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无药物和非交联壳聚糖/透明质酸杂化水凝胶协同治疗感染性糖尿病创面。

Drug-free and non-crosslinked chitosan/hyaluronic acid hybrid hydrogel for synergistic healing of infected diabetic wounds.

机构信息

State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Orthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan 610041, China.

State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Orthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan 610041, China.

出版信息

Carbohydr Polym. 2023 Aug 15;314:120962. doi: 10.1016/j.carbpol.2023.120962. Epub 2023 Apr 27.

Abstract

The management of infected diabetic wounds remains a major challenge in clinical practice. Recently, multifunctional hydrogels have attracted much attention in the area of wound healing. Herein, we developed the drug-free and non-crosslinked chitosan (CS)/hyaluronic acid (HA) hybrid hydrogel, so as to combine the multiple functions of CS and HA for synergistic healing of the methicillin-resistant Staphylococcus aureus (MRSA)-infected diabetic wound. As a result, CS/HA hydrogel showed the broad-spectrum antibacterial activity, the great capacity for promoting fibroblasts proliferation and migration, the excellent reactive oxygen species (ROS) scavenging ability, and the great cell-protection effects under oxidative stress. In the MRSA-infected diabetic mouse wounds, CS/HA hydrogel significantly promoted the wound healing via eliminating MRSA infection and enhancing epidermal regeneration, collagen deposition and angiogenesis. Considering the drug-free feature, the ready availability, the great biocompatibility and the excellent wound healing efficacy, CS/HA hydrogel may have great potentials in clinical use for the management of chronic diabetic wounds.

摘要

感染性糖尿病创面的管理仍然是临床实践中的一个主要挑战。最近,多功能水凝胶在创面愈合领域引起了广泛关注。在此,我们开发了无药物和非交联壳聚糖(CS)/透明质酸(HA)杂化水凝胶,以结合 CS 和 HA 的多种功能,协同治疗耐甲氧西林金黄色葡萄球菌(MRSA)感染的糖尿病创面。结果,CS/HA 水凝胶表现出广谱抗菌活性、促进成纤维细胞增殖和迁移的巨大能力、出色的活性氧(ROS)清除能力以及在氧化应激下的良好细胞保护作用。在 MRSA 感染的糖尿病小鼠创面中,CS/HA 水凝胶通过消除 MRSA 感染和促进表皮再生、胶原沉积和血管生成,显著促进创面愈合。鉴于无药物、易得、良好的生物相容性和出色的创面愈合效果,CS/HA 水凝胶在慢性糖尿病创面管理的临床应用中可能具有巨大潜力。

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