Huang Bin, An Honglin, Chu Jianfeng, Ke Shiqi, Ke Jing, Qiu Yiman, Zhang Jieping, Zhu Hanqi, Lin Jiahui, Yang Minguang, Yang Dongliang, Song Xuejiao, Liu Weilin
Academy of Integrative Medicine, Fujian Key Laboratory of Integrative Medicine on Geriatrics, Fujian University of Traditional Chinese Medicine, Fuzhou, Fujian, 350122, China.
Fujian Nanping Green Pine Chemical CO., LTD, Nanping, Fujian, 354200, China.
Adv Sci (Weinh). 2025 May 28:e02830. doi: 10.1002/advs.202502830.
The treatment of diabetic abscess remains highly challenging due to the complex wound healing environment, which includes bacterial infection, hypoxia, and pain, severely compromising patients' quality of life. Developing effective treatment strategies to address these multifaceted issues continues to pose significant challenges. In this study, a glucose-triggered gel with self-producing oxygen, photodynamic behavior, and analgesic properties is employed to address the aforementioned problems. The gel utilizes the cascade reaction of glucose oxidase and catalase to convert the excessive glucose in diabetic abscess tissue into oxygen, alleviate the hypoxia in the infected tissue, and ensure the occurrence of hypoxia photodynamic behavior to generate sufficient reactive oxygen species (ROS) to combat pathogenic bacteria. Simultaneously, borneol within the gel can not only enhance the sensitivity of bacteria to ROS by regulating the oxidative stress system but also augment the antibacterial effect of ROS. Moreover, borneol can serve as an analgesic to alleviate pain in patients. In vivo experiments have demonstrated that the combination of photodynamic and borneol therapy can eliminate the bacteria at the abscess site and enable the abscess to heal completely within 12 days. Therefore, this study established a glucose-responsive gel for a combined therapy strategy of hypoxic improvement photodynamic therapy and borneol to facilitate wound healing in diabetic abscesses.
由于复杂的伤口愈合环境,糖尿病脓肿的治疗仍然极具挑战性,这种环境包括细菌感染、缺氧和疼痛,严重影响患者的生活质量。制定有效的治疗策略来解决这些多方面的问题仍然面临重大挑战。在本研究中,采用了一种具有自产生氧气、光动力行为和镇痛特性的葡萄糖触发凝胶来解决上述问题。该凝胶利用葡萄糖氧化酶和过氧化氢酶的级联反应,将糖尿病脓肿组织中过量的葡萄糖转化为氧气,减轻感染组织中的缺氧状况,并确保缺氧光动力行为的发生,以产生足够的活性氧(ROS)来对抗病原菌。同时,凝胶中的冰片不仅可以通过调节氧化应激系统增强细菌对ROS的敏感性,还能增强ROS的抗菌效果。此外,冰片可以作为一种镇痛药来减轻患者的疼痛。体内实验表明,光动力和冰片疗法相结合可以消除脓肿部位的细菌,并使脓肿在12天内完全愈合。因此,本研究建立了一种葡萄糖响应凝胶,用于缺氧改善光动力疗法和冰片联合治疗策略,以促进糖尿病脓肿的伤口愈合。
Acta Biomater. 2025-6-15
Cochrane Database Syst Rev. 2017-6-14
Cochrane Database Syst Rev. 2016-8-26
Clin Cosmet Investig Dermatol. 2025-8-22
Chin Herb Med. 2024-5-17
Nat Metab. 2025-1
Curr Opin Infect Dis. 2025-4-1
Angew Chem Int Ed Engl. 2024-4-8
ACS Appl Mater Interfaces. 2024-1-24