Zanjan Pharmaceutical Nanotechnology Research Center (ZPNRC), and Department of Pharmaceutical Nanotechnology, School of Pharmacy, Zanjan University of Medical Sciences, 45139-56184 Zanjan, Iran.
State Key Laboratory for Mechanical Behavior of Materials, and Frontier Institute of Science and Technology, and Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi'an Jiaotong University, Xi'an 710049, Shaanxi Province, China.
ACS Nano. 2021 Dec 28;15(12):18895-18930. doi: 10.1021/acsnano.1c08334. Epub 2021 Dec 6.
Light is an attractive tool that has a profound impact on modern medicine. Particularly, light-based photothermal therapy (PTT) and photodynamic therapy (PDT) show great application prospects in the prevention of wound infection and promoting wound healing. In addition, hydrogels have shown attractive advantages in the field of wound dressings due to their excellent biochemical effects. Therefore, multifunctional photoresponsive hydrogels (MPRHs) that integrate the advantages of light and hydrogels are increasingly used in biomedicine, especially in the field of wound repair. However, a comprehensive review of MPRHs for wound regeneration is still lacking. This review first focuses on various types of MPRHs prepared by diverse photosensitizers, photothermal agents (PHTAs) including transition metal sulfide/oxides nanomaterials, metal nanostructure-based PHTAs, carbon-based PHTAs, conjugated polymer or complex-based PHTAs, and/or photodynamic agents (PHDAs) such as ZnO-based, black-phosphorus-based, TiO-based, and small organic molecule-based PHDAs. We also then discuss how PTT, PDT, and photothermal/photodynamic synergistic therapy can modulate the microenvironments of bacteria to inhibit infection. Overall, multifunctional hydrogels with both therapeutic and tissue regeneration capabilities have been discussed and existing challenges, as well as future research directions in the field of MPRHs and their application in wound management are argued.
光是一种极具吸引力的工具,对现代医学有着深远的影响。特别是基于光的光热疗法(PTT)和光动力疗法(PDT)在预防伤口感染和促进伤口愈合方面显示出了巨大的应用前景。此外,水凝胶因其优异的生化效应在伤口敷料领域表现出了诱人的优势。因此,将光和水凝胶的优势相结合的多功能光响应水凝胶(MPRHs)越来越多地应用于生物医学领域,特别是在伤口修复领域。然而,对于用于伤口再生的 MPRHs 仍缺乏全面的综述。本文首先重点介绍了各种不同的光致剂和光热剂(PHTAs)制备的 MPRHs,包括过渡金属硫化物/氧化物纳米材料、基于金属纳米结构的 PHTAs、基于碳的 PHTAs、共轭聚合物或复合物基 PHTAs 和/或光动力剂(PHDAs),如 ZnO 基、黑磷基、TiO 基和小分子基 PHDAs。我们还讨论了 PTT、PDT 和光热/光动力协同治疗如何调节细菌的微环境以抑制感染。总体而言,本文讨论了具有治疗和组织再生功能的多功能水凝胶,以及 MPRHs 领域的现有挑战和未来研究方向及其在伤口管理中的应用。