载冬凌草甲素和 DNA 酶 I 的半互穿网络水凝胶对放化疗诱导口腔黏膜炎愈合的影响。
Effects of a semi-interpenetrating network hydrogel loaded with oridonin and DNase-I on the healing of chemoradiotherapy-induced oral mucositis.
机构信息
The Key Laboratory of Biomedical Material, School of Life Science and Technology, Xinxiang Medical University, Xinxiang, PR China.
School of Chemistry and Chemical Engineering, Henan University of Technology, Zhengzhou, PR China.
出版信息
Biomater Sci. 2024 Aug 20;12(17):4452-4470. doi: 10.1039/d4bm00114a.
The aim of this study was to develop a semi-interpenetrating network (IPN) hydrogel system suitable for the oral environment, capable of controlled release of DNase-I and oridonin (ORI), to exert antimicrobial, anti-inflammatory, and reparative effects on chemoradiotherapy-induced oral mucositis (OM). This IPN was based on the combination of ε-polylysine (PLL) and hetastarch (HES), loaded with DNase-I and ORI (ORI/DNase-I/IPN) for OM treatment. studies were conducted to evaluate degradation, adhesion, release analysis, and bioactivity including cell proliferation and wound healing assays using epidermal keratinocyte and fibroblast cell lines. Furthermore, the therapeutic effects of ORI/DNase-I/IPN were investigated using Sprague-Dawley (SD) rats with chemoradiotherapy-induced OM. The results demonstrated that the IPN exhibited excellent adhesion to wet mucous membranes, and the two drugs co-encapsulated in the hydrogel were released in a controlled manner, exerting inhibitory effects on bacteria and degrading NETs in wound tissues. The wound repair effect, microbiological assays, H&E and Masson staining supported the non-toxicity of ORI/DNase-I/IPN, as well as its ability to accelerate the healing of oral ulcers and reduce inflammation. Overall, ORI/DNase-I/IPN demonstrated a therapeutic effect on OM in rats by significantly accelerating the healing process. These findings provide new insights into possible therapies for OM.
本研究旨在开发一种适用于口腔环境的半互穿网络(IPN)水凝胶系统,能够控制释放 DNA 酶-I 和冬凌草甲素(ORI),对放化疗引起的口腔黏膜炎(OM)发挥抗菌、抗炎和修复作用。该 IPN 基于 ε-聚赖氨酸(PLL)和支链淀粉(HES)的组合,负载 DNA 酶-I 和 ORI(ORI/DNase-I/IPN)用于 OM 治疗。通过表皮角质形成细胞和成纤维细胞系进行了降解、粘附、释放分析和生物活性评估,包括细胞增殖和伤口愈合测定。此外,还使用 Sprague-Dawley(SD)大鼠的放化疗诱导 OM 研究了 ORI/DNase-I/IPN 的治疗效果。结果表明,IPN 对湿黏膜具有优异的粘附性,水凝胶中包封的两种药物以受控方式释放,对细菌具有抑制作用,并降解伤口组织中的 NETs。伤口修复效果、微生物学测定、H&E 和 Masson 染色支持 ORI/DNase-I/IPN 的无毒特性,以及其加速口腔溃疡愈合和减轻炎症的能力。总体而言,ORI/DNase-I/IPN 通过显著加速愈合过程对大鼠 OM 具有治疗作用。这些发现为 OM 的可能治疗方法提供了新的思路。