REVIEW Open Access
Alginate-based hydrogels as drug delivery
vehicles in cancer treatment and their
applications in wound dressing and 3D
bioprinting
Farhad Abasalizadeh
1
, Sevil Vaghefi Moghaddam
2
, Effat Alizadeh
3
, Elahe akbari
4
, Elmira Kashani
5
,
Seyyed Mohammad Bagher Fazljou
1
, Mohammadali Torbati
6*
and Abolfazl Akbarzadeh
7,8*
Abstract
Hydrogels are a three-dimensional and crosslinked network of hydrophilic polymers. They can absorb a large
amount of water or biological fluids, which leads to their swelling while maintaining their 3D structure without
dissolving (Zhu and Marchant, Expert Rev Med Devices 8:607–626, 2011). Among the numerous polymers which
have been utilized for the preparation of the hydrogels, polysaccharides have gained more attention in the area of
pharmaceutics; Sodium alginate is a non-toxic, biocompatible, and biodegradable polysaccharide with several
unique physicochemical properties for which has used as delivery vehicles for drugs (Kumar Giri et al., Curr Drug
Deliv 9:539–555, 2012). Owing to their high-water content and resembling the natural soft tissue, hydrogels were
studied a lot as a scaffold. The formation of hydrogels can occur by interactions of the anionic alginates with
multivalent inorganic cations through a typical ionotropic gelation method. However, those applications require the
control of some properties such as mechanical stiffness, swelling, degradation, cell attachment, and binding or
release of bioactive molecules by using the chemical or physical modifications of the alginate hydrogel. In the
current review, an overview of alginate hydrogels and their properties will be presented as well as the methods of
producing alginate hydrogels. In the next section of the present review paper, the application of the alginate
hydrogels will be defined as drug delivery vehicles for chemotherapeutic agents. The recent advances in the
application of the alginate-based hydrogels will be describe later as a wound dressing and bioink in 3D bioprinting.
Keywords: Alginate hydrogels, Drug delivery, Cancer, Wound dressing, 3D bioprinting
Introduction
Hydrogels
Hydrogels are three-dimensional networks in which
hydrophilic polymers crosslink together. They could
swell by absorbing the large quantities of water or bio-
logical fluids while keeping their network structure.
These compounds were similar to the living tissue be-
cause of their high-water capacity, penetrability, and
consistency. Recently, a lot of research was done on the
preparation of the transdermal membranes using poly-
saccharides [1–3]. Among the most widely proposed
hydrophilic polymers in hydrogels preparation, polysac-
charides had a number of benefits versus the synthetic
polymers. Hydrogels had prepared from polysaccharides
attracted the attention of researches, due to the applica-
tions in biomedical and other areas like those of phar-
macy, chemical engineering, agriculture, and food.
Despite the limitations of the natural polysaccharides in
their reactivity and processability, they could also be
used by cross-linking, blending and etc. after modifica-
tion [4]. Sodium alginate (SA) was one of the most com-
monly used natural polysaccharides which was obtained
from the condensation of β-D-mannuronic acid (M) and
1–4 linked α-L-guluronic residues (G). SA had the
© The Author(s). 2020 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0
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* Correspondence: torbatim@tbzmed.ac.ir; dr.akbarzadeh2010@gmail.com
6
Department of Food Science and Technology, Faculty of Nutrition, Tabriz
University of Medical Sciences, Tabriz, Iran
7
Tuberculosis and Lung Disease Research Center of Tabriz, Tabriz University
of Medical Sciences, Tabriz 5154853431, Iran
Full list of author information is available at the end of the article
Abasalizadeh et al. Journal of Biological Engineering (2020) 14:8
https://doi.org/10.1186/s13036-020-0227-7