606 (A), Pseudomonas aeruginosa PAO1 (B) and Staphylococcus aureus ATCC 25923 (C).
Figure 8.
Biofilm inhibition activity of different concentrations (1/16, 1/8, ¼, and ½ X, where X is the calculated MIC) of both A. hierochuntica extract and NF20 against Acinetobacter baumannii ATCC 19606 (A), Pseudomonas aeruginosa PAO1 (B) and Staphylococcus aureus ATCC 25923 (C).
Figure 9.
Biofilm inhibition activity of different concentrations (1/16, 1/8, ¼, and ½ X, where X is the calculated MIC) of both NF20 and silymarin standard against Acinetobacter baumannii ATCC 19606 (A), Pseudomonas aeruginosa PAO1 (B) and Staphylococcus aureus ATCC 25923 (C).
Figure 9.
Biofilm inhibition activity of different concentrations (1/16, 1/8, ¼, and ½ X, where X is the calculated MIC) of both NF20 and silymarin standard against Acinetobacter baumannii ATCC 19606 (A), Pseudomonas aeruginosa PAO1 (B) and Staphylococcus aureus ATCC 25923 (C).
Figure 10.
Representation of % WC against time (hr) indicates the superior benefits of the extract loaded NFs (NF20) in accelerating wound closure as compared to the plain NFs (NFP) and control groups.
Figure 10.
Representation of % WC against time (hr) indicates the superior benefits of the extract loaded NFs (NF20) in accelerating wound closure as compared to the plain NFs (NFP) and control groups.
Figure 11.
Images representing wound healing over 72 hr testing period confirming the superior benefits of the extract loaded NFs (NF20) in accelerating wound closure as compared to the plain NFs (NFP) and control groups.
Figure 11.
Images representing wound healing over 72 hr testing period confirming the superior benefits of the extract loaded NFs (NF20) in accelerating wound closure as compared to the plain NFs (NFP) and control groups.
Table 1.
Characterization of the Fabricated NFs.
Table 1.
Characterization of the Fabricated NFs.
Formulation |
Characterization |
Tensile Strength |
Maximum %Wu
|
Strain (%) |
Stress (N/mm2) |
Young’s modulus (kPa) |
NFP |
15.1014 |
0.01204 |
79.7277 |
2.36 |
|
NF10 |
45.6111 |
0.03964 |
86.9087 |
122.53.54 |
|
NF20 |
67.5833 |
0.04859 |
71.8965 |
2.36 |
|