Ning Jing, Li Feng, Pei Zhi Xin, Li Zhi
Department of Medical Cosmetic, Burn and Plastic Surgery, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical University, Tongji Shanxi Hospital, Taiyuan, 030032, China.
Regen Ther. 2025 Jul 11;30:371-383. doi: 10.1016/j.reth.2025.06.014. eCollection 2025 Dec.
Pressure ulcers (PUs) are prevalent skin lesions characterized by significant morbidity, susceptibility to infection, and a complex healing process. This study aims at the synthesis of piezo1 protein-encapsulated, pressure-sensitive multifunctional hydrogel to modulate cellular response and promote wound healing in PUW conditions. The hydrogel synthesized from carboxyl methyl cellulose hydrogel exhibits the optimal swelling ratio and is found to have a high storage modulus (G'). This shows the mechanical strength and viscoelastic nature of the synthesized hydrogel. The PP encapsulation and releasing efficiency has been analyzed, and this proves the prolonged activation of mechanotransduction properties. analysis on 3T3 and HUVEC proves a high proliferation rate and proves to have an enhanced cell migration rate in hypoxia-induced cell lines. The angiogenesis was also found to be increased, which is indicated by tube formation that enhances the wound healing rate. The pressure ulcer animal model was analyzed for 3, 7, 10, and 14 days, and the wound healing rate. The reduction in inflammatory cytokine expression and the collagen deposition rate has been analyzed. By day 14, the wound closure reached above 91%, significantly higher than the untreated group. These findings demonstrate that PP-MH enhances cell proliferation and angiogenesis, thereby acts as a promising strategy for advanced pressure ulcer management.
压疮(PUs)是常见的皮肤损伤,其特征为发病率高、易感染且愈合过程复杂。本研究旨在合成包裹Piezo1蛋白的压敏多功能水凝胶,以调节细胞反应并促进压疮伤口愈合。由羧甲基纤维素水凝胶合成的水凝胶表现出最佳溶胀率,且具有较高的储能模量(G')。这表明了合成水凝胶的机械强度和粘弹性本质。对Piezo1蛋白(PP)的包封和释放效率进行了分析,这证明了机械转导特性的延长激活。对3T3细胞和人脐静脉内皮细胞(HUVEC)的分析证明其具有高增殖率,并且在缺氧诱导的细胞系中具有增强的细胞迁移率。还发现血管生成增加,这通过增强伤口愈合率的血管形成来表明。对压疮动物模型进行了3天、7天、10天和14天的分析以及伤口愈合率分析。分析了炎症细胞因子表达的降低和胶原蛋白沉积率。到第14天,伤口闭合率达到91%以上,明显高于未治疗组。这些发现表明,包裹Piezo1蛋白的多功能水凝胶(PP-MH)可增强细胞增殖和血管生成,从而成为晚期压疮管理的一种有前景的策略。