Zhang Luting, Luo Zhiqiang, Chen Hanxu, Wu Xiangyi, Zhao Yuanjin
Department of Rheumatology and Immunology, Nanjing Drum Tower Hospital, School of Pharmacy, Nanjing University of Chinese Medicine, Nanjing 210023, China.
School of Biological Science and Medical Engineering, Southeast University, Nanjing 210096, China.
Research (Wash D C). 2024 Oct 14;7:0496. doi: 10.34133/research.0496. eCollection 2024.
Hydrogel microparticles have been proved to be curative to diabetic wounds. Current trends focus on the integration of bioactive matrix and their smart stimulus-responsive release to meet the complex demand of regeneration in diabetic wound. In this paper, we present novel stem cell exosome-encapsulated Chinese herb glycyrrhizic acid (GA) hydrogel microparticles for wound healing. The integrated GA endows the hydrogel microparticles with antibacterial properties, while the encapsulated exosomes impart them with pro-angiogenesis ability. In addition, as the black phosphorus is incorporated into these hybrid hydrogel microparticles, the release profile of GA and exosomes could be controllable under near-infrared irradiation due to the excellent photothermal effect of black phosphorus and the reversible phase transformation properties of GA. Based on these features, we have demonstrated that these microparticles can effectively kill bacteria, scavenge free radical, and promote angiogenesis from in vitro experiments. Besides, they could also markedly accelerate the wound healing process by down-regulating inflammation and promoting collagen deposition and angiogenesis in bacteria-infected in vivo diabetic wound. These results indicate that the proposed exosome-integrated GA hydrogel microparticles present great potential for clinical diabetic wound treatment.
水凝胶微粒已被证明对糖尿病伤口具有治疗作用。当前的趋势集中在生物活性基质的整合及其智能刺激响应释放,以满足糖尿病伤口再生的复杂需求。在本文中,我们展示了用于伤口愈合的新型干细胞外泌体包裹的中药甘草酸(GA)水凝胶微粒。整合的GA赋予水凝胶微粒抗菌特性,而包裹的外泌体赋予它们促血管生成能力。此外,由于黑磷优异的光热效应和GA的可逆相变特性,当黑磷掺入这些混合水凝胶微粒中时,GA和外泌体的释放曲线在近红外照射下是可控的。基于这些特性,我们通过体外实验证明这些微粒可以有效杀灭细菌、清除自由基并促进血管生成。此外,它们还可以通过下调炎症反应、促进细菌感染的体内糖尿病伤口中的胶原蛋白沉积和血管生成,显著加速伤口愈合过程。这些结果表明,所提出的外泌体整合GA水凝胶微粒在临床糖尿病伤口治疗中具有巨大潜力。