Lyu Xiaoying, Wu Haoyan, Chen Ye, Sun Yue, Cai Xiaoxiao, Li Songhang, Lin Yunfeng
State Key Laboratory of Oral Diseases, National Center for Stomatology, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, 610041, China.
Sichuan Provincial Engineering Research Center of Oral Biomaterials, Chengdu, Sichuan, 610041, China.
Small. 2024 Dec;20(49):e2406629. doi: 10.1002/smll.202406629. Epub 2024 Sep 16.
Infected wounds are a complex disease involving bacterial infections and dysregulated inflammation. However, current research has mostly focused on bacterial inhibition rather than on inflammation. Thus, combined therapeutic strategies with anti-bacterial and anti-inflammation efficacies are urgently needed. Antibiotics are the main treatment strategy for infections. However, the excessive use of antibiotics throughout the body can cause serious side effects. In addition, miRNA-based therapeutics are superior for the treatment of wounds, but their rapid degradation and poor cellular uptake limit their clinical application. Tetrahedral framework DNA (tFNA) is an ideal drug delivery system owing to its excellent stability and remarkable transport ability. Herein, a novel multi-functional miRNA and antibiotic co-delivery system based on tFNA is presented for the first time, called B/L. B/L has heightened resistance to serum and excellent codelivery ability. After transdermal administration, B/L can specifically target TNF receptor-associated factor 6(TRAF6) and IL-1receptor-associated kinase 1(IRAK1), thereby regulating nuclear factor kappa-B (NF-𝜿B) and thus effectively reducing inflammation and promoting the healing of infected wounds. This novel multi-functional co-delivery system provides a versatile, simple, biocompatible, and powerful platform for the personalized and combined treatment of multiple diseases.
感染性伤口是一种涉及细菌感染和炎症失调的复杂疾病。然而,目前的研究大多集中在细菌抑制而非炎症方面。因此,迫切需要具有抗菌和抗炎功效的联合治疗策略。抗生素是治疗感染的主要策略。然而,全身过度使用抗生素会导致严重的副作用。此外,基于微小RNA(miRNA)的疗法在伤口治疗方面具有优势,但其快速降解和较差的细胞摄取能力限制了其临床应用。四面体框架DNA(tFNA)由于其出色的稳定性和显著的转运能力,是一种理想的药物递送系统。在此,首次提出了一种基于tFNA的新型多功能miRNA和抗生素共递送系统,称为B/L。B/L对血清具有更高的抗性和出色的共递送能力。经皮给药后,B/L可以特异性靶向肿瘤坏死因子受体相关因子6(TRAF6)和白细胞介素-1受体相关激酶1(IRAK1),从而调节核因子κB(NF-κB),进而有效减轻炎症并促进感染伤口的愈合。这种新型多功能共递送系统为多种疾病的个性化联合治疗提供了一个通用、简单、生物相容且强大的平台。