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Original article
03 2021
:15;
103646
doi:
10.1016/j.arabjc.2021.103646

Novel anti-inflammatory and wound healing controlled released LDH-Curcumin nanocomposite via intramuscular implantation, in-vivo study

Department of Chemistry, Faculty of Science, Beni-Suef University, Beni-Suef, Egypt
Department of pathology, Faculty of Veterinary Medicine, Beni-Suef University, Beni-Suef, Egypt
Department of Surgery, Anesthesiology and Radiology Dept., Faculty of Veterinary Medicine, Beni-Suef University, Beni-Suef, Egypt
Materials Science and Nanotechnology Department, Faculty of Postgraduate Studies for Advanced Sciences, Beni-Suef University, Egypt
Department of Pharmacology, Faculty of Veterinary Medicine, Cairo University, Cairo, Egypt
Department of Pharmacology, Faculty of Veterinary Medicine, Beni-Suef University, 62511, Egypt

⁎Corresponding author at: Faculty of science, Beni-Suef University, Beni-Suef 62511, Egypt. radwaraft@yahoo.com (Rehab Mahmoud),

Disclaimer:
This article was originally published by Elsevier and was migrated to Scientific Scholar after the change of Publisher.

Peer review under responsibility of King Saud University.

Abstract

One of the most common problems in wounds is delayed healing and complications such as infection. Therefore, the need for novel materials accelerates the healing of wounds especially abdominal wounds after surgery besides high efficiency and safety is mandatory. The rate of wound healing, anti-inflammatory and biocompatibility of Zn-Al LDH (Zn-Al layer double hydroxide) alone and loaded with Curcumin (Zn-Al LDH/Curcumin) was screened via in-vivo assays through intramuscular implantation in rat abdominal wall with intact peritoneum cavity. The implanted drugs were formed through Curcumin loaded into LDH of Zn-Al with drug release of 56.78 ± 1.51% within 24 h. The synthesized nanocomposite was characterized by (TGA/DTA) thermal analysis, (XRD) X-ray diffraction, (FESEM) Field emission scanning electron microscopy, (HRTEM) high resolution transmission electron microscope, energy dispersive X-ray (EDX) and low-temperature N2 adsorption, pore volume and average pore size distribution. The integrity of blood circulation, inflammatory signs, wound healing rate, capacity of tissue integration, antigenicity and composite biocompatibility, auto fluorescence ability of collagen bundles and the tensile strength of the muscle were assessed histopathologically after 7 and 30 days’ post-implantation. Excellent wound healing ability was achieved with shortest length between the wound gap edges and higher tensile strength of the muscle. Besides emit florescence very well followed by good healing and tensile muscles strength in Curcumin while very low strength with scar formation in Zn-Al LDH/Curcumin in both acute and chronic wound. No signs of inflammation in Curcumin & Zn-Al LDH. No vessels obstruction or bleeding observed in both Zn-Al LDH and Curcumin more than Zn-Al LDH/Curcumin and control which examined through candling. Good healing & infiltrated immune cells in same groups through histopathological examination. This work supports the anti-inflammatory, wound healing and biocompatibility of both LDH and Curcumin with living matter, increasing their biomedical applications in this era with safety and increasing efficacy with prolonged drug release.

Keywords

Curcumin
Zn-Al LDH
Nanocomposite
Auto fluorescence
Wound
Rats

Abbreviations

Zn-Al LDH

Zinc-Aluminum layer double hydroxide

Zn-Al LDH/Curcumin

Zinc-Aluminum layer double hydroxide/curcumin nanocomposite

UV–vis

UV–Visible absorption spectra

XRD

X-ray diffraction

FTIR

Fourier transform infrared spectroscopy

HRTM

High-Resolution Transmission Electron Microscopy

FESEM

Field Emission Scanning Electron Microscope

EDX

energy dispersive X-ray

TGA

thermal gravimetrical analysis

DTA

Differential thermal analysis

D-P-X

Di-styrene plasticizer xylene

H&E

Hematoxylin and eosin

1

1 Introduction

Wound mending may be a cascade of physiological occasions after harm which closes by re-epithelialization of the skin abnormality. Moderate handle of mending the injury leads to woundbacterialinfections. There's request forthe blend of platforms for quickened wound remaking. Polysaccharides dressings frame gels that control wound exudates and microbial defilement. Wound disease if treated with multiple drug resistance may cause debility of the persistent with expanded healthcarecosts. Consideration is required to avoid the improvement of resistance wound contaminant microbes. (El-Aassar, et al, 2020a) (See Table 1).

Table 1 Displaying the all data analysis about between two healing edges of rectus abdominis muscle.
Area Min Max Perim. Angle Length
G.I 754 58.852 254.989 753.335 179.924 753.335
G.II 516 10.667 245.974 514.674 −89.777 514.674
G. III 864 11.869 254.003 862.503 −29.119 862.503
G.IV 452 4.841 253.135 451.100 −65.535 451.100

For the anti-microbial to be compelling against and or anticipate wound contamination, a high concentration at the required wound region is ensured that leads to higher neighborhood concentration and lower serum level rather than systemic administration that lead to disjoin side impact due to higher serum level. So, a better protection against microbial contamination by creation of reasonable antimicrobial wound dressing is fundamental for speedier wound tissue recovery (El-Aassar, et al, 2020b).

The treatment of impeded wounds includes the utilize of biomaterials that can provide mechanical and organic lines to the encompassing environment (Moustafa et al., 2016).

Layer double hydroxides (LDH’s) are anionic clay materials with structure similar to brucite (Li et al., 2015) and chemical formula [M(II)(1 − x)M(III)x(OH)2]x+(An−)x/n·yH2O. M(II) is a divalent cation such as Mg, Ni, Zn, Cu or Co and M(III) is a trivalent cation such as Al, Cr, Fe or Ga, while An−is an LDH, which consists of outer layer positively charge metal hydroxide and interlayer of negative anions anion of charge such as CO3, Cl,NO3or organic anions (Goh et al., 2008) illustrated the structure of to counter balance the overall charge. LDHs are imposing much more attention as a biocompatible material due to their fascinating properties ion exchange capacities, ability to intercalate anions, high water retention capacity, low toxicity and large surface area and pore size (Chimene 2015, Chatterjee 2019). The mentioned characteristic features make LDH qualified to be used in medical sector such as antimicrobial (El-Shahawya, Fatma I. Abo El-Elab et al. 2018), anti-inflammatory, antifungal (Abdel Moaty, Farghali et al. 2016), wound healing (Fatma I. Abo El-Ela 2019), drug delivery, drug release (Yasaei 2019), and anticancer (Bhattacharjee 2019). Additionally, LDHs are used in different applications and sectors.

The peritoneum and area of the abdominal cavity are considered the most active areas for the surgical activity, healing of the peritoneal surfaces with subsequent adhesion formation remain one of the most clinical problems at surgery and post-operative, different studies had been made for understanding the pathophysiology of these responses remains elusive (Munireddy 2010). Maintenance of drug levels for a specified period of time with maintained drug concentration, lower dosing, higher efficacy and bioavailability are the main advantages for the controlled or sustained drug release. Controlled drug delivery is a way for delivering the drug at a predetermined rate, for locally or systemically and for a specified period of time. In surgery the implanted materials should be biocompatible, inert and safe or non-toxic (Bhowmik 2012).

Healing process of any wound is an interaction of a complex cascade of cellular events in the injured area that generates resurfacing, reconstitution, and restoration of the tensile strength (Akbik, Maliheh et al. 2014). Induction of wound in muscle include proliferative phase where fibroplasia; specialized fibroblasts termed myofibroblasts, which resemble contractile smooth muscle cells (Akbik, Maliheh et al. 2014) and angiogenesis occur. Meanwhile, granulation tissue forms and the wound begin to contract. Finally, during the maturation phase, collagen forms tight cross-links to other collagen and with protein molecules, increasing the tensile strength of the scar present between muscle edges (Akbik, Maliheh et al. 2014).

Importance of flurence, (Deeb, Nesr et al. 2008) reported that many tissue components have an intrinsic fluorescence including health muscle fibers as well as collagen and elastic connective tissue.

Curcumin (Diferuloylmethane) is a hydrophobic polyphenolic compound with chemical structure [1,7-bis(4-hydroxy-3- methoxyphenyl)-1,6-heptadiene-3,5-dione] (Kumar 2014) Shown in Fig. 1. Curcumin is the active component and a major yellow phytochemical compound in turmeric (Curcuma longa), which has been used in the traditional medicine in south East Asia countries, because their power of treatment against most chronic disease (Mohanty 2010). Curcumin possesses many biological and pharmacological properties, which make it a good candidate in a diversity of biomedical applications such as anticancer, antioxidant, antiviral, anti-inflammatory and drug delivery applications (Yallapu 2010, Anitha 2011, Kamkanam M. Supun Samindra and Nilwala Kottegoda 2014).

FTIR of Zn-Al LDH, Curcumin, Zn-Al LDH/Curcumin and the chemical structure of the Curcumin.
Fig. 1
FTIR of Zn-Al LDH, Curcumin, Zn-Al LDH/Curcumin and the chemical structure of the Curcumin.

Completing our series of work on LDH nanocomposite, we decided to throw light on how LDH-Curcumin could help in accelerating healing procedure as compared with pure curcumin.

The main aim of this study is to help the rapid healing of intra-abdominal surgery in a controlled release manner through natural controlled nanocomposite in shorter time. Herein, the nanocomposite was prepared and characterized via several techniques for better description of its physico-chemical features. The evaluation depends upon both macroscopic and microscopic alterations in rectus abdominis muscle of male albino rats after surgical inducted wound. Moreover, a comparative investigation between the healing process between three different treatments.

2

2 Materials and methods

2.1

2.1 Materials and reagents

All LDH precursors were prepared using chloride salts, and were purchased from Alpha Chemika, India, and Oxford Laboratory Reagent, India. Sodium hydroxide (NaOH) was purchased from Piochem for laboratory chemicals, EGYPT, and hydrochloric acid (HCl) was obtained from Carlo Erba reagents. All chemicals had a high degree of purity. Curcumin pure natural powder with 100% purity obtained from Pharma Swede Pharmaceutical Company, Egypt

2.2

2.2 Synthesis of Zn-Al LDH and Zn-Al LDH/Curcumin

Zinc chloride and Aluminum chloride (i.e. Zn: Al molar ratio of 4:1 (Fig. 2) were dissolved in 100 ml distilled water. 2 M Sodium hydroxide NaOH was added drop wise until complete precipitation at pH 8.0. The precipitate suspension was stirred for 20 h at room temperature, filtered, washed several times with bidistilled water and finally dried at 40 °C.

EDX of Zn-Al LDH.
Fig. 2
EDX of Zn-Al LDH.

Zn-Al LDH/Curcumin nanocomposite (i.e. Zn: Al: Curcumin molar ratio of 4:1:0.5) was synthesized by repeating the above mentioned procedures and adding a solution of Curcumin (1.5 gm of curcumin dissolved in 50 ml ethanol) to the medium before precipitation at pH 8.0 using droplets of NaOH. The LDH/Curcumin precipitate suspension was stirred at room temperature for 20 h, filtered, washed thoroughly for several times, and dried at 40 °C.

2.3

2.3 Characterization

The phase formation and crystallinity of the nanocomposites were characterized by XRD technique. The vibrations of material chemical bond were examined by Fourier Transform Infra-red (FT-IR, Bruker Vertex 70). High resolution Transmission electron microscope (HRTEM, JEOL-JEM 2100) were used to characterize the microstructure of all nanocomposites. The morphology and elemental analysis (EDX) of Zn-Al/LDH were characterized by Field Emission Scanning Electron Microscope (FESEM, Quanta FEG 250) to confirmer ratio of Zn-Al LDH (Zn: Al = 4:1). The hydrodynamic size and zeta potential were studied using a Malvern (Malvern Instruments Ltd) (Moaty, Farghali et al. 2017). The BET specific surface area, specific pore volume, and pore sizes of the adsorbent materials were determined by N2 adsorption isotherms using an automatic surface analyzer (TriStar II 3020, Micromeritics, USA) and the samples preparation was mentioned in our previous work (El-Shahawya, Fatma I. Abo El-Elab et al. 2018). Thermogravimetric analysis TGA /DTA was performed under N2 gas with a SDT Q600 V20.9 Build 20 at a heating rate of 10 °C/min.

2.4

2.4 Drug release

Release study was performed using dissolution apparatus I (VanKel, Agilent technologies, USA). A representative amount of 10 mg Curcumin immersed in 500 ml phosphate buffer pH 7.4 containing 0.1% Tween 80. Two ml samples were withdrawn in predetermined time intervals within 48 h and drug concentration was measured at 424 nm using UV–visible spectrophotometer (UV–vis). To ensure that sustained release profile is not due to membrane, curcumin dispersion in the same concentration with Curcumin contained in the nanocomposite was studied under the same condition for release. The drug release was calculated as following equation: Drug release % = Amount of curcumin released at time / Initial amount of curcumin encapsulated in the noisome x 1 00

2.5

2.5 Animals

This work was conducted on twenty-four adult male albino rats (divided into four groups of six rats) weighing range from 150 to 200 gm., and were reared on standard diet daily with continuous available water for 24 h. The experimental study was carried out after 7 days acclimatization for the rats with standard protocol of 12 h light and dark and of each group in its specific metal cage. The experiment was subjected to the Institutional Animal Ethics Committee (IAEC) at Beni-Suef University. The Institutional Committee for Animal Care at Beni-Suef University, Egypt, approved all the performed procedures. Whereas, Animal handling, study weight, dosing and the performed procedures were approved according to the care guidelines with IACUC Permit Number (021–158).

These animals were housed under standard environmental conditions. Rats were obtained from lab animal unit; Department of Physiology, Faculty of Veterinary Medicine, Beni-Suef University, Egypt. Rats were kept in standard laboratory conditions 22 ± 3 °C, 60 ± 5% humidity and a 12 h’ light/dark cycle. Animal handling including weighing and gavage procedures were carried out in accordance with and approved by the institutional animal care and use committee, Faculty of Veterinary Medicine, Beni-Suef University (Protocol of animal rights for laboratory experiments).

2.6

2.6 Intramuscular implantation assessment

The animals were anaesthetized by intra-peritoneal injection mixture of 10 mg/kg Xylazine HCl (Xyla-Ject® 2% ADWIA Co., A.R.E.) and 100 mg/kg ketamine HCl (Ketamar ® 5 % sol. Amoun Co. A.R.E) (Bryant 2010). The animals were prepared for aseptic surgery; surgical skin incision of 2 cm was done in the midline and creates the blunt dissection between the external and internal abdominal oblique muscles. The peritoneal cavity remained intact without perforation. (Plate 1) (Oryan, Tabatabaei et al. 2012).

Method of surgical incision of the rectus abdominis muscle pouring in between the incision of different powders of drugs by using new convential method (a-j). Plate 1 a: Showing the surgical dissection between internal and external abdominal obliques muscles. b:Showing the insulin syringe after remove its tip for drugs application as a new convential method for drug powder pouring. c: Showing the topical application of Nano-material of Curcumin+Zn-Al LDH in between the incised wound of rectus abdominis muscle. d: Showing the topical application of Curcumin alone in between the incised wound of rectus abdominis muscle. e: Showing the topical application of Nano-material Zn-Al LDH alone in between the incised wound of rectus abdominis muscle. f: Showing the powder of Nano-material of Curcumin+Zn-Al LDH (yellow arrow) present between the external abdominal obliques muscles (blue arrow) and the internal abdominal obliques muscles (black arrow). g: Showing the powder of Curcumin (blue arrow) present between the external abdominal obliques muscles (black arrow) and the internal abdominal obliques muscles (yellow arrow). h: Showing the powder of Nano-material Zn-Al LDH (black arrow) present between the external abdominal obliques muscles and the internal abdominal obliques muscles. i & j: Suturing of muscle dissections by 4/0 vicryl (arrows).
Plate 1
Method of surgical incision of the rectus abdominis muscle pouring in between the incision of different powders of drugs by using new convential method (a-j). Plate 1 a: Showing the surgical dissection between internal and external abdominal obliques muscles. b:Showing the insulin syringe after remove its tip for drugs application as a new convential method for drug powder pouring. c: Showing the topical application of Nano-material of Curcumin+Zn-Al LDH in between the incised wound of rectus abdominis muscle. d: Showing the topical application of Curcumin alone in between the incised wound of rectus abdominis muscle. e: Showing the topical application of Nano-material Zn-Al LDH alone in between the incised wound of rectus abdominis muscle. f: Showing the powder of Nano-material of Curcumin+Zn-Al LDH (yellow arrow) present between the external abdominal obliques muscles (blue arrow) and the internal abdominal obliques muscles (black arrow). g: Showing the powder of Curcumin (blue arrow) present between the external abdominal obliques muscles (black arrow) and the internal abdominal obliques muscles (yellow arrow). h: Showing the powder of Nano-material Zn-Al LDH (black arrow) present between the external abdominal obliques muscles and the internal abdominal obliques muscles. i & j: Suturing of muscle dissections by 4/0 vicryl (arrows).

The drugs were poured into the surgical abdominal gap made in rectus abdominis muscles using insulin syringe after removing of its tip (Plate 1b). In Group I (control positive), the induction of surgical aseptic wound without treatment, In Group III, the wound was treated with Nanocomposite Zn-Al LDH/Curcumin (Plate 1(c,f), Group II, topically treated by Curcumin only (d, g). Finally, in Group IV, the wound was topically treated by Zn-Al LDH only Plate 1(c&h). All muscle dissections were sutured by 4/0 vicryl (coated vicryl, polygalactin 910, ETHICON limited, UK) (Plate 1(i&j) and the drug area inside the two abdominal muscles was about (2 cm × 3 cm). The skin closure of all animals was done with 4/0 continuous nylon suture. All surgical procedures were implemented under aseptic conditions. The tissues holding the tablets were collected after 7 and 30 days after implantation under the same general anesthesia.

2.7

2.7 Candling and image analysis

Using of a strong light lamp for assessing the vasculature in the injured area in all animals. This technique was applied on microphotographs taken from the software of fluorescence microscope to determine and to compare the length of autofluorescent emission of gap junction healing among four groups by using image j software (http://rsb.info.nih.gov/ij/) using the same power field magnification.

2.8

2.8 Gross examination before euthanasia of animals:

The injured area was examined grossly in all animals in all groups, and photographed for recording any alterations present in the area.

2.9

2.9 Histopathological study

Tissue samples were collected on time of one week and one month postoperative for histopathological studies. Tissue specimens were fixed in 10% neutral buffered formalin for about two days. The specimens were processed by paraffin embedding method, sectioned 5–7 µ and stained with Hematoxylin and Eosin according to (Kim S.S., Layton C. et al. 2013).

2.10

2.10 Autofluorescent study

Also in the time of one month postoperative, stained sections routinely with hematoxylin and eosin (Haematoxylin: Fluka, AG, Switzerland, Buchs SG–Eosin Y: alcohol and water soluble, Winlap, UK), were mounted in fluorescence- free D-P-X (LOBA Chemie, India), The H&E stained tissue sections were examined under fluorescence microscope to estimate the intrinsic autofluorescence emitted from collagen in between the two wound gap edges (Deeb, Nesr et al. 2008). (Euromex Oxion microscope Netherlands, 3 Watt LED for transmitted light, 85–240 V operation Reflected 100 W mercury-vapor light sources for fluorescence, with power supply for 85–240 V operation); the computer optimized design of the Oxion ensures high stability and durability which results in an advanced ergonomical all-round microscope. All Fields were microphotographed optically using software.

3

3 Results and discussion

Anti-microbial resistance starts whenthe microbes proceed to develop within the habitations of the antibiotic, the resistance went with by a transformation on the hereditary level. When a single bacterium develops a transformed quality, this quality can be effectively exchanged to the other microscopic organisms. The infection can start within the skin or wound and conclusion up causing cardiotoxicity or bronchopneumonia (El-Aassar, et al., 2020).

XRD patterns of Zn-Al LDH, curcumin and nanocomposite (Zn-Al LDH/Curcumin) are shown in Fig. 3. The native Zn-Al LDH diffraction peaks are agreement with that of the synthetic hydrotalcite-like compound in ICDD card no. (00–058- 0178), were indexed to the rhombohedral crystal structure with space group of R-3 m. According to Debye Scherrers formula, the value of the crystallite size is calculated to be 23.1 nm. The basal reflections corresponding to (003(and (0 0 6) planes confirmed the layered structure of LDH. In native Zn-Al LDH the interlayer space (basal spacing) of d(0 0 3) = 0.77 nm and d(0 0 6) = 0.38 nm agree with that reported in the literature (Kuehn and Poellmann 2010). XRD data of curcumin revealed strong reflections in the (2θ) range of 10–30 which pointed to the crystalline nature of the used curcumin (Mohanty 2010, Anitha 2011). The nanocomposite Zn-Al LDH/Curcumin was successfully obtained as confirmed by the comparing with the ICDD card no.(00–048- 1021) (Thevenot, Szymanski et al. 1989). Their reflections were indexed as the planes (0 0 3), (0 0 6), (1 0 1), (0 1 2), (0 1 5), (0 1 8) and (1 1 0) and the crystal symmetry was kept as rhombohedral the crystallite size is 29.2 nm. The basal spacing at lower (2θ) 003 and 006 is 0.78 and 0.38 nm with no significant change in the d spacing and lack of crystallinity than the native LDH due to the amorphous or disordered-crystalline phase of curcumin. The broadening and low intensities of XRD peaks of nanocomposite compared to those of native LDH stable structure pointed to lowered crystallite of the nanocomposite

XRD patterns of ICCD card (00–058- 0178), Zn-Al LDH, Curcumin, ICCD card (00–048- 1021), and (Zn-Al LDH/Curcumin) nanocomposite.
Fig. 3
XRD patterns of ICCD card (00–058- 0178), Zn-Al LDH, Curcumin, ICCD card (00–048- 1021), and (Zn-Al LDH/Curcumin) nanocomposite.

FTIR transmittance spectra of curcumin, Zn-Al LDH and Zn-Al LDH/ curcumin nanocomposite were shown in Fig. 1. The significant bands of curcumin are at 3476 cm−1 corresponding to the phenolic O-H stretching vibrations, the band at 1607 cm−1 related to the stretching vibration of the benzene ring skeleton, the peak at 1511 cm−1 represent the mixed C = O, C = C vibrations, and the peak at 1261 cm−1 corresponding to the stretching vibration of Aromatic-O (Bhowmik 2012, Kamkanam, Samindra et al. 2014). In native LDH, peak at 3400 cm−1 can be ascribed to the stretching mode of OH group with hydrogen bonding of interlayer water molecules. The peak located at 1357 cm−1 is assigned to the vibration of the Cl- groups in the LDH interlayer. The bands at approximately 685 and 599 cm−1 arises from metal–oxygen bonds M−O vibration (Parida, Sahoo et al. 2010). In nanocomposite, there are O-H stretching, the C = O stretching and methoxy C-O stretching vibrations of Curcumin within LDH shift to1510 cm−1 and 1608 cm−1 from 1506 cm−1 and 1616 cm−1 respectively. This indicates the formation of hydrogen bonds between H bond donor oxygen atoms and LDH layers. Accordingly, from FTIR analysis we conclude that the Curcumin molecules are strongly stabilized by the changing electron density within the interaction conditions of Zn-Al LDH.

In Fig. (4 a,b) clarifies the layered structure of the prepared Zn-Al LDH as the sheet shape is predominant and the agglomeration is clear from the top view in Fig. 4a. and from the side view in Fig. 4b with more magnification. The selected – area electron diffraction (SAED) illustrated well defined diffraction rings pointing to the hexagonal symmetry of the LDH as previously mentioned in XRD section. By loading curcumin on LDH it’s clear that the hexagonal platelet shape is predominant with less stacking in Fig.4c,d. The crystallinity get better as (contradiction) check with XRD the lattice spacing is seen at this magnification Fig. 4d the Curcumin role hear is obviously working as decrease the stacking and agglomeration between layers. A better explanation is due to its poor solubility in water therefore, we dissolve the Curcumin in ethanol and we expected that it acts as exfoliator. In FESM micrographs are clarified in Fig. (4 e,f) where flower like arrangement of hexagonal platelets is observed with less agglomeration.

Low and high magnification HRTEM images of Zn-Al LDH (a and b), Zn-Al LDH/curcumin (c and d) and the FESEM images of Zn-Al LDH (e and f).
Fig. 4
Low and high magnification HRTEM images of Zn-Al LDH (a and b), Zn-Al LDH/curcumin (c and d) and the FESEM images of Zn-Al LDH (e and f).

In addition, the hydrodynamic diameters of Zn-Al LDH and Zn-Al LDH/Curcumin nanocomposite were measured to be 697.1, and 1363 nm, respectively. The zeta potential was 35.70 mV for LDH while that of nanocomposite was changed to 4.14 mV after curcumin loading. The decreased electro positivity of the Zn-Al LDH /curcumin nanocomposites may be due to curcumin surface adsorption on LDH [29].

The surface area measurements and the pore size distribution of (Zn-Al LDH and Zn-Al LDH/Curcumin) were characterized by the N2 adsorption–desorption isotherms presented in Fig. 5. In Fig. 5a all isotherms of the samples exhibited a pronounced increase in the adsorption at a relative pressure of p/po > 0.02 which means Nitrogen uptake below p/po 0.02 was negligible and micropores were blocked. This indicates that all samples are classified as IV (mesoporous solids). According to IUPAC, pores sizes are classified into microporous, mesoporous and microporous with pore diameter up to 2, from 2 to 50, and > 50 nm, respectively (M. Thommes 2015).

N2 adsorption–desorption isotherm (a) and pore size distribution (b and c) of Zn-Al LDH and Zn-Al LDH/curcumin.
Fig. 5
N2 adsorption–desorption isotherm (a) and pore size distribution (b and c) of Zn-Al LDH and Zn-Al LDH/curcumin.

The BET surface area of Zn-Al LDH and Zn-Al LDH/Curcumin is 40.64 m2/g and 41.62 m2/g respectively. Low surface area of native LDH than its nanocomposite was attributed to the agglomeration of particles. The reason of low surface area of native LDH due to the preparation method in case of Zn-Al LDH/Curcumin, ethanol is used to dissolve curcumin resulting in a decrease of agglomeration which results in a small different in surface area. HRTEM micrographs confirm these observations. The pore-size distribution is show in Fig. (5:b-c). Peaks at 12 nm and 8.7 nm are depicted for Zn-Al LDH and Zn-Al LDH/Curcumin, respectively. The lower value of pore size of Zn-Al LDH/Curcumin is due to the blocked pores in Zn-Al LDH by curcumin confirming the successful loading of curcumin on LDH.

The Zn-Al LDH and Zn-Al LDH/Curcumin nanocomposite were subjected to thermal analysis to determine the thermal stability and degradation temperatures. The TGA/DTA curves obtained for the samples are reported in Fig. 6. In TGA analysis of Zn-Al LDH and Zn-Al LDH/Curcumin, one weight loss step was observed, and contributed to a total weight loss of 24.68 % and 8.73 % respectively. The weight loss due to the removal of chemisorbed and physisorbed water. The amount of hydration was significantly low compared to other inorganic Zn-Al LDH because the nano composite is less prone to being hydrated due to the intercalation of large organic anions. In the temperature range of 200–600 °C, the nanocomposites showed a complete dehydroxylation of layers, together with partial combustion of the adsorbed Curcumin at the edges or surfaces of the crystallites LDH, leading to an approximate weight loss of 25.56 %. In Zn-Al LDH/Curcumin a decomposition peak is observed at 360 °C (Fig. 6B) confirming the formation of composite molecules. A remarkable shift in DTA peaks confirms the increasing in the thermal stability of the LDH/Curcumin Nano Composite. The LDH nanomaterial thus improves the stability of the anions because it provides protection for the adsorbed and intercalated anions against thermal combustion.

TGA/DTA curves of Zn-Al LDH (A) and Zn-Al LDH/curcumin (B).
Fig. 6
TGA/DTA curves of Zn-Al LDH (A) and Zn-Al LDH/curcumin (B).

Healing of any wound differ according to the wound itself, the presence or absence of infection, age, health condition and /or dietary supply. All surgical procedures were performed in an identical way by a single surgeon. All animals were anesthesiazed and the surgery was made under a septic condition. All other factors were the same age, health condition and daily dietary supply.

The fact of adequate blood circulation that delivered to muscle fibers remains a starting point for efficient wound healing process. The importance here is highlighted owing to the micro vascular structure likely impacts muscle performance, hypothesized structural remodeling would occur in both the myofibers and microvasculature (Akbik, Maliheh et al. 2014).

Our results of both candling and macroscopic appearance after one week of surgery revealed instance of prominent congested blood vessels at the site of induced wound in control group G-I (Plate 2). While the congestion not seen in the other groups unless drug remnants present only at the site of drugs implants G-II, G-III, and G-IV (Plate 2). Microscopical examination to the wound site to all groups revealed the presence of congested blood capillaries associated with leucocytic infiltrations but with different grades as in G-I (Plate 2). Prominent congested blood capillaries, as well as leucocytic cells infiltrates mainly by neutrophils and macrophages as the beginning of the inflammatory phase of wound healing, after that in G-II (Plate 2), the congestion was subsided but the abundant leucocytic infiltrates by neutrophils were prominent as curcumin reduce the time elapsed between different healing phases, acting on the inflammatory, proliferative and remodeling phases so, reducing the time needed for wound healing (Akbik, Maliheh et al. 2014) so, the end of the inflammatory phase occur in this group. In G-III (Plate 2), the microscopical examination showed presence of some drug residues associated with minimal leucocytic infiltrations and prominent congested blood capillaries at site of wound that would suggest the speeding of wound healing through acceleration of healing stages, as normal wound healing consists of 4 phases: hemostasis, inflammation, proliferative, and remodeling. During the proliferative phase, tissue granulation associated with newly formed blood capillaries (Zeren, Kesici et al. 2013), and the minimal few number of leucocytes considered the end of the inflammatory phase. In G-IV (Plate 2), also occurs acceleration of healing phases, as there no congestion except edema presents in the site of wound only.

Candling, gross examination, and histopathological examination of the different four groups, one week postoperative. G-I (Control group): Grossly: Instance of congestion associated with minimal hemorrhagic spots, beginning of proliferative phase (black arrow) at the site of induced wound. Candle: Presence of prominent congested blood vessels at the site of wound (two black arrows). Histopathologically: Photomicrograph of rat rectus abdominis muscle showing prominent congested blood capillaries (yellow arrow), as well as leucocytic cells infiltrates mainly by neutrophils and macrophages as the end of the inflammatory phase of wound healing (black arrow).G-II (Group treated with Curcumin alone): Grossly: More or less normal wound site, only the drug ruminants observed at the site of wound (black arrow). Candle: No congested blood vessels and drug residue present (black arrow). Histopathologically: Photomicrograph of rat rectus abdominis muscle showing abundant leucocytic infiltrates at the site of induced wound. G-III (Group treated with Curcumin loaded on Nano-material of Zn/Al -LDH): Grossly: No congestion at the site of wound except small residue of nano-powder. Candle: No congested blood vessels but very small drug residue still present. Histopathologically: Photomicrograph of rat rectus abdominis muscle showing remnant of drug residues (black arrow), minimal leucocytic infiltrations (green head arrow), as well as congested blood capillaries at site of wound (yellow arrow).G-IV (Group treated with Zn/Al-LDH alone): Grossly: No congestion at the site of wound except abundant amount of non-absorbed residue of nanopowder (black arrow). Candle: Presence of drug residue (black arrow). Histopathologically: Photomicrograph of rectus abdominis muscle showing dilated blood capillary with edema (black arrow), with no congestion and mostly absence of leucocytic infiltrates.
Plate 2
Candling, gross examination, and histopathological examination of the different four groups, one week postoperative. G-I (Control group): Grossly: Instance of congestion associated with minimal hemorrhagic spots, beginning of proliferative phase (black arrow) at the site of induced wound. Candle: Presence of prominent congested blood vessels at the site of wound (two black arrows). Histopathologically: Photomicrograph of rat rectus abdominis muscle showing prominent congested blood capillaries (yellow arrow), as well as leucocytic cells infiltrates mainly by neutrophils and macrophages as the end of the inflammatory phase of wound healing (black arrow).G-II (Group treated with Curcumin alone): Grossly: More or less normal wound site, only the drug ruminants observed at the site of wound (black arrow). Candle: No congested blood vessels and drug residue present (black arrow). Histopathologically: Photomicrograph of rat rectus abdominis muscle showing abundant leucocytic infiltrates at the site of induced wound. G-III (Group treated with Curcumin loaded on Nano-material of Zn/Al -LDH): Grossly: No congestion at the site of wound except small residue of nano-powder. Candle: No congested blood vessels but very small drug residue still present. Histopathologically: Photomicrograph of rat rectus abdominis muscle showing remnant of drug residues (black arrow), minimal leucocytic infiltrations (green head arrow), as well as congested blood capillaries at site of wound (yellow arrow).G-IV (Group treated with Zn/Al-LDH alone): Grossly: No congestion at the site of wound except abundant amount of non-absorbed residue of nanopowder (black arrow). Candle: Presence of drug residue (black arrow). Histopathologically: Photomicrograph of rectus abdominis muscle showing dilated blood capillary with edema (black arrow), with no congestion and mostly absence of leucocytic infiltrates.

In case of candling and macroscopic appearance after one month of surgery, mild congestion was observed in G.I (Plate 3), as the end of proliferative phase of wound healing. While in G-II (Plate 3), presence of mild congestion at wound site as the end of proliferative phase of wound healing with very small remnant of drug this coincide with (Akbik, Maliheh et al. 2014) who reported that the curcumin has limited effect due to poor solubility and rapid metabolism. In G-III (Plate 3) Absence of congested blood vessels and complete dissolving of nanomaterial at the site of wound maximize the capability of Curcumin. In G-IV (Plate 3) Presence of Nano-powder residue and absence of congestion at the site of wound. While the microscopically examination of control group G.I (Plate 3) showed connective tissue proliferation and leucocytic infiltrates by lymphocytes considered the end of the proliferative phase disappearance and this coincide with who stated that there is an increase in fibroblasts during the proliferative phase in normal wound healing. In G-II (Plate 3) showed mild congested blood capillaries, In G-III (Plate 3) the microscopical examination of the wound site revealed minimal drug residue, connective tissue proliferation. In G-IV (Plate 3) showed drug residue associated with minimal congestion.

Candling, gross examination, and histopathological examination of the different four groups, one month postoperative. G-I (Control group): Grossly: Presence of mild congestion at the site of wound (black arrow). Candle: Presence of very few congested blood vessels at the site of wound (black arrow). Histopathologically: Photomicrograph of rectus abdominis showing connective tissue proliferation and leucocytic infiltrates by lymphocytes (H&E; Bar= 100 µm). G-II (Group treated with Curcumin alone): Grossly: Presence of mild congestion at the site of injury with very small remnant of particles (black arrow). Candle: (black arrow and head of arrow). Histopathologically: Photomicrograph of rectus abdominis showing mild congested blood, fatty infiltrates (H&E; Bar= 100 µm). G-III (Group treated with Curcumin loaded on Nano-material of Zn/Al -LDH): Grossly: Absence of congested blood vessels and complete dissolving of nanomaterial at the site of wound (black arrow). Candle: Presence mild congested blood vessels and drug residue not present (white arrow). Histopathologically: Photomicrograph of rectus abdominis showing minimal drug residue, connective tissue proliferate with no congestion (H&E; Bar= 100 µm). G-IV (Group treated with Zn/Al-LDH alone): Grossly: Presence of Nano-powder residue and absence of congestion at the site of wound (black arrow). Candle: presence of drug residue (black arrow) Histopathologically: Photomicrograph of rectus abdominis showing wide gap distance with appearance of drug residue associated with minimal congestion (H&E; Bar= 200 µm).
Plate 3
Candling, gross examination, and histopathological examination of the different four groups, one month postoperative. G-I (Control group): Grossly: Presence of mild congestion at the site of wound (black arrow). Candle: Presence of very few congested blood vessels at the site of wound (black arrow). Histopathologically: Photomicrograph of rectus abdominis showing connective tissue proliferation and leucocytic infiltrates by lymphocytes (H&E; Bar= 100 µm). G-II (Group treated with Curcumin alone): Grossly: Presence of mild congestion at the site of injury with very small remnant of particles (black arrow). Candle: (black arrow and head of arrow). Histopathologically: Photomicrograph of rectus abdominis showing mild congested blood, fatty infiltrates (H&E; Bar= 100 µm). G-III (Group treated with Curcumin loaded on Nano-material of Zn/Al -LDH): Grossly: Absence of congested blood vessels and complete dissolving of nanomaterial at the site of wound (black arrow). Candle: Presence mild congested blood vessels and drug residue not present (white arrow). Histopathologically: Photomicrograph of rectus abdominis showing minimal drug residue, connective tissue proliferate with no congestion (H&E; Bar= 100 µm). G-IV (Group treated with Zn/Al-LDH alone): Grossly: Presence of Nano-powder residue and absence of congestion at the site of wound (black arrow). Candle: presence of drug residue (black arrow) Histopathologically: Photomicrograph of rectus abdominis showing wide gap distance with appearance of drug residue associated with minimal congestion (H&E; Bar= 200 µm).

Some tissue components can emit autofluorescence when examined under fluorescent microscope including health smooth muscle fibers Fig. 7 (normal muscle bundles) and collagen (Deeb, Nesr et al. 2008).

Normal healthy smooth muscle bundles emitting intrinsic autofluorescence when examined by fluorescent microscope. This picture is the control positive of the intrinsic autofluorescence of the normal healthy muscle bundles, and this ability disappear when occur degenerative changes to this muscle like of operation which made in all groups.
Fig. 7
Normal healthy smooth muscle bundles emitting intrinsic autofluorescence when examined by fluorescent microscope. This picture is the control positive of the intrinsic autofluorescence of the normal healthy muscle bundles, and this ability disappear when occur degenerative changes to this muscle like of operation which made in all groups.

Our results prove that when occur examination of healthy area of smooth muscle bundles under fluorescent microscope, emit the intrinsic auto fluorescence but loose this ability when become degenerated and suffer from hyalinosis as Plate 4 in all groups G.I, G.II, G.III, while when the degenerative change reversed the auto fluorescence ability of the smooth muscle fiber can be restored like in G.IV in Plate 4.

Displaying the data analysis of microphotographs of the four groups using image j software.
Plate 4
Displaying the data analysis of microphotographs of the four groups using image j software.

As employing the auto fluorescence ability of collagen bundles present between two edges of the induced wound in muscle displaying a distant clear gap could be determined by using image j software Plate 4, our results showed that the shortest length was in G.IV (Nanomaterial) = 451.100, after that G.II (Curcumin only) = 514.674, G.I (Control) = 753.335, then G.III (LDH/Curcumin) = 862.503 respectively, that is to say the lowest scar tissue formation and less collagen production was in group G.IV. While in G.III the largest scar tissue formation and collagen production.

Collagen production and release begin on the 3rd day and continue for 3 weeks. Collagens released from fibroblasts and their cross-linkage enhances wound tension strength. The amount and quality of collagen synthesis determine the wound tension strength, which is the mechanical integrity of the wound. The final phase of wound healing is the remodeling phase, which is characterized by the reorganization of collagen fibrils and gradually increasing wound tension strength (Leverson, Heever et al. 1965, Mackay and Miller 2003, Zeren, Kesici et al. 2013). An increase in wound tension strength positively affects wound healing in primary wounds (Mackay and Miller 2003, Zeren, Kesici et al. 2013).

An increase fibrosis and collagen amount at the wound site do not always result in improved healing because an irregular sequence of collagen fibers can have a negative effect on wound healing (Soo, Shaw et al. 2000, Nagler, Ohana et al. 2007).

In case of collagen deposition in G.I (Plate 4), the amount was large but it was irregular where the tensile strength of the muscle fibers very low, as well as presence of high number of blood capillaries confirm that this the end of proliferative phase with characteristic granulation tissue with high vasculature and early collagen deposition and this result coincide with (Zeren, Kesici et al. 2013) who explained the reduced wound strength was due to the irregular collagen fibers that arranged during the early period of wound healing even it was in high amount. While in G.II (Plate 4), the tensile strength of the muscle fibers is more as minimal vasculature considered the end of proliferative phase of wound healing, but collagen deposition was less regular than G.III and G.IV (Plate 4).

In case of G.III and G.IV (Plate 5), the regularity of collagen deposition proved, but the amount of this collagen differ where the fact of the largest regular collagen fibers the more increased tensile strength of the wound equal the more improved wound healing that displayed in G.III (Plate 5) (Curcumin associated with nanomaterial) where the length of regular collagen fibers was = 862.503. after that G.IV (Plate 5) (Nanomaterial) = 451.100 the length of regular collagen fibers. So from all these data observed that the best wound healing was in G.III, G.IV, G.II, and then G.I respectively

Auto fluorescence results under fluorescent microscope of the different four groups, one month postoperative (G.I): Control group showing collagen autoflourescence between healing edges of rectus abdominis muscle, which measured by image J software = 753.335, high number of blood capillaries Bl. Cap., associated with edema, and hyalinosed muscle fibers Ms (x200). (G.II): Curcumin group showing collagen autoflourescent between healing edges of rectus abdominis muscle, which measured by image J software = 514.674, blood capillaries Bl. Cap. and more or less normal muscle fibers Ms (x200). (G.III): Curcumin + Zn Al- LDH group showing collagen autoflourescent between healing edges of rectus abdominis muscle, which measured by image J software = 862.503, large sized debris of the remnant powder in the tissue D, and hyalinosed muscle fibers Ms (x200). (G.IV): Zn Al LDH group showing collagen autofluorescent between healing edges of rectus abdominis muscle, which measured by image J software = 451.100, large blood capillary Bl. Cap., small sized debris of remnant powder in tissue D, and restored muscle fibers to health state Ms (x200).
Plate 5
Auto fluorescence results under fluorescent microscope of the different four groups, one month postoperative (G.I): Control group showing collagen autoflourescence between healing edges of rectus abdominis muscle, which measured by image J software = 753.335, high number of blood capillaries Bl. Cap., associated with edema, and hyalinosed muscle fibers Ms (x200). (G.II): Curcumin group showing collagen autoflourescent between healing edges of rectus abdominis muscle, which measured by image J software = 514.674, blood capillaries Bl. Cap. and more or less normal muscle fibers Ms (x200). (G.III): Curcumin + Zn Al- LDH group showing collagen autoflourescent between healing edges of rectus abdominis muscle, which measured by image J software = 862.503, large sized debris of the remnant powder in the tissue D, and hyalinosed muscle fibers Ms (x200). (G.IV): Zn Al LDH group showing collagen autofluorescent between healing edges of rectus abdominis muscle, which measured by image J software = 451.100, large blood capillary Bl. Cap., small sized debris of remnant powder in tissue D, and restored muscle fibers to health state Ms (x200).

According to the histopathological investigation intramuscular implantation of Zn-Al LDH cause no cytotoxicity for the local tissues around the inserted drugs or materials with no presences any signs of inflammatory response related to the materials antigenicity and confirmed by candling which confirmed the tissue integration with functional neovessels and without local microcirculatory dysfunction these results come in accordance with (Cunha, Souza et al. 2016). To the best of our knowledge, this is only one paper reports about the usage of imaging to access indirectly the biocompatibility & wound healing of materials implanted in living tissues.

The rate of wound healing ability, biocompatibility, Anti-inflammatory, No Antigenicity and excellent contraction rate of wound gab edges observed in Zinc Aluminum nanomaterial which confirmed by measuring their emitting to florescence and tensile muscles strength. The cause of theses good characters due to nature of zinc ion as considered as Kosmotrope ions which established stronger charge-dipole interactions with local water than chaotropes ions, form this point zinc ion modify the protein present in the wound area and promoting different function help healing and anti-inflammatory effects (Wang, Guo et al. 2014). Besides the protein structure can be influenced by the nature on both anions and cations incorporated in the LDH structure (Nostro and Ninham 2012).

On the same ground Zinc Aluminum nanomaterial help rapid wound healing through the formation of type-III fibers or reticular fibers around the implanted drugs. In addition to this fibers Zn-Al LDH help in protein formation in the extracellular matrix, such as fibronectin. Fibronectin has a zinc-dependence binding domain called Gelatin-Binding Domain (GBD) in its structure, that interact with and help the Collagen formation (Graille, Pagano et al. 2010). The interaction of Zn2+ with collagen is reported in the literature (Yu and Fan 2011, Zhu 2014).

The positive Charge present on the surface of Zn-Al LDH has an important role in the interaction between the inorganic materials and biomolecules or proteins which help tissue repair (Gu, Atherton et al. 2015). These proteins also of negative charge and help more electrostatic interactions with the Zn-Al LDH (Cunha, Souza et al. 2016). Besides the good healing activity and biocompatibility observed through the candling, histopathologically in muscles strength and in florescence emission might also attributed to the alkaline pH of the synthesized LDH as the acidic environment impair, prevent and restrict the cellular activity responsible for wound healing and tissue repair (Cunha, Souza et al. 2016). So maintenance of the alkaline media through the slowly dissociated LDH decreases the local tissue acidosis and helps the normal cell response (Cunha, Souza et al. 2016).

In the Curcumin pure materials alone also the healing process were very good with good biocompatibility and no antigenicity, these might be attributed to the ability of Curcumin in increasing the cellular proliferation and collagen synthesis at the wound site (Panchatcharam, Miriyala et al. 2006) confirmed by the candling and histopathological investigation besides their muscles strength and florescence emission. In addition Curcumin possesses significant antioxidant activity; the prevention of oxidation in tissues helps rapid and good healing process (Phan, See et al. 2001). This antioxidant ability in Curcumin could be attributed to the phenolic and the methoxy groups in conjunction with the 1,3-diketone conjugated diene system, for scavenging of the oxygen radicals (Wright 2002).

On the other hand, when Curcumin loaded on Zn-Al LDH nanomaterial; the healing activity takes more time as prolonged their duration of action with delayed activity so this Nano composite very good in chronic wound treatment not acute one as Curcumin alone. This prolongation to the duration of action might be attributed to the role of the LDH which demonstrated a slow and a sustained release of the Curcumin in an acidic medium (wound site) leading to prolongation to the duration of action and decrease the absorption rate (Megalathan, Kumarage et al. 2016). The divalent metals as zinc responsible for the positive charge on the LDH surface, thus making the intercalation with negatively charged drugs (Wei, Cheng et al. 2012). So due to the LDH structure casing a controllable sustained anion exchange which is pH dependent and mandatory for the controlled-release properties of this system leading to decreasing the absorption rate and prolongation to the duration of action (Yang, Han et al. 2007). Also previous literature studies demonstrated the successful intercalation of chemically isolated Curcumin into LDH and showed its slow release behavior (Megalathan, Kumarage et al. 2016). On the same way presence of a large amount of Zn2+, the GBD domain captures a greater quantity of zinc ions slowing down the formation of fibronectin protein. This process lead to the delay formation of mature collagen fibers which cause the fibers to clump linger (Cunha, Souza et al. 2016).

Drug release of the nanomaterials usually delayed for prolongation to the duration of action; from this point of view the release of the pure Curcumin and LDH/Curcumin nanoparticles had been measured. Nanoparticles improve bioavailability, sustained delivery and targeting of Curcumin to the particular site by delaying its release to the circulation and limiting effects to target cell. In our results and as shown in (Fig. 8), The in-vitro Release of free Curcumin was rapid within 24 h (>87%), incorporation of free Curcumin into Nano layers of LDH retarded this release up to 56% which indicates the controlled release of Curcumin from the LDH layers which lead to prolongation to the duration of action; that’s is the main reason for presence of drug or nanomaterials remnants in the wound sites in both nanomaterial and Curcumin loaded on the nanomaterial. The capacity to discharge curcuminspecies in a ceaseless and maintainable mode, evoking both antibacterial and antibiofilm movement on multiple bacterial strains specially against Pseudomonas aeruginosa and Streptococcus mutans which are two opportunistic microbes as often as possible related with human and animal infections or diseases.

In vitro release profiles of Curcumin from Curcumin/LDH formula (n = 3 ± SD).
Fig. 8
In vitro release profiles of Curcumin from Curcumin/LDH formula (n = 3 ± SD).

4

4 Conclusion

Zn-Al LDH, Curcumin and Curcumin nanohybrid revealed good tissue repair in acute and chronic wounds with good biocompatibility and healing activity with collagen formation, in addition to prolongation to the duration of action of the loaded materials or drugs with LDH nanomaterial in a controlled release manner.

Funding

'Not applicable'

5

5 The consent to publish section

Animal handling methods, including weighting and gavage procedures were carried out in accordance with and were approved by the Institutional Animal Care and Use Committee, Faculty of veterinary medicine, Beni-Suef University (Protocol of Animal Rights for Laboratory Experiments) with IACUC Permit Number (021–158).

  • No case studies were reported in this article

6

6 Availability of data and material

The authors emphasize the availability of data and materials

Author contribution

This study was designed, directed and coordinated by A Farghali and M Fathy., as the principle investigators, provided conceptual and technical guidance. R Mahmoud and N. A. Mohamed planned and performed the preparation and characterization of the used materials; the data analyzed with S El-Dek. F.I. Abo El-Ela2 and N Safwat planned and performed the application experiments and the data analyzed with H.A. El-Banna.

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