Zhang Chuwei, Fan Shuai, Zhang Jing, Yang Ganghua, Cai Chao, Chen Shixuan, Fang Yongjin, Wan Wenbing
Department of Burn and Plastic Surgery, Department of Wound Repair Surgery, Affiliated Hospital of Nantong University, Nantong, Jiangsu, 226001, China.
Zhejiang Engineering Research Center for Tissue Repair Materials, Wenzhou Institute, University of Chinese Academy of Sciences, Wenzhou, Zhejiang, 325000, China.
Bioact Mater. 2025 Apr 12;50:232-245. doi: 10.1016/j.bioactmat.2025.03.022. eCollection 2025 Aug.
Wound infections are prevalent and can result in prolonged healing times. In this study, we referred to the "trap-capture-kill" antibacterial strategy to create a wound dressing (DS/PDA@GO-L) by coupling graphene oxide (GO) with lysine and coating it onto the decellularized mushroom stem (DS) using polydopamine (PDA). The mechanism of action of the bacteria-killing process involves lysine chemotaxis and the siphoning effect of DS aerogel, with the process of killing the bacteria being initiated via near-infrared photothermal treatment. In vitro studies demonstrated that DS/PDA@GO-L exhibited excellent blood and cell compatibility, while in vivo experiments revealed its remarkable efficacy in combating bacterial infections. Specifically, the combination of DS/PDA@GO-L with photothermal therapy led to the elimination of over 95 % of , , and . Furthermore, the aerogel, when used in conjunction with photothermal therapy, significantly reduced bacterial infection at the wound site and accelerated wound healing. During the wound's proliferative phase, it notably enhanced vascularization and extracellular matrix deposition. Furthermore, immunohistochemical staining revealed that bacterial clearance led to a reduction in pro-inflammatory responses and a decrease in the expression of pro-inflammatory cytokines, thereby restoring the wound's inflammatory environment to a pro-regenerative state. Taken together, the developed DS/PDA@GO-L holds great potential in the field of infected skin wound healing.
伤口感染很常见,会导致愈合时间延长。在本研究中,我们借鉴“捕获-杀死”抗菌策略,通过将氧化石墨烯(GO)与赖氨酸偶联,并使用聚多巴胺(PDA)将其包覆在脱细胞蘑菇茎(DS)上,制备了一种伤口敷料(DS/PDA@GO-L)。杀菌过程的作用机制涉及赖氨酸趋化作用和DS气凝胶的虹吸效应,通过近红外光热处理启动杀菌过程。体外研究表明,DS/PDA@GO-L表现出优异的血液和细胞相容性,而体内实验显示其在对抗细菌感染方面具有显著疗效。具体而言,DS/PDA@GO-L与光热疗法相结合可消除超过95%的 、 和 。此外,该气凝胶与光热疗法联合使用时,可显著减少伤口部位的细菌感染并加速伤口愈合。在伤口增殖期,它显著增强了血管生成和细胞外基质沉积。此外,免疫组织化学染色显示细菌清除导致促炎反应减少和促炎细胞因子表达降低,从而将伤口的炎症环境恢复到促再生状态。综上所述,所开发的DS/PDA@GO-L在感染性皮肤伤口愈合领域具有巨大潜力。