Qian Yuxin, Gao Yiting, Wang Dong, Zhang Shixuan, Luo Qiuxia, Shan Guogang, Lu Mengmeng, Yan Dingyuan, Tang Ben Zhong, Zhang Ming
Department of Oral Implantology, The Affiliated Stomatological Hospital of Nanjing Medical University. State Key Laboratory Cultivation Base of Research, Prevention and Treatment for Oral Diseases. Jiangsu Province Engineering Research Center of Stomatological Translational Medicine, Nanjing Medical University, Nanjing 210029, China.
Institute of Functional Material Chemistry and National & Local United Engineering Lab for Power Battery, Faculty of Chemistry, Northeast Normal University, Changchun 130024, China.
Natl Sci Rev. 2024 Nov 26;12(2):nwae426. doi: 10.1093/nsr/nwae426. eCollection 2025 Feb.
Maxillofacial injuries that may cause severe functional and aesthetic damage require effective and immediate management due to continuous exposure to diverse microbial populations. Moreover, drug resistance, biofilm formation, and oxidative stress significantly impede timely bacterial removal and immune function, making the exploration of advanced materials for maxillofacial wound healing an appealing yet highly challenging task. Herein, a near-infrared photothermal sterilization agent was designed, encapsulated with liposomes and coated with ascorbic acid known for its antioxidant and immune-regulatory functions. The resulting nanoparticles, 4TPE-C6T-TD@AA, effectively neutralize reactive oxygen species generated by lipopolysaccharides, facilitate the conversion of pro-inflammatory M1 macrophages to anti-inflammatory M2 macrophages, and eliminate >90% of and by disrupting bacterial physiological functions upon exposure to 808 nm laser irradiation. experiments demonstrate that 4TPE-C6T-TD@AA rapidly eliminates bacteria from infected wounds in the maxillofacial region of rats, and significantly promotes healing in -infected wounds by enhancing collagen formation and modulating the inflammatory microenvironment. In conclusion, this study presents a promising therapeutic strategy for effectively combating bacterial infections and excessive inflammation in treating maxillofacial injuries.
可能导致严重功能和美学损害的颌面损伤,由于持续暴露于多种微生物群体,需要有效且即时的处理。此外,耐药性、生物膜形成和氧化应激显著阻碍细菌的及时清除和免疫功能,这使得探索用于颌面伤口愈合的先进材料成为一项有吸引力但极具挑战性的任务。在此,设计了一种近红外光热杀菌剂,用脂质体包裹并涂覆具有抗氧化和免疫调节功能的抗坏血酸。所得纳米颗粒4TPE-C6T-TD@AA能有效中和脂多糖产生的活性氧,促进促炎M1巨噬细胞向抗炎M2巨噬细胞的转化,并在暴露于808 nm激光照射时通过破坏细菌生理功能消除>90%的[细菌名称未给出]。实验表明,4TPE-C6T-TD@AA能迅速清除大鼠颌面部感染伤口中的细菌,并通过增强胶原蛋白形成和调节炎症微环境显著促进未感染伤口的愈合。总之,本研究提出了一种有前景的治疗策略,用于在治疗颌面损伤时有效对抗细菌感染和过度炎症。