State Key Laboratory of Advanced Medical Materials and Devices, Tianjin Key Laboratory of Radiation Medicine and Molecular Nuclear Medicine, Key Laboratory of Radiopharmacokinetics for Innovative Drugs, Tianjin Institutes of Health Science, Institute of Radiation Medicine, Chinese Academy of Medical Sciences & Peking Union Medical College, Tianjin 300192, P. R. China.
ACS Appl Bio Mater. 2024 Jun 17;7(6):4116-4132. doi: 10.1021/acsabm.4c00427. Epub 2024 May 21.
The management of multibacterial infections remains clinically challenging in the care and treatment of chronic diabetic wounds. Photodynamic therapy (PDT) offers a promising approach to addressing bacterial infections. However, the limited target specificity and internalization properties of traditional photosensitizers (PSs) toward Gram-negative bacteria pose significant challenges to their antibacterial efficacy. In this study, we designed an iron heme-mimetic PS (MnO@Fe-TCPP(Zn)) based on the iron dependence of bacteria that can be assimilated by bacteria and retained in different bacteria strains (, , and methicillin-resistant ) and which shows high PDT antibacterial efficacy. For accelerated wound healing after antibacterial treatment, MnO@Fe-TCPP(Zn) was loaded into a zwitterionic hydrogel with biocompatibility and antifouling properties to form a nanocomposite antibacterial hydrogel (PSB-MnO@Fe-TCPP(Zn)). In the multibacterial infectious diabetic mouse wound model, the PSB-MnO@Fe-TCPP(Zn) hydrogel dressing rapidly promoted skin regeneration by effectively inhibiting bacterial infections, eliminating inflammation, and promoting angiogenesis. This study provides an avenue for developing broad-spectrum antibacterial nanomaterials for combating the antibiotic resistance crisis and promoting the healing of complex bacterially infected wounds.
在慢性糖尿病伤口的护理和治疗中,多细菌感染的管理仍然具有临床挑战性。光动力疗法(PDT)为解决细菌感染提供了一种有前途的方法。然而,传统光敏剂(PS)对革兰氏阴性菌的靶向特异性和内化特性有限,对其抗菌效果构成了重大挑战。在这项研究中,我们设计了一种基于细菌铁依赖性的铁血红素模拟 PS(MnO@Fe-TCPP(Zn)),它可以被细菌同化,并在不同的细菌菌株(、、和耐甲氧西林)中保留,并且显示出高 PDT 抗菌功效。为了在抗菌治疗后加速伤口愈合,MnO@Fe-TCPP(Zn) 被装载到具有生物相容性和抗污性的两性离子水凝胶中,形成纳米复合抗菌水凝胶(PSB-MnO@Fe-TCPP(Zn))。在多细菌感染的糖尿病小鼠伤口模型中,PSB-MnO@Fe-TCPP(Zn) 水凝胶敷料通过有效抑制细菌感染、消除炎症和促进血管生成,迅速促进皮肤再生。这项研究为开发广谱抗菌纳米材料提供了一个途径,以应对抗生素耐药性危机并促进复杂细菌感染伤口的愈合。
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