Synergistic enhancement of hemostatic performance of mesoporous silica by hydrocaffeic acid and chitosan.

The powder hemostatic materials are increasingly appreciated because of their long storage time, wide storage temperature, portable property, especially their use both in vivo and epidermis. Mesoporous silica materials attracted more and more attention owing to their favorable biocompatibility and outstanding hemostatic performance, but their hemostatic process was too simple to meet the requirements. Herein, mesoporous silica nanoparticles modified by chitosan and hydrocaffeic acid (MSN@CS-HCA) were developed for rapid and safe hemorrhage control. By tissue adhesion, activating the coagulation cascade, aggregating red blood cells and platelets, MSN@CS-HCA with the porous network exhibited excellent hemostatic effects in both in vivo and in vitro coagulation tests. The hemostatic time of MSN@CS-HCA was 60.3% shorter than that of MSN in femoral artery trauma models of SD rats. Besides, MSN@CS-HCA with good biocompatibility and ability to promote wound healing, could form the network structure with fibrin in the blood, which enhanced the mechanical strength of the blood clot and acted as a physical barrier to prevent blood loss. In conclusion, MSN@CS-HCA will be a potential and prospective hemostatic dressing for the control of hemorrhage in more extensive clinical application future.