Department of Burns and Plastic Surgery, Institute of Translational Medicine, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing 210002, China.
Department of Dermatology, Zhongda Hospital, School of Biological Science and Medical Engineering, Southeast University, Nanjing 210096, China.
Sci Adv. 2023 May 24;9(21):eadg3478. doi: 10.1126/sciadv.adg3478.
Chronic hard-to-heal wounds draw great attention worldwide, as their treatments are limited by infections and hypoxia. Inspired by the natural oxygen production capacity of algae and the competitive advantage of beneficial bacteria over other microbes, we presented a living microecological hydrogel (LMH) with functionalized and encapsulation to realize continuous oxygen delivery and anti-infections for promoting chronic wound healing. As the hydrogel consisted of thermosensitive Pluronic F-127 and wet-adhesive polydopamine, the LMH could keep liquid at a low temperature while quickly solidifying and tightly adhering to the wound bed. It was demonstrated that by optimizing the proportion of the encapsulated microorganism, the could continuously produce oxygen to relieve hypoxia and support the proliferation of , while could eliminate the colonized pathogenic bacteria. Thus, the LMH substantially promoted the healing of infected diabetic wounds. These features make the LMH valuable for practical clinical applications.
慢性难愈性创面受到全世界的高度关注,其治疗受到感染和缺氧的限制。受藻类自然产氧能力和有益细菌相对于其他微生物的竞争优势的启发,我们提出了一种具有功能化和封装的活体微生物水凝胶(LMH),以实现持续的氧气输送和抗感染,从而促进慢性创面愈合。由于水凝胶由温敏性 Pluronic F-127 和湿黏附性聚多巴胺组成,LMH 可以在低温下保持液体状态,同时迅速固化并紧密贴合创面床。研究表明,通过优化封装微生物的比例,可以持续产生氧气以缓解缺氧并支持 的增殖,同时 可以消除定植的病原菌。因此,LMH 极大地促进了感染性糖尿病创面的愈合。这些特性使 LMH 具有实际的临床应用价值。