Bioinspired adhesive hydrogel based on serotonin-modified gelatin and oxidized hyaluronic acid for rapid hemostasis and wound healing

A hybrid hydrogel system (GSOHA) consisting of serotonin-grafted gelatin and oxidized hyaluronic acid (OHA) was developed in this study to efficiently control bleeding and prevent bacterial infections during surgery and trauma. The study results showed that the incorporation of serotonin successfully produced hydrogels with rapid hemostatic, antibacterial, and antioxidant properties. The GSOHA hydrogel exhibited considerably stronger tissue adhesion (15.55 ± 0.36 kPa) to porcine skin than the commercial fibrin glue (1.09 ± 0.04 kPa). In addition, the hydrogel could rapidly absorb blood cells and stimulate cell conjugation with serotonin addition. In vitro experiments using endothelial cells and erythrocytes demonstrated the excellent biocompatibility and hemocompatibility of the hydrogel. Most importantly, the GSOHA hydrogel accelerated the wound healing process in a full-thickness skin defect mice model, and the histological staining results demonstrated that GSOHA significantly promoted collagen deposition and vascularization. In conclusion, this study demonstrated the significant potential of the GSOHA hydrogel as an adhesive dressing for rapid hemostasis and wound healing.