一种基于肽的 pH 敏感型抗菌水凝胶,用于治疗耐药生物膜感染的糖尿病伤口。
A peptide-based pH-sensitive antibacterial hydrogel for healing drug-resistant biofilm-infected diabetic wounds.
机构信息
Xiangya School of Pharmaceutical Sciences, Central South University, Changsha, 410013, P. R. China.
Hunan Key Laboratory of Diagnostic and Therapeutic Drug Research for Chronic Diseases, Central South University, Changsha, 410013, P. R. China.
出版信息
J Mater Chem B. 2024 Jun 5;12(22):5525-5534. doi: 10.1039/d4tb00594e.
Diabetic foot ulcers are a significant complication affecting roughly 15% of diabetic patients. These chronic wounds can be incredibly burdensome, leading to high treatment costs, potential amputations, and additional health complications. Microbiological studies reveal that bacterial infections are the primary culprit behind delayed wound healing. To solve the problem of infection at the wound site, the most fundamental thing is to kill the pathogenic bacteria. Herein, a neoteric strategy to construct novel antibacterial hydrogel COA-T3 that combined photosensitizers (PSs) and antimicrobial peptides (AMPs) covalent coupling was proposed. Hydrogel COA-T3 composed of quaternized chitosan (QCS) and oxidized dextran (OD) was constructed for co-delivery of the photosensitizer TPI-PN and the antimicrobial peptide HHC10. and experiments demonstrated remarkable effectiveness of COA-T3 against drug-resistant bacteria. Furthermore, the hydrogel significantly promoted healing of diabetic infected wounds. This enhanced antibacterial activity is attributed to the pH-sensitive release of both PSs and AMPs within the hydrogel. Additionally, COA-T3 exhibits excellent biocompatibility, making it a promising candidate for wound dressing materials. These findings indicated that the COA-T3 hydrogel is a promising wound dressing material for promoting the healing of diabetic foot ulcers by providing an environment conducive to improved wound healing in diabetic patients.
糖尿病足溃疡是一种严重的并发症,影响大约 15%的糖尿病患者。这些慢性伤口非常沉重,导致治疗费用高、潜在的截肢和其他健康并发症。微生物研究表明,细菌感染是导致伤口愈合延迟的主要原因。为了解决伤口部位的感染问题,最根本的是要杀死致病菌。在这里,提出了一种构建新型抗菌水凝胶 COA-T3 的新策略,该策略将光敏剂 (PS) 和抗菌肽 (AMP) 进行共价偶联。水凝胶 COA-T3 由季铵化壳聚糖 (QCS) 和氧化葡聚糖 (OD) 组成,用于共递送光敏剂 TPI-PN 和抗菌肽 HHC10。实验证明 COA-T3 对耐药菌具有显著的疗效。此外,该水凝胶显著促进了糖尿病感染伤口的愈合。这种增强的抗菌活性归因于水凝胶中 PS 和 AMP 的 pH 敏感释放。此外,COA-T3 表现出良好的生物相容性,使其成为一种有前途的伤口敷料材料。这些发现表明,COA-T3 水凝胶是一种有前途的伤口敷料材料,通过为糖尿病患者提供有利于改善伤口愈合的环境,可促进糖尿病足溃疡的愈合。