# Effects of Wound Dressing's Vapor and Gas Permeability on Ischemic Ulcer Healing

> **NIH NIH P20** · UNIVERSITY OF NEBRASKA OMAHA · 2024 · $252,521

## Abstract

PROJECT SUMMARY – Effects of Wound Dressing’s Vapor and Gas Permeability on Ischemic Ulcer
Healing
Ischemic PAD ulcers caused by arterial insufficiency of the lower extremities are extremely difficult to heal with
basic therapy and require special treatments. But even after the perfusion to the lower limbs is surgically restored,
the healing of severe ulcers remains a major medical problem due to the depth of the lesion, age and
inflammation-related changes in tissue regenerative capacity, and the tendency of the wound to become
infected. Secondary infection of ischemic ulcers is the main cause of lower limb amputations in patients with
PAD. To reduce the risk of infection, traditional therapies keep the wound as dry as possible using dressings
and topical agents that rapidly absorb exudate, but excessive drying complicates wound healing, especially
during a period when blood flow to the capillary bed is still compromised. There is a critical need to develop a
new dressing that protects the wound from infection while providing an optimal microenvironment for fast and
uncomplicated recovery of ischemic ulcers. We created a novel wound dressing made of biopolymer nanofibers
using electrospinning with a minimal concentration of synthetic fiber-forming additives and have tested it in
clinical trials treating II-degree thermal burns. Our dressing accelerated regeneration and prevented the growth
of pathogenic microflora in the wound. The material also has a high water vapor transmission rate and air
permeability, allowing free air access and removal of excess water vapor from the wound surface. In this
proposal, we will test the hypothesis that enhanced water vapor and gas permeability of nanofibrous wound
dressing (NWD) improves the healing of ischemic ulcers. This hypothesis will be tested through two specific
aims, whereby we will first quantify the effects of porosity, thickness, and average nanofiber diameter on the
permeability properties of NWDs. By altering the manufacturing parameters, we will produce NWDs with the
same chemical composition but different structures, allowing a range of permeabilities for gas and vapor.
Second, we will determine the influence of NWD permeability properties on ischemic wound healing in a
preclinical DOCA+high-cholesterol ischemic flap swine model. Ischemic wounds will be created as full-thickness
bipedicle cutaneous flaps with silicone sheeting to prevent reattachment and reperfusion. This will simulate the
conditions of poor blood supply to the wound, while DOCA and western diet will account for the hypertensive
inflammatory state typical for PAD patients. This project will demonstrate whether the wound healing process
can be improved by managing the water vapor and gas permeability of the wound dressing and help determine
the optimal NWD parameters for treating ischemic ulcers. The development of novel concepts for wound care
that provide fast and uncomplicated recovery of ischemic ulcers will have substantia...

## Key facts

- **NIH application ID:** 10770981
- **Project number:** 1P20GM152301-01
- **Recipient organization:** UNIVERSITY OF NEBRASKA OMAHA
- **Principal Investigator:** Yury Salkovskiy
- **Activity code:** P20 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2024
- **Award amount:** $252,521
- **Award type:** 1
- **Project period:** 2024-02-15 → 2029-01-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10770981

## Citation

> US National Institutes of Health, RePORTER application 10770981, Effects of Wound Dressing's Vapor and Gas Permeability on Ischemic Ulcer Healing (1P20GM152301-01). Retrieved via AI Analytics 2026-05-29 from https://api.ai-analytics.org/grant/nih/10770981. Licensed CC0.

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