Zhao Yue, Li Zuhao, Li Qiuju, Yang Longfei, Liu Hou, Yan Ruyue, Xiao Lizhi, Liu He, Wang Jingcheng, Yang Bai, Lin Quan
State Key Lab of Supramolecular Structure and Materials, College of Chemistry, Jilin University, Changchun, 130012, P. R. China.
Orthopaedic Medical Center, The Second Hospital of Jilin University, Changchun, 130041, P. R. China.
Macromol Rapid Commun. 2020 Dec;41(24):e2000441. doi: 10.1002/marc.202000441. Epub 2020 Oct 21.
Diabetic foot ulcers (DFU) remain a very considerable health care burden, and their treatment is difficult. Hydrogel-based wound dressings are appealing to provide an optimal environment for wound repair. However, the currently available hydrogel dressings still need surgical or mechanical debridement from the wound, causing reinjury of the newly formed tissues, wound infection, delayed healing time, and personal suffering. Additionally, to meet people's increasing demand, hydrogel wound dressings with improved performance and multifunctionality are urgently required. Here, a new multifunctional supramolecular hydrogel for on-demand dissolvable diabetic foot wound dressings is designed and constructed. Based on multihydrogen bonds between hydrophilic polymers, the resultant supramolecular hydrogels present controlled and excellent properties, such as good transparency, antibacterial ability, conductive, and self-healing properties. Thus, the supramolecular hydrogels improve the new tissue formation and provide a significant therapeutic effect on DFU by inducing angiogenesis, enhancing collagen deposition, preventing bacterial infection, and controlling wound infection. Remarkably, the resultant hydrogels also exhibit stimuli-responsive ability, which renders its capability to be dissolved on-demand, allowing for a facile DFU dressing removal. This multifunctional supramolecular hydrogel may provide a novel concept in the design of on-demand dissolvable wound dressings.
糖尿病足溃疡(DFU)仍然是一个非常沉重的医疗负担,且其治疗困难。基于水凝胶的伤口敷料对于为伤口修复提供最佳环境具有吸引力。然而,目前可用的水凝胶敷料仍需要对伤口进行手术或机械清创,这会导致新形成组织的再损伤、伤口感染、愈合时间延迟以及患者痛苦。此外,为满足人们日益增长的需求,迫切需要性能更优且具有多功能性的水凝胶伤口敷料。在此,设计并构建了一种用于按需可溶解糖尿病足伤口敷料的新型多功能超分子水凝胶。基于亲水性聚合物之间的多重氢键,所得超分子水凝胶呈现出可控且优异的性能,如良好的透明度、抗菌能力、导电性和自愈性能。因此,超分子水凝胶通过诱导血管生成、增强胶原蛋白沉积、预防细菌感染和控制伤口感染来促进新组织形成,并对糖尿病足溃疡产生显著治疗效果。值得注意的是,所得水凝胶还表现出刺激响应能力,使其能够按需溶解,从而便于去除糖尿病足溃疡敷料。这种多功能超分子水凝胶可能为按需可溶解伤口敷料的设计提供一个新的概念。