具有微环境响应性的双重交联铜-单宁酸纳米粒子用于感染性伤口治疗。

Dually Crosslinked Copper-Poly(tannic acid) Nanoparticles with Microenvironment-Responsiveness for Infected Wound Treatment.

机构信息

Hospital of Stomatology, Guangdong Provincial Key Laboratory of Stomatology, Institute of Stomatological Research, Guanghua School of Stomatology, Sun Yat-sen University, Guangzhou, Guangdong, 510055, P. R. China.

Laboratory of Biomaterials, Key Laboratory on Assisted Circulation, Ministry of Health, Cardiovascular Division, First Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, 510080, P. R. China.

出版信息

Adv Healthc Mater. 2023 Jul;12(17):e2203063. doi: 10.1002/adhm.202203063. Epub 2023 Mar 12.

Abstract

Reducing the burden of death due to wound infection is an urgent global public health priority. Metal-phenolic networks (MPNs) have received widespread attention in antimicrobial infections due to their facile synthesis process, excellent biocompatibility, and antimicrobial properties brought about by polyphenols and metal ions. However, typical therapeutic MPNs show rapid release of metal ions due to their poor solution stability, impeding long-acting efficacy in multiple wound healing stages. To address these issues, copper-poly (tannic acid) nanoparticles (Cu-PTA NPs): robust (dually crosslinked), microenvironment-responsive, antibacterial, antioxidative, and anti-inflammatory are prepared, which hierarchically modulate the infected wound healing process. Covalently polymerized via phenol-formaldehyde condensation and crosslinked with bioactive Cu , reactive polyphenols are preserved, and Cu is efficiently entrapped in the PTA scaffold. The proposed strategy relieves the systemic toxicity, and only high reactive oxygen species (ROS)level as stimuli can "turn on" the catalytic activity of Cu to implement antibacterial therapy specifically in an infected wound. Systematic tissue regeneration assessment on the infected full-thickness skin wounds of rats demonstrates enhanced wound healing rate. Cu-PTA NPs enables the direct application in infected wound and exertion of long-acting healing efficacy. This synergetic therapy strategy will pave the way for more complicated infections and inflammatory diseases.

摘要

降低创伤感染导致的死亡负担是一项紧迫的全球公共卫生重点。由于金属-酚网络(MPN)具有简便的合成工艺、优异的生物相容性以及多酚和金属离子带来的抗菌性能,因此在抗菌感染方面受到了广泛关注。然而,由于其溶液稳定性差,典型的治疗性 MPN 会迅速释放金属离子,从而阻碍了在多个伤口愈合阶段的长效疗效。为了解决这些问题,制备了铜-聚(没食子酸)纳米粒子(Cu-PTA NPs):坚固(双重交联)、微环境响应、抗菌、抗氧化和抗炎,这些特性分层调节了感染性伤口愈合过程。通过酚醛缩合共价聚合并与生物活性 Cu 交联,保留了反应性多酚,并将 Cu 有效地包埋在 PTA 支架中。该策略缓解了全身毒性,只有高活性氧(ROS)水平作为刺激物才能“开启”Cu 的催化活性,从而在感染的伤口中特异性地实施抗菌治疗。对大鼠感染全厚皮肤伤口的系统组织再生评估表明,伤口愈合速度得到了提高。Cu-PTA NPs 可直接应用于感染性伤口并发挥长效愈合效果。这种协同治疗策略将为更复杂的感染和炎症性疾病铺平道路。

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