Liu Lutong, Ding Zhaozhao, Huang Yong, Zou Junwei
Department of General Surgery, The Second Affiliated Hospital of Wannan Medical College, Wuhu, Anhui 241000, China.
Beijing Allgens Medical Science and Technology Co., Ltd., Beijing 100176, China.
ACS Appl Bio Mater. 2025 May 19;8(5):3811-3823. doi: 10.1021/acsabm.4c01979. Epub 2025 May 3.
The main objective for diabetic wound treatment is the design of a functional dressing that scavenges free radicals, alleviates inflammation, and is antibacterial while promoting neovascularization. Herein, a multifunctional acellular matrix hydrogel was prepared with the antimicrobial peptide jelleine-1 and a magnesium ion/gallic acid metal framework to exhibit antioxidant, anti-inflammatory, and proangiogenesis effects in diabetic wounds. The prepared hydrogel termed Gel-J-MOF efficiently released gallic acid in the acidic microenvironment of the diabetic wound, scavenged excess free radicals in vitro, and effectively reduced the levels of inflammation by regulating M2 macrophage polarization in vivo. The antimicrobial peptide jelleine-1 in the composite hydrogel effectively inhibited and in vitro, promoting a suitable microenvironment for wound healing. In the later stage of wound healing, the composite hydrogel stimulated angiogenesis, accelerating the re-epithelialization and collagen deposition in the wound. In conclusion, this multifunctional composite hydrogel provides a regulated microenvironment for treating diabetic wounds and, therefore, has significant potential application promise in the treatment of chronic diabetic wounds.
糖尿病伤口治疗的主要目标是设计一种功能性敷料,该敷料能够清除自由基、减轻炎症、具有抗菌作用并促进新血管形成。在此,制备了一种多功能脱细胞基质水凝胶,其含有抗菌肽杰林因 -1 和镁离子/没食子酸金属框架,以在糖尿病伤口中发挥抗氧化、抗炎和促血管生成作用。所制备的名为Gel-J-MOF的水凝胶在糖尿病伤口的酸性微环境中有效释放没食子酸,在体外清除过量自由基,并通过在体内调节M2巨噬细胞极化有效降低炎症水平。复合水凝胶中的抗菌肽杰林因 -1在体外有效抑制(此处原文缺失具体抑制对象),为伤口愈合营造适宜的微环境。在伤口愈合后期,复合水凝胶刺激血管生成,加速伤口的再上皮化和胶原蛋白沉积。总之,这种多功能复合水凝胶为治疗糖尿病伤口提供了一个可调节的微环境,因此在慢性糖尿病伤口治疗中具有显著的潜在应用前景。