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基于葡聚糖的抗菌水凝胶敷料通过降低炎症水平加速感染性伤口愈合。

Dextran-Based Antibacterial Hydrogel Dressings for Accelerating Infected Wound Healing by Reducing Inflammation Levels.

机构信息

School of Food and Pharmacy, Zhejiang Ocean University, Zhoushan, 310622, P. R. China.

Department of Cardiothoracic Surgery, Zhoushan Hospital, Wenzhou Medical University, Zhoushan, 316000, P. R. China.

出版信息

Adv Healthc Mater. 2024 Sep;13(22):e2400494. doi: 10.1002/adhm.202400494. Epub 2024 Jun 3.


DOI:10.1002/adhm.202400494
PMID:38801122
Abstract

Infected wounds pose challenges such as exudate management, bacterial infections, and persistent inflammation, making them a significant challenge for modern dressings. To address these issues in infected wounds more effectively, aerogel-hydrogel biphase gels based on dextran are developed. The gel introduced in this study exhibits antibacterial and anti-inflammatory properties in the process of wound therapy, contributing to accelerated wound healing. The aerogel phase exhibits exceptional water-absorption capabilities, rapidly soaking up exudate from infected wound, thereby fostering a clean and hygienic wound healing microenvironment. Concurrently, the aerogel phase is enriched with hydrogen sulfide donors. Following water absorption and the formation of the hydrogel phase, it enables the sustained release of hydrogen sulfide around the wound sites. The experiments confirm that hydrogen sulfide, by promoting M2 macrophage differentiation and reducing the levels of inflammatory factors, effectively diminishes local inflammation levels at the wound site. Furthermore, the sodium copper chlorophyllin component within the hydrogel phase demonstrates effective antibacterial properties through photodynamic antimicrobial therapy, providing a viable solution to wound infection challenges.

摘要

感染性伤口存在一些挑战,如渗出物管理、细菌感染和持续的炎症,这使得它们成为现代敷料的一个重大挑战。为了更有效地解决感染性伤口的这些问题,基于葡聚糖的水凝胶-气凝胶双相凝胶被开发出来。本研究中引入的凝胶在伤口治疗过程中表现出抗菌和抗炎特性,有助于加速伤口愈合。气凝胶相具有出色的吸水性,能迅速吸收感染性伤口的渗出物,从而营造一个清洁、卫生的伤口愈合微环境。同时,气凝胶相富含硫化氢供体。在吸水并形成水凝胶相后,它可以在伤口部位周围持续释放硫化氢。实验证实,硫化氢通过促进 M2 巨噬细胞分化和降低炎症因子水平,有效降低伤口部位的局部炎症水平。此外,水凝胶相中的铜叶绿素钠成分通过光动力抗菌治疗表现出有效的抗菌性能,为解决伤口感染挑战提供了一种可行的解决方案。

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引用本文的文献

[1]
Advances in Drug Delivery Integrated with Regenerative Medicine: Innovations, Challenges, and Future Frontiers.

Pharmaceutics. 2025-4-1

[2]
Progress in Polysaccharide-Based Hydrogels for Preventing Postoperative Adhesions: A Review.

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[3]
Quaternized Molecular Brush-Grafted Injectable Microgel with Anti-Inflammatory and Drainage Properties for Efficient Therapy of Anal Fistula.

Adv Sci (Weinh). 2025-2

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