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用于协同监测局部葡萄糖和修复糖尿病伤口的碳点-锌组装杂化多功能水凝胶

Carbon-Dot-Zn Assembly Hybrid Multifunctional Hydrogels for Synergistically Monitoring Local Glucose and Repairing Diabetic Wound.

作者信息

Yang Xu, Duan Xinmei, Zhu Li, Zhao Xiong, Zhang Shirong, Ni Sheng, Wu Shuai, Han Zhiqiang, Deng Wuquan, Sun Da, Chen Qiao, Wu Wei

机构信息

Key Laboratory for Biorheological Science and Technology of Ministry of Education, State and Local Joint Engineering Laboratory for Vascular Implants, Bioengineering College of Chongqing University, Department of Endocrinology, School of Medicine, Chongqing Emergency Medical Center, Chongqing University Central Hospital, Chongqing 400044, China.

Institute of Life Sciences & Biomedical Collaborative Innovation Center of Zhejiang Province, Wenzhou University, Wenzhou, Zhejiang 325035, China.

出版信息

ACS Appl Mater Interfaces. 2025 Jul 9;17(27):38874-38889. doi: 10.1021/acsami.5c06293. Epub 2025 Jun 25.

Abstract

The prolonged healing period and increased rates of amputation and mortality are significant challenges for diabetic patients' wound care in clinical practice. Therefore, there is an urgent need to develop timely and efficient wound management strategies to monitor the local glucose while promoting rapid wound healing. In this study, a multifunctional hydrogel (PF127@Zn/C-G) was constructed by coloading the monitoring and therapeutic carbon dot (CD)-based agents (Zn/C) and glucose oxidase (GOx). For applications, the ″off-on″ characteristic in fluorescence (FL) signal of the Zn/C assemblies enabled the real-time monitoring of the local glucose levels in diabetic wounds. Moreover, the synergistic effect of Zn and CDs was developed to promote wound healing. and results showed that the PF127@Zn/C-G hydrogel exhibited a good linear relationship between FL intensity and glucose concentration, and the FL signal intensity in the wound environment correlated well with the blood glucose, suggesting its function for timely reflection of the blood glucose content. In addition, the PF127@Zn/C-G hydrogel could accurately fit the wound contour to form a protective film, while effectively promoting cell proliferation and migration, and scavenging the accumulated ROS at the local wound, exhibiting an excellent angiogenic capacity and collagen deposition for significantly accelerating the wound healing during tissue remodeling. Therefore, the multifunctional hydrogel lPF127@Zn/C-G provides an effective and feasible candidate for improving the diabetic wound management.

摘要

在临床实践中,较长的愈合期以及截肢率和死亡率的增加是糖尿病患者伤口护理面临的重大挑战。因此,迫切需要制定及时有效的伤口管理策略,以监测局部葡萄糖水平,同时促进伤口快速愈合。在本研究中,通过共负载基于监测和治疗性碳点(CD)的试剂(Zn/C)和葡萄糖氧化酶(GOx)构建了一种多功能水凝胶(PF127@Zn/C-G)。在应用方面,Zn/C组装体荧光(FL)信号的“开-关”特性能够实时监测糖尿病伤口局部的葡萄糖水平。此外,还发挥了Zn和CDs的协同作用来促进伤口愈合。结果表明,PF127@Zn/C-G水凝胶的FL强度与葡萄糖浓度之间呈现良好的线性关系,伤口环境中的FL信号强度与血糖具有良好的相关性,表明其能够及时反映血糖含量。此外,PF127@Zn/C-G水凝胶能够精确贴合伤口轮廓形成保护膜,同时有效促进细胞增殖和迁移,并清除局部伤口积累的活性氧,在组织重塑过程中展现出优异的血管生成能力和胶原蛋白沉积,显著加速伤口愈合。因此,多功能水凝胶PF127@Zn/C-G为改善糖尿病伤口管理提供了一种有效且可行的选择。

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