甘露糖修饰共聚物促进丁酸盐的控释,加速慢性伤口愈合。

Mannose-Decorated Co-Polymer Facilitates Controlled Release of Butyrate to Accelerate Chronic Wound Healing.

机构信息

Pritzker School of Molecular Engineering, University of Chicago, Chicago, IL, 60637, USA.

出版信息

Adv Healthc Mater. 2023 Oct;12(26):e2300515. doi: 10.1002/adhm.202300515. Epub 2023 Aug 22.

Abstract

Butyrate is a key bacterial metabolite that plays an important and complex role in modulation of immunity and maintenance of epithelial barriers. Its translation to clinic is limited by poor bioavailability, pungent smell, and the need for high doses, and effective delivery strategies have yet to realize clinical potential. Here, a novel polymeric delivery platform for tunable and sustainable release of butyrate consisting of a methacrylamide backbone with butyryl ester or phenyl ester side chains as well as mannosyl side chains, which is also applicable to other therapeutically relevant metabolites is reported. This platform's utility in the treatment of non-healing diabetic wounds is explored. This butyrate-containing material modulated immune cell activation in vitro and induced striking changes in the milieu of soluble cytokine and chemokine signals present within the diabetic wound microenvironment in vivo. This novel therapy shows efficacy in the treatment of non-healing wounds through the modulation of the soluble signals present within the wound, and importantly accommodates the critical temporal regulation associated with the wound healing process. Currently, the few therapies to address non-healing wounds demonstrate limited efficacy. This novel platform is positioned to address this large unmet clinical need and improve the closure of otherwise non-healing wounds.

摘要

丁酸盐是一种关键的细菌代谢产物,在调节免疫和维持上皮屏障方面发挥着重要而复杂的作用。但其在临床上的应用受到生物利用度差、气味刺鼻和需要高剂量的限制,有效的递送策略尚未实现临床潜力。在这里,我们报道了一种新型聚合物递送平台,用于丁酸盐的可调谐和可持续释放,该平台由带有丁酰酯或苯酯侧链以及甘露糖侧链的甲基丙烯酰胺主链组成,也适用于其他治疗相关的代谢物。研究了该平台在治疗非愈合性糖尿病伤口中的应用。该含丁酸盐的材料在体外调节免疫细胞的激活,并在体内诱导糖尿病伤口微环境中存在的可溶性细胞因子和趋化因子信号的环境发生显著变化。通过调节伤口内存在的可溶性信号,这种新型疗法在治疗非愈合性伤口方面显示出疗效,并且重要的是适应了与伤口愈合过程相关的关键时间调节。目前,解决非愈合性伤口的少数疗法显示出有限的疗效。这个新的平台被定位为解决这一巨大的未满足的临床需求,并改善否则无法愈合的伤口的闭合。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e325/11468131/06f59480b151/ADHM-12-2300515-g002.jpg

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