一种用于伤口微环境重塑以促进糖尿病伤口愈合的一体化石斛离子水凝胶。

An All-In-One Dendrobium Ionic Hydrogel with Wound Microenvironment Remodeling for Promoting Diabetic Wound Healing.

作者信息

Zong Beige, Lu Yongquan, Li Zhongfu, Pan Lian, Zhao Peng, Li Wei, Cai Kaiyong

机构信息

Chongqing Key Laboratory of Emergency Medicine, Chongqing Emergency Medical Center, Chongqing University Central Hospital, School of Medicine, Chongqing University, Chongqing, 400014, China.

Department of Plastic Surgery, Chongqing Emergency Medical Center, Chongqing University Central Hospital, School of Medicine, Chongqing University, Chongqing, 400014, China.

出版信息

Adv Healthc Mater. 2025 Jun;14(16):e2500611. doi: 10.1002/adhm.202500611. Epub 2025 May 20.

Abstract

Diabetic wounds pose a complex clinical challenge due to their intricate pathological microenvironment and delayed healing process. To address this challenge, this work has developed a multifunctional all-in-one ionic hydrogel through dynamic Schiff base and amide bond crosslinking between the aldehyde groups on oxidized sodium alginate (OSA) and the amino groups on 1-(3-aminopropyl)-3-(4-vinylbenzyl) imidazole salts, in which Dendrobium officinale polysaccharides (DOP) is embedded via electrostatic interactions in the form of ionic hydrogel (OPP@DOP). The OSA and polyionic liquid enable good biocompatibility, high water containment, high swelling rate, moderate adhesion, antioxidant activity, electrical conductivity, and efficient antibacterial activity against MRSA at early stages. A sustained release of DOP is then realized and exhibits anti-inflammation, antioxidant, further promoted angiogenesis via AKT signaling pathway. These effects significantly promote re-epithelialization and collagen deposition and increase angiogenesis in wound tissue. Besides, it regulates the macrophage phenotype from the M1 subtype to the M2 subtype and reduces the expression levels of inflammatory factors, thus accelerating wound healing. The development of this multifunctional ionic hydrogel harnesses the profound potential of traditional Chinese medicine, offering a promising potential for treating diabetic wounds.

摘要

糖尿病伤口因其复杂的病理微环境和愈合过程延迟而带来了复杂的临床挑战。为应对这一挑战,本研究通过氧化海藻酸钠(OSA)上的醛基与1-(3-氨丙基)-3-(4-乙烯基苄基)咪唑盐上的氨基之间的动态席夫碱和酰胺键交联,开发了一种多功能一体化离子水凝胶,其中铁皮石斛多糖(DOP)通过静电相互作用以离子水凝胶(OPP@DOP)的形式嵌入其中。OSA和聚离子液体具有良好的生物相容性、高含水量、高溶胀率、适度的粘附性、抗氧化活性、导电性以及对早期耐甲氧西林金黄色葡萄球菌(MRSA)高效的抗菌活性。随后实现了DOP的持续释放,并表现出抗炎、抗氧化作用,通过AKT信号通路进一步促进血管生成。这些作用显著促进伤口组织的再上皮化和胶原蛋白沉积,并增加血管生成。此外,它将巨噬细胞表型从M1亚型调节为M2亚型,并降低炎症因子的表达水平,从而加速伤口愈合。这种多功能离子水凝胶的开发利用了传统中药的巨大潜力,为治疗糖尿病伤口提供了有前景的可能性。

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