Since the beginning of our "Biomaterials for Wound Management" series, you may have learned about alginate or carrageenan as unique and independent materials incorporated into various wound care devices. Today, we will explore how several hydrocolloids can be combined to create a synergistic effect, enhancing the effectiveness of wound dressings in wound healing.
Synergy refers to the combination of different materials to achieve effects greater than those that each material could produce individually. This approach is crucial for improving the performance of wound dressings, taking into account the diverse needs of wounds, such as exudate management, infection prevention, and promoting healing.
Combining hydrocolloids is common in wound care devices, which can come in various forms such as dressings, films, hydrogels, or microcapsules. We can find formulation of mixed raw materials such as alginate, pectin, carrageenan, fibrin, gelatin, chitosan, hyaluronic acid, starch, cellulose, and many more. These combinations are chosen based on their complementary properties and the potential synergistic effect.
Let’s take the example of alginate and carrageenan. While alginate, as a primary ingredient in certain hydrogels, can be highly effective in managing exudate and promoting healing, it does have some limitations, such as insufficient drug release capacity or poor cell adhesion, especially for non-exudative wounds. This is where combining it with other hydrocolloids, such as carrageenan, becomes interesting.
In one hand, alginate has some drawbacks, particularly in cases where controlled drug release is required or in low exudate wounds. For example, alginate, due to its precipitation under pH 3, is often used in applications like acid reflux management. However, this property limits its effectiveness in other contexts, such as drug delivery in the intestine.
This is where carrageenan comes into play. Thanks to its sulfate group with a pKa around 2, it exhibits greater resistance to acidic conditions. Create beads combining alginate and carrageenan in the process, allows this synergy to withstand acidic conditions, such as those found in the stomach. These beads, which combine the properties of both alginate and carrageenan, show a good capacity to swell at all pH levels, which is crucial for controlled drug release.[1]
On the other hand, when it comes to wound management, alginate and carrageenan again form an excellent synergy. In the treatment of burns, films are the most common formulations used as they help maintain moisture on the wound. A blend of alginate and carrageenan with silver ions creates an antibacterial bio-platform that demonstrates excellent absorption of excess exudate while maintaining homeostatic balance. Moreover, this bio-platform, compared to single ingredients, shows a capacity to increase blood vessel formation and promote more compact and organized collagen. As a result, 97% of burn wounds heal in just 14 days. [2]
Combining different hydrocolloids in wound care devices leads to more effective dressings that can address a wider range of therapeutic needs. Synergies between materials like alginate and carrageenan not only offer better exudate management but also provide controlled and efficient drug release, while ensuring better resistance in varied environments.
By combining the strengths of different hydrocolloids, researchers and manufacturers of medical devices can develop solutions that are more tailored to the specific challenges of wound care, thus paving the way for more personalized and effective treatments.
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[1] Gholam Reza Mahdavinia, Zeinab Rahmani, Shiva Karami, Ali Pourjavadi, 2014. Magnetic/pH-sensitive k-carrageenan/sodium alginate hydrogel nanocomposite beads: preparation, swelling behavior, and drug delivery, Journal of Biomaterials Science, Polymer Edition, 2014
[2] T. Zia, M. Usman, A. Sabir, et al., Development of interpolymeric complex of anionic polysaccharides, alginate/k-carrageenan bio-platform for burn dressing, International Journal of Biological Macromolecules, 2020,