A biomimetic macromolecular platform for tissue healing and diagnostics at medical device interfaces: a personalised wound dressing model
Lead Research Organisation:
University of Brighton
Department Name: Sch of Applied Sciences (SAS)
Abstract
Biomimetic biomaterials are materials mimicking the features of natural tissues and mainly advocated for the manufacturing of medical implants capable of achieving a complete integration with the host tissue through biospecific interactions with biomolecules and cells. It is argued that the ability to develop biomaterials capable of biospecific interactions can be exploited also for the development of very specific and sensitive diagnostics targeting disease markers.
Prof Matteo Santin has contributed to this field of research since 1991 through many research projects unveiling the links between the surface properties of biomaterials and their interaction with proteins, inflammatory cells and tissue cells. The knowledge acquired has led to the research for new biomimetic biomaterials that, unlike other approaches trying to mimic the natural micro- and macro-structures of tissues, has been focussing on the reproduction of natural features at macromolecular level. In particular, through international academic and industrial collaborations, the research has led to the development of novel methods of biomaterial surface modification mainly based on the chemical grafting of synthetic or natural macromolecules or through the engineering of their roughness; in both cases the aim was to make their surface features similar to those of the natural environment where cells and macromolecule reside and to encourage biospecific recognition processes relevant to tissue healing and diagnosis; these studies have led to the integration of implants through the regeneration of the host tissue at the implant surface and to methods of detection of diseases.
This 6-years project will develop a novel platform of biomimetic macromolecules for tissue healing and disease monitoring focussing its application on the development of a novel class of wound dressings with theranostic properties; i.e. dressings able to heal wounds while diagnosing their clinical status.
The development of this platform will be pursued through the effort of a multidisciplinary team at the Centre for Regenerative Medicine and Devices, University of Brighton. Unlike previous studies, biochemists will use simulated body fluids to study the formation of the water shell around biomolecules when alone or in proximity of the surface of wound dressing materials and will establish the factors affecting their native structure. The data of molecular solvability will then be used by computer model scientists to produce a database of wettability in 'natural interactions' capable of preserving the biomolecules' native structure. Chemists will design and synthesise new classes of macromolecules according to this database to reproduce the same wettability conditions at the dressing surface and inhibit their unwanted fouling. The novel macromolecules will be coupled to the dressing in conjunction with peptides and sugars known to drive specific bio-recognition processes. Cell biologists will analyse the behaviours of patients' immune and tissue cells when in contact with the novel biomimetic surfaces and compare them with those observed by clinicians at the interface of retrieved wound dressing. The obtained biospecific recognition will be analysed in the context of patient's individual responses and exploited to manufacture tissue healing dressings integrating disease biomarker detection systems based on visual inspection.
A range of macromolecules will therefore be designed and synthesised at industrial standard and with relative quality controls to the benefit of industrial partners and on the basis of the principle of 'shared innovation' whereby fundamental knowledge and new technology are applied to various markets and clinical uses promoting industrial synergies and avoiding conflicts of interest. A network of local biomedical industry will benefit from the project outcomes alongside the training provided by the University of Brighton to newly qualified personnel.
Prof Matteo Santin has contributed to this field of research since 1991 through many research projects unveiling the links between the surface properties of biomaterials and their interaction with proteins, inflammatory cells and tissue cells. The knowledge acquired has led to the research for new biomimetic biomaterials that, unlike other approaches trying to mimic the natural micro- and macro-structures of tissues, has been focussing on the reproduction of natural features at macromolecular level. In particular, through international academic and industrial collaborations, the research has led to the development of novel methods of biomaterial surface modification mainly based on the chemical grafting of synthetic or natural macromolecules or through the engineering of their roughness; in both cases the aim was to make their surface features similar to those of the natural environment where cells and macromolecule reside and to encourage biospecific recognition processes relevant to tissue healing and diagnosis; these studies have led to the integration of implants through the regeneration of the host tissue at the implant surface and to methods of detection of diseases.
This 6-years project will develop a novel platform of biomimetic macromolecules for tissue healing and disease monitoring focussing its application on the development of a novel class of wound dressings with theranostic properties; i.e. dressings able to heal wounds while diagnosing their clinical status.
The development of this platform will be pursued through the effort of a multidisciplinary team at the Centre for Regenerative Medicine and Devices, University of Brighton. Unlike previous studies, biochemists will use simulated body fluids to study the formation of the water shell around biomolecules when alone or in proximity of the surface of wound dressing materials and will establish the factors affecting their native structure. The data of molecular solvability will then be used by computer model scientists to produce a database of wettability in 'natural interactions' capable of preserving the biomolecules' native structure. Chemists will design and synthesise new classes of macromolecules according to this database to reproduce the same wettability conditions at the dressing surface and inhibit their unwanted fouling. The novel macromolecules will be coupled to the dressing in conjunction with peptides and sugars known to drive specific bio-recognition processes. Cell biologists will analyse the behaviours of patients' immune and tissue cells when in contact with the novel biomimetic surfaces and compare them with those observed by clinicians at the interface of retrieved wound dressing. The obtained biospecific recognition will be analysed in the context of patient's individual responses and exploited to manufacture tissue healing dressings integrating disease biomarker detection systems based on visual inspection.
A range of macromolecules will therefore be designed and synthesised at industrial standard and with relative quality controls to the benefit of industrial partners and on the basis of the principle of 'shared innovation' whereby fundamental knowledge and new technology are applied to various markets and clinical uses promoting industrial synergies and avoiding conflicts of interest. A network of local biomedical industry will benefit from the project outcomes alongside the training provided by the University of Brighton to newly qualified personnel.
Organisations
- University of Brighton (Lead Research Organisation)
- East Sussex Healthcare NHS Trust (Collaboration)
- HealthTech and Medicines Knowledge Transfer Network (Health KTN) (Collaboration)
- Institute of Physiology and Pathology of Hearing (Collaboration)
- QUEEN VICTORIA HOSPITAL NHS FOUNDATION TRUST (Collaboration)
- Welland Medical Limited (Project Partner)
- Automatic Tooling Company Ltd (Project Partner)
- Tissue Click Ltd (Project Partner)
- Synergy Medical Technologies (Project Partner)
Publications
Melotto G
(2024)
Exploring exudate viscosity: A rheological analysis of wound exudates.
in Wound repair and regeneration : official publication of the Wound Healing Society [and] the European Tissue Repair Society
Saberianpour S
(2023)
Development of theranostic wound dressings: harnessing the knowledge of biospecific interactions at the biomaterial interface to promote healing and identify biomarkers.
in Expert review of medical devices
Saberianpour S
(2024)
Harnessing the Interactions of Wound Exudate Cells with Dressings Biomaterials for the Control and Prognosis of Healing Pathways
in Pharmaceuticals
Shirin Saberianpour
(2023)
Wound dressings properties and host response towards different biomaterials: an in vitro study
Shirin Saberianpour
(2023)
Modulation of Macrophage Phenotypes by Wound Dressings of Different Biomaterial Composition
Sinha A
(2025)
Exploring exudate absorption via sessile droplet dynamics in porous wound dressings
in Experimental Thermal and Fluid Science
| Description | As originally planned, this EPSRC Investigator-led Award Project, delivered on time the activities of the first 2 years which focussed on a systematic study of clinical wound exudates and wound dressings retrieved from patients who had undergone treatment of surgical wounds, burns and chronic ulcers. In particular, the study aimed at a wide characterization of the biochemical and cellular components of the wound exudates and their interactions with three categories of wound dressings; (i) synthetic-based dressings, (ii) cellulose-based dressings and (iii) alginate-based dressings. In collaboration with a number of public and private hospitals 144 patients were recruited each one of these patients completed a longitudinal study of at least 3 visits. These included patients with acute surgical wounds, acute burns and chronic wounds, typically leg and foot ulcers. The ethical approval of the study successfully entered the NIHR portfolio in 2022 and it was completed on 6th March 2025. Since the early part of the study it became apparent that there is a very limited use of the alginate-based dressings across hospital units. Hence, the study focussed on the other two classes of wound dressings. Of all the data collected, those on surgical wounds have already been published, while a paper showing the data obtained from burns has been submitted and it is waiting for the review outcome. The data about chronic ulcers are under analysis. The main outcome of the study is the clear demonstration that wound cells and proteins interact with the fibres of the wound dressings in a different manner depending on the material physicochemical properties. These differences appear to affect the wound exudate composition in some cases depleting the wound from components such as growth factors and collagen fundamental to healing and in others removing excess inflammatory cells with the potential benefit of reducing the risks of chronic inflammation. It is the aim of the research team to summarise all the main findings of this large study in a white paper to be widely disseminated across the clinicians' community with recommendations about the most appropriate use of dressings depending on their ability to efficaciously control the wound bed cell and protein composition thus directing its microenvironment towards healing. The research team harnessed those interactions to make retrieved dressings valuable prognostic tools of wound healing/non-healing. In particular, a rapid methods of collagen staining (i.e. Picrosirius Red Staining, 10 min instead of the canonical 60 min) enables the detection of collagen entrapped in the dressings providing clinicians with valuable information about the collagen production within the wound, but at the same time alerting the practitioner about the unwanted depletion of the wound bed of this key component of the healing process. Among the methods developed, the research team has also been able to develop a range of tests for the detection of inflammatory and progenitor cells, pro-inflammatory cytokines and growth factors. A paper studying the in vitro biocompatibility of a range of wound dressings is a clear demonstration of how these methods have been integrated with each other to provide a deep understanding of the effect of the dressings physicochemical properties on the interactions of cells and proteins. They have then been successfully adopted by the clinical study showing excellent data similarity with the in vitro ones. Hence, these methods appear to have a significant potential for the future characterisation of new technology that will reduce animal experimentation. Two new physicochemical methods of fluid dynamics. In one method, the use of a velocity camera has enabled to study in significant details the process of water droplet penetration within the pores of commercially-available dressings. Likewise, two computer models have been developed to predict the ideal physicochemical properties of dressings; these data have so far only partially published. The substantial body of demographic and clinical data (e.g. wound images, patients' BMI, age, sex, pathologies and wound healing outcome) as well as of biochemical data have been made available to experts in machine learning with the aim of developing artificial intelligence algorithms able to help the clinicians in selecting the appropriate wound dressings in a way that is more informed than the current one base on individual clinical experience. For these algorithms to achieve high level of accuracy, more data will need to be acquired in the future. In the meantime, the research team is working at an open access repository where all data (imgaging, clinical, biochemical and cellular data) will be made available to stakeholders and to the public following their publication in peer-reviewed journals. Indeed, the papers so far published already make available the raw data through the University open access repository where doi numbers have been allocated. Finally, the two workshops organised since the beginning of the project have been attended by a number of clinicians and industry demonstrating that this project has been able to generate a multi-disciplinary network of stakeholders with an interest on wound care and wound dressings. |
| Exploitation Route | The knowledge acquired during this project has informed the preparation and submission of an EC proposal, Acronym INJECTHEAL focussing on the development of injectable hydrogel for deep and geometrically-complex wounds. The proposal has been granted by the European Commission under the Horizon Europe programme and will start in Spring 2025. Noticeably, the research team at the University of Brighton has been invited to the consortium on the basis of the dissemination of the present EPSRC project. This new project will help the research team (and indeed the wider scientific coummunity) build critical mass in the field of wound management; the EPSRC project focussing on wound dressings for the treatment of relatively superficial wounds, the new EC project developing knowledge and technology for deep wounds. This new EC project will also include the industrial partner Tissue Click Ltd and an UK charity The Leg Club that is also represented in the EPSRC project Independent Advisory Board. The pan-European character of the project and the substantial funds received will bring the employment and introduction to a wide community of early career researchers at both the University of Brighton and Tissue Click Ltd. |
| Sectors | Healthcare Pharmaceuticals and Medical Biotechnology |
| URL | https://researchdata.brighton.ac.uk/id/eprint/321/ |
| Description | MRes in Regenerative Medicine and Devices - Research Projects |
| Geographic Reach | National |
| Policy Influence Type | Contribution to new or improved professional practice |
| Description | PhD studentship for the development of novel theranostic wound dressings |
| Amount | £50,000 (GBP) |
| Organisation | University of Brighton |
| Sector | Academic/University |
| Country | United Kingdom |
| Start | 01/2023 |
| End | 12/2026 |
| Title | Optimised protocol of wound exudate and retrieved wound dressing collection and analysis |
| Description | The research team at UoB has optimised protocols for the collection of wound exudates and wound dressings retrieved from patients undergoing surgery or sustaining burns and chronic ulcers. |
| Type Of Material | Biological samples |
| Year Produced | 2024 |
| Provided To Others? | Yes |
| Impact | too soon to be assessed |
| URL | https://www.mdpi.com/1424-8247/17/9/1111 |
| Title | A Velocity Camera Equipmet of Wound Dressing Exudate Absorption |
| Description | A velocity camera equipment has been set up to study the penetration of exudate droplets with varying biochemical composition in wound dressings depending on their physicochemical properties. |
| Type Of Material | Data analysis technique |
| Year Produced | 2025 |
| Provided To Others? | Yes |
| Impact | data set only recently published to assess their impact |
| URL | https://www.sciencedirect.com/science/article/pii/S0894177725000020 |
| Title | An in vitro study of wound dressing biocompatibility |
| Description | A set of data showing the in vitro interactions of inflammatory cells and proteins on a range of clinically-available wound dressings. |
| Type Of Material | Database/Collection of data |
| Year Produced | 2025 |
| Provided To Others? | Yes |
| Impact | open access with an impact not yet assessed. |
| URL | https://doi.org/10.17033/DATA.00000321 |
| Title | In vitro analysis of wound dressings and wound exudates |
| Description | A report has been issue about the optimisation of in vitro methods to analyse the biological interactions between wound exudates and different types of dressings. The data obtained enable researchers to closely link the biochemical and biological responses to the biomaterials physicochemical properties. In particular, biomaterial chemistry and hydrogel swelling behaviour have been linked to the binding forces of protein adsorption. These were measured by assessing their elution from the biomaterial surface by incubation in media of increasing isopropanol/water concentrations. The binding strengths of different proteins present in wound exudates were finally linked to the propensity to conformational changes and to induce the adhesion and phenotypical changes of immunocomptent cells. |
| Type Of Material | Data analysis technique |
| Year Produced | 2023 |
| Provided To Others? | No |
| Impact | The optimisation of techniques to obtain physicochemical and biological dataset and their linked interpretation will enable the characterisation of wound dressings removed from patients and will support future technological development of this class of devices. |
| Description | A clinical study of wound dressing biocompatibility for burn treatment |
| Organisation | Queen Victoria Hospital NHS Foundation Trust |
| Country | United Kingdom |
| Sector | Public |
| PI Contribution | The research team at the University of Brighton has analysed samples of wound exudate and wound dressings retrieved from burns for their biochemical and cellular components. |
| Collaborator Contribution | The Burns Unit at the Queen Victoria Hospital NHS Foundation Trust, East Grinstead have provided exudates and wound dressings from burns of patients over the last 12 months. They made available clinical and administrative personnel for the recruitment of participants as well as their treatment and collection of samples. They also provided clinical notes of the patients and contributed to the drafting of a scientific paper currently submitted to an international peer-reviewed journal (under journal evaluation). |
| Impact | Clinical, biochemical and cellular data have been collected and included in a paper recently submitted for publication, but still under reviewers' evaluation. This was a multidisciplinary collaboration including clinicians, cell and molecular biologists and material scientists. |
| Start Year | 2023 |
| Description | Clinical study of Wound Dressings at Pioneer Ltd |
| Organisation | Institute of Physiology and Pathology of Hearing |
| Department | World Hearing Centre |
| Country | Poland |
| Sector | Academic/University |
| PI Contribution | The research team at the University of Brighton analysed them for cellular and biochemical factors relevant to wound healing. |
| Collaborator Contribution | Pioneer Ltd regularly provided samples over the last 12 months. They committed clinical personnel to the recruitment of participants as well as to their treatment and collection of samples. |
| Impact | This is a multidisciplinary collaborations involving clinicians cell and molecular biologists and material scientists. Data have been presented at the international China-Europe Society for Biomaterials Conference, Nuremberg in September 2024. |
| Start Year | 2022 |
| Description | My Dress Dissemination by KTN |
| Organisation | HealthTech and Medicines Knowledge Transfer Network (Health KTN) |
| Country | United Kingdom |
| Sector | Charity/Non Profit |
| PI Contribution | MyDress Investigators have been providing information for the KTN newsletter for the project disseminating activity |
| Collaborator Contribution | Prof Mehdi Tavakoli, is the Chair of the Independent Advisory Panel of the MyDress project. KTN has also contributed to disseminate project events through their newsletter. |
| Impact | My Dress dissemination workshop, April 2023 |
| Start Year | 2022 |
| Description | MyDress Clinical Study East Sussex Healthcare NHS Trust |
| Organisation | East Sussex Healthcare NHS Trust |
| Country | United Kingdom |
| Sector | Public |
| PI Contribution | The MyDress team has contributed to collect, process and analyse clinical samples of wound exudates and wound dressings retrieved from patients. |
| Collaborator Contribution | The East Sussex Healthcare NHS Trust has been a partner in the My Dress clinical study making available the expertise of clinicians and providing clinical samples of wound exudates and removed wound dressings at the sites; 1. EDGH Eastbourne District General Hospital, 2. Avenue House - Eastbourne. |
| Impact | Abstract presented by Mr Gianluca Melotto at the Royal College of Podiatry annual conference and exhibition "Podiatry 2023. Reimagining Podiatry" Place/Date: Liverpool 23rd-25th November 2023. |
| Start Year | 2022 |
| Description | MyDress Clinical Study Queen Victoria NHS Foundation Trust |
| Organisation | Queen Victoria Hospital NHS Foundation Trust |
| Country | United Kingdom |
| Sector | Public |
| PI Contribution | The MyDress research team supported the collection, processing and analysis of clinical samples of wound exudates and wound dressings retrieved from patients. |
| Collaborator Contribution | The Queen Victoria NHS Foundation Trust (Site: 1. QVH - East Grinstead) made available clinical expertise and patients' burn exudates and retrieved wound dressings. |
| Impact | Gianluca Melotto presented a poster entitled "Wound dressings properties and host response towards different biomaterials: an in vitro study." Authors: Shirin Saberianpour; Matteo Santin; Gianluca Melotto; Jacqueline Rachel Forss; Lucy Redhead. Conference: Royal College of Podiatry annual conference and exhibition "Podiatry 2023. Reimagining Podiatry" Place/Date: Liverpool 23rd-25th November 2023. |
| Start Year | 2022 |
| Title | Wound Exudates and their Interactions with Dressings: The MyDress study NIHR Central Portfolio Management System code 55427 |
| Description | A range of commercially available wound dressings used as either primary or secondary dressing in acute and chronic wounds are currently under analysis for their biocompatibility and healing properties by a multi-centre study. |
| Type | Therapeutic Intervention - Medical Devices |
| Current Stage Of Development | Wide-scale adoption |
| Development Status | Under active development/distribution |
| Impact | Involvement of clinicians in the study design, results analysis and dissemination activities. |
| Description | EPSRC INVESTIGATOR-LED AWARD 'A biomimetic macromolecular platform for tissue healing and diagnostics at medical device interfaces: a personalised wound dressing model' MyDress 1st Workshop |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Despite the global socio-economic challenges raised by chronic wounds, research and development in the field of wound dressings have experienced decades of limited progress. In September 2022, the researchers at the Centre for Regenerative Medicine (CRMD), University of Brighton, started a 6-year EPSRC-funded project [MyDress, award £3.2m] that focuses on the development of a new generation of wound dressings. This project, led by Prof Matteo Santin (Director of the CRMD), aims to provide a flexible technological platform based on biomimetic biomaterials which can be adapted to functionalise existing wound dressings, thereby affording them new tissue healing and diagnostic properties (i.e. theranostic wound dressings). This event provided an opportunity to learn about barriers and future perspectives in the field of chronic wound treatment. Experiences of patients' views, clinical practice and industrial feasibility were presented and openly debated to inform future treatment strategies. |
| Year(s) Of Engagement Activity | 2023 |
| URL | https://blogs.brighton.ac.uk/crmd/2023/01/24/the-global-challenge-of-chronic-wounds-sharing-knowledg... |
| Description | The Global Challenge of Chronic Wounds: Sharing New Data, Knowledge and Views on Wound Dressings - MyDress 2nd Workshop |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Professional Practitioners |
| Results and Impact | The workshop was held on 6th December 2024 and aimed to disseminate for the first time the EPSRC project results to a clinicians, industry and scientists with an interest in wound management. The workshop attracted 65 registered delegates from across the UK. The post-doc appointed on the project presented their results that ranged from mathematical models of exudate penetration into dressings to clinical data on a range of dressings to data of wound dressing biocompatibility. The meeting was opened by the plenary lecture of a surgeon from Nairobi, Kenya who gave the perspective of clinicians practicing in Africa and facing significant wound challenges. The workshop ended with a round table of experts including three surgeons, a podiatrist, a policy maker (i.e. representative of the Ministry of Health, Department of Non-communicable Diseases and Cancer, Government of Kenya) and a scientist with expertise in wound infections. |
| Year(s) Of Engagement Activity | 2024 |
| URL | https://blogs.brighton.ac.uk/crmd/sample-page/ |
