In Vitro Wound-Healing Properties of Water-Soluble Terpenoids Loaded on Halloysite Clay

Recently, mineral healing clays have gained much attention for wound-dressing applications. Here, we selected halloysite (HAL) clay as a biocompatible, non-toxic material that is useful as a drug delivery system to enhance the healing properties of water-soluble terpenoids 1-3 (T1-3). Terpenoids-loaded HAL clay (TH1-3) was prepared and characterized by adsorption equilibrium studies, X-ray powder diffraction (XRPD), thermogravimetric analysis (TGA), differential scanning calorimetry (DSC), Fourier-transform infrared (FTIR) spectroscopy, and release studies. The results reveal that T1-3 were adsorbed at the HAL surface with good efficiency. The prevalent mechanism of drug retention is due to the adsorption via electrostatic interactions between the cationic groups of the T1-3 and the HAL’s external surface. Release studies demonstrated that T3 was released in a higher percentage (>60%) compared to T1-2 (≈50%). Additionally, TH1-3 were assessed for their antimicrobial activity and capability to promote the re-epithelialization of scratched HaCat monolayers, through the time-kill test and the wound-healing assays, respectively. The results reveal that all the tested formulations were able to reduce the microbial growth after 1 h of incubation and that they ensured complete wound closure after 48 h. Furthermore, at the concentration of 1 µg/mL, TH3 exhibited 45% wound closure at 24 h, compared to TH1 (27%) and TH2 (30%), proving to be the best candidate in making the tissue-repair process easier and faster.


Introduction
The manipulation of drugs to produce nanoscale systems is finalized to overcome some drug physico-chemical properties such as taste, odor, stability, and solubility [1]. Nanosystems offer the possibility to modify the rate, time, or site of the drug release and prevent or reduce side effects [2]. Mineral clays are natural, abundant, low-cost, environmentally friendly, and non-toxic materials able to intercalate and/or adsorb specific molecules in their structure to achieve a drug delivery system with technological benefits [3,4]. In this field, halloysite (HAL), an aluminosilicate clay of the kaolin group, was extensively used as carrier of drugs for its advantageous nanosized tubular structure of around 600-800 nm in length and~0.1 µm in external diameter [5,6]. Morphologically, HAL consists of a rolled bilayer of an outer negatively charged tetrahedral silicate sheet and an inner positively charged octahedral aluminum sheet, which offer the possibility of neutralization with different chemical entities [7]. HAL was investigated as an inorganic material able to retain essential oils, particularly carvacrol (CAR), a phenolic monoterpene with various biological and pharmacological properties [8]. Application of HAL is increasing in various biomedical fields and in the delivery of drugs [9,10]. CAR loaded into HAL lumen prevented CAR evaporation, sustained its release over time, and proved effective against Escherichia coli, Pseudomonas putida, Listeria monocytogenes, Staphylococcus aureus, Aeromonas hydrophilia, Alternaria alternate, and Listeria innocua [11][12][13]. Thus, these studies emphasized the importance of clay minerals, as CAR stability enhancer and drug delivery systems with potential application in the food packaging, hygiene, and personal care industries, as they are able to preserve the antimicrobial activity of the loaded compound. Furthermore, among different applications, HAL has gained much attention as wound-dressing material due to its mechanical features, cytocompatibility, and hemostatic and wound-healing properties. Terpenoids 1-3 (T1-3) are prodrugs obtained by coupling amino acids such as glycine, L-alanine, and β-alanine ( Figure 1) to CAR. They showed antimicrobial activities and increased water solubility compared to CAR (Table 1) [14]. In our previous works, hybrids of T1-3 and layered montmorillonite or fibrous palygorskite and sepiolite were formulated to obtain their sustained release in the target site [15,16].
Pharmaceutics 2021, 13, x FOR PEER REVIEW 2 of 13 In this field, halloysite (HAL), an aluminosilicate clay of the kaolin group, was extensively used as carrier of drugs for its advantageous nanosized tubular structure of around 600-800 nm in length and ~0.1 µm in external diameter [5,6]. Morphologically, HAL consists of a rolled bilayer of an outer negatively charged tetrahedral silicate sheet and an inner positively charged octahedral aluminum sheet, which offer the possibility of neutralization with different chemical entities [7]. HAL was investigated as an inorganic material able to retain essential oils, particularly carvacrol (CAR), a phenolic monoterpene with various biological and pharmacological properties [8]. Application of HAL is increasing in various biomedical fields and in the delivery of drugs [9,10]. CAR loaded into HAL lumen prevented CAR evaporation, sustained its release over time, and proved effective against Escherichia coli, Pseudomonas putida, Listeria monocytogenes, Staphylococcus aureus, Aeromonas hydrophilia, Alternaria alternate, and Listeria innocua [11][12][13]. Thus, these studies emphasized the importance of clay minerals, as CAR stability enhancer and drug delivery systems with potential application in the food packaging, hygiene, and personal care industries, as they are able to preserve the antimicrobial activity of the loaded compound. Furthermore, among different applications, HAL has gained much attention as wounddressing material due to its mechanical features, cytocompatibility, and hemostatic and wound-healing properties. Terpenoids 1-3 (T1-3) are prodrugs obtained by coupling amino acids such as glycine, L-alanine, and β-alanine ( Figure 1) to CAR. They showed antimicrobial activities and increased water solubility compared to CAR (Table 1) [14]. In our previous works, hybrids of T1-3 and layered montmorillonite or fibrous palygorskite and sepiolite were formulated to obtain their sustained release in the target site [15,16].  In this work, T1-3-loaded HAL (TH1-3) was developed and subjected to solid-state characterization, in vitro release studies, wound-healing, and antimicrobial assays to evaluate their potential as formulations for the treatment of wound infections that are otherwise difficult to treat.  In this work, T1-3-loaded HAL (TH1-3) was developed and subjected to solid-state characterization, in vitro release studies, wound-healing, and antimicrobial assays to evaluate their potential as formulations for the treatment of wound infections that are otherwise difficult to treat.

Adsorption Equilibrium Studies
TH1-3 nanocomposites were prepared following an adsorption procedure. In detail, a water solution of T1-3 was placed in contact with HAL powder using a clay/drug ratio Pharmaceutics 2021, 13, 1117 3 of 13 of 1:1 (w/w). The clay/drug suspensions were stirred in a water-shaking bath (Memmert GmbH + Co.KG, Schwabach, Germany) to achieve adsorption equilibrium. After centrifugation at 10,000 rpm, the solid hybrids were recovered and dried for subsequent investigations. To quantify the amounts of T1-3 retained by the HAL powder, supernatants were examined as previously reported by High-Performance Liquid Chromatography (HPLC) [15,17]. Samples were examined on a Philips ® X-Pert diffractometer r (X'Pert3 MRD, Malvern, Cambridge, UK) between an exploration range of 4-70 2θ with CuKα radiation. The diffraction data were analyzed with XPOWDER ® software.

Thermal Analysis
Thermogravimetric Analysis (TGA) and Differential Scanning Calorimetric (DSC) analyses were performed employing a METTLER TOLEDO mod (Mettler Toledo, Columbus, OH, USA). The TGA/DSC1 calorimeter combined with a FRS5 sensor and a microbalance (precision 0.1 µg) (Mettler Toledo, Columbus, OH, USA) were used for heating samples, in air atmosphere, at the rate of 10 • C/min. The temperature ranges employed were 30-950 • C and 30-400 • C for TGA and for DSC, respectively.

In Vitro Release Studies
The desorption studies were performed by dispersing T1-3-loaded HAL formulations in a centrifuge tube containing 20 mL of a release medium composed of a phosphate buffer solution (PBS, pH 7.4). The dispersion was maintained at 37 • C in a water bath and was continuously stirred at 100 rpm using a magnetic bar. At predetermined times, the release kinetic was stopped and the tube was centrifuged at 10,000 rpm for 5 min; 1 mL of the supernatant was collected, filtered (0.45 µm, Millipore© filters), and analyzed by HPLC. The withdrawn release medium was replaced by an equal volume of fresh PBS. Calibration curves were drawn using T1-3 to define the amount of drug released.

In Vitro Wound-Healing Assays
Human keratinocytes from adult skin (HaCaT cells) were seeded at a density of about 1.5 × 10 6 cells/well (in 6-well plate) in Dulbecco's modified Eagle's medium supplemented with 10% heat-inactivated fetal bovine serum (FBS), 100 U/mL of penicillin, 100 µg/mL of streptomycin, and 2 mM L-glutamine (Merck KGaA, Darmstadt, Germany) at 37 • C in a 5% CO 2 (v/v) humidified incubator and grown for 24 h to allow them to reach about 90% confluence. Then, cells were serum starved overnight. The monolayer of synchronized cells was gently scratched across the center of the well with a sterile pipette tip (Ø = 0.1 mm). After scratching, debris were removed by washing in PBS. Fresh medium containing 10% v/v of heat-inactivated FBS and treatments were added to each well. Images were obtained from the same fields immediately after scratching (t 0 ) and after 24 and 48 h, using a Leica DMIL inverted microscope (Zeiss, Jena, Germany), and analyzed using ImageJ software by manually selecting the wound region and recording the total area. The experiments were conducted in triplicate, and two fields were analyzed for each replicate (n = 6). Untreated scratched cells represented the spontaneous. The percentage of cell-free area for each experimental condition was calculated relative to t 0 = 100 cell-free area and Student's T-test was used to evaluate the statistical significance (p < 0.05).

Time-Kill Assays
Time-kill assays were performed using methicillin-resistant S. aureus ATCC 43300, S. aureus ATCC 29213, Staphylococcus epidermidis ATCC 35984, and Pseudomonas aeruginosa ATCC 27853. Briefly, strains were diluted in 1 mL of cation-adjusted Mueller-Hinton broth to reach a final concentration of~1 × 10 7 CFU/mL and then incubated at 37 • C with 10 mg of HAL, TH1, TH2, and TH3. Serial dilutions at 1, 2, 4, and 8 h after initial inoculum were seeded in Mueller-Hinton agar or MacConkey agar (for staphylococci and Pseudomonas, respectively) to count CFU.

TH1-3 Characterization
The adsorption procedure was carried out following the methodology described in paragraph 2.2. HAL, characterized by a positively charged internal surface and an external negatively charged shell, offers different methods to depot drugs. Organic molecules could interact with clay nanotubes by adsorption onto the clay surface, intercalation into interlayer spaces causing their expansion, and finally by entrapment into HAL lumens [18][19][20][21]. It was estimated about 5 mg of T1 and T3 and 10 mg of T2, for 100 mg of HAL, were effectively retained by the nanotubular powder ( Figure 2). Lower measures of drug retention by HAL, than ones calculated for laminar and fibrous clays [13,14], were in accordance with HAL loading efficiency values ranging between 5 and 13%, reported for several drugs [7].
for each experimental condition was calculated relative to t0 = 100 cell-free area an dent's T-test was used to evaluate the statistical significance (p < 0.05).

Time-Kill Assays
Time-kill assays were performed using methicillin-resistant S. aureus ATCC 43 aureus ATCC 29213, Staphylococcus epidermidis ATCC 35984, and Pseudomonas aeru ATCC 27853. Briefly, strains were diluted in 1 mL of cation-adjusted Mueller-H broth to reach a final concentration of ~1 × 10 7 CFU/mL and then incubated at 37 ° 10 mg of HAL, TH1, TH2, and TH3. Serial dilutions at 1, 2, 4, and 8 h after initial ino were seeded in Mueller-Hinton agar or MacConkey agar (for staphylococci and P monas, respectively) to count CFU.

TH1-3 Characterization
The adsorption procedure was carried out following the methodology descr paragraph 2.2. HAL, characterized by a positively charged internal surface and an nal negatively charged shell, offers different methods to depot drugs. Organic mo could interact with clay nanotubes by adsorption onto the clay surface, intercalati interlayer spaces causing their expansion, and finally by entrapment into HAL l [18][19][20][21]. It was estimated about 5 mg of T1 and T3 and 10 mg of T2, for 100 mg o were effectively retained by the nanotubular powder ( Figure 2). Lower measures o retention by HAL, than ones calculated for laminar and fibrous clays [13,14], were cordance with HAL loading efficiency values ranging between 5 and 13%, repor several drugs [7]. In Figure 3, the X-ray diffraction (XRD) pattern of T1-3-loaded HAL and pre materials are compared. HAL shows major reflections at 12.2, 20.2, and 24.9 °2θ wit spacing (d) of 7.2, 4.4, and 3.6, respectively Å confirmed the dehydrated state o loysite-7A and its tubular structure [22]. Additional sharp reflections at 26.8 °2θ w In Figure 3, the X-ray diffraction (XRD) pattern of T1-3-loaded HAL and precursor materials are compared. HAL shows major reflections at 12.2, 20.2, and 24.9 • 2θ with basal spacing (d) of 7.2, 4.4, and 3.6, respectively Å confirmed the dehydrated state of Halloysite-7A and its tubular structure [22]. Additional sharp reflections at 26.8 • 2θ with d = 3.3 Å and at 18.5 • 2θ with 4.8 Å were typical of quartz and gibbsite impurities [19]. The loaded -HAL samples show the same characteristic peaks of HAL and its impurities, suggesting that T1-3 did not modify HAL structures, but the absorption seemed to be limited to the external surface, as suggested also by no shifts to a lower angle of the diffraction peak at d001 [23,24]. 3.3 Å and at 18.5 °2θ with 4.8 Å were typical of quartz and gibbsite impurities [19]. The loaded -HAL samples show the same characteristic peaks of HAL and its impurities, suggesting that T1-3 did not modify HAL structures, but the absorption seemed to be limited to the external surface, as suggested also by no shifts to a lower angle of the diffraction peak at d001 [23,24]. Thermal behavior under increasing temperatures of TH1-3, raw HAL, and free T1-3 are reported in Figure 4. In unloaded HAL, three-phase weight loss can be observed. The first mass loss between 50 and 200 °C of about 2.2% w/w was associated with the evaporation of the physically adsorbed water on the surface. The second mass loss of 1.3% w/w was detected in the temperature range of 200-380 °C and it was related to the evaporation of hydrogen-bonded water into the interlayer space. The last weight loss of 12.3% was detected up to 400 °C and it was correlated with the dehydroxylation process of the structural Al2OH [22,23,25]. HAL can be considered an extremely thermostable material since at the end of the analysis, the amount of HAL residue was 82.5% w/w, while T1-3 underwent a total thermal decomposition under the experimental conditions. In TH1-3, weight losses were in correspondence to those of HAL in the intervals 50-180 °C, 180-380 °C, and up to 400 °C, but the degree of decomposition was greater than that observed in the HAL thermal profile. Hybrid TGA curves underlay the effective T1-3 retention into the HAL structure. It was proposed that organic molecules preferentially arranged on the surface due to electrostatic attractions with the outer layer and repulsion with the inner layer [26,27].  Thermal behavior under increasing temperatures of TH1-3, raw HAL, and free T1-3 are reported in Figure 4. In unloaded HAL, three-phase weight loss can be observed. The first mass loss between 50 and 200 • C of about 2.2% w/w was associated with the evaporation of the physically adsorbed water on the surface. The second mass loss of 1.3% w/w was detected in the temperature range of 200-380 • C and it was related to the evaporation of hydrogen-bonded water into the interlayer space. The last weight loss of 12.3% was detected up to 400 • C and it was correlated with the dehydroxylation process of the structural Al 2 OH [22,23,25]. HAL can be considered an extremely thermostable material since at the end of the analysis, the amount of HAL residue was 82.5% w/w, while T1-3 underwent a total thermal decomposition under the experimental conditions. In TH1-3, weight losses were in correspondence to those of HAL in the intervals 50-180 • C, 180-380 • C, and up to 400 • C, but the degree of decomposition was greater than that observed in the HAL thermal profile. Hybrid TGA curves underlay the effective T1-3 retention into the HAL structure. It was proposed that organic molecules preferentially arranged on the surface due to electrostatic attractions with the outer layer and repulsion with the inner layer [26,27] 3.3 Å and at 18.5 °2θ with 4.8 Å were typical of quartz and gibbsite impurities [19]. The loaded -HAL samples show the same characteristic peaks of HAL and its impurities, suggesting that T1-3 did not modify HAL structures, but the absorption seemed to be limited to the external surface, as suggested also by no shifts to a lower angle of the diffraction peak at d001 [23,24]. Thermal behavior under increasing temperatures of TH1-3, raw HAL, and free T1-3 are reported in Figure 4. In unloaded HAL, three-phase weight loss can be observed. The first mass loss between 50 and 200 °C of about 2.2% w/w was associated with the evaporation of the physically adsorbed water on the surface. The second mass loss of 1.3% w/w was detected in the temperature range of 200-380 °C and it was related to the evaporation of hydrogen-bonded water into the interlayer space. The last weight loss of 12.3% was detected up to 400 °C and it was correlated with the dehydroxylation process of the structural Al2OH [22,23,25]. HAL can be considered an extremely thermostable material since at the end of the analysis, the amount of HAL residue was 82.5% w/w, while T1-3 underwent a total thermal decomposition under the experimental conditions. In TH1-3, weight losses were in correspondence to those of HAL in the intervals 50-180 °C, 180-380 °C, and up to 400 °C, but the degree of decomposition was greater than that observed in the HAL thermal profile. Hybrid TGA curves underlay the effective T1-3 retention into the HAL structure. It was proposed that organic molecules preferentially arranged on the surface due to electrostatic attractions with the outer layer and repulsion with the inner layer [26,27].  In Figure 5, DSC profiles of pure HAL, T1-3, and their interaction products were compared. Unloaded HAL showed two endothermic peaks at 55 and 260 • C, corresponding to the loss of the physically adsorbed and intercalated water, respectively [28]. Loaded samples (TH1-3) did not show significant enthalpy energy deviations compared to the HAL profile, whereas the characteristic peaks of thermal degradation, present in the free prodrugs, completely disappeared, or became very low in intensity.
In Figure 5, DSC profiles of pure HAL, T1-3, and their interaction products were compared. Unloaded HAL showed two endothermic peaks at 55 and 260 °C, corresponding to the loss of the physically adsorbed and intercalated water, respectively [28]. Loaded samples (TH1-3) did not show significant enthalpy energy deviations compared to the HAL profile, whereas the characteristic peaks of thermal degradation, present in the free prodrugs, completely disappeared, or became very low in intensity. The interaction mechanism between organic and inorganic components was evaluated with FT-IR analysis, comparing the spectra of loaded nanotubes with untreated materials ( Figure 6). Unloaded HAL showed distinctive bands at 3694-3623 cm −1 and 1652 cm −1 assigned to the stretching vibration of the two Al2OH and to the bending vibration of the physically adsorbed water, respectively. The observed band at 1119 cm −1 was generated by apical Si-O stretching vibration, those at 1003 and 907 cm −1 by Si-O-Si perpendicular stretching vibration, and those at 796 and 749 cm −1 to -OH translation vibration of HAL-OH units [17,19,29]. In nanohybrids, the presence of signals related to the inorganic and organic constituents mentioned above could suggest possible interactions between T1-3 derivatives and nanotubes, without affecting the HAL structure. Nanohybrids presented characteristic bands associated with prodrugs and clay that slightly moved when compared to the pure materials. These shifts could suggest the formation of new Van der Waals forces, ionic interactions, and hydrogen bonding responsible for the retention process. Finally, in accordance with the XRPD study, the retention seems to be limited only to the external surface because the typical bands at 3674 and 3654 cm −1 , visible only under a noise level of 0.1 and attributed to the stretching and out-of-phase vibrations related to the inner hydroxyl groups, did not disappear. Since the low amount of organic material in the nanocomposites, the X-array diffractogram patterns, and FT-IR results cannot alone confirm the successful interactions of the drug onto the HAL surface. These results become consistent if associated with the thermal analysis, which clearly highlights the effective adsorption between T1-3 and HAL. The interaction mechanism between organic and inorganic components was evaluated with FT-IR analysis, comparing the spectra of loaded nanotubes with untreated materials (Figure 6). Unloaded HAL showed distinctive bands at 3694-3623 cm −1 and 1652 cm −1 assigned to the stretching vibration of the two Al 2 OH and to the bending vibration of the physically adsorbed water, respectively. The observed band at 1119 cm −1 was generated by apical Si-O stretching vibration, those at 1003 and 907 cm −1 by Si-O-Si perpendicular stretching vibration, and those at 796 and 749 cm −1 to -OH translation vibration of HAL-OH units [17,19,29]. In nanohybrids, the presence of signals related to the inorganic and organic constituents mentioned above could suggest possible interactions between T1-3 derivatives and nanotubes, without affecting the HAL structure. Nanohybrids presented characteristic bands associated with prodrugs and clay that slightly moved when compared to the pure materials. These shifts could suggest the formation of new Van der Waals forces, ionic interactions, and hydrogen bonding responsible for the retention process. Finally, in accordance with the XRPD study, the retention seems to be limited only to the external surface because the typical bands at 3674 and 3654 cm −1 , visible only under a noise level of 0.1 and attributed to the stretching and out-of-phase vibrations related to the inner hydroxyl groups, did not disappear. Since the low amount of organic material in the nanocomposites, the X-array diffractogram patterns, and FT-IR results cannot alone confirm the successful interactions of the drug onto the HAL surface. These results become consistent if associated with the thermal analysis, which clearly highlights the effective adsorption between T1-3 and HAL.
The reason for which T1-3 do not reach the inner lumen should be of electrostatic nature: cationic prodrugs are rejected by the positively charged inner surface [30].
HAL-based nanocomposites were developed to improve drug-like properties as well as the bioavailability and efficacy of T1-3. These goals have been achieved, as shown in the release profiles reported in Figure 7. Compared to the free T1-3, all the formulations ensure a slower release of T1-3 over time, protecting them from unfavorable environmental conditions that favor their premature hydrolysis. The rate of drug release is greater for TH3 (>60%) compared to TH1-2 composites. Since the proposed wound-healing application, the ability to control the drug release could be useful for better wound management. Indeed, the sustained release offers the advantage to reduce the frequencies of administration and guarantees a continuous level of therapeutics in the site of action, which gradually, at physiological pH, undergo bioconversion in the parent drugs by hydrolysis of the ester linkage. After 6 h, T1-3 were not completely released from HAL nanocomposites, probably The reason for which T1-3 do not reach the inner lumen should be of electrostatic nature: cationic prodrugs are rejected by the positively charged inner surface [30].
HAL-based nanocomposites were developed to improve drug-like properties as well as the bioavailability and efficacy of T1-3. These goals have been achieved, as shown in the release profiles reported in Figure 7. Compared to the free T1-3, all the formulations ensure a slower release of T1-3 over time, protecting them from unfavorable environmental conditions that favor their premature hydrolysis. The rate of drug release is greater for TH3 (>60%) compared to TH1-2 composites. Since the proposed wound-healing application, the ability to control the drug release could be useful for better wound management. Indeed, the sustained release offers the advantage to reduce the frequencies of administration and guarantees a continuous level of therapeutics in the site of action, which gradually, at physiological pH, undergo bioconversion in the parent drugs by hydrolysis of the ester linkage. After 6 h, T1-3 were not completely released from HAL nanocomposites, probably because during the desorption processes, drug-clay interactions prevail over those between the clay and ions present in the external medium.   The reason for which T1-3 do not reach the inner lumen should be of electrostatic nature: cationic prodrugs are rejected by the positively charged inner surface [30].
HAL-based nanocomposites were developed to improve drug-like properties as well as the bioavailability and efficacy of T1-3. These goals have been achieved, as shown in the release profiles reported in Figure 7. Compared to the free T1-3, all the formulations ensure a slower release of T1-3 over time, protecting them from unfavorable environmental conditions that favor their premature hydrolysis. The rate of drug release is greater for TH3 (>60%) compared to TH1-2 composites. Since the proposed wound-healing application, the ability to control the drug release could be useful for better wound management. Indeed, the sustained release offers the advantage to reduce the frequencies of administration and guarantees a continuous level of therapeutics in the site of action, which gradually, at physiological pH, undergo bioconversion in the parent drugs by hydrolysis of the ester linkage. After 6 h, T1-3 were not completely released from HAL nanocomposites, probably because during the desorption processes, drug-clay interactions prevail over those between the clay and ions present in the external medium.  Taking together these results, it was proposed that T1-3, due to their physico-chemical features, interact with the clay and exploit an adsorption via electrostatic interaction between the T1-3 cationic amine group and the HAL-external negatively charged surface. This prevalent mechanism of drug retention, as well as the interaction processes, were confirmed through the solid-state characterization of drug-clay hybrids, which proves the effective retention of T1-3 into the HAL structure. Furthermore, release studies revealed the suitability of TH1-3 as a sustained delivery strategy useful to guarantee therapeutic levels of drugs to the site of action and ensure their subsequent penetration in infected wounds.

Wound Healing and Antimicrobial Assays
To understand the effect of TH1-3 in the re-epithelialization and wound healing, cellbased scratch assays with a HaCaT cells monolayer were performed on an in vitro artificial wound model. Preliminary experiments were performed using different concentrations (10, 1, 0.1 µg/mL) of HAL and T1-3. The rate of scratched monolayer closure was evaluated through the observation of the re-population in the area between the wound edges after 24-48 h from the induced injury. Optical microscopy was used to observe cells migrating into the wound area and a series of images were acquired, within the range 24-48 h, to study the cells' migration into the cell-free gap (assumed 100% at time zero), and the wound closure. Results, from three independent experiments in duplicate, expressed as reduction in free-cells area percentages, as well as representative images from microscopic observations of scratched monolayers, are shown in Figure 8.

Wound Healing and Antimicrobial Assays
To understand the effect of TH1-3 in the re-epithelialization and wound healing, cellbased scratch assays with a HaCaT cells monolayer were performed on an in vitro artificial wound model. Preliminary experiments were performed using different concentrations (10, 1, 0.1 µg/mL) of HAL and T1-3. The rate of scratched monolayer closure was evaluated through the observation of the re-population in the area between the wound edges after 24-48 h from the induced injury. Optical microscopy was used to observe cells migrating into the wound area and a series of images were acquired, within the range 24-48 h, to study the cells' migration into the cell-free gap (assumed 100% at time zero), and the wound closure. Results, from three independent experiments in duplicate, expressed as reduction in free-cells area percentages, as well as representative images from microscopic observations of scratched monolayers, are shown in Figure 8. After 24 h of scratching, the cell-free area, exposed to 1 µg/mL of HAL, T1, T2, and T3, decreased from 100% to 38%, 51%, 44%, and 63%, respectively. HAL, at all the tested concentrations, improved wound closure, showing the best efficacy after 48 h, at the assessed concentration of 1 µg/mL (cell-free area: 7%). After 48 h from the wound induction, T1 and T2, at the concentration of 1 µg/mL, promoted a complete closure of the wound area while, in cells treated with T3, 9% of the wound was cell-free. At 24 h, THs formulations, at 1 µg/mL, induced a significant cell migration, reducing the gap size up to 13%, After 24 h of scratching, the cell-free area, exposed to 1 µg/mL of HAL, T1, T2, and T3, decreased from 100% to 38%, 51%, 44%, and 63%, respectively. HAL, at all the tested concentrations, improved wound closure, showing the best efficacy after 48 h, at the assessed concentration of 1 µg/mL (cell-free area: 7%). After 48 h from the wound induction, T1 and T2, at the concentration of 1 µg/mL, promoted a complete closure of the wound area while, in cells treated with T3, 9% of the wound was cell-free. At 24 h, THs formulations, at 1 µg/mL, induced a significant cell migration, reducing the gap size up to 13%, 8%, and 5% for TH1, TH2, and TH3, respectively. At 48 h, a complete wound closure (0% cell-free area) was achieved (Figure 9). Based on these considerations, the concentration of 1 µg/mL was selected as the best one. Figure 10 better elucidates the effects of 1 µg/mL of HAL, T1-3, and TH1-3 on the repair process. All the tested formulations improved the closure of the open wound better than HAL or T1-3 separately. These data are also summarized in Table 2. In fact, 24 h after the injury, the treatment with TH1-3 significantly accelerated the rate of the monolayer repair process compared to HAL or T1-3 alone. TH1 improved the wound healing, reducing the wound width up to 27% compared to the 30% and 45% observed with TH2 and TH3, respectively (Table 2). TH1-3 favored the re-epithelialization of scratched HaCat monolayers more than free T1-3. Furthermore, TH3 at 1 µg/mL has greater biological activity on wound healing and is more efficacious than TH1 and TH2 at the same tested concentration. The analysis revealed not significant differences between spontaneous and HAL alone, T1-3 and TH1, while a significant increase in closure rate was observed in the presence of TH2 and TH3. No significant variations were observed comparing T1-3 and TH1-3 to HAL alone. After 48h, the percentage of free area was reduced in all samples, thus no significant differences between all conditions were observed. Bearing in mind the essential barrier function of the epidermis, when damage happens, it is necessary to re-establish tissue integrity quickly and as best as possible through the re-epithelialization process. Keratinocyte proliferation and migration represent essential steps in the re-epithelialization process during wound healing. The higher activity of TH1-3, compared to the free T1-3, can be attributed to the nano size structure, as well as to the high surface area-to-volume ratio. It is likely that these features allow the nanocomposites to establish additional favorable interactions with the wound area, ensuring an easier penetration of the skin layers. Table 2. Wound healing is expressed as the percentage of cell-free area (mean ± SD) relative to the original size of each treatments (wound area)/(original wound area)·100. 8%, and 5% for TH1, TH2, and TH3, respectively. At 48 h, a complete wound closure (0% cell-free area) was achieved ( Figure 9). Based on these considerations, the concentration of 1 µg/mL was selected as the best one. Figure 10 better elucidates the effects of 1 µg/mL of HAL, T1-3, and TH1-3 on the repair process. All the tested formulations improved the closure of the open wound better than HAL or T1-3 separately. These data are also summarized in Table 2. In fact, 24 h after the injury, the treatment with TH1-3 significantly accelerated the rate of the monolayer repair process compared to HAL or T1-3 alone. TH1 improved the wound healing, reducing the wound width up to 27% compared to the 30% and 45% observed with TH2 and TH3, respectively (Table 2). TH1-3 favored the re-epithelialization of scratched HaCat monolayers more than free T1-3. Furthermore, TH3 at 1 µg/mL has greater biological activity on wound healing and is more efficacious than TH1 and TH2 at the same tested concentration. The analysis revealed not significant differences between spontaneous and HAL alone, T1-3 and TH1, while a significant increase in closure rate was observed in the presence of TH2 and TH3. No significant variations were observed comparing T1-3 and TH1-3 to HAL alone. After 48h, the percentage of free area was reduced in all samples, thus no significant differences between all conditions were observed. Bearing in mind the essential barrier function of the epidermis, when damage happens, it is necessary to re-establish tissue integrity quickly and as best as possible through the re-epithelialization process. Keratinocyte proliferation and migration represent essential steps in the re-epithelialization process during wound healing. The higher activity of TH1-3, compared to the free T1-3, can be attributed to the nano size structure, as well as to the high surface area-to-volume ratio. It is likely that these features allow the nanocomposites to establish additional favorable interactions with the wound area, ensuring an easier penetration of the skin layers.   Exposed tissues in wounds are more susceptible to microbial contamination, which can produce detrimental alterations and subsequent impairment in the wound-healing processes [31]. Notably, aerobic, or facultative pathogens are the major triggers of delayed healing and infections in chronic and acute wounds. Considering that the healing process could be affected also by the presence of bacteria, TH1-3 formulations were further evaluated for their antimicrobial activity against S. aureus, P. aeruginosa, and S. epidermidis. S. aureus, and epidermidis were selected as prototypes of Gram-positive and negative bacteria, respectively, and are notoriously resistant to therapeutics, which frequently colonize Exposed tissues in wounds are more susceptible to microbial contamination, which can produce detrimental alterations and subsequent impairment in the wound-healing processes [31]. Notably, aerobic, or facultative pathogens are the major triggers of delayed healing and infections in chronic and acute wounds. Considering that the healing process could be affected also by the presence of bacteria, TH1-3 formulations were further evaluated for their antimicrobial activity against S. aureus, P. aeruginosa, and S. epidermidis. S. aureus, and epidermidis were selected as prototypes of Gram-positive and negative bacteria, respectively, and are notoriously resistant to therapeutics, which frequently colonize chronic wounds [32][33][34]. The choice of the selected microorganisms also took into account their prevalence in the various stages of the wound. Indeed, there is evidence that in an early phase of the chronic wound, S. aureus, including methicillin resistant S. aureus (MRSA), are predominant, while, in the advanced stages, Gram-negative bacteria, including Pseudomonas varieties, are recognized as responsible for a penetration of the profounder layers of skin, producing significant tissue injury [31,33]. In time-kill assays, a reduction in the CFU was observed after 8 h when bacteria were grown in the presence of HAL and TH1-3. TH1 showed the greatest activity against S. aureus, with a decrease of 3 and 2 log compared to the control and unloaded HAL, respectively ( Figure 11A). TH2 had a visible effect on S. aureus ATCC 43300 but resulted as being less active against S. aureus ATCC 29213 ( Figure 11B). Conversely, HAL alone and TH1-3 showed similar effects against S. epidermidis ( Figure 11C). A reduction of 2 log of the CFU were observed when the P. aeruginosa strain growth was treated with TH1-3, while HAL alone demonstrated a lower activity ( Figure 11D). Moreover, the growth reduction was notable already after 1 h of incubation. Our results highlight that TH1-3 possess wound-dressing activity, combining tissue regeneration and antimicrobial properties, as suggested by both wound-healing and timekill experiments. They are able to promote the re-epithelialization of scratched HaCat monolayers better than T1-3 alone, making the tissue repair process easier. Furthermore, THs, in some cases, enhanced the HAL activity by affecting the bacterial growth. These results could be particularly interesting since treatment of wounds with TH1-3 could reduce the time for the wound healing and at the same time hamper the bacterial growth, protecting wounds from infections or blocking a contamination that is already in progress, with considerable advantages for the patients.

Conclusions
Wound management has gained much interest in recent decades due to the increase in chronic wounds and the complications correlated with them. In this context, the present work describes the development of potential wound-dressing materials obtained by combining halloysite nanocomposites as a drug delivery system, and T1-3 as antimicrobials. Based on the performed characterization studies, all the formulations provide a controlled release of the adsorbed compounds. In vitro studies highlighted that TH1-3 possessed greater wound-healing properties than the free T1-3, as well as antimicrobial properties. Specifically, TH2 and TH3 demonstrated a significantly greater ability to promote scratch repair compared to spontaneous wound healing (p = 0.03; p = 0.02, respectively), suggesting their potential use as wound-dressing material. These data support further investigations of the developed formulations in an in vivo model of infected wounds.