{"322231":{"#nid":"322231","#data":{"type":"news","title":"Platelet-like particles augment natural blood clotting for treating trauma","body":[{"value":"\u003Cp\u003EA new class of synthetic platelet-like particles could augment natural blood clotting for the emergency treatment of traumatic injuries \u2013 and potentially offer doctors a new option for curbing surgical bleeding and addressing certain blood clotting disorders without the need for transfusions of natural platelets.\u003C\/p\u003E\u003Cp\u003EThe clotting particles, which are based on soft and deformable hydrogel materials, are triggered by the same factor that initiates the body\u2019s own clotting processes. Testing done in animal models and in a simulated circulatory system suggest that the particles are effective at slowing bleeding and can safely circulate in the bloodstream. The particles have been tested with human blood, but have not undergone clinical trials in humans.\u003C\/p\u003E\u003Cp\u003ESupported by the National Institutes of Health, the U.S. Department of Defense, and the American Heart Association, the research was reported September 7, 2014, in the journal \u003Cem\u003ENature Materials\u003C\/em\u003E. Researchers from the Georgia Institute of Technology, Emory University, Children\u2019s Healthcare of Atlanta and Arizona State University collaborated on the research.\u003C\/p\u003E\u003Cp\u003E\u201cWhen used by emergency medical technicians in the civilian world or by medics in the military, we expect this technology could reduce the number of deaths from excessive bleeding,\u201d said Ashley Brown, a research scientist in the Georgia Tech \u003Ca href=\u0022http:\/\/www.chemistry.gatech.edu\/\u0022\u003ESchool of Chemistry and Biochemistry\u003C\/a\u003E and first author of the paper. \u201cIf EMTs and medics had particles like these that could be injected and then go specifically to the site of a serious injury, they could help decrease the number of deaths associated with serious injuries.\u201d\u003C\/p\u003E\u003Cp\u003EThe bloodstream contains proteins known as fibrinogen that are the precursors for fibrin, the polymer that provides the basic structure for natural blood clots. When they receive the right signals from a protein known as thrombin, these precursors polymerize at the site of the bleeding. The synthetic platelet-like particles use the same trigger, and so are activated only when the body\u2019s natural clotting process is initiated.\u003C\/p\u003E\u003Cp\u003ETo create that trigger, the researchers followed a process known as molecular evolution to develop an antibody that could be attached to the hydrogel particles to change their form when they encounter thrombin-activated fibrin. The resulting antibody has a high affinity for the polymerized form of fibrin and a low affinity for the precursor material.\u003C\/p\u003E\u003Cp\u003E\u201cFibrin production is on the back end of the clotting process, so we feel that it is a safer place to try to interact with it,\u201d said Tom Barker, an associate professor in the \u003Ca href=\u0022http:\/\/www.bme.gatech.edu\/\u0022\u003EWallace H. Coulter Department of Biomedical Engineering\u003C\/a\u003E at Georgia Tech and Emory University, and one of the paper\u2019s co-corresponding authors. \u201cThe specificity of this material provides a very important advantage in triggering clotting at just the right time.\u201d\u003C\/p\u003E\u003Cp\u003EThe effectiveness of the platelet-like particles has been tested in an animal model and in a microfluidic chamber designed to simulate conditions within the body\u2019s circulatory system. In the chamber, tubes about the thickness of a human hair were lined with endothelial cells as in natural blood vessels.\u003C\/p\u003E\u003Cp\u003EThe chamber was used to study normal human blood, as well as human blood that had been depleted of its natural platelets. In platelet-rich blood, clots formed as expected, and blood without platelets did not form clots. When the platelet-like particles were added to the platelet-depleted blood, it was able to clot.\u003C\/p\u003E\u003Cp\u003EThe researchers also tested blood from infants that had undergone open heart surgery, which requires that their blood be diluted, reducing its clotting ability. When platelet-like particles were added to the dilute neonate blood, it was able to form clots.\u003C\/p\u003E\u003Cp\u003EFinally, safety testing was done on blood from hemophiliac patients. Because that blood lacks the triggers needed to cause fibrin formation, the particles had no effect.\u003C\/p\u003E\u003Cp\u003EBefore they can be used in humans, the particles will have to undergo human trials and receive clearance from the U.S. Food \u0026amp; Drug Administration (FDA).\u003C\/p\u003E\u003Cp\u003EAbout one micron in diameter, the particles were originally developed to be used on the battlefield by wounded soldiers, who might self-administer them using a device about the size of a smartphone. But the researchers believe the particles could also reduce the need for platelet transfusions in patients undergoing chemotherapy or bypass surgery, and in those with certain blood disorders.\u003C\/p\u003E\u003Cp\u003E\u201cFor a patient with insufficient platelets due to bleeding or an inherited disorder, physicians often have to resort to platelet transfusions, which can be difficult to obtain,\u201d said Dr. Wilbur Lam, another of the paper\u2019s co-authors and a physician in the \u003Ca href=\u0022http:\/\/www.choa.org\/childrens-hospital-services\/cancer-and-blood-disorders\u0022\u003EAflac Cancer and Blood Disorders Center\u003C\/a\u003E at Children\u2019s Healthcare of Atlanta and the Department of Pediatrics at the \u003Ca href=\u0022http:\/\/med.emory.edu\/\u0022\u003EEmory University School of Medicine\u003C\/a\u003E. \u201cThese particles could potentially be a way to obviate the need for a transfusion. Though they don\u2019t have all the assets of natural platelets, a number of intriguing experiments have shown that the particles help augment the clotting process.\u201d\u003C\/p\u003E\u003Cp\u003EIn addition to providing new treatment options, the particles could also cut costs by reducing costly natural transfusions, said Lam, who is also an assistant professor in the Coulter Department of Biomedical Engineering at Georgia Tech and Emory University.\u003C\/p\u003E\u003Cp\u003EWhat ultimately happens to the hydrogel particles circulating in the bloodstream will be the topic of future research, noted Brown. Particles of similar size and composition are normally eliminated from the body.\u003C\/p\u003E\u003Cp\u003EWhile the platelet-like particles lack many features of natural platelets, the researchers were surprised to find one property in common. Clots formed by natural platelets begin to contract over a period of hours, starting the body\u2019s repair process. Clots formed from the synthetic particles also contract, but over a longer period of time, Brown noted.\u003C\/p\u003E\u003Cp\u003EIn addition to those already mentioned, co-authors of the paper included Andrew Lyon, co-corresponding author and dean of the College of Science and Technology at Chapman University; Sarah Stabenfeldt, co-first author and now an assistant professor at Arizona State University; Byungwook Ahn, Riley Hannan and Victoria Stefanelli, from the Coulter Department of Biomedical Engineering; Kabir Dhada and Emily Herman from the Georgia Tech School of Chemistry and Biochemistry; Dr. Nina Guzzetta from the Division of Pediatric Cardiology at Children\u2019s Healthcare of Atlanta and Emory University School of Medicine; and Alexander Alexeev from the Woodruff School of Mechanical Engineering at Georgia Tech.\u003C\/p\u003E\u003Cp\u003E\u003Cstrong\u003ECITATION\u003C\/strong\u003E: Ashley Brown, et al., \u201cUltrasoft microgels displaying emergent platelet-like behaviours,\u201d Nature Materials, 2014.\u003Ca href=\u0022\/\/dx.doi.org\/10.1038\/nmat4066\u0022\u003E http:\/\/dx.doi.org\/10.1038\/nmat4066\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cem\u003EThis research was supported by the National Institutes of Health under awards HHSN268201000043C, R21EB013743 and R01EB011566; the John and Mary Brock Discovery Research Fund; the Department of Defense under award W81XWH1110306, and an American Heart Association Postdoctoral Fellowship. The opinions expressed in this news release are those of the authors and do not necessarily reflect the official position of the sponsoring agencies.\u003C\/em\u003E\u003C\/p\u003E\u003Cp\u003E\u003Cstrong\u003EResearch News\u003C\/strong\u003E\u003Cbr \/\u003E\u003Cstrong\u003EGeorgia Institute of Technology\u003C\/strong\u003E\u003Cbr \/\u003E\u003Cstrong\u003E177 North Avenue\u003C\/strong\u003E\u003Cbr \/\u003E\u003Cstrong\u003EAtlanta, Georgia\u0026nbsp; 30332-0181\u0026nbsp; USA\u003C\/strong\u003E\u003Cbr \/\u003E\u003Cbr \/\u003E\u003Cstrong\u003EMedia Relations Contacts\u003C\/strong\u003E: John Toon (404-894-6986) (\u003Ca href=\u0022mailto:jtoon@gatech.edu\u0022\u003Ejtoon@gatech.edu\u003C\/a\u003E) or Brett Israel (404-385-1933) (\u003Ca href=\u0022mailto:brett.israel@comm.gatech.edu\u0022\u003Ebrett.israel@comm.gatech.edu\u003C\/a\u003E).\u003C\/p\u003E\u003Cp\u003E\u003Cstrong\u003EWriter\u003C\/strong\u003E: John Toon\u003C\/p\u003E","summary":null,"format":"limited_html"}],"field_subtitle":"","field_summary":[{"value":"\u003Cp\u003EA new class of synthetic platelet-like particles could augment natural blood clotting for the emergency treatment of traumatic injuries \u2013 and potentially offer doctors a new option for curbing surgical bleeding and addressing certain blood clotting disorders without the need for transfusions of natural platelets.\u003C\/p\u003E","format":"limited_html"}],"field_summary_sentence":[{"value":"A new class of synthetic platelet-like particles could augment natural blood clotting for the treatment of traumatic injuries."}],"uid":"27303","created_gmt":"2014-09-07 14:35:56","changed_gmt":"2016-10-08 03:17:04","author":"John Toon","boilerplate_text":"","field_publication":"","field_article_url":"","dateline":{"date":"2014-09-07T00:00:00-04:00","iso_date":"2014-09-07T00:00:00-04:00","tz":"America\/New_York"},"extras":[],"hg_media":{"322181":{"id":"322181","type":"image","title":"Antibodies in particles","body":null,"created":"1449245011","gmt_created":"2015-12-04 16:03:31","changed":"1475895032","gmt_changed":"2016-10-08 02:50:32","alt":"Antibodies in particles","file":{"fid":"200135","name":"platelet-like145.jpg","image_path":"\/sites\/default\/files\/images\/platelet-like145_0.jpg","image_full_path":"http:\/\/tlwarc.hg.gatech.edu\/\/sites\/default\/files\/images\/platelet-like145_0.jpg","mime":"image\/jpeg","size":1071409,"path_740":"http:\/\/tlwarc.hg.gatech.edu\/sites\/default\/files\/styles\/740xx_scale\/public\/images\/platelet-like145_0.jpg?itok=cW9FM4pC"}},"322191":{"id":"322191","type":"image","title":"Antibodies in particles2","body":null,"created":"1449245011","gmt_created":"2015-12-04 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