Department of Pharmacy, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, People's Republic of China.
School of Pharmacy, Xi'an Jiaotong University, Xi'an, Shaanxi, People's Republic of China.
Int J Nanomedicine. 2023 Nov 8;18:6425-6448. doi: 10.2147/IJN.S434535. eCollection 2023.
Chronic wounds are recalcitrant complications of a variety of diseases, with pathologic features including bacterial infection, persistent inflammation, and proliferation of reactive oxygen species (ROS) levels in the wound microenvironment. Currently, the use of antimicrobial drugs, debridement, hyperbaric oxygen therapy, and other methods in clinical for chronic wound treatment is prone to problems such as bacterial resistance, wound expansion, and even exacerbation. In recent years, researchers have proposed many novel materials for the treatment of chronic wounds targeting the disease characteristics, among which metal-phenolic networks (MPNs) are supramolecular network structures that utilize multivalent metal ions and natural polyphenols complexed through ligand bonds. They have a flexible and versatile combination of structural forms and a variety of formations (nanoparticles, coatings, hydrogels, etc.) that can be constructed. Functionally, MPNs combine the chemocatalytic and bactericidal properties of metal ions as well as the anti-inflammatory and antioxidant properties of polyphenol compounds. Together with the excellent properties of rapid synthesis and negligible cytotoxicity, MPNs have attracted researchers' great attention in biomedical fields such as anti-tumor, anti-bacterial, and anti-inflammatory. This paper will focus on the composition of MPNs, the mechanisms of MPNs for the treatment of chronic wounds, and the application of MPNs in novel chronic wound therapies.
慢性伤口是多种疾病的难治性并发症,其病理特征包括细菌感染、持续炎症以及伤口微环境中活性氧(ROS)水平的增殖。目前,临床中用于慢性伤口治疗的抗菌药物、清创、高压氧治疗等方法容易出现细菌耐药、伤口扩大甚至恶化等问题。近年来,研究人员针对疾病特点提出了许多用于治疗慢性伤口的新型材料,其中金属-酚网络(MPN)是一种超分子网络结构,利用多价金属离子与通过配体键结合的天然多酚化合物。它们具有灵活多样的结构形式组合和多种形式(纳米颗粒、涂层、水凝胶等)的构建。在功能上,MPN 结合了金属离子的化学催化和杀菌特性以及多酚化合物的抗炎和抗氧化特性。此外,MPN 还具有快速合成和几乎没有细胞毒性的优异性能,这使其在抗肿瘤、抗菌和抗炎等生物医学领域引起了研究人员的极大关注。本文将重点介绍 MPN 的组成、MPN 治疗慢性伤口的机制以及 MPN 在新型慢性伤口治疗中的应用。
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