Wu Xiaojie, Wang Lu, Lu Yaning, Li Meng-Hao, Liu Shuwei, Yang Yimeng, Song Yulian, Chen Sunzhuo, Kang Jing, Dong Alideertu, Yang Ying-Wei
College of Chemistry and Chemical Engineering, Engineering Research Center of Dairy Quality and Safety Control Technology, Ministry of Education, Inner Mongolia University, 235 Daxue West Street, Hohhot, 010021, P. R. China.
Department of Pediatric Dentistry, Hospital of Stomatology, Jilin University, 1500 Qinghua Road, Changchun, 130021, P. R. China.
Adv Healthc Mater. 2024 Dec 20:e2403683. doi: 10.1002/adhm.202403683.
Periodontitis is a chronic inflammatory disease caused by dental plaque, which leads to tooth loosening and shifting or even tooth loss. Current treatments, including mechanical debridement and antibiotics, often fail to eradicate recalcitrant biofilms and mitigate excessive inflammation. Moreover, these interventions can disrupt the oral microbiome, potentially compromising long-term treatment outcomes. To address these limitations, an injectable nanoenzyme hydrogel composed of a dopamine (DA)-modified hyaluronic acid (HA) scaffold and a graphdiyne-iron (GDY-Fe) complex, named GDY-Fe@HA-DA, exhibits excellent tissue adhesion, self-healing, antibacterial properties, and biocompatibility. Under near-infrared laser irradiation, GDY-Fe@HA-DA effectively eradicates a variety of pathogens, including Escherichia coli, Staphylococcus aureus, and Porphyromonas gingivalis, through a synergistic combination of chemodynamical and photothermal therapies. The hydrogel's efficacy is further validated in both bacterial-infected skin wounds and rat periodontitis models. It effectively alleviates the inflammatory environment and promotes wound healing and periodontal tissue recovery. This findings highlight the potential of GDY-Fe@HA-DA as a promising therapeutic material for periodontitis and other tissue injuries.
牙周炎是一种由牙菌斑引起的慢性炎症性疾病,可导致牙齿松动、移位甚至牙齿脱落。目前的治疗方法,包括机械清创和使用抗生素,往往无法根除顽固的生物膜并减轻过度炎症。此外,这些干预措施会破坏口腔微生物群,可能会影响长期治疗效果。为了解决这些局限性,一种由多巴胺(DA)修饰的透明质酸(HA)支架和石墨炔-铁(GDY-Fe)复合物组成的可注射纳米酶水凝胶,名为GDY-Fe@HA-DA,具有出色的组织粘附性、自愈性、抗菌性能和生物相容性。在近红外激光照射下,GDY-Fe@HA-DA通过化学动力学和光热疗法的协同作用,有效根除多种病原体,包括大肠杆菌、金黄色葡萄球菌和牙龈卟啉单胞菌。该水凝胶的疗效在细菌感染的皮肤伤口和大鼠牙周炎模型中均得到进一步验证。它能有效缓解炎症环境,促进伤口愈合和牙周组织恢复。这些发现凸显了GDY-Fe@HA-DA作为一种有前景的牙周炎及其他组织损伤治疗材料的潜力。
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