Department of Thyroid and Breast Surgery, Zhongnan Hospital of Wuhan University, School of Pharmaceutical Sciences, Wuhan University, Wuhan, 430071, P. R. China.
Clinical Trial Center of Zhongnan Hospital, Wuhan University, Wuhan, 430071, P. R. China.
Adv Healthc Mater. 2023 Jul;12(19):e2300250. doi: 10.1002/adhm.202300250. Epub 2023 Apr 2.
Chronic wound healing is a major challenge in biomedicine. Conventional therapies are usually associated with poor drug permeability, low bioavailability, risk of antimicrobial resistance, and require frequent administration. Therefore, a novel formulation with reduced antibiotic dosage, improved drug delivery efficiency, and low application frequency is of remarkable interest for chronic wound healing. Herein, a multifunctional microneedle (MN) patch is presented to achieve rapid wound healing via efficient chemo-photodynamic antibacterial effect and sustained release of growth factors at the wound bed. When the MN patch pierces the skin, MN tips carrying both low dosage of antibiotics and bioactive small molecule-encapsulated metal-organic frameworks (MOFs) rapidly dissolve and subsequently deliver the payloads to the wound. Upon light irradiation, MOF-based nanoparticles robustly convert O into O , which acts synergistically with chemotherapy to remove pathogenic bacteria from the wound, exhibiting excellent chemo-photodynamic antibacterial performance with a tenfold reduction in the required antibiotic amount. The nanoparticles can achieve a continuous release of growth factors in the wound tissue, promoting the formation of epithelial tissue and neovascularization, thereby further accelerating chronic wound healing. Collectively, the designed multifunctional MOF-based MN patches offer a simple, safe, and effective alternative for chronic wound management.
慢性伤口愈合是生物医学领域的一大挑战。传统疗法通常存在药物渗透性差、生物利用度低、抗菌耐药风险以及需要频繁给药等问题。因此,一种新型的制剂,其具有减少抗生素剂量、提高药物递送效率和降低应用频率的特点,对于慢性伤口愈合具有重要意义。本文中,设计了一种多功能微针(MN)贴片,通过高效的化学-光动力抗菌作用和在伤口床处持续释放生长因子来实现快速伤口愈合。当 MN 贴片刺穿皮肤时,携带低剂量抗生素和包载生物活性小分子的金属-有机框架(MOF)的 MN 针尖迅速溶解,并随后将药物递送到伤口部位。光照后,基于 MOF 的纳米颗粒将 O 高效地转化为 O ,与化疗协同作用,从伤口中去除病原菌,表现出优异的化学-光动力抗菌性能,所需抗生素的量减少了十倍。纳米颗粒可以在伤口组织中实现生长因子的持续释放,促进上皮组织和新生血管的形成,从而进一步加速慢性伤口愈合。总之,设计的基于多功能 MOF 的 MN 贴片为慢性伤口管理提供了一种简单、安全、有效的替代方案。