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载有姜黄素和木瓜蛋白酶的脂质体天然乳胶敷料与光疗:糖尿病伤口愈合的协同方法

Curcumin and Papain-Loaded Liposomal Natural Latex Dressings with Phototherapy: A Synergistic Approach to Diabetic Wound Healing.

作者信息

Silva Franciéle M, Silva Jaqueline R, Rodrigues Wellington, Sousa Breno A S M, Gomes Thamis F S, Rosa Mario F F, Rosa Suélia S R F, Carneiro Marcella L B

机构信息

Institute of Biological Sciences, University of Brasília, Brasília 73345-010, DF, Brazil.

Faculty of Gama, University of Brasília, Brasília 73345-010, DF, Brazil.

出版信息

Pharmaceuticals (Basel). 2025 Jul 20;18(7):1067. doi: 10.3390/ph18071067.

DOI:10.3390/ph18071067
PMID:40732354
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12300576/
Abstract

Wound healing in diabetic individuals is a prolonged process, often complicated by infections and impaired tissue regeneration. Innovative strategies combining natural bioactive compounds are needed to enhance repair. This study reports the development and characterization of natural latex-based biomembranes (NLBs) incorporated with liposome-encapsulated curcumin and papain. The therapeutic efficacy of these composite dressings, in combination with red light-emitting diode (LED) phototherapy, was evaluated in a diabetic rat model. NLBs were produced by blending natural latex with multilamellar liposomes containing either curcumin, papain, or both. In vivo wound healing was assessed by applying the biomembranes to the dorsal lesions and administering red LED irradiation (650 ± 20 nm, 10 min every 48 h) over 11 days. Fourier transform infrared spectroscopy (FTIR) confirmed that the integration of liposomes did not induce significant chemical alterations to the latex matrix. The treated diabetic rats exhibited enhanced wound contraction, with the curcumin and papain groups demonstrating up to 99% and 95% healing, respectively. Plasma fructosamine levels were significantly reduced ( < 0.05), indicating improved glycemic control. Combining NLBs with bioactive-loaded liposomes and phototherapy accelerated wound healing in diabetic rats. This multifunctional platform shows promise for the treatment of chronic wounds in diabetic patients.

摘要

糖尿病患者的伤口愈合过程漫长,常因感染和组织再生受损而复杂化。需要创新策略来结合天然生物活性化合物以促进修复。本研究报告了负载脂质体包裹姜黄素和木瓜蛋白酶的天然乳胶基生物膜(NLBs)的开发与特性。在糖尿病大鼠模型中评估了这些复合敷料与红光发光二极管(LED)光疗相结合的治疗效果。通过将天然乳胶与含有姜黄素、木瓜蛋白酶或两者的多层脂质体混合来制备NLBs。通过将生物膜应用于背部伤口并在11天内进行红色LED照射(650±20nm,每48小时10分钟)来评估体内伤口愈合情况。傅里叶变换红外光谱(FTIR)证实脂质体的整合未对乳胶基质引起显著的化学变化。治疗的糖尿病大鼠伤口收缩增强,姜黄素组和木瓜蛋白酶组分别显示高达99%和95%的愈合率。血浆果糖胺水平显著降低(<0.05),表明血糖控制得到改善。将NLBs与负载生物活性的脂质体和光疗相结合可加速糖尿病大鼠的伤口愈合。这个多功能平台有望用于治疗糖尿病患者的慢性伤口。

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本文引用的文献

1
A Natural Latex-Based Smart Dressing for Curcumin Delivery Combined with LED Phototherapy in Diabetic Foot Ulcers: A Pilot Clinical Study.一种基于天然乳胶的用于姜黄素递送并结合LED光疗治疗糖尿病足溃疡的智能敷料:一项初步临床研究。
Pharmaceutics. 2025 Jun 12;17(6):772. doi: 10.3390/pharmaceutics17060772.
2
Development of Mathematical Model for Understanding Microcirculation in Diabetic Foot Ulcers Based on Ankle-Brachial Index.基于踝肱指数的糖尿病足溃疡微循环理解数学模型的开发
Bioengineering (Basel). 2025 Feb 19;12(2):206. doi: 10.3390/bioengineering12020206.
3
Design and optimization of chitosan-coated solid lipid nanoparticles containing insulin for improved intestinal permeability using piperine.
载胰岛素壳聚糖包覆固体脂质纳米粒的设计与优化:胡椒碱提高肠道通透性的作用
Int J Biol Macromol. 2024 Nov;280(Pt 2):135849. doi: 10.1016/j.ijbiomac.2024.135849. Epub 2024 Sep 21.
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Papain Suppresses Atopic Skin Inflammation through Anti-Inflammatory Activities Using In Vitro and In Vivo Models.木瓜蛋白酶通过体外和体内模型的抗炎活性抑制特应性皮炎。
Antioxidants (Basel). 2024 Jul 30;13(8):928. doi: 10.3390/antiox13080928.
5
Efficacy of Curcumin-Mediated Antimicrobial Photodynamic Therapy on spp.-A Systematic Review.姜黄素介导的抗菌光动力疗法对 spp.的疗效——系统评价。
Int J Mol Sci. 2024 Jul 26;25(15):8136. doi: 10.3390/ijms25158136.
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Anti-Inflammatory, Wound Healing, and Anti-Diabetic Effects of Pure Active Compounds Present in the Ryudai Gold Variety of .乳蓟金品种中纯活性化合物的抗炎、伤口愈合和抗糖尿病作用。
Molecules. 2024 Jun 12;29(12):2795. doi: 10.3390/molecules29122795.
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Curcumin promotes skin wound healing by activating Nrf2 signaling pathways and inducing apoptosis in mice.姜黄素通过激活 Nrf2 信号通路和诱导细胞凋亡促进小鼠皮肤伤口愈合。
Turk J Med Sci. 2023 Sep 17;53(5):1127-1135. doi: 10.55730/1300-0144.5678. eCollection 2023.
8
Development and application of the Rapha device for the treatment of diabetic foot ulcers.用于治疗糖尿病足溃疡的拉斐设备的研发与应用。
Am J Transl Res. 2024 Apr 15;16(4):1044-1061. doi: 10.62347/YQEG3255. eCollection 2024.
9
Advances in Nanocarrier Systems for Overcoming Formulation Challenges of Curcumin: Current Insights.用于克服姜黄素制剂挑战的纳米载体系统研究进展:当前见解
Nanomaterials (Basel). 2024 Apr 12;14(8):672. doi: 10.3390/nano14080672.
10
A nano-composite hyaluronic acid-based hydrogel efficiently antibacterial and scavenges ROS for promoting infected diabetic wound healing.一种基于纳米复合透明质酸的水凝胶具有高效的抗菌和清除 ROS 的作用,可促进感染性糖尿病伤口愈合。
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