可注射多功能壳聚糖/葡聚糖基水凝胶加速放射复合烧伤创面愈合。
Injectable multifunctional chitosan/dextran-based hydrogel accelerates wound healing in combined radiation and burn injury.
机构信息
Beijing Institute of Radiation Medicine, Beijing 100850, China.
Beijing Institute of Radiation Medicine, Beijing 100850, China; Hebei University, Baoding 071002, China.
出版信息
Carbohydr Polym. 2023 Sep 15;316:121024. doi: 10.1016/j.carbpol.2023.121024. Epub 2023 May 18.
Clinical wound management of combined radiation and burn injury (CRBI) remains a huge challenge due to serious injuries induced by redundant reactive oxygen species (ROS), the accompanying hematopoietic, immunologic suppression and stem cell reduction. Herein, the injectable multifunctional Schiff base cross-linked with gallic acid modified chitosan (CSGA)/oxidized dextran (ODex) hydrogels were rationally designed to accelerate wound healing through elimination of ROS in CRBI. CSGA/ODex hydrogels, fabricated by mixing solutions of CSGA and Odex, displayed good self-healing ability, excellent injectability, strong antioxidant activity, and favorable biocompatibility. More importantly, CSGA/ODex hydrogels exhibited excellent antibacterial properties, which is facilitated for wound healing. Furthermore, CSGA/ODex hydrogels significantly suppressed the oxidative damage of L929 cells in an HO-induced ROS microenvironment. The recovery of mice with CRBI in mice demonstrated that CSGA/ODex hydrogels significantly reduced the hyperplasia of epithelial cells and the expression of proinflammatory cytokine, and accelerated wound healing which was superior to the treatment with commercial triethanolamine ointment. In conclusion, the CSGA/ODex hydrogels as a wound dressing could accelerate the wound healing and tissue regeneration of CRBI, which provides great potential in clinical treatment of CRBI.
由于冗余活性氧 (ROS) 引起的严重损伤、伴随的造血、免疫抑制和干细胞减少,联合辐射和烧伤损伤 (CRBI) 的临床伤口管理仍然是一个巨大的挑战。在此,通过消除 CRBI 中的 ROS,合理设计了用没食子酸修饰壳聚糖 (CSGA)/氧化葡聚糖 (ODex) 的多功能席夫碱交联的可注射水凝胶来加速伤口愈合。CSGA/ODex 水凝胶通过混合 CSGA 和 Odex 的溶液制备,具有良好的自修复能力、优异的可注射性、强大的抗氧化活性和良好的生物相容性。更重要的是,CSGA/ODex 水凝胶具有优异的抗菌性能,有利于伤口愈合。此外,CSGA/ODex 水凝胶在 HO 诱导的 ROS 微环境中显著抑制了 L929 细胞的氧化损伤。CRBI 小鼠的恢复表明,CSGA/ODex 水凝胶显著减少了上皮细胞的增生和促炎细胞因子的表达,并加速了伤口愈合,优于商业三乙醇胺软膏的治疗效果。总之,CSGA/ODex 水凝胶作为一种伤口敷料可以加速 CRBI 的伤口愈合和组织再生,为 CRBI 的临床治疗提供了巨大的潜力。