Understanding platelet thrombogenicity cascade of the biocompatible chitosanderivates in von willebrand disease

Introduction: Chitosan extracted from the shells of arthropods have becoming one of the most promising local hemostatic agents because it is of particular interest as it functions independently on platelets and normal clotting mechanisms. Objectives: This work verified the underlying mechanisms o...

Full description

Bibliographic Details
Main Author: Saad, Arman Zaharil Mat
Format: Monograph
Language:English
Published: Pusat Pengajian Sains Perubatan, Universiti Sains Malaysia 2016
Subjects:
Online Access:http://eprints.usm.my/57573/
http://eprints.usm.my/57573/1/ARMAN%20ZAHARIL%20MAT%20SAAD-Eprints.pdf
_version_ 1848883659830984704
author Saad, Arman Zaharil Mat
author_facet Saad, Arman Zaharil Mat
author_sort Saad, Arman Zaharil Mat
building USM Institutional Repository
collection Online Access
description Introduction: Chitosan extracted from the shells of arthropods have becoming one of the most promising local hemostatic agents because it is of particular interest as it functions independently on platelets and normal clotting mechanisms. Objectives: This work verified the underlying mechanisms of chitosan-induced platelet thrombogenicity cascades and comprises experimental tests such as degradation ability; coagulation analysis and the investigations of hemostatic mediators: von Willebrand Factor (vWF), Factor 8 (FVIII), Thromboxane A2 (TXA2), P2Yl2, glycoprotein IlbIIIa (GpIIbIIIa), Transforming Growth Factor- Beta 1 (TGF-~1) and Platelet Derived Growth Factor-AB (PDGF-AB) in normal donors and von Willebrand disease (vWD) patients in vitro. Materials and Methods: Comparative studies have been conducted to measure the hemostatic capacity of biodegradable: 7% N,O-Carboxymethylchitosan (NO-CMC) (with 0.45 mL collagen), 8% NOCMC, Oligo-chitosan (0-C) and 0-C 53. Lyostypt, the topical hemostatic agent was used as a positive control. This study was conducted using scanning electron microscope, enzyme-linked immunosorbent assay, westergren, coagulation analyzer, western blotting and flow cytometry techniques. Fourteen vWD and normal subjects were recruited in this study with provided informed written consent. Results and Discussions: 0-C type of chitosans are able to enzymatically degrade, 1 possess better porosity and the scaffold pores are sufficient to allow nutrients and cells to enter and by encouraging platelet activities to accelerate hemostasis and wound healing process. 0-Cs exert a combined effect on thrombogenesis by causing platelets to adhere, activate, aggregate and forms insoluble fibrin network to strengthen platelet plug formation by elevating the studied mediators.O-C was capable to induce the expression levels of vWF, FVIII and TXA2 receptor signals. This signaling pathway assists the platelet aggregation. Also, GpIIbIIIa and P2Y 12 analysis showed that 0-C group of chitosan are capable of activating platelets by providing a good surface for blood hemostatic mediators and signals to facilitate thrombin generation. 0-C-activated platelets lead to the release of growth factors, mainly TGF-~1 and PDGF-AB. Therefore, this exhibited that greater expression level of 0-C group of chitosan assists in mediating wound healing process. Conclusion: Tested chitosan-stimulated-mediators potentially initiate the platelet actions and expedite the hemostasis processes in vitro. Based on the outcome of this research, the 0-C and 0-C 53 stimulated hemostasis process and worked better and equal to the commercially available lyostypt in normal donors or subjects and vWD patients in vitro.
first_indexed 2025-11-15T18:54:20Z
format Monograph
id usm-57573
institution Universiti Sains Malaysia
institution_category Local University
language English
last_indexed 2025-11-15T18:54:20Z
publishDate 2016
publisher Pusat Pengajian Sains Perubatan, Universiti Sains Malaysia
recordtype eprints
repository_type Digital Repository
spelling usm-575732023-03-29T00:04:53Z http://eprints.usm.my/57573/ Understanding platelet thrombogenicity cascade of the biocompatible chitosanderivates in von willebrand disease Saad, Arman Zaharil Mat RC Internal medicine Introduction: Chitosan extracted from the shells of arthropods have becoming one of the most promising local hemostatic agents because it is of particular interest as it functions independently on platelets and normal clotting mechanisms. Objectives: This work verified the underlying mechanisms of chitosan-induced platelet thrombogenicity cascades and comprises experimental tests such as degradation ability; coagulation analysis and the investigations of hemostatic mediators: von Willebrand Factor (vWF), Factor 8 (FVIII), Thromboxane A2 (TXA2), P2Yl2, glycoprotein IlbIIIa (GpIIbIIIa), Transforming Growth Factor- Beta 1 (TGF-~1) and Platelet Derived Growth Factor-AB (PDGF-AB) in normal donors and von Willebrand disease (vWD) patients in vitro. Materials and Methods: Comparative studies have been conducted to measure the hemostatic capacity of biodegradable: 7% N,O-Carboxymethylchitosan (NO-CMC) (with 0.45 mL collagen), 8% NOCMC, Oligo-chitosan (0-C) and 0-C 53. Lyostypt, the topical hemostatic agent was used as a positive control. This study was conducted using scanning electron microscope, enzyme-linked immunosorbent assay, westergren, coagulation analyzer, western blotting and flow cytometry techniques. Fourteen vWD and normal subjects were recruited in this study with provided informed written consent. Results and Discussions: 0-C type of chitosans are able to enzymatically degrade, 1 possess better porosity and the scaffold pores are sufficient to allow nutrients and cells to enter and by encouraging platelet activities to accelerate hemostasis and wound healing process. 0-Cs exert a combined effect on thrombogenesis by causing platelets to adhere, activate, aggregate and forms insoluble fibrin network to strengthen platelet plug formation by elevating the studied mediators.O-C was capable to induce the expression levels of vWF, FVIII and TXA2 receptor signals. This signaling pathway assists the platelet aggregation. Also, GpIIbIIIa and P2Y 12 analysis showed that 0-C group of chitosan are capable of activating platelets by providing a good surface for blood hemostatic mediators and signals to facilitate thrombin generation. 0-C-activated platelets lead to the release of growth factors, mainly TGF-~1 and PDGF-AB. Therefore, this exhibited that greater expression level of 0-C group of chitosan assists in mediating wound healing process. Conclusion: Tested chitosan-stimulated-mediators potentially initiate the platelet actions and expedite the hemostasis processes in vitro. Based on the outcome of this research, the 0-C and 0-C 53 stimulated hemostasis process and worked better and equal to the commercially available lyostypt in normal donors or subjects and vWD patients in vitro. Pusat Pengajian Sains Perubatan, Universiti Sains Malaysia 2016 Monograph NonPeerReviewed application/pdf en http://eprints.usm.my/57573/1/ARMAN%20ZAHARIL%20MAT%20SAAD-Eprints.pdf Saad, Arman Zaharil Mat (2016) Understanding platelet thrombogenicity cascade of the biocompatible chitosanderivates in von willebrand disease. Technical Report. Pusat Pengajian Sains Perubatan, Universiti Sains Malaysia. (Submitted)
spellingShingle RC Internal medicine
Saad, Arman Zaharil Mat
Understanding platelet thrombogenicity cascade of the biocompatible chitosanderivates in von willebrand disease
title Understanding platelet thrombogenicity cascade of the biocompatible chitosanderivates in von willebrand disease
title_full Understanding platelet thrombogenicity cascade of the biocompatible chitosanderivates in von willebrand disease
title_fullStr Understanding platelet thrombogenicity cascade of the biocompatible chitosanderivates in von willebrand disease
title_full_unstemmed Understanding platelet thrombogenicity cascade of the biocompatible chitosanderivates in von willebrand disease
title_short Understanding platelet thrombogenicity cascade of the biocompatible chitosanderivates in von willebrand disease
title_sort understanding platelet thrombogenicity cascade of the biocompatible chitosanderivates in von willebrand disease
topic RC Internal medicine
url http://eprints.usm.my/57573/
http://eprints.usm.my/57573/1/ARMAN%20ZAHARIL%20MAT%20SAAD-Eprints.pdf