Department of Otorhinolaryngology, the First Hospital of Jilin University, Changchun, People's Republic of China.
Department of Pediatric Respiration, the First Hospital of Jilin University, Changchun, People's Republic of China.
Int J Nanomedicine. 2024 May 20;19:4495-4513. doi: 10.2147/IJN.S460700. eCollection 2024.
Electrical stimulation (ES) can effectively promote skin wound healing; however, single-electrode-based ES strategies are difficult to cover the entire wound area, and the effectiveness of ES is often limited by the inconsistent mechanical properties of the electrode and wound tissue. The above factors may lead to ES treatment is not ideal.
A multifunctional conductive hydrogel dressing containing methacrylated gelatin (GelMA), TiC and collagen binding antimicrobial peptides (V-Os) was developed to improve wound management. TiC was selected as the electrode component due to its excellent electrical conductivity, the modified antimicrobial peptide V-Os could replace traditional antibiotics to suppress bacterial infections, and GelMA hydrogel was used due to its clinical applicability in wound healing.
The results showed that this new hydrogel dressing (GelMA@TiC/V-Os) not only has excellent electrical conductivity and biocompatibility but also has a durable and efficient bactericidal effect. The modified antimicrobial peptides V-Os used were able to bind more closely to GelMA hydrogel to exert long-lasting antibacterial effects. The results of cell experiment showed that the GelMA@TiC/V-Os hydrogel dressing could enhance the effect of current stimulation and significantly improve the migration, proliferation and tissue repair related genes expression of fibroblasts. In vitro experiments results showed that under ES, GelMA@TiC/V-Os hydrogel dressing could promote re-epithelialization, enhance angiogenesis, mediate immune response and prevent wound infection.
This multifunctional nanocomposite hydrogel could provide new strategies for promoting infectious wound healing.
电刺激(ES)能有效促进皮肤伤口愈合;然而,基于单电极的 ES 策略难以覆盖整个伤口区域,且 ES 的有效性常受到电极和伤口组织不一致的机械性能的限制。上述因素可能导致 ES 治疗效果不理想。
开发了一种含有甲基丙烯酰化明胶(GelMA)、TiC 和胶原结合抗菌肽(V-Os)的多功能导电水凝胶敷料,以改善伤口管理。选择 TiC 作为电极成分,是因为它具有优异的导电性,改性抗菌肽 V-Os 可以替代传统抗生素抑制细菌感染,而 GelMA 水凝胶则因其在伤口愈合中的临床适用性而被选用。
结果表明,这种新型水凝胶敷料(GelMA@TiC/V-Os)不仅具有优异的导电性和生物相容性,而且具有持久且高效的杀菌效果。所使用的改性抗菌肽 V-Os 能够更紧密地结合 GelMA 水凝胶,从而发挥持久的抗菌作用。细胞实验结果表明,GelMA@TiC/V-Os 水凝胶敷料能够增强电流刺激的效果,显著提高成纤维细胞的迁移、增殖和组织修复相关基因的表达。体外实验结果表明,在 ES 作用下,GelMA@TiC/V-Os 水凝胶敷料能够促进再上皮化、增强血管生成、介导免疫反应和防止伤口感染。
这种多功能纳米复合水凝胶可为促进感染性伤口愈合提供新策略。