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Because of its high biocompatibility, bio-degradability, low-cost and easy availability, cellulose finds application in disparate areas of research. Here we focus our attention on the most recent and attractive potential applications of cellulose in the biomedical field. We first describe the chemical/structural composition of cellulose fibers, the cellulose sources/features and cellulose chemical modifications employed to improve its properties. We then move to the description of cellulose potential applications in biomedicine. In this field, cellulose is most considered in recent research in the form of nano-sized particle, i.e., nanofiber cellulose (NFC) or cellulose nanocrystal (CNC). NFC is obtained from cellulose via chemical and mechanical methods. CNC can be obtained from macroscopic or microscopic forms of cellulose following strong acid hydrolysis. NFC and CNC are used for several reasons including the mechanical properties, the extended surface area and the low toxicity. Here we present some potential applications of nano-sized cellulose in the fields of wound healing, bone-cartilage regeneration, dental application and different human diseases including cancer. To witness the close proximity of nano-sized cellulose to the practical biomedical use, examples of recent clinical trials are also reported. Altogether, the described examples strongly support the enormous application potential of nano-sized cellulose in the biomedical field.

ABSTRACT:The formation and swelling behavior of bacterial cellulose/acrylic acid hydrogel prepared from aqueous mixture consists of 20 : 80 (v/v) acrylic acid (AAc) and 1% bacterial cellulose dispersion under accelerated electron beam was investigated. Gel fraction of hydrogel increased with the increasing dose suggesting a denser composite at 50 kGy compared to 35 kGy. SEM photomicrographs revealed a homogenous pores distribution at higher dose with pore sizes ranging from 1 to 5 lm. Hydrogel synthesized at lower dose of electron beam exhibited higher swelling ability and the degree of swelling increased as the pH of surrounding medium increased and it reached the optimum swelling at pH 7. While swelling of the hydrogel decreased with the increasing ionic strength of solution, swelling at different temperatures ranging from 25 to 50 C revealed a unique character where the hydrogel shrunk at 37 C. Moreover, hydrogel synthesized at higher dose exhibited a higher degree of swelling in methanol with respect to water.

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Background. Acmella paniculata has been used as a traditional medicine to treat oral health diseases such as dental caries and periodontitis. Streptococcus mutans is a common bacterium that initiates dental caries at an early stage. Aim. The aim of this study was to determine the mode of action of A. paniculata (extracts) against S. mutans growth. Methods. Time-kill assay has been done to investigate the rate of kill and effectiveness of Acmella paniculata (AP) extracts against S. mutans growth. Phytochemical analysis was done to identify major compounds in AP extracts using gas chromatography mass spectrometry (GCMS). Scanning and transmission electron microscopy (SEM and TEM) have been done to observe the morphological changes of treated bacteria. Transcriptomic profile analysis has been done using Next Gene Sequencing. Results. AP flower n-hexane (APFH) and AP flower dichloromethane (APFD) extracts acted as bactericidal agents after killing >3 log10 cfu/mL of S. mutans after 24 hours. Oleic and hexadecenoic acids were found to be the major compounds in APFD and APFH extracts, respectively. Photomicrographs from SEM and TEM of treated S. mutans show that the bacterial cell wall has been lysed and the cytoplasm content was decreased. Pathway analysis revealed that the APFD extract significantly affected biosynthesis peptidoglycan, gene expression, RNA processing, and macromolecule metabolism processes in S. mutans. Conclusion. Data analysis revealed that multiple mechanisms of action were involved in antibacterial activity of A. paniculata extracts toward S. mutans.