scieee Open visual document viewer

Accelular nanofbrous bilayer scafold intrapenetrated with polydopamine network and implemented into a full-thickness wound of a white-pig model afects infammation and healing process

Verčimáková, Katarína; Pavliňáková, Veronika; Poláček, Petr; Michlovská, Lenka; Hefka Blahnová, Veronika; Filová, Eva; Knoz, Martin; Lipový, Břetislav; Holoubek, Jakub; Faldyna, Martin; Pavlovský, Zdeněk; Vícenová, Monika; Cvanová, Michaela; Jarkovský, J

Abstract

Treatment of complete loss of skin thickness requires expensive cellular materials and limited skin grafts used as temporary coverage. This paper presents an acellular bilayer scaffold modified with polydopamine (PDA), which is designed to mimic a missing dermis and a basement membrane (BM). The alternate dermis is made from freeze-dried collagen and chitosan (Coll/Chit) or collagen and a calcium salt of oxidized cellulose (Coll/CaOC). Alternate BM is made from electrospun gelatin (Gel), polycaprolactone (PCL), and CaOC. Morphological and mechanical analyzes have shown that PDA significantly improved the elasticity and strength of collagen microfibrils, which favorably affected swelling capacity and porosity. PDA significantly supported and maintained metabolic activity, proliferation, and viability of the murine fibroblast cell lines. The in vivo experiment carried out in a domestic Large white pig model resulted in the expression of pro-inflammatory cytokines in the first 1-2 weeks, giving the idea that PDA and/or CaOC trigger the early stages of inflammation. Otherwise, in later stages, PDA caused a reduction in inflammation with the expression of the anti-inflammatory molecule IL10 and the transforming growth factor beta (TGF beta 1), which could support the formation of fibroblasts. Similarities in treatment with native porcine skin suggested that the bilayer can be used as an implant for full-thickness skin wounds and thus eliminate the use of skin grafts.

Full text

Kac inskáe al. Jou nal o Nanobio echnology (2023) 21:80 h ps://doi.o g/10.1186/s12951-023-01822-5 RESEARCH © The Au ho (s) 2023. Open Access This a icle is licensed unde a C ea i e Commons A ibu ion 4.0 In e na ional License, which pe mi s use, sha ing, adap a ion, dis ibu ion and ep oduc ion in any medium o o ma , as long as you gi e app op ia e c edi o he o iginal au ho (s) and he sou ce, p o ide a link o he C ea i e Commons licence, and indica e i changes we e made. The images o o he hi d pa y ma e ial in his a icle a e included in he a icle’s C ea i e Commons licence, unless indica ed o he wise in a c edi line o he ma e ial. I ma e ial is no included in he a icle’s C ea i e Commons licence and you in ended use is no pe mi ed by s a u o y egula ion o exceeds he pe mi ed use, you will need o ob ain pe mission di ec ly om he copy igh holde . To iew a copy o his licence, isi h p:// c ea i eco mmons. o g/ licen ses/ by/4. 0/. The C ea i e Commons Public Domain Dedica ion wai e (h p:// c ea i eco mmons. o g/ publi cdoma in/ ze o/1. 0/) applies o he da a made a ailable in his a icle, unless o he wise s a ed in a c edi line o he da a. Open Access Jou nal o Nanobio echnology Accelula nano ib ous bilaye sca old in apene a ed wi hpolydopamine ne wo k andimplemen ed in oa ull- hickness wound o awhi e-pig model a ec s in lamma ion andhealing p ocess Ka a ína Kac inská1, Ve onika Pa liňáko á1, Pe Poláček1, Lenka Michlo ská1, Ve onika He ka Blahno á2, E a Filo á2, Ma in Knoz3,4, Bře isla Lipo ý1,3, Jakub Holoubek3, Ma in Faldyna5, Zdeněk Pa lo ský6, Monika Víceno á5, Michaela C ano á7, Jiří Ja ko ský7 and Lucy Voj o á1* Abs ac T ea men o comple e loss o skin hickness equi es expensi e cellula ma e ials and limi ed skin g a s used as empo a y co e age. This pape p esen s an acellula bilaye sca old modi ied wi h polydopamine (PDA), which is designed o mimic a missing de mis and a basemen memb ane (BM). The al e na e de mis is made om eeze- d ied collagen and chi osan (Coll/Chi ) o collagen and a calcium sal o oxidized cellulose (Coll/CaOC). Al e na e BM is made om elec ospun gela in (Gel), polycap olac one (PCL), and CaOC. Mo phological and mechanical analyzes ha e shown ha PDA signi ican ly imp o ed he elas ici y and s eng h o collagen mic o ib ils, which a o ably a ec ed swelling capaci y and po osi y. PDA signi ican ly suppo ed and main ained me abolic ac i i y, p oli e a ion, and iabili y o he mu ine ib oblas cell lines. The in i o expe imen ca ied ou in a domes ic La ge whi e pig model esul ed in he exp ession o p o-in lamma o y cy okines in he i s 1–2 weeks, gi ing he idea ha PDA and/o CaOC igge he ea ly s ages o in lamma ion. O he wise, in la e s ages, PDA caused a educ ion in in lamma ion wi h he exp ession o he an i-in lamma o y molecule IL10 and he ans o ming g ow h ac o β (TGFβ1), which could sup- po he o ma ion o ib oblas s. Simila i ies in ea men wi h na i e po cine skin sugges ed ha he bilaye can be used as an implan o ull- hickness skin wounds and hus elimina e he use o skin g a s. Keywo ds Bilaye , Chi osan, Collagen, Oxidized cellulose, Polydopamine, Wound healing *Co espondence: Lucy Voj o á lucy. oj [email p o ec ed].cz 1 CEITEC – Cen al Eu opean Ins i u e o Technology, B no Uni e si y o Technology, Pu kyňo a 656/123, 612 00 B no, Czech Republic 2 Ins i u e o Expe imen al Medicine o he Czech Academy o Sciences, Vídeňská142 20, 1083 P ague 4, Czech Republic 3 Depa men o Bu ns and Plas ic Su ge y, Facul y o Medicine, Ins i u ion Sha ed Wi h Uni e si y Hospi al B no, Masa yk Uni e si y, Jihla ská, 20, 625 00 B no, Czech Republic 4 Depa men o Plas ic and Aes he ic Su ge y, Facul y o Medicine, S . Anne’s Uni e si y Hospi al, Masa yk Uni e si y, Pekařská, 664/53, 602 00 B no, Czech Republic 5 Ve e ina y Resea ch Ins i u e, Hudco a 296/70, 621 00 B no, Czech Republic 6 Ins i u e o Pa hology, Facul y o Medicine, Uni e si y Hospi al B no, Masa yk Uni e si y, B no 625 00, Czech Republic 7 Ins i u e o Bios a is ics and Analyses, Facul y o Medicine, Masa yk Uni e si y, Kamenice 5, 625 00 B no, Czech Republic Page 2 o 24 Kac inskáe al. Jou nal o Nanobio echnology (2023) 21:80 Backg ound Wound healing is an in eg a ed and complex p ocess ha begins immedia ely a e inju y and in ol es he elease o a la ge numbe o egula o y molecules, including p o-in lamma o y cy okines, g ow h ac o s, and low molecula weigh compounds om he se um o inju ed blood essels and deg anula ed pla ele s [1, 2]. The epi- de mal de ec i sel is called a supe icial wound, a de ec in heepide mis and de mis oge he wi h damage o blood essels, swea glands, e c. is called a pa ial hick- ness wound, while damage o he subcu aneous a laye is called a ull hickness wound and i leads o ex en- si e loss o skin, hai ollicles, and glands [3]. The e a e many s udies ha a e applied wi h ex ensi e esea ch o he ea men o pa ial and ull- hickness wounds using di e en ma e ials made o po ous oams, hyd ogels, o nano ib ous laye s o syn he icma e ials (poly(e hylene glycol) (PEG), poly(ε-cap olac one) (PCL), poly(lac ic-co- glycolic acid) (PLGA), poly(lac ic acid) (PLA), poly( inyl alcohol) (PVA), polyu e hane ilms, o silk ib oin) [4–6] and/o na u al ma e ials based on collagen (Coll), gela in (Gel), cellulose, algina e, chi osan, hyalu onan, ib in o ucoidan ma e ials [7–9]. Coll has been widely used in many applica ions because he na u ally occu ing p o ein consis s o h ee α-domains (polypep ide chains) ha p o ide he main mechanical suppo o cell a achmen and has excellen biocompa ibili y and biodeg adabili y[10–14]. Howe e , Coll-based sca olds ace apid biodeg ada ion a es and low mechanical s eng h. Chemical c oss-linking is he mos e ec i e s a egy o p omo e s abili y. Ca bodiim- ides ha e been widely in es iga ed as sui able c osslink- e s o collagen sca olds [15–17]. Ano he possibili y is he combina ion o Coll wi h na u al and/o syn he ic ma e ials, which b ings new unc ional possibili ies o issue enginee ing applica ions [18]. Chi osan (Chi ) is a biodeg adable, non- oxic, and an ibac e ial ma e ial wi h ahomeos a ic e ec . Chi is o en used in combi- na ion wi h Coll; i accele a es ib oblas o ma ion and enhances ea ly phase eac ions ela ed o healing [19, 20]. In ou p e ious s udies, [21, 22] we e alua ed Coll/ Chi sca olds en iched wi h ib oblas g ow h ac o 2 (FGF2) and u he in combina ion wi h selenium nano- pa icles (SeNPs). The esul s showed suppo o ib o- blas a achmen and me abolic ac i i y. In addi ion, he sca olds exhibi ed an ibac e ial ac i i y agains h ee s ains o bac e ia, Esche ichia Coli (E. coli), S aphylo- coccus au eus (S. au eus), and me hicillin- esis an S. au eus (MRSA). Chi can be p ocessed in a ious o ms such as ilms, hyd ogels, ibe s, powde s, and mic o/ nanopa icles used in skin issue enginee ing [23, 24]. Oxidized cellulose is a biodeg adable polyme , wi h non-immunogenici y, and i p omo es he healing o ch onic wounds [25, 26]. In combina ion wi h Coll, i educes p o-in lamma o y in e leukins, eac i e oxygen species, and binds o me al ions wi h inc easing concen- a ions o g ow h ac o s and p o einase inhibi o s [27]. The addi ion o calcium sal o oxidized cellulose (CaOC) o elec ospun nano ibe s p o ided a unique inhibi- o y e ec on E. coli bac e ia [28]. Poly(ε-cap olac one) (PCL) is a syn he ic, biocompa ible, linea alipha ic poly- es e ha is hyd ophobic, i deg ades ela i ely slowly, and has good mechanical p ope ies. PCL sca olds ha e been used as in i o issue implan s o a ious medical applica ions and ha e shown g ea po en ial o wound healing, bone issue enginee ing, ca dio ascula issue enginee ing, and ne e egene a ion [29, 30]. Dopamine is a molecule ha o ms na u al adhesion be ween he ma e ial su aces o s icks small molecules. I is syn he- sized in he body by cells and has an amino acid sequence simila o ha o mussel p o ein, which has he abili y o bind o many su aces in an aqueous en i onmen [31]. An a ac i e p ope y o dopamine is i s au o-polyme - iza ion, which has been epo ed o occu in T is bu e wi h pH o 8.5, whe e dopamine leads o polydopamine (PDA) ilms and nano ibe s [32–34]. In ecen yea s, s udies based on mul ilaye sca olds in he ea men o ull- hickness wounds ha e ad an ages o e a single laye d essing because hey can unc ionally eplace bo h de mal and epide mal componen s. Acellu- la bilaye ma e ials we e p epa ed by a combina ion o na u al and syn he ic ma e ials, e.g., Chi /PCL nano i- b ous ma s, PLLA-mic opo ous disc [35]. Fu he mo e, he Coll/Chi sca old en iched wi h ecombinan human ascula endo helial g ow h ac o ( hVEGF) and an i- bac e ial gen amicin we e encapsula ed in PLGA mic o- sphe es [36]. A ilaye Chi -based sca old was p epa ed o mo e accu a ely eplica e ull- hickness skin s ia ion han a single o bilaye sca old, which equi ed weeks o co-cul u e o ib oblas s and ke a inocy es o achie e simila s ia ion[37]. The e a e many o he exis ing s ud- ies ha conside he po en ial use o acellula mul ilay- e ed sca olds, no only in skin issue, [38–40] bu also in ascula issue [41] and bone issue enginee ing [42]. This s udy aims o de elop an acellula PDA-mod- i ied bilaye sca old and o enhance mechanical and biological suppo in ull- hickness po cine skin wound econs uc ion. The bilaye is made o po ous Coll/polysaccha ide oam (Chi o CaOC) wi h he aim o mimicking a de mis-like s uc u e and a basal mem- b ane-like s uc u e, cha ac e ized by a nano ib ous laye made o biocompa ible polyme s gela in, PCL, and CaOC. The PDA-modi ied bilaye signi ican ly changes mechanical p ope ies and p omo es s abili y, Page 3 o 24 Kac inskáe al. Jou nal o Nanobio echnology (2023) 21:80 leading o di e en wa e abso p ion and ma e ial mo phology. These changes also allowed cells o p o- li e a e wi h main ained iabili y. In i o e alua ion o cy o oxici y and me abolic and p oli e a ion ac i - i y o mu ine ib oblas s demons a ed a non-cy o oxic e ec o implan ed bilaye s. In his s udy, he healing p ocess was moni o ed o a longe pe iod o ime, as well as he e ec o PDA a e ansplan a ion, which shows he his ological analysis o in lamma o y and an i-in lamma o y cy okines. PDA can enhance he in lamma o y phase a he beginning o wound heal- ing and shows possible suppo o he expansion o g ow h ac o and an i-in lamma o y cy okines in he middle and la e s ages o wound healing compa ed o na i e po cine skin ea men . Me hods Ma e ials andchemicals Bo ine Collagen ype I, 8w .% aqueous solu ion (Coll, Collado s. .o., B no, Czech Republic), chi osan om sh imp shells, 70% DDA, low iscosi y (Chi , Sigma- Ald ich, Da ms ad , Ge many), calcium sal o oxidized cellulose–deg ee o oxida ion 16–24% and Mn = 350kg/ mol (CaOC, Syn hesia, Pa dubice, Czech Republic), ace ic acid (99%, Pen a s. .o, Ch udim, Czech Republic), poly(ε-cap olac one) (PCL, 80 kg/mol), gela in (Gel, Type B, Bio eagen , powde om bo ine skin), N-(3- Dime hylaminop opyl)-N´-e hylca bodiimide hyd o- chlo ide (EDC), N-hyd oxysuccinimide (NHS), 98% dopamine hyd ochlo ide, is (hyd oxyme hyl) ami- nome hane hyd ochlo ide, e hanol p.a. 99.8%, sodium phospha e dibasic o molecula biology (≥ 98,5%), sodium chlo ide, calcium chlo ide, sodium phospha e dibasic dodecahyd a e (Na2HPO4 ·12H2O), po assium dihyd ogen phospha e (KH2PO4), po assium chlo- ide (KCl), collagenase om Clos idium his oly i- cum, lysozyme human, he mu ine ib oblas cell lines 3T3-A31, Dulbecco’s modi ied eagle medium DMEM (D6429), e al bo ine se um FBS (F7524), 2′,7′-bis (2-ca boxye hyl)-5(6)-ca boxy luo escein ace oxym- e hyl es e (BCECF-AM), p opidium iodide (P4864), (all om Sigma Ald ich, Da ms ad , Ge many), penicil- lin/s ep omycin (15140–122) and DiOC6(3) (D273), (Li e Technologies, Eugene, OR, USA), oc enidine solu- ion (Oc enisep ®, Schülke, Ge many), Bu omido ® inj. (bu o phanol a a e, Vé oquinol, Czech epub- lic), Domi o ®, Mede omidine, O ion co po a ion, Finland) P opo ol® (P opo olum 1%, F esenius Kabi Deu schland, Bad Hombu g, Ge many), Me acam® (meloxicam, Boeh inge Ingelheim Ve medica, Ingel- heim/Rhein, Ge many), En oxil® (En o loxacin, K ka, No o mes o, Slo enia) Be adine®, (2.5% solu ion o po idone iodine, EGIS Pha maceu icals PLC, Buda- pes , Hunga y) we e used as ecei ed wi hou u he pu i ica ion. P epa a ion o samples P epa a ion o po ous oams andc oss‑linked bilaye s Po ous oams we e p epa ed acco ding o p e ious wo k [43]. B ie ly, he calcula ed amoun o Coll (0.5 w .%) and sui able polysaccha ide (0.5 w .%) in he weigh a io o 1:1 was slowly homogenized. Ma e ial suspen- sions we e eeze-d ied on an Epsilon 2-10D machine (Ma in Ch is , Os e ode am Ha z, Ge many). A ib ous laye was elec ospun on he su ace o he lyophilized po ous oam acco ding o [28] modi ied wi h he addi- ion o PCL. Nano ibe s we e p epa ed as ollows: he Gel/PCL/CaOC 70/30/10 polyme solu ion was p epa ed in concen a ed glacial ace ic acid and s i ed o e nigh . Elec ospinning was pe o med using a labo a o y Nano- spide NS LAB 500 machine (Depa men o Physical Elec onics, Masa yk Uni e si y, B no, Czech Repub- lic). The se ing pa ame e s we e as ollows: low a e o 25mm‧min−1, applied ol age o 60kV, he dis ance be ween he spinning and collec ing elec ode was se o 15cm, and he spinning elec ode was o a ed a a speed o 5 pm. The ambien condi ions we e 23°C, 980kPa, and 40% humidi y. A c oss-linking agen o he ca bodi- imide sys em in e hanol (EDC/NHS in a mola a io 2/1) was used o c oss-link he po ous oam and he nano i- b ous laye . A e 2h o he c oss-linking p ocess, he bilaye was washed wice wi h 0.1M Na2HPO4 ollowed h ee imes wi h ul apu e wa e o emo e by-p oduc s. Subsequen ly, he bilaye s we e eeze-d ied and s o ed in desicca o s p io use. P epa a ion o PDA‑coa ed c oss‑linked bilaye s Po ous oams and nano ib ous laye s we e p epa ed as desc ibed in 3.2.1. B ie ly, a nano ib ous laye was elec ospun on he eeze-d ied po ous oam and bo h pa s we e c oss-linked and washed a e 2h. A solu- ion o dopamine hyd ochlo ide (2mg.mL−1 in 0.01M T is HCl) was p epa ed be o e he second eeze-d y- ing p ocess. T is HCl was used as an ini ia o o dopa- mine polyme iza ion, esul ing in black polydopamine (PDA) [31]. C oss-linked bilaye s we e imme sed in a solu ion o  dopamine hyd ochlo ide and main ained o ano he 24h unde ae obic condi ions. The PDA- in apene a ed samples we e hen washed 5 imes in wa e o emo e esidual unbound dopamine, and sub- sequen ly he samples we e lyophilized again. Samples we e always p epa ed ei he in a olume o 500μL in 24-well pla es o in i o es ing (only po ous oams), o in a olume o 80mL in 12 × 12cm squa e plas ic Page 4 o 24 Kac inskáe al. Jou nal o Nanobio echnology (2023) 21:80 pla es o biomechanical e alua ion (bilaye s). All ypes o p epa ed samples a e summa ized in Table1. An explana ion o sample abb e ia ions is as ollows: The le e N indica es he p esence o a c oss-linked nano ib ous laye (e.g., he abb e ia ion o Coll/Chi - N/PDA belongs o he bilaye o med by Coll/Chi oam wi h c oss-linked nano ibe s, coa ed wi h PDA). The le e s NX indica e he p esence o a non-c oss- linked nano ib ous laye , as i can be seen in Table1. Sample cha ac e iza ion S uc u e andmo phology A scanning elec on mic oscope MIRA3 (TESCAN, B no, Czech Republic) was used o s udy he mo - phology and adhesion o he p epa ed bilaye s. Images we e aken in a seconda y elec on emission mode, he scan mode was DEPTH, he beam densi y was 10 and hehigh ol age was 10kV. The wo king dis- ance was se o 15mm. The su ace o he samples was coa ed wi h a 20nm hin laye o Au/Pd using EM ACE 600 (Leica Mic osys ems, We zla , Ge many). The po e size was cha ac e ized om SEM images using ImageJ so wa e and SEM Image Po e Ex ac o (SEMIPE). A minimum o i e and a maximum o en images wi h he same esolu ion we e aken om each sample. F om each image, 40–90 po es we e meas- u ed. Da a we e e alua ed using a 2-sample T- es , which assumes unequal a iances and unequal sam- ple sizes. The le el o signi icance was se a *p < 0.05 **p < 0.01and ***p < 0.001. Fou ie ‑ ans o med in a ed s udy esul s A Fou ie - ans o med in a ed spec oscopy (FTIR) wi h a enua ed o al e lec ance (ATR-FTIR, Ve ex 70/70 , B uke , Bille ica, MA, USA) was pe o med o cha ac e ize ma e ial composi ion o po ous oam wi h and wi hou PDA and ma e ial composi ion o he PDA bilaye s. P esen ed ATR-FTIR spec a we e aken om a e aging 32 scans wi h a spec al esolu ion o 2 cm−1. The displayed spec a in he wa enumbe ange o 4000– 500 cm−1we e no malized using min–max no maliza ion (OPUS so wa e, B uke , Bille ica, MA, USA). The ATR- FTIR spec a we e measu ed unde e acua ed condi ions om all samples, each placed on a diamond ATR c ys al. Dynamic mechanical analysis An RSA G2 dynamic mechanical analyze (TA Ins u- men s Inc., New Cas le, USA) was used o measu e he ensile p ope ies o p epa ed bilaye s. The p epa ed Table 1 Summa y o p epa ed samples * All non-c oss-linked bilaye s a e excluded om ollowing expe imen s due o he low mechanical p ope ies and a emen ioned only in SEM obse a ion Po ous oam composi ion Abb e ia ion o oam Collagen oam Coll Collagen/Chi osan oam Coll/Chi Collagen/CaOC oam Coll/CaOC Po ous oam coa ed wi h PDA Abb e ia ion o oam Collagen oam coa ed wi h PDA Coll/PDA Collagen/Chi osan coa ed wi h PDA Coll/Chi /PDA Collagen/CaOC coa ed wi h PDA Coll/CaOC/PDA Non-c oss-linked bilaye s* Abb e ia ion o bilaye Collagen bilaye ( oam + nano ibe s) Coll-NX Collagen/Chi osan bilaye ( oam + nano ibe s) Coll/Chi -NX Collagen/CaOC bilaye ( oam + nano ibe s) Coll/CaOC-NX C oss-linked bilaye s Abb e ia ion o bilaye Collagen bilaye ( oam + nano ibe s) Coll-N Collagen/Chi osan bilaye ( oam + nano ibe s) Coll/Chi -N Collagen/CaOC bilaye ( oam + nano ibe s) Coll/CaOC-N C oss-linked bilaye s coa ed wi h PDA Abb e ia ion o bilaye Collagen bilaye ( oam + nano ibe s and PDA coa ing) Coll-N/PDA Collagen/Chi osan bilaye ( oam + nano ibe s and PDA coa ing) Coll/Chi -N/PDA Collagen/CaOC bilaye ( oam + nano ibe s and PDA coa ing) Coll/CaOC-N/PDA Page 5 o 24 Kac inskáe al. Jou nal o Nanobio echnology (2023) 21:80 samples we e cu in o s ips wi h a leng h o 40mm and a wid h o 10mm. Thickness a ies wi h he ype o sample (0.20mm–0.60mm) and samples we e measu ed wi h Digi al Calipe 0–150mm (G oningen, Ne he lands). The i s biomechanical es s we e pe o med a oom em- pe a u e a 23°C and he second es in ol ed cons an hyd a ion condi ions wi h phospha e bu e a 36°C in abuil chambe su ounding he g ip. Be o e each meas- u emen , 10min o swelling was allowed o each sam- ple o swell he bilaye s. The ela ionship be ween s ess and s ain is shown along wi h he co esponding elas ic modulus. Da a analysis using Mic oso Excel was used o he s a is ical e alua ion o i e samples o he same bilaye . Da a we e e alua ed using a 2-sample T- es , which assumes unequal a iances and unequal sample sizes. The le el o signi icance was se a **p < 0.01and ***p < 0.001. Swelling capaci y The bilaye s we e cu in o 1 × 2cm s ips and imme sed in a wa e solu ion o es hei hyd oly ic s abili y unde ambien condi ions. Each sample was weigh ed be o e imme sion (Wi). The weigh o swollen samples (Ws) was also eco ded a e gen ly emo ing he su ace wa e wi h il e pape a se e al in e als: 1, 2, 5, 10, 15, 20, 30, 45, 60, 90, 120, 150, and 180min. A swelling a io was calcula ed o de ine he exac amoun o swelling caused by wa e abso p ion, and he swelling cu e was ob ained. The swelling a io was calcula ed acco ding o Eq(1) The samples we e measu ed in iplica es and he esul s a e shown as mean ± s anda d de ia ion. Enzyma ic s abili y Collagenase om Clos idium his oly icum was used o in es iga e in i o deg ada ion s udies o chemically c oss-linked bilaye s. Deg ada ion was ca ied ou in p e- pa ed phospha e bu e ed saline (PBS) a physiological pH o 7.4 a 37°C. A e one hou o swelling, samples we e emo ed om he PBS, subsequen ly weigh ed, and placed in he collagenase solu ion (c = 2.2mg∙L−1). A e e e y 2, 4, 8, 24, 48, 72, 96, 120 and 144h, excess PBS was blo ed on o he il e pape , ollowing he weigh no a ion, as well as he pe cen age o weigh loss calcula ion using Eq.(2) (1) Swelling Ra io = W s Wi (2) Weigh Loss =100 −  Wi·100 Ws [% ] whe e Ws ep esen s he weigh o he sca old a e 1h o swelling and Wi ep esen s he weigh o he diges ed sca old. Th ee measu emen s o each ype o sample we e eco ded and shown as mean ± s anda d de ia ion. In i o cy o oxici y assessmen Mu ine ib oblas cell lines 3T3-A31 we e cul u ed in cul u e medium con aining DMEM (high glucose, D6429, Sigma-Ald ich, S . Louis, MO, USA), 10% FBS, and 1% penicillin/s ep omycin. 70,000 cells/sca old (wi h a diame e o 10mm and a heigh o 4–5mm) we e seeded o ape iod o 14days. Me abolic ac i i y was de e mined by he CellTi e 96® Aqueous One Solu ion Cell P oli e a ion (MTS) me abolic assay (CellTi e 96® Aqueous One Solu- ion Cell P oli e a ion Assay, P omega co p., Madison, WI, USA), whe e he MTS e azolium compound was added di ec ly o he cell cul u e medium in a 1:5 a io. Me abolically ac i e cells educed he MTS eagen and gene a ed acolo ed o mazan dye ha is soluble in cell cul u e medium. Fo mazan dye was quan i ied by meas- u ing he abso bance a 490nm, e e ence 690nm using Tecan In ini e M200 P o. The samples we e ca ied ou in biological quad uplica es; he esul s a e shown as mean ± s anda d de ia ion. The Quan -iT™ dsDNA Assay Reagen (In i ogen) assay de e mined cell p oli e a ion, as i quan i ied he amoun o double-s anded DNA. The assay con ains a luo escen dye ac i a ed once i is bound o dsDNA. Fluo escence was measu ed a λex = 485 nm and λem = 523nm. The samples we e ca ied ou in biological quad uplica es; he esul s a e shown as mean ± s anda d de ia ion. Cell iabili y was assessed by li e-dead s aining o h ee samples. 2′,7′-bis (2-ca boxye hyl)-5(6)-ca boxy luo es- cein ace oxyme hyl es e (BCECF, Sigma-Ald ich, Sain Luis, MO, USA) was used o isualize he memb anes o li ing cells and p opidium iodide o isualize he nuclei o dead cells. Samples we e obse ed using a Zeiss LSM 880 Ai yscan con ocal mic oscope. Exci a ion/emission was se as ollows: BCECF λex = 488nm/λem = 505–545nm, PI λex = 560nm/λem ˃ 575nm. The cell dis ibu ion on he sca old and he mo phol- ogy we e obse ed using 3,3’-Dihexyloxaca bocyanine Iodide (In i ogen™) DiOC6(3)/p opidium iodide (The - moFishe Scien i ic™) s aining. Exci a ion/emission was se as ollows: DiOC6(3) λex = 488nm/λem = 505– 545nm, PI λex = 560nm/λem ˃ 575nm. The signal om he nuclei was u he used o de e mine he dep h o pene a ion o he cell in o he sca old. Page 6 o 24 Kac inskáe al. Jou nal o Nanobio echnology (2023) 21:80 The s a is ical signi icance was pe o med using one- way analysis o a iance (ANOVA) in Sigma S a so wa e 3.5 (Sys a So wa e, Cali o nia, USA). In i o expe imen The in i o expe imen al pa was pe o med in a o al o 2 emale pigs (Sus Sc o a domes icus) o he p oduc- ion hyb id line wi h an ini ial weigh o 70 ± 5kg. All phases o he expe imen las ed 6 mon hs. The pigs we e supplied by a local p oduc ion company app o ed by he Minis y o Ag icul u e o he Czech Republic and housed a he Ve e ina y Resea ch Ins i u e (B no, Czech Republic) in expe imen al s ables ce i ied by he Minis y o Ag icul u e o he Czech Republic. The s udy was ca ied ou acco ding o he Decla a ion o Helsinki and was app o ed by he Ins i u ional Re iew Boa d o he Ve e ina y Resea ch Ins i u e (p o ocol code 12/2016 wi h app o al om 21 Ap il 2016) and by he B anch Commission o Animal Wel a e o he Minis y o Ag icul u e o he Czech Republic (pe mission num- be 34715/2016-MZE-17214 om 15 June 2016). Upon a i al a he esea ch acili y, he pigs we e housed o wo weeks p io o he expe imen al p ocedu e challenge and housed indi idually in s ainless-s eel cages loca ed in isola ed ooms wi h con olled egime and independen en ila ion. Rooms we e kep a a empe a u e o 21°C, a ela i e humidi y in he ange o 40–60%, and a en ila- ion o app oxima ely 15 ai changes pe hou . All su gical p ocedu es we e pe o med unde gen- e al anes hesia. P e-medica ion and analgesia du ing he su ge y we e pe o med by Bu omido inj. (bu o phanol a a e) a a dose o 0.1mg‧kg−1 b.w. s.c. Anes hesia was pe o med wi h Mede omidine a a dose o 0.5mg‧kg−1 body weigh . Fu he mo e, gene al anes hesia was main- ained h oughou he su ge y by con inuous admin- is a ion o P opo ol 1% a a dose (8–15mg‧kg−1 b.w. i. .). Immedia ely a e su ge y, he analgesic Me acam (meloxicam) was used a a dose o 0.1mg‧kg-1 b.w. s.c. once a day o h ee consecu i e days. Expe imen al ani- mals ecei ed sys ema ic an ibio ic he apy (En o loxacin 15mg‧kg-1 b.w. once daily i.m. o 10days). A e sha - ing he u o he back o he pig, an isepsis o he dono a ea was pe o med wi h a 2.5% solu ion o po idone iodine. Subsequen ly, using an elec ode ma ome (Zim- me Biome ® Ai De ma ome, Zimme Biome , Indiana, USA), a 0.20mm hin spli - hickness skin g a (STSG) was emo ed wi h an a ea o 8 × 8cm in squa e a 6 si es o planned skin de ec s. A sha p excision o an a ea meas- u ing 8 × 8cm o ull- hickness skin (2–2.3cm dep h) was pe o med a he si e o he emo ed skin g a s (Fig.1). This was ollowed by he applica ion and ixa- ion o he nanos uc u ed sca old and i s STSG co e . The nanos uc u ed sca old consis s o Coll and CaOC- based oam as he de mis laye ( hickness a ound 2mm) and henano ibe s laye as a basal memb ane ( hickness a ound 200 µm). The sca old on he igh was PDA- coa ed (Fig.1e) and on he le was wi hou PDA. Anepi- de mal g a wi hou sca old was used as a con ol. All implan s we e ixed o he wound using a skin s aple (Single-use Skin S aple B. B aun®, B. B aun, Ge many), co e ed wi h g easy ulle and mule mois ened wi h Oc e- nidine solu ion, and secu ed wi h a p essu e bandage. Mic oso Excel and i s = RAND() unc ion we e used o andomize he ypes o bioma e ials used in indi idual ull- hickness skin de ec s. The i s d essing change ollowed on he se en h pos - ope a i e day, when he iabili y o he g a was e i ied. The de ec s we e hen ied wi h a we mule and a g easy ulle. His ological and immunohis ological samples we e aken unde gene al anes hesia a indi idual s ages o de ec healing on he 7 h and 14 h pos ope a i e day and hen in he 3 d and 6 h pos ope a i e mon h. The pos - incision de ec closu e was pe o med by di ec abso b- able su u e. His ological analysis andqPCR analysis o  issue samples Fo maldehyde- ixed, pa a in-embedded issue samples we e p ocessed o 2 his ological sec ions pe sample and s ained wi h hema oxilin and eosin. Ligh mic os- copy was used o e alua e he his ological images. Fo pe o mance, mRNA was s abilized in issue samples wi h an RNA La e ki (Quiagen, The Ne he lands). To al RNA was isola ed using an RNeasy Mini Ki (Quiagen, The Ne he lands) om 4 samples pe g oup and e e se ansc ibed wi h he oligo-dT p ime and MMLV (In i - ogen, USA) e e se ansc ip ase. P ime s o all genes (e.g., IL1β, TNFα, TGFβ1, IL10) and he e e ence gene (HPRT) we e used in p e ious publica ions o he eam [44–46]. Based on he esul s ob ained om his ologi- cal analyzes, o he genes (examina ion o genes associ- a ed wi h cell dea h) we e also conside ed. Fo RT-PCR, a Ligh Cycle 480 (Roche, Swi ze land) was used. Each PCR eac ion consis ed o Quan iTec Syb G een mas- e mix (Quiagen, The Ne he lands), 1μM o each p ime and 1.0μL o cDNA in a o al olume o 10μL. Each sam- ple was un in duplica e. The exp ession o a pa icula gene was calcula ed as a mul iple o he exp ession o he e e ence gene using he ollowing o mula: [1/(2C GOI)]/[1/(2C HPRT)]. The mean exp ession o he HRT uni o p o-in lamma- o y, an i-in lamma o y cy okines and g ow h ac o s was compa ed using he T- es . Immunohis ological samples wi h he Coll/CaOC, samples wi h he addi ion o PDA and con ol g oup we e compa ed in each ime poin sepa a ely. Page 7 o 24 Kac inskáe al. Jou nal o Nanobio echnology (2023) 21:80 Resul s PDA in luences hes uc u e andmo phology o  hebilaye In his s udy, c oss-linked bilaye s and PDA-coa ed c oss-linked bilaye s we e p epa ed and mo phologically compa ed wi h non-c oss-linked bilaye s. Figu e2 shows SEM isualiza ions o non-c oss-linked bilaye s and PDA-coa ed c oss-linked bilaye s o show he signi ican e ec o bo h in e en ions c oss-linking and PDA coa - ing. The nano ib ous laye is placed on he su ace o he sample (yellow a ow). A po ous sca old s uc u e can be seen below i ( ed a ow). Figu e3 shows ade ailed SEM isualiza ion o he adhesion be ween he nano ib ous laye and he po ous oam. Figu e4 shows he nano i- b ous s uc u e o he bilaye . Non-c oss-linked nano ib- e s a e smoo h wi h andom ibe o ien a ion and wi h ibe diame e in he ange o 370–500nm (Fig.4(NX)). C oss-linked nano ibe s pa ially los hei ib ous s uc- u e, and he ibe s a e al eady i mly a ached o each o he , exhibi ing a mo e uni o m s uc u e (Fig.4(N)). Non-co alen sel -assembly o  dopamine in c oss-link- ing bilaye s p oduced PDA p ecipi a es deposi ed on nano ibe s and almos con inuously co e ed he en i e ib ous a ea (Fig. 4(N/PDA)). A sligh di e si y was Fig. 1 C ea ion o 6 ull- hickness skin wounds 8 × 8 cm a scheme o wounds loca ion, b spli - hickness skin g a (STSG) dono si e, c ull- hickness excision, d wound bed p epa a ion p io o sca old applica ion, e bilaye sca old made o collagen/oxidized cellulose oam wi h c oss-linked nano ibe s—Coll/CaOC-N (le ) and bilaye sca old coa ed wi h polydopamine—Coll/CaOC-N/PDA ( igh ) applica ion di ec ly o wound bed, applica ion o STSG on bilaye sca old, co e ing he ull- hickness skin de ec in one-s ep p ocedu e Page 8 o 24 Kac inskáe al. Jou nal o Nanobio echnology (2023) 21:80 obse ed only o he Coll/CaOC-N/PDA sample. In his case, PDA o med a con inuous ilm on he su ace o he bilaye . Figu e5a–d p esen s he e ec o PDA and c oss-link- ing on o al bilaye hickness and po e sizes. He e, i is e iden ha he c oss-linking p ocess as well as he PDA addi ion lead o a dec ease in he bilaye hickness; he ange o hickness is be ween 0.3 and 2.2mm (Fig.5a). The hickness o hese samples was in mos cases hal ha o he o iginal non-c oss-linked bilaye . Figu e5b shows hepo e sizes o po ous oams wi hou he p es- ence o nano ibe s, whe e hepo e sizes a e in he ange o 50–250 µm and whe e PDA signi ican ly dec eases hepo e sizes o all oams. The po e sizes o hepo ous oams we e also measu ed om he c oss-sec ional a ea o he bilaye s Fig.5c. A dec ease in hickness is ollowed by a dec ease in hepo e sizes, while he po es change shape o a hin ellipsoid. He e, he e is no signi icance a e c oss-linking, only PDA p esen s signi ican esul s in po e educ ion in some bilaye s. The po e size o he Fig. 2 SEM isualiza ion o bilaye s made o po ous oam and nano ibe s. Collagen oam wi h c oss-linked nano ibe s is ep esen ed as Coll-N; collagen/chi osan oam wi h c oss-linked nano ibe s is ep esen ed as Coll/Chi -N; and collagen/oxidized cellulose oam wi h c oss-linked nano ibe s is ep esen ed as Coll/CaOC-N. The nex ma k ‘NX’ ep esen s he non-c oss-linked bilaye . The ma k ‘PDA’ ep esen s he polydopamine coa ing on c oss-linked bilaye s. The nano ib ous laye is placed on he su ace o he sample (yellow a ow). A po ous sca old s uc u e can be seen below i ( ed a ow) Page 9 o 24 Kac inskáe al. Jou nal o Nanobio echnology (2023) 21:80 bilaye s was educed om 250 o 80µm o Coll-NX/ PDA and Coll-N/PDA, om 230 o 100 µm o Coll/ Chi -NX/PDA and Coll/Chi -N/PDA and om 120 o 60µm o Coll/CaOC-NX/PDA and Coll/CaOC-N/PDA, espec i ely. The po e sizes on he su ace o henano ib- e s a e in he ange o 0.7–4µm, in luenced by PDA and/ o c oss-linking (Fig.5d). PDA in luences hes uc u e in eg i y o collagen Figu e6a shows he ATR-FTIR spec a o he PDA and non-PDA Coll, Coll/Chi and Coll/CaOC oamed sam- ples, which consis o he cha ac e is ic abso p ions ela ed o he O–H g oup and he N–H s e ching bonds including he ypical collagen amide A a 3325 cm−1 and he amide B a 2924 cm−1. Amide Iis a ibu ed o he s e ching ib a ions o he C=O g oups a 1600– 1800 cm−1. The ib a ions o he N–H bands and he ib a ions o he C–N a e associa ed wi h amide II (1470–1570 cm−1). The ib a ions o he C–N s e ching, he N–H bending, and he ib a ions o he CH3 g oups belong o amide III a 1250–1350 cm−1 [47]. Collagen amide bonds A, B, I, II, and III a e con i med in all ypes o PDA and non-PDA samples. The p esen ed abso p- ion spec a look e y simila in he whole wa enumbe ange. I is clea ha he amoun o indi idual biopoly- me s (Coll, CaOC, Chi ) is la ge compa ed o he amoun o PDA coa ing laye , so ha e y o en he bands o PDA a e o e lap wi h he bands o collagen. The addi ion o PDA has al eady been cha ac e ized by he C–O–H o he ca echol g oups o PDA a 1410 cm−1 and he indole ings isible a abou 1350 cm−1, which has also been shown o depend on he concen a ion o PDA ( om 0.5 o 10mg.mL−1) [48–50]. The amoun o PDAadded (2mg.mL−1) in ou expe imen s and he washing p ocess du ing he p epa a ion o he samples led o a lowe inal concen a ion o PDA in he samples ha jus coa ed he biopolyme ibe s wi h hin laye . Figu e6b shows in mo e de ail ep esen a i e spec a o he PDA and he non-PDA coa ed Coll/Chi sample wi h a highligh ed band o he PDA indole ing in he egion be ween 1230 Fig. 3 De ailed SEM isualiza ion o adhesion be ween po ous oam and nano ibe s. Collagen oam wi h c oss-linked nano ibe s is ep esen ed as Coll-N; collagen/chi osan oam wi h c oss-linked nano ibe s is ep esen ed as Coll/Chi -N; and collagen/oxidized cellulose oam wi h c oss-linked nano ibe s is ep esen ed as Coll/CaOC-N. The nex ma k ‘NX’ ep esen s he non-c oss-linked bilaye . The ma k ‘PDA’ ep esen s he polydopamine coa ing on c oss-linked bilaye s. The nano ib ous laye is placed on he su ace o he sample (yellow a ow). A po ous sca old s uc u e can be seen below i ( ed a ow) Page 16 o 24 Kac inskáe al. Jou nal o Nanobio echnology (2023) 21:80 This exp ession was hen educed and was compa able o ha o he non-PDA ma e ial. Ano he p o-in lam- ma o y cy okine IL17 was signi ican ly highe a week 1 o hePDA ma e ial (p < 0.05), while mon h 6 showed a signi ican dec ease in IL17 le el (p < 0.05), com- pa ed o he non-PDA a ian . In con as , PDA was ound o p omo e he elimina ion o in lamma ion, as i suppo ed he exp ession o he an i-in lamma o y molecule IL10 (mon h 3) du ing healing (p < 0.005). Ano he cy okine TGFβ1 ( ans o ming g ow h ac o ) was ound o be signi ican ly exp essed in he healing s ages o he ma e ial wi h added PDA (besides week 2). The le el o he las cy okine MMP9 (an enzyme o he ma ix me allop o einase (MMP) amily) inc eased Fig. 11 Li e-Dead assay o mu ine ib oblas cell line 3T3-A31 seeded on po ous oams on he 14 h expe imen al day. Collagen oam is Coll; collagen/chi osan oam is Coll/Chi , and collagen/oxidized cellulose oam is Coll/CaOC. The ma k ‘PDA’ ep esen s an addi ional polydopamine coa ing on po ous oams. The cy oplasm o li ing cells (g een luo escence) and dead cells ( ed luo escence). Scale ba 100 µm, objec i e 10 × Fig. 12 The cell dis ibu ion on he sca olds—day 14. Collagen oam is Coll; collagen/chi osan oam is Coll/Chi , and collagen/oxidized cellulose oam is Coll/CaOC. The ma k ‘PDA’ ep esen s an addi ional polydopamine coa ing on po ous oams. Cy oplasmic memb anes (DiOC6[3], g een signal), cell nuclei (p opidium iodide, ed signal). Scale ba 50 µm, objec i e 20 × Page 17 o 24 Kac inskáe al. Jou nal o Nanobio echnology (2023) 21:80 in he p esence o PDA o a signi ican ly highe le el a week 3, compa ed o he con ol. Exp essions o MMP9 in he es s ages o wound healing we e compa able be ween ma e ials and no signi ican ly di e en . An ea ly in lamma ion is also e iden in he his o- logical pic u es in Fig.16, he i s week a e implan a- ion o Coll/CaOC-N and Coll/CaOC-N/PDA bilaye s compa ed o he con ol. He e, asupe icial skin de ec Fig. 13 Colo -coded dep h p ojec ion based on he signal o cells s ained wi h p opidium iodide and DiOC6(3) on day 14. Collagen oam is Coll; collagen/chi osan oam is Coll/Chi , and collagen/oxidized cellulose oam is Coll/CaOC. The ma k ‘PDA’ ep esen s an addi ional polydopamine coa ing on po ous oams. Dep h iew om 0 µm (blue) o 120 µm ( ed) Fig. 14 Closu e o ull- hickness wounds a e implemen a ion o con ol g oup—na i e po cine skin a and bilaye made o collagen/oxidized cellulose oam wi h c oss-linked nano ibe s—Coll/CaOC-N (b-le ) and bilaye coa ed wi h polydopamine—Coll/CaOC-N/PDA (b- igh ) o 6 mon hs Page 18 o 24 Kac inskáe al. Jou nal o Nanobio echnology (2023) 21:80 is e iden and he de mis is in lammably cellula wi h heimplan ed ma e ial. A e wo weeks, he e is s ill a skin de ec on he su ace and he cellula g anula ion issue is ich in capilla ies and ib oblas ic issue. The con en o esidual implan ed ma e ial, mul inuclea ed mac ophages, and ib oblas -like cells is p esen ed in he su oundings. A e one mon h, he e is a ib ous cel- lula sca wi h well-o ganized ib oblas o ma ion and mild ch onic in lamma ion wi hou implan ma e ial. The su ace de ec is al eady e-epi helialized. 6mon hs o healing shows an o ganized ib ous sca wi h a lack o ib oblas ic cells and capilla ies in he de mis. On he wound su ace is he epide mis o he usual s uc u e p esen ed. Discussion To da e, o all acellula sca olds, only human acellula de mis p oduc s, such as clinically p o en AlloDe m and De maMa ix appea o be he bes op ion in skin issue [51, 52]. Implan a ion o acellula sca olds wi h cell cul- u es o ib oblas s and/o ke a inocy es is associa ed wi h eno mous cos s and di icul egula ions [53]. Cu en ly, an example o a cell- ee ex acellula ma ix ep esen s In eg a, made o Coll and chond oi in-6-sul a e wi h a sil- icone backing [54]. This ma ix has also been seeded wi h au ologous ib oblas s and ke a inocy es, bu i is no ye comme cially a ailable. I is ime-de icien , as i equi es 3 o 4weeks o cul i a ion. Simila ly, 2weeks o ke a ino- cy e cul i a ion is equi ed by simila ma e ial [55]. Fig. 15 Time dependence o mean exp ession o he HRT uni o p o-in lamma o y cy okines TNFα (a), IL1β (b), IL17 (c), MMP9 ( ), an i-in lamma o y cy okines IL10 (d) and g ow h ac o TGFβ1 (e). Each panel ep esen s a speci ic ime o cy okines exp ession (1 week–6 mon hs) and implan ed ma e ial, whe e a bilaye made o collagen/oxidized cellulose c oss-linked wi h nano ibe s coa ed wi h polydopamine is Coll/CaOC-N/PDA (o ange colo panel), a bilaye made o collagen/oxidized cellulose c oss-linked wi h nano ibe s is Coll/CaOC-N (g een colo panel).( The panel o he con ol g oup (yellow colo panel) is he na i e po cine skin. S a is ical signi icance (*p < 0.05), (**p < 0.005), (***p < 0.001) Page 19 o 24 Kac inskáe al. Jou nal o Nanobio echnology (2023) 21:80 In his esea ch, bilaye acellula sca olds we e ab i- ca ed and modi ied wi h PDA o enhance biomechanical and biological p ope ies and o see he healing e ec s o po cine skin, as well as in i o es s wi h mu ine ib o- blas s. The nano ib ous laye unc ionally and s uc u - ally ep esen s he BM, and he po ous oam ep esen s he de mis laye . Fab ica ed nano ib ous BM is cha ac- e ized by small po es and a e y hin hickness 0.2mm, compa ed o he ab ica ed de mis laye , which is abou 2mm. I s main objec i e is o block bac e ia and ensu e ha ib oblas s do no a el om he de mis pa o he epide mis pa , as well as o suppo adhesion o a pos- sible epide mal au og a . Po ous oam wi h la ge po es and highe hickness ensu es ib oblas adhesion, p o- li e a ion, nu ien suppo , and gene al illing o he wound bed. PDA is ob ained by au o-polyme iza ion o dopamine and has al eady shown some ad anced e ec s on ma e ial p ope ies in issue enginee ing applica- ions, mainly in e ms o mechanical and cellula pe - o mance [56, 57]. In his wo k, he PDA imp o ed he mechanical p ope ies o all bilaye s unde bo h d y and hyd a ed condi ions. PDA esul ed in an inc ease in UTS o app oxima ely 58%, 62%, and 35% o Coll-N/PDA, Coll/Chi -N/PDA, and Coll/CaOC-N/PDA bilaye s, espec i ely. In he hyd a ed s a e, PDA enhances he i mness mainly in Coll/Chi -N/PDA (by 61%). The hyd a ed en i onmen p o ided o he PDA-coa ed bilay- e s wi h highe iscoelas ici y. One o he s iking ea- u es o heal hy skin is i s abili y o e u n o no mal a e being s e ched. The hyd a ed s a e and PDA signi ican ly suppo ed ibe s elonga ion, which was conside ed ben- e icial because he hyd a ed condi ions mimic he eal issue en i onmen . The Coll/Chi -N/PDA bilaye was s e ched by mo e han 80% in he hyd a ed s a e com- pa ed o he d y s a e. Samples Coll-N/PDA and Coll/ CaOC-N/PDA elonga ed by mo e han 79–81% unde hyd a ed condi ions, espec i ely. Adding PDA o an al eady exis ing ne wo k o collagen and polysaccha ide enhanced he mechanical igidi y o he ma e ial. PDA con ains abundan hyd oxyl g oups o ca echoland ac i e amino g oups, which can easily pene a e he ne wo k and physically c oss-link wi h esidues o p o ein/cellu- lose unc ional g oups and o m an in e pene a ed pol- yme ne wo k. This ype o ne wo k shows signi ican ly be e mechanical p ope ies han "o dina y" polyme ne wo ks [58–60]. PDA has also slowed he enzyma ic deg ada ion, while he swelling capaci y and po e size we e educed. Fig. 16 His ological sec ions a a ious imes o issue ha es ing a e implan a ion o he con ol g oup-na i e po cine skin a, a bilaye o collagen/oxidized cellulose c oss-linked wi h nano ibe s (Coll/CaOC-N) p esen ed as a well-o ganized sca issue b, collagen/oxidized cellulose c oss-linked wi h nano ibe s coa ed wi h polydopamine (Coll/CaOC-N/PDA) he p esence o mac ophages and ib oblas -like cells in he 1s and he 2nd week a e applica ion, collagen- ich issue wi h low p esence o ib oblas -like cells 6 mon hs a e applica ion c. Sec ions we e s ained wi h H&E, pho og aphs a 200 × magni ica ion. Remnan s o he nano ibe laye s a e depic ed in a black a ow Page 20 o 24 Kac inskáe al. Jou nal o Nanobio echnology (2023) 21:80 Al hough he po e s uc u e was educed, and he ma e- ial became mo e igid, he Coll/CaOC/PDA showed he highes p oli e a i e ac i i y be ween day 7 and day 14 and sa is ac o y me abolic ac i i y du ing he expe imen- al pe iod. Oxidized cellulose oams Coll/CaOC and Coll/ CaOC/PDA, espec i ely, e ealed a o able p ope ies o ini ial cell adhesion and p oli e a ion wi h possible u he o ma ion o he con luen cell laye suppo ed by PDA. G ea e sp ead o he cy oplasm and suppo ed cell iabili y we e also obse ed in all samples a e PDA coa ing. In ou expe imen s, we used he s a ic cul u e o he sca olds. In he majo i y o 3D sca olds cul i a ed unde s a ic condi ions, dead cells a e isible a e long- e m cul i a ion, p obably due o slow medium di usion. In addi ion, he physico-chemical p ope ies o he sca - old su ace o sca old deg ada ion may nega i ely al e cell adhesion, p oli e a ion, and iabili y o he cells. In ou samples wi h PDA, signi ican ly (p < 0.05) inc eased me abolic ac i i y o cells was obse ed. This is in good ag eemen wi h Paccelli e  al. [61]. They epo ed an inc eased we abili y o gellan gum hyd ogel coa ed wi h PDA and subsequen ly inc eased celladhesion, sp ead- ing, p oli e a ion, and ocal p o ein and cy oskele al p o ein exp ession. Rega ding he su ace o he nano i- b ous laye , PDA also changed i s su ace mo phology and was able o c ea e di e en opologies depending on he po ouscollagen/polysaccha ide oam, on which he nano ibe s we e ab ica ed. Fo example, some un ea ed esiduals o he sligh ly acidic CaOC o heColl/CaOC oam could educe he polyme iza ion o dopamine and c ea e a mo e homogeneous ilm o PDA compa ed o ball-like s uc u es on he es o nano ibe s. This can u he a ec he di usion o molecules. In econs uc ing skin issue, i is essen ial o choose an app op ia e wound in a p eclinical animal model. Mos in i o s udies, including bilaye d essings, a e e alu- a ed in small mammals, especially a s, mice, abbi s, o guinea pigs due o hei cos and easy- o-handle p o- cesses [62–64]. Recen ly, in i o s udies we e pe o med wi h dopamine-modi ied ma e ials ha ha e also been shown o heal wounds in hese small mammals, includ- ing a s and mice [65–68]. To ou knowledge, only a ew s udies ha e used he pig model, as a esul o expensi e s udies and di icul ies due o i s size [69–71]. In addi- ion, he e a e no s udies ha demons a e he e ec o dopamine on po cine skin. Fu he mo e, wound heal- ing in he pig model di e s om wound healing in small mammals [72, 73]. Many au ho s ha e al eady sug- ges ed ha pigs should be he p e e ed animal model due o simila i ies be ween hei epide mis and de mis wi h humans [74, 75]. In his wo k, a c ucial ques ion ega ding PDA-coa ed bilaye ma e ial is i s in luence on po cine skin du ing wound healing, especially an i- in lamma o y beha io , as i is s ill li le known. The Coll/ CaOC-N/PDA bilaye was selec ed o he expe imen and wascompa ed wi h i s non-PDA a ian Coll/CaOC- N and he con ol g oup (na i e po cine skin). PDA sup- po s he ea ly s ages o in lamma ion, since he le els o he p o-in lamma o y cy okines TNFα, IL1β, and IL17 we e highly exp essed. P o-in lamma o y cy okines a e among he i s ac o s ha a e p oduced in esponse o wounds, as hey mus pa icipa e in he in lamma- ion phase o wound healing wi h a mode a e immune esponse only [76]. P ope le els o p o-in lamma o y cy okines p e en in ec ion and accele a e no mal wound healing [77]. The exp ession o he an i-in lamma o y cy okine IL10 and he g ow h ac o TGFβ1 is highe in he middle s ages o wound healing, due o PDA. PDA also suppo ed MMP9, which could help in angiogenesis and neo ascula iza ion p ocesses in he middle s age o healing [78]. Theexp ession o all cy okines in his s udy suppo ed he idea ha PDA igge s he ea ly s ages o in lamma ion (1–3weeks) and p olongs in lamma ion a he end o healing (6mon hs). A his poin , he o e ac i- a ion o immune cells and hei p o ease p oduc s could inhibi issue o ma ion.(1) An in lamma o y eac ion is a dynamic p ocess wi h a epa a ion phase ollowed by a ebuilding phase associa ed wi h mac ophages ac i a- ionand he p oduc ion o TGFβ1 as well as MMPs. So a , he e has been no di ec e idence o he ole o poly- dopamine in mac ophageac i i y. The main an i-in lam- ma o y unc ion o polydopamine is a ibu ed o he abili y o elimina e eac i e oxygen species (ROS) [79]. The excessi e amoun o ROS p oduced by neu ophils a he wound si e may des oy biological mac omolecules, and hus i can cause a educ ion o he p oduc ion o an i-in lamma o y molecules and con a y inc ease he p oduc ion o p o-in lamma o y cy okines. PDA is capable o cap u e elec ons and sca enge eac i e oxy- gen species (ROS) ia i s ca echol g oups, which educe in lamma ion and p omo e issue egene a ion [80, 81]. Ano he po en ial mechanism is al eady p oposed, based on PDA ex ac s, which may ei he ac as a sca enge o ROS o canac i a e an ioxidan p o ein HO-1and hus inhibi he in lamma o y esponse.[82] Based on he wound closu e and con ac ion in Fig.14 wi h wound eco e y accompanied by hai g ow h, and less isual sca ing om he PDA bilaye , i could be s a ed ha he inc eased in lamma ion in he healing p ocess had no e ec on he speed o wound eco e y. Al hough his o- logical sec ions in Fig.16 e eal minimal di e ences in his ological skin issue composi ion among na i e po - cine skin, Coll/CaOC-N and Coll/CaOC-N/PDA, espe- cially in he6 h mon h a e implan a ion, heau ho s Page 21 o 24 Kac inskáe al. Jou nal o Nanobio echnology (2023) 21:80 o he s udy ind his a ou able. Acco ding o his ologi- cal sec ions, he ma u a ion sca is ad anced in Coll/ CaOC-N and Coll/CaOC-N/PDA issue samples com- pa ed o na i epo cine skin. The g oss obse a ions hen a o ize Coll/CaOC-N/PDA o e Coll/CaOC-N samples, as men ioned abo e. Elgha ably [83] used Coll gel o heal ull- hickness excisional wounds o he po cine model and also showed a obus in lamma o y esponse, which esol ed in a imely manne ollowed by an imp o ed p oli e a i e phase, angiogenic esul and pos -wound issue emodeling. Middelkoop e al. [84] s udied Coll- based ma e ials and syn he ic ma e ials in domes ic pigs and poin ed o he disad an ages o d essing ea men s, which we e no e ealed in in i o s udies. Philand i- anos e  al. [85] showed ha a e implan ed a i icial de mal subs i u es (In eg a, P oDe m, Renoskin, Ma i- de m and Hyaloma ix) and he con ol g oup he e was no di e en ial e ec on he con ac ion o ull- hickness po cine wounds a e 2 and 6mon hs o healing. Ha -el e al. [86] conduc ed a simila s udy be ween an elec o- spun soy p o ein-based sca old (SPS) and Tegade m® implemen ed in a ull- hickness wound in he pig model. SPS exhibi ed be e e-epi helializa ion. Impo an ly, i should be aken in o accoun ha s udies demons a ing no isk o PDA deg ada ion p oduc s a e lacking. Jin e al. [82] showed ha he PDA ex ac s we e mainly com- posed o dopamine, quinine and PDA segmen s. These deg adable p oduc s o PDA showed no cy o oxici y, which is in good ag eemen wi h ou s udy. Conclusions This s udy e alua ed he e ec o dopamine coa ing in a ully eso bable and acellula bilaye sca old made o polysaccha ides and collagen. The PDA has a unique posi ion in he c ea ion o biomechanically enginee ed ma e ials as i signi ican ly changes he s eng h o he bilaye and p omo es s abili y and iscoelas ici y due o i s polyme ic ne wo k in e pene a ion. This also in lu- ences swelling capaci y and po osi y, which is conside ed desi able and bene icial o es o ing skin unc ion, since dopamine also suppo s ib oblas iabili y and p oli - e a ion. This esea ch con ibu es o he indings ha dopamine may enhance he in lamma o y phase a he beginning o wound healing in he domes ic pig model and shows possible suppo in he expansion o g ow h ac o and an i-in lamma o y cy okines in he middle and la e s ages o wound healing. Dopamine shows no ox- ici y du ing he healing p ocess, and he e o e he dopa- mine-modi ied bilaye is sui able as implan able ma e ial. Despi e he ema kable esul s o he in i o expe i- men s, he ques ion emains whe he he u ili y o dopa- mine in i o is no o e es ima ed, as i has been shown o be esemble o he con ol g oup. The u u e pe spec- i e on he u ili y o dopamine is mainly suppo ed by i s ema kable esul s based on in i o expe imen s wi h cells, which subs an ially p o e he po en ial o dopa- mine. Howe e , i s mechanism o ac ion is s ill no com- ple ely disco e ed and e en his s udy ailed o cla i y he mechanism o dopamine, as well as i s deg adable p od- uc s and possible in luence on he body. This ac ion a he molecula le el needs o be disco e ed be o e any appli- ca ion, which would also p o ide a be e unde s anding o i s u u e inco po a ion in o bioma e ials, hus ob ain- ing mo e p onounced in i o esul s. Abb e ia ions b.w Body weigh CaOC Calcium sal o oxidized cellulose Chi Chi osan Coll Collagen Coll/CaOC Collagen/oxidized cellulose oam Coll/CaOC-N Collagen/oxidized cellulose bilaye ( oam + c oss- linked nano ibe s) Coll/CaOC-N/PDA PDA coa ed collagen/oxidized cellulose bilaye ( oam + c oss-linked nano ibe s) Coll/CaOC-NX Collagen/oxidized cellulose bilaye ( oam + non-c oss- linked nano ibe s) Coll/CaOC/PDA Collagen/oxidized cellulose oam coa ed wi h PDA Coll/Chi Collagen/chi osan oam Coll/Chi -N Collagen/chi osan bilaye ( oam + c oss-linked nano ibe s) Coll/Chi -N/PDA PDA coa ed collagen/chi osan bilaye ( oam + c oss- linked nano ibe s) Coll/Chi -NX Collagen/chi osan bilaye ( oam + non-c oss-linked nano ibe s) Coll/Chi /PDA Collagen/chi osan oam coa ed wi h PDA Coll-N Collagen bilye ( oam + c oss-linked nano ibe s) Coll-N/PD PDA coa ed collagen bilye ( oam + c oss-linked nano ibe s) Coll-NX Collagen bilye ( oam + non-c oss-linked nano ibe s) Coll/PDA Collagen oam coa ed wi h PDA DMEM Dulbecco’s modi ied eagle medium E. coli Esche ichia Coli EDC/NHS N-(3-Dime hylaminop opyl)-N´-e hylca bodiimide hyd ochlo ide/N-hyd oxysuccinimide FGF2 Fib oblas g ow h ac o 2 Gel Gela in i.m In amuscula i.p In ape i oneal i. In a enous MRSA Me hicillin- esis an S. au eus PBS Phospha e-bu e ed saline PCL Poly(ε-cap olac one) PDA Polydopamine PEG Poly(e hylene glycol) PLA Poly(lac ic acid) PLGA Poly(lac ic-co-glycolic acid) PVA Poly( inyl alcohol) RhVEGF Recombinan human ascula endo helial g ow h ac o ROS Reac i e oxygen species SEM Scanning elec on mic oscope SEMIPE SEM image po e ex ac o SeNPs Selenium nanopa icles s.c. Subcu aneous Page 22 o 24 Kac inskáe al. Jou nal o Nanobio echnology (2023) 21:80 Acknowledgemen s No applicable. Au ho con ibu ions All au ho s con ibu ed o he s udy concep ion and design. KK w o e o iginal d a , p epa ed ma e ials, pe o med he expe imen s and e alua ed mos o he esul s. Au ho s who c i ically e iewed he manusc ip VP, EF, and LV. Me hodology and supe ision o bioma e ial pa is a ibu ed o LV. Me h- odology and supe ision o cells expe imen s in i o, analysis and da a col- lec ion o VHB, and EF. Me hodology and supe ision o in i o expe imen is a ibu ed o BL, MF, MK, and JH. Expe imen design o biomechanical analysis is a ibu ed o PP. VP and LM cap u ed scanning elec on mic oscopy images. ZP cap u ed his ological images. MC, MV, and JJ p o ided s a is ics o cy okine exp ession. Concep ualiza ion—LV and BL. Funding acquisi ion—LV, BL, VP, EF and MF. All au ho s ead and app o ed he inal manusc ip . Funding This esea ch was unded by he Minis y o Heal h o he Czech Republic unde he p ojec no. 17-29874A and i s ex ended p ojec no. NU22-08–00454 as well as by he Minis y o Ag icul u e o he Czech Republic (RO0518), and by EU Ho izon 2020 MSCA-RISE-2018 Resea ch and Inno a ion S a Exchange P og amme, p ojec Ac iTOX unde he Ma ie Skłodowska-Cu ie g an ag ee- men No 823981. CzechNanoLab p ojec LM2018110 unded by MEYS CR is g a e ully acknowledged o he inancial suppo o he measu emen s/sam- ple ab ica ion a CEITEC Nano Resea ch In as uc u e. All igh s ese ed. A ailabili y o da a and ma e ials Wi hou es ic ions. Decla a ions E hics app o al and consen o pa icipa e The s udy was conduc ed acco ding o he guidelines o he Decla a ion o Helsinki,and app o ed by he B anch Commission o Animal Wel a e o he Minis y o Ag icul u e o he Czech Republic (pe mission numbe 21211/2017-MZE-17214 om 31 Ma ch 2017). Consen o publica ion No applicable. Compe ing in e es s The au ho s decla e ha hey ha e no compe ing in e es s. Recei ed: 14 No embe 2022 Accep ed: 15 Feb ua y 2023 Re e ences 1. E on PA, Moldawe LL. Cy okines and wound healing: he ole o cy okine and an icy okine he apy in he epai esponse. J Bu n Ca e Rehabil. 2004;25(2):149–60. 2. We ne S, G ose R. Regula ion o wound healing by g ow h ac o s and cy okines. Physiol Re . 2003;83(3):835–70. 3. Flanagan M. A p ac ical amewo k o wound assessmen 1: physiology. B J Nu s. 1996;5(22):1391–7. 4. Xie J, Wille h SM, Li X, Macewan MR, Rade A, Sakiyama-Elbe SE, e al. The di e en ia ion o emb yonic s em cells seeded on elec ospun nano ibe s in o neu al lineages. Bioma e ials. 2009;30(3):354–62. 5. Kennedy KM, Bhaw-Luximon A, Jhu y D. Skin issue enginee ing: biologi- cal pe o mance o elec ospun polyme sca olds and ansla ional challenges. Regen Eng T ansl Med. 2017;3(4):201–14. 6. Ahmadi-Aghkand F, Gholizadeh-Ghaleh AS, Panahi Y, Da aee H, Go jikhah F, Gholizadeh-Ghaleh Aziz S, e al. Recen p ospec i e o nano ibe sca - olds ab ica ion app oaches o skin egene a ion. A i Cells Nanomed Bio echnol. 2016;44(7):1635–41. 7. Zhong SP, Zhang YZ, Lim CT. Tissue sca olds o skin wound healing and de mal econs uc ion. Wi es Nanomed Nanobi. 2010;2(5):510–25. 8. Demi A, Ce he E. Biopolyme s as wound healing ma e ials challenges and new s a egies. In: Pigna ello Rosa io, edi o . Bioma e ials applica ions o nanomedicine. London: InTech; 2011. 9. Shen YI, Song HHG, Papa AE, Bu ke JA, Volk SW, Ge ech S. Acellula hyd ogels o egene a i e bu n wound healing: ansla ion om a po - cine model. J In es De ma ol. 2015;135(10):2519–29. 10. Ruszczak Z. E ec o collagen ma ices on de mal wound healing. Ad D ug Deli Re . 2003;55(12):1595–611. 11. Meye M. P ocessing o collagen based bioma e ials and he esul ing ma e ials p ope ies. Biomed Eng Online. 2019;18(1):24. 12. Gaspa A, Moldo an L, Cons an in D, S anciuc AM, Sa bu Boe i PM, E i- mescu IC. Collagen-based sca olds o skin issue enginee ing. J Med Li e. 2011;4(2):172–7. 13. Voj o á L, Pa liňáko á V, Mucho á J, Kac inská K, B níko á J, Knoz M, e al. Healing and angiogenic p ope ies o collagen/chi osan sca olds en iched wi h hype s able FGF2-STAB p o ein: in i o, ex o o and in i o comp ehensi e e alua ion. Biomedicines. 2021;9(6):590. 14. Voj o á L, Zikmund T, Pa liňáko á V, Šalplach a J, Kalaso á D, P osecká E, e al. The 3D imaging o mesenchymal s em cells on po ous sca olds using high-con as ed x- ay compu ed nano omog aphy. J Mic osc. 2019;273(3):169–77. 15. Shephe d DV, Shephe d JH, Ghose S, Kew SJ, Came on RE, Bes SM. The p ocess o EDC-NHS c oss-linking o econs i u ed collagen ib es inc eases collagen ib illa o de and alignmen . APL Ma e . 2015;3(1):014902. 16. Yang C. Enhanced physicochemical p ope ies o collagen by using EDC/ NHS-c osslinking. Bull Ma e Sci. 2012;35(5):913–8. 17. Da idenko N, Schus e CF, Bax DV, Raynal N, Fa ndale RW, Bes SM, e al. Con ol o c osslinking o ailo ing collagen-based sca olds s abili y and mechanics. Ac a Bioma e . 2015;25:131–42. 18. Gu L, Shan T, Xuan Ma Y, Tay FR, Niu L. No el biomedical applica ions o c osslinked collagen. T ends Bio echnol. 2019;37(5):464–91. 19. Sun LP, Wang S, Zhang ZW, Wang XY, Zhang QQ. Biological e alua ion o collagen–chi osan sca olds o de mis issue enginee ing. Biomed Ma e . 2009;4(5):055008. 20. Ahmed S, Ik am S. Chi osan based sca olds and hei applica ions in wound healing. Achie Li e Sci. 2016;10(1):27–37. 21. Mucho á J, Hea nden V, Michlo ská L, Viš ejno á L, Za aďáko á A, Šme ko á K, e al. Mu ual in luence o selenium nanopa icles and FGF2- STAB® on biocompa ible p ope ies o collagen/chi osan 3D sca olds: in i o and ex o o e alua ion. J Nanobio echnology. 2021;19(1):103. 22. Do azilo á J, Mucho á J, Šme ko á K, Kočio á S, Di iš P, Kopel P, e al. Syne gis ic e ec o chi osan and selenium nanopa icles on biodeg ada- ion and an ibac e ial p ope ies o collagenous sca olds designed o in ec ed bu n wounds. Nanoma e ials. 2020;10(10):1971. 23. Meng X, Tian F, Yang J, He CN, Xing N, Li F. Chi osan and algina e poly- elec oly e complex memb anes and hei p ope ies o wound d essing applica ion. J Ma e Sci Ma e Med. 2010;21(5):1751–9. 24. Ka i VVSR, Kuppusamy G, Tallu i SV, Mannemala SS, Kollipa a R, Wadhwani AD, e al. Cu cumin loaded chi osan nanopa icles imp egna ed in o collagen-algina e sca olds o diabe ic wound healing. In J Biol Mac o- mol. 2016;93:1519–29. 25. No o na K, Ha elka P, Sopuch T, Kola o a K, Vosmanska V, Lisa V, e al. Cellulose-based ma e ials as sca olds o issue enginee ing. Cellulose. 2013;20(5):2263–78. 26. Zimni sky DS, Yu ksh o ich TL, Bychko sky PM. Syn hesis and cha ac e iza ion o oxidized cellulose. J Polym Sci A Polym Chem. 2004;42(19):4785–91. 27. Ma ina B, Ka eřina K, Milosla a R, Jan G, Ru a M. Oxycellulose: signi ican cha ac e is ics in ela ion o i s pha maceu ical and medical applica ions. Ad Polym Technol. 2009;28(3):199–208. 28. Š acho á V, Voj o á L, Pa liňák D, Voj ek L, Sedláko á V, Hy šl P, e al. No el elec ospun gela in/oxycellulose nano ibe s as a sui able pla o m o lung disease modeling. Ma e Sci Eng C. 2016;67:493–501. 29. Joseph B, Augus ine R, Kala ikkal N, Thomas S, Sean ie B, G ohens Y. Recen ad ances in elec ospun polycap olac one based sca olds o wound healing and skin bioenginee ing applica ions. Ma e Today Com- mun. 2019;19:319–35. Page 23 o 24 Kac inskáe al. Jou nal o Nanobio echnology (2023) 21:80 30. Ba ba isi M, Ma ino G, A menia E, Vincenzo Q, Rosso F, Po celli M, e al. Use o polycap olac one (PCL) as sca olds o he egene a ion o ne e issue. J Biomed Ma e Res A. 2015;103(5):1755–60. 31. Ding YH, Flo en M, Tan W. Mussel-inspi ed polydopamine o bio-su ace unc ionaliza ion. Biosu Bio ibol. 2016;2(4):121–36. 32. Tsai WB, Chen WT, Chien HW, Kuo WH, Wang MJ. Poly(dopamine) coa ing o sca olds o a icula ca ilage issue enginee ing. Ac a Bioma e . 2011;7(12):4187–94. 33. Sun X, Cheng L, Zhao J, Jin R, Sun B, Shi Y, e al. bFGF-g a ed elec ospun ib ous sca olds ia poly(dopamine) o skin wound healing. J Ma e Chem B. 2014;2(23):3636–45. 34. Ho CC, Ding SJ. S uc u e, p ope ies and applica ions o mussel-inspi ed polydopamine. J Biomed Nano echnol. 2014;10(10):3063–84. 35. Lou T, Leung M, Wang X, Chang JYF, Tsao CT, Sham JGC, e al. Bi-laye sca - old o chi osan/PCL-nano ib ous ma and PLLA-mic opo ous disc o skin issue enginee ing. J Biomed Nano echnol. 2014;10(6):1105–13. 36. Wang F, Wang M, She Z, Fan K, Xu C, Chu B, e al. Collagen/chi osan based wo-compa men and bi- unc ional de mal sca olds o skin egene a- ion. Ma e Sci Eng: C. 2015;52:155–62. 37. Lin HY, Chen SH, Chang SH, Huang ST. T i-laye ed chi osan sca old as a po en ial skin subs i u e. J Bioma e Sci Polym Ed. 2015;26(13):855–67. 38. Kilic Bek as C, Kimiz I, Sendemi A, Hasi ci V, Hasi ci N. A bilaye sca old p epa ed om collagen and ca boxyme hyl cellulose o skin issue enginee ing applica ions. J Bioma e Sci Polym Ed. 2018;29(14):1764–84. 39. Hasa s i S, Angspa A, A amwi P. Randomized clinical ial o he inno a- i e bilaye ed wound d essing made o silk and gela in: sa e y and e i- cacy es s using a spli - hickness skin g a model. J E id Based Comple Al e n Med. 2015;2015:1–8. 40. Ma W, Zhou M, Dong W, Zhao S, Wang Y, Yao J, e al. A bi-laye ed sca old o a poly(lac ic- co -glycolic acid) nano ibe ma and an algina e–gela in hyd ogel o wound healing. J Ma e Chem B. 2021;9(36):7492–505. 41. Yao W, Gu H, Hong T, Wang Y, Chen S, Mo X, e al. A bi-laye ed ubula sca old o e ec i e an i-coagulan in ascula issue enginee ing. Ma e Des. 2020;194: 108943. 42. Zhang S, Chen L, Jiang Y, Cai Y, Xu G, Tong T, e al. Bi-laye collagen/ mic opo ous elec ospun nano ibe sca old imp o es he os eochond al egene a ion. Ac a Bioma e . 2013;9(7):7236–47. 43. Slo iko á A, Voj o á L, Jančař J. P epa a ion and modi ica ion o collagen- based po ous sca old o issue enginee ing. Chem Pap. 2008;62:4. 44. Ky o a K, S epano a H, Rychlik I, Polansky O, Le a L, Sekelo a Z, e al. The esponse o po cine monocy e de i ed mac ophages and dend i ic cells o salmonella yphimu ium and lipopolysaccha ide. BMC Ve Res. 2014;10(1):244. 45. S epano a H, Pa lo a B, S ome o a N, Ond acko a P, S ejskal K, Slana I, e al. Di e en immune esponse o pigs o mycobac e ium a ium subsp. a ium and mycobac e ium a ium subsp. hominissuis in ec ion. Ve Mic obiol. 2012;159(3–4):343–50. 46. Viceno a M, Nech a alo a K, Chlebo a K, Kuce o a Z, Le a L, S epano a H, e al. E alua ion o in i o and in i o an i-in lamma o y ac i i y o biologi- cally ac i e phospholipids wi h an i-neoplas ic po en ial in po cine model. BMC Compl Al e n Med. 2014;14(1):339. 47. Ji Y, Yang X, Ji Z, Zhu L, Ma N, Chen D, e al. DFT-calcula ed IR spec um amide I, II, and III band con ibu ions o N -me hylace amide ine compo- nen s. ACS Omega. 2020;5(15):8572–8. 48. Zangmeis e RA, Mo is TA, Ta lo MJ. Cha ac e iza ion o polydopamine hin ilms deposi ed a sho imes by au oxida ion o dopamine. Langmui . 2013;29(27):8619–28. 49. Zhu S, Gu Z, Xiong S, An Y, Liu Y, Yin T, e al. Fab ica ion o a no el bio- inspi ed collagen–polydopamine hyd ogel and insigh s in o he o ma ion mechanism o biomedical applica ions. RSC Ad . 2016;6(70):66180–90. 50. Mallinson D, Mullen AB, Lamp ou DA. P obing polydopamine adhesion o p o ein and polyme ilms: mic oscopic and spec oscopic e alua ion. J Ma e Sci. 2018;53(5):3198–209. 51. Debels H, Hamdi M, Abbe on K, Mo ison W. De mal ma ices and bioengi- nee ed skin subs i u es. Plas Recons Su g Glob Open. 2015;3(1):e284. 52. Foley E, Robinson A, Maloney M. Skin subs i u es and de ma ology: a e iew. Cu De ma ol Rep. 2013;2(2):101–12. 53. Zhang Q, Wen J, Liu C, Ma C, Bai F, Leng X, e al. Ea ly-s age bilaye issue- enginee ed skin subs i u e o med by adul skin p ogeni o cells p oduces an imp o ed skin s uc u e in i o. S em Cell Res The . 2020;11(1):407. 54. Bello YM, Falabella AF, Eagls ein WH. Tissue-Enginee ed skin. Am J Clin De ma ol. 2001;2(5):305–13. 55. Bu le CE, O gill DP, Yannas IV, Comp on CC. E ec o ke a inocy e seeding o collagen-glycosaminoglycan memb anes on he egene a ion o skin in a po cine model. Plas Recons Su g. 1998;101(6):1572–9. 56. Hu Y, Dan W, Xiong S, Kang Y, Dhinaka A, Wu J, e al. De elopmen o collagen/polydopamine complexed ma ix as mechanically enhanced and highly biocompa ible semi-na u al issue enginee ing sca old. Ac a Bioma e . 2017;47:135–48. 57. Sha ma D, Jia W, Long F, Pa i S, Chen Q, Qyang Y, e al. Polydopamine and collagen coa ed mic o-g a ed polydime hylsiloxane o human mesenchy- mal s em cell cul u e. Bioac Ma e . 2019;4:142–50. 58. Fichman G, Schneide JP. Dopamine sel -polyme iza ion as a simple and powe ul ool o modula e he iscoelas ic mechanical p ope ies o pep ide-based gels. Molecules. 2021;26(5):1363. 59. Han X, Li M, Fan Z, Zhang Y, Zhang H, Li Q. PVA/Aga in e pene a ing ne wo k hyd ogel wi h as healing, high s eng h, an i eeze, and wa e e en ion. Mac omol Chem Phys. 2020;221(22):2000237. 60. Zhao D, Kim JF, Ignacz G, Pogany P, Lee YM, Szekely G. Bio-inspi ed obus memb anes nanoenginee ed om in e pene a ing polyme ne wo ks o polybenzimidazole/polydopamine. ACS Nano. 2019;13(1):125–33. 61. Pacelli S, Paolicelli P, Pe ali o S, Subham S, Gilmo e D, Va ani G, e al. In es iga ing he ole o polydopamine o modula e s em cell adhesion and p oli e a ion on gellan gum-based hyd ogels. ACS Appl Bio Ma e . 2020;3(2):945–51. 62. Magin CM, Neale DB, D inke MC, Willenbe g BJ, Reddy ST, la Pe le KM, e al. E alua ion o a bilaye ed, mic opa e ned hyd ogel d essing o ull- hick- ness wound healing. Exp Biol Med. 2016;241(9):986–95. 63. Eskanda inia A, Ke aya A, Agheb M, Ra ienia M, Amini Baghbado ani M, Na id S, e al. A no el bilaye wound d essing composed o a dense polyu- e hane/p opolis memb ane and a biodeg adable polycap olac one/gela in nano ib ous sca old. Sci Rep. 2020;10(1):3063. 64. Sie a-Sánchez Á, Fe nández-González A, Lizana-Mo eno A, Espinosa- Ibáñez O, Ma inez-Lopez A, Gue e o-Cal o J, e al. Hyalu onic acid bioma e ial o human issue-enginee ed skin subs i u es: P eclinical compa a i e in i o s udy o wound healing. J Eu Acad De ma ol Vene eol. 2020;34(10):2414–27. 65. Gong M, Yan F, Yu L, Li F. A dopamine-me hac yla ed hyalu onic acid hyd o- gel as an e ec i e ca ie o s em cells in skin egene a ion he apy. Cell Dea h Dis. 2022;13(8):738. 66. Lee SY, Jeon S, Kwon YW, Kwon M, Kang MS, Seong KY, e al. Combina o ial wound healing he apy using adhesi e nano ib ous memb ane equipped wi h wea able LED pa ches o pho obiomodula ion. Sci Ad . 2022;8:15. 67. Zheng Z, Li M, Shi P, Gao Y, Ma J, Li Y, e al. Polydopamine-modi ied collagen sponge sca old as a no el de mal egene a ion empla e wi h sus ained elease o pla ele - ich plasma o accele a e skin epai : a one-s ep s a egy. Bioac Ma e . 2021;6(8):2613–28. 68. Yazdi MK, Za e M, Khodadadi A, Seidi F, Sajadi SM, Za in aj P, e al. Polydopamine bioma e ials o skin egene a ion. ACS Bioma e Sci Eng. 2022;8(6):2196–219. 69. Sea on M, Hocking A, Gib an NS. Po cine models o cu aneous wound heal- ing. ILAR J. 2015;56(1):127–38. 70. Tapking C, Popp D, B anski LK. Pig model o es issue-enginee ed skin. In: Bö che -Habe ze h Sophie, Biede mann Thomas, edi o s. Skin issue enginee ing: me hods and p o ocols. New Yo k: Sp inge ; 2019. p. 239–49. 71. S icke -K ong ad A, Shoemake CR, Boucha d GF. The minia u e swine as a model in expe imen al and ansla ional medicine. Toxicol Pa hol. 2016;44(4):612–23. 72. Sulli an TP, Eagls ein WH, Da is SC, Me z P. The pig as a model o human wound healing. Wound Repai Regen. 2001;9(2):66–76. 73. Sie a-Sánchez Á, Kim KH, Blasco-Mo en e G, A ias-San iago S. Cellula human issue-enginee ed skin subs i u es in es iga ed o deep and di - icul o heal inju ies. NPJ Regen Med. 2021;6(1):35. 74. Debee S, le Luduec JB, Kaise lian D, Lau en P, Nicolas JF, Dubois B, e al. Compa a i e his ology and immunohis ochemis y o po cine e sus human skin. Eu J De ma ol. 2013;23(4):456–66. 75. Khiao In M, Richa dson KC, Loewa A, Hed ich S, Kaessmeye S, Plendl J. His- ological and unc ional compa isons o ou ana omical egions o po cine skin wi h human abdominal skin. Ana His ol Emb yol. 2019;48(3):207–17. 76. Xiao T, Yan Z, Xiao S, Xia Y. P oin lamma o y cy okines egula e epide mal s em cells in wound epi helializa ion. S em Cell Res The . 2020;11(1):232. Page 24 o 24 Kac inskáe al. Jou nal o Nanobio echnology (2023) 21:80 • as , con enien online submission • ho ough pee e iew by expe ienced esea che s in you ield • apid publica ion on accep ance • suppo o esea ch da a, including la ge and complex da a ypes • gold Open Access which os e s wide collabo a ion and inc eased ci a ions maximum isibili y o you esea ch: o e 100M websi e iews pe yea • A BMC, esea ch is always in p og ess. Lea n mo e biomedcen al.com/submissions Ready o submi you esea ch Ready o submi you esea ch ? Choose BMC and bene i om: ? Choose BMC and bene i om: 77. Aki a S. Wound epai egen: mechanisms, signaling. In J Mol Sci. 2019;20(24):6328. 78. Caley MP, Ma ins VLC, O’Toole EA. Me allop o einases and wound healing. Ad Wound Ca e. 2015;4(4):225–34. 79. Zhao H, Zeng Z, Liu L, Chen J, Zhou H, Huang L, e al. Polydopamine nano- pa icles o he ea men o acu e in lamma ion-induced inju y. Nanoscale. 2018;10(15):6981–91. 80. Li Y, Yang L, Hou Y, Zhang Z, Chen M, Wang M, e al. Polydopamine-medi- a ed g aphene oxide and nanohyd oxyapa i e-inco po a ed conduc i e sca old wi h an immunomodula o y abili y accele a es pe iodon al bone egene a ion in diabe es. Bioac Ma e . 2022;18:213–27. 81. Zheng B, Deng G, Zheng J, Li Y, Wang B, Ding X, e al. Sel -polyme ized polydopamine-based nanopa icles o acu e kidney inju y ea men h ough inhibi ing oxida i e damages and in lamma o y. In J Biochem Cell Biol. 2022;143:106141. 82. Jin L, Yuan F, Chen C, Wu J, Gong R, Yuan G, e al. Deg ada ion P oduc s o polydopamine es ained in lamma o y esponse o LPS-s imula ed mac- ophages h ough media ion TLR-4-MYD88 dependen signaling pa hways by an ioxidan . In lamma ion. 2019;42(2):658–71. 83. Elgha ably H, Ganesh K, Dicke son J, Khanna S, Abas M, Das Gha ak P, e al. A modi ied collagen gel d essing p omo es angiogenesis in a p e- clinical swine model o ch onic ischemic wounds. Wound Repai Regen. 2014;22(6):720–9. 84. Middelkoop E, an den Bogae d AJ, Lamme EN, Hoeks a MJ, B andsma K, Ul ich MMW. Po cine wound models o skin subs i u ion and bu n ea - men . Bioma e ials. 2004;25(9):1559–67. 85. Philand ianos C, And ac-Meye L, Mo don S, Feue s ein JM, Saba ie F, Ve an J, e al. Compa ison o i e de mal subs i u es in ull- hickness skin wound healing in a po cine model. Bu ns. 2012;38(6):820–9. 86. el Ha -el Y, Ge s enhabe JA, B odsky R, Huneke RB, Lelkes PI. Elec ospun soy p o ein sca olds as wound d essings: enhanced eepi helializa ion in a po cine model o wound healing. Wound Med. 2014;5:9–15. Publishe ’s No e Sp inge Na u e emains neu al wi h ega d o ju isdic ional claims in pub- lished maps and ins i u ional a ilia ions.