If medical staff don’t get a hemorrhage under control within the first few minutes, further treatment and healing are impossible. For this reason, stemming the free flow of blood from an injury remains a “holy grail” of clinical medicine, such as for traumatic injuries, illness, and surgery.
By creating nanoparticles that mimic the shape, flexibility, and surface biology of the body’s own platelets, researchers now can accelerate natural healing processes while opening the door to therapies and treatments that can be customized for specific patients.
“This is a significant milestone in the development of synthetic platelets, as well as in targeted drug delivery,” says Samir Mitragotri, director of the Center for Bioengineering at the University of California, Santa Barbara.
How bleeding stops
The process of coagulation is familiar to anyone who has suffered even a small injury, such as a scrape or paper cut. Blood rushes to the site of the injury, and within minutes the flow stops as a plug forms at the site. The tissue beneath and around the plug works to knit itself back together and eventually the plug disappears.
But what we don’t see is the coagulation cascade, the series of signals and other factors that promote the clotting of blood and enable the transition between a free-flowing fluid at the site and a viscous substance that brings healing factors to the injury.
Coagulation actually requires the choreography of various substances, particularly platelets, the blood component that accumulates at the site of the wound to form the initial plug.
“While these platelets flow in our blood, they’re relatively inert,” says graduate student researcher Aaron Anselmo, lead author of the paper in ACS Nano.
As soon as an injury occurs, however, the platelets, because of the physics of their shape and their response to chemical stimuli, move from the main flow to the side of the blood vessel wall and congregate, binding to the site of the injury and to each other. As they do so, the platelets release chemicals that “call” other platelets to the site, eventually plugging the wound.
But what happens when the injury is too severe, or the patient is on anti-coagulation medication, or is otherwise impaired in his or her ability to form a clot, even for a modest or minor injury?
That’s where platelet-like nanoparticles (PLNs) come in. These tiny, platelet-shaped particles that behave just like their human counterparts can be added to the blood flow to supply or augment the patient’s own natural platelet supply, stemming the flow of blood and initiating the healing process, while allowing physicians and other caregivers to begin or continue the necessary treatment.
Emergency situations can be brought under control faster, injuries can heal more quickly, and patients can recover with fewer complications.
“We were actually able to render a 65 percent decrease in bleeding time compared to no treatment,” says Anselmo.
According to Mitragotri, the key lies in the PLNs’ mimicry of the real thing. By imitating the shape and flexibility of natural platelets, PLNs can also flow to the injury site and congregate there.
With surfaces featuring the same biochemical motifs as their human counterparts, these PLNs also can summon other platelets to the site and bind to them, increasing the chances of forming that essential plug.
In addition, these platelets are engineered to dissolve into the blood after their usefulness has run out. This minimizes complications that can arise from emergency hemostatic procedures.
“The thing about hemostatic agents is that you have to intervene to the right extent,” says Mitragotri. “If you do too much, you cause problems. If you do too little, you cause problems.”
These synthetic platelets also let the researchers improve on nature. According to Anselmo’s investigations, for the same surface properties and shape, nanoscale particles can perform even better than micron-size platelets. Additionally, this technology allows for customization of the particles with other therapeutic substances—medications, therapies, and such—that patients with specific conditions might need.
Elderly patients on blood thinners
“This technology could address a plethora of clinical challenges,” says Scott Hammond, director of UC Santa Barbara’s Translational Medicine Research Laboratories.
“One of the biggest challenges in clinical medicine right now—which also costs a lot of money—is that we’re living longer and people are more likely to end up on blood thinners. When an elderly patient presents at a clinic, it’s a huge challenge because you have no idea what their history is and you might need an intervention.”
With optimizable PLNs, physicians would be able to strike a finer balance between anticoagulant therapy and wound healing in older patients, by using nanoparticles that can target where clots are forming without triggering unwanted bleeding.
In other applications, bloodborne pathogens and other infectious agents could be minimized with antibiotic-carrying nanoparticles. Particles could be made to fulfill certain requirements to travel to certain parts of the body—across the blood-brain barrier, for instance—for better diagnostics and truly targeted therapies.
Additionally, according to the researchers, these synthetic platelets cost relatively less, and have a longer shelf life than do human platelets—a benefit in times of widespread emergency or disaster, when the need for these blood components is at its highest and the ability to store them onsite is essential.
Further research into PLNs will involve investigations to see how well the technology and synthesis can scale up, as well as assessments into the more practical matters involved in translating the technology from the lab to the clinic, such as manufacturing, storage, sterility, and stability as well as pre-clinical and clinical testing.
Research for the study was performed in collaboration with scientists at the Department of Biomedical Engineering at Case Western Reserve University in Cleveland, Ohio.
Source: UC Santa Barbara