Pharmaceutics,
Journal Year:
2025,
Volume and Issue:
17(3), P. 366 - 366
Published: March 13, 2025
Chronic
wounds
pose
a
significant
healthcare
challenge,
impacting
millions
of
patients
worldwide
and
burdening
systems
substantially.
These
often
occur
as
comorbidities
are
prone
to
infections.
Such
infections
hinder
the
healing
process,
complicating
clinical
management
proving
recalcitrant
therapy.
The
environment
within
wound
itself
poses
challenges
such
lack
oxygen,
restricted
blood
flow,
oxidative
stress,
ongoing
inflammation,
bacterial
presence.
Traditional
systemic
treatment
for
chronic
peripheral
may
not
be
effective
due
inadequate
supply,
resulting
in
unintended
side
effects.
Furthermore,
topical
applications
impervious
persistent
biofilm
A
growing
concern
is
therapeutic
modalities
treating
wounds.
Additionally,
chemically
harsh
microenvironment
can
reduce
effectiveness
treatments,
highlighting
need
drug
delivery
that
deliver
therapies
precisely
where
needed
with
optimal
dosages.
Compared
cell-based
therapies,
exosome-based
offer
distinct
advantages
cell-free
approach
treatment.
Exosomes
endosomal
origin
enable
cell-to-cell
communications,
they
possess
benefits,
including
biocompatibility
decreased
immunogenicity,
making
them
ideal
vehicles
efficient
targeting
minimizing
off-target
damage.
However,
exosomes
rapidly
cleared
from
body,
it
difficult
maintain
concentrations
at
sites.
hydrogel-based
development
biocompatible
scaffolds
beneficial
sustained
release
prolong
presence
these
Engineered
have
been
shown
stability
promoting
compared
their
unmodified
counterparts.
Significant
progress
has
made
this
field,
but
further
research
essential
unlock
potential.
This
review
seeks
explore
benefits
opportunities
wounds,
ensuring
efficacy
precise
despite
obstacles
posed
by
environment.
Advanced Science,
Journal Year:
2023,
Volume and Issue:
10(30)
Published: Sept. 15, 2023
Wound
healing
is
an
urgent
clinical
challenge,
particularly
in
the
case
of
chronic
wounds.
Traditional
approaches
to
wound
have
limited
therapeutic
efficacy
due
lengthy
times,
risk
immune
rejection,
and
susceptibility
infection.
Recently,
adipose-derived
mesenchymal
stem
cell-derived
exosomes
(ADSC-exos)
emerged
as
a
promising
modality
for
tissue
regeneration
repair.
In
this
study,
development
novel
extracellular
matrix
hydrogel@exosomes
(ECM@exo)
reported,
which
entails
incorporation
ADSC-exos
into
hydrogel
(ECM
hydrogel).
This
solution
forms
at
physiological
temperature
(≈37
°C)
upon
local
injection
site.
ECM@exo
enables
sustained
release
from
ECM
hydrogel,
maintains
high
concentrations
The
displays
good
biocompatibility
biodegradability.
vivo
vitro
results
demonstrate
that
treatment
effectively
reduces
inflammation
promotes
angiogenesis,
collagen
deposition,
cell
proliferation,
migration,
thereby
accelerating
process.
Overall,
innovative
approach
offers
new
avenue
via
biological
with
controlled
exosome
release.
Nature Communications,
Journal Year:
2024,
Volume and Issue:
15(1)
Published: April 23, 2024
Abstract
Wound
healing
is
an
obvious
clinical
concern
that
can
be
hindered
by
inadequate
angiogenesis,
inflammation,
and
chronic
hypoxia.
While
exosomes
derived
from
adipose
tissue-derived
stem
cells
have
shown
promise
in
accelerating
carrying
therapeutic
growth
factors
microRNAs,
intracellular
cargo
delivery
compromised
hypoxic
tissues
due
to
activated
hypoxia-induced
endocytic
recycling.
To
address
this
challenge,
we
developed
a
strategy
coat
oxygen
nanobubbles
with
incorporate
them
into
polyvinyl
alcohol/gelatin
hybrid
hydrogel.
This
approach
not
only
alleviates
wound
hypoxia
but
also
offers
efficient
means
of
delivering
exosome-coated
nanoparticles
conditions.
The
self-healing
properties
the
hydrogel,
along
its
component,
gelatin,
aids
hemostasis,
while
crosslinking
bonds
facilitate
hydrogen
peroxide
decomposition,
ameliorate
inflammation.
Here,
show
potential
multifunctional
hydrogel
for
enhanced
healing,
promoting
facilitating
exosome
delivery,
mitigating
hypoxia,
inhibiting
inflammation
male
rat
full-thickness
model.
Advanced Materials,
Journal Year:
2024,
Volume and Issue:
36(32)
Published: June 1, 2024
Abstract
Burn
wounds
often
bring
high
risks
of
delayed
healing
process
and
even
death.
Reactive
oxygen
species
(ROS)
play
a
crucial
role
in
burn
wound
repair.
However,
the
dynamic
requires
both
generation
ROS
to
inhibit
bacteria
subsequent
reduction
levels
initiate
promote
tissue
regeneration,
which
calls
for
more
intelligent
regulation
dressing
system.
Hence,
dual‐layered
hydrogel
(Dual‐Gel)
tailored
repair
is
designed:
inner
layer
(Gel
2)
first
responds
bacterial
hyaluronidase
(Hyal)
deliver
aggregation‐induced
emission
photosensitizer
functionalized
adipose‐derived
stem
cell
nanovesicles,
generate
upon
light
irradiation
eliminate
bacteria;
then
outer
1)
continuously
starts
long‐lasting
consumption
excess
at
site
accelerate
regeneration.
Simultaneously,
nanovesicles
trapped
burns
also
provide
nutrients
mobilize
neighboring
tissues
thoroughly
assist
inflammation
regulation,
proliferation,
migration,
angiogenesis.
In
summary,
this
study
develops
an
treatment
approach
on
by
programmatically
regulating
facilitating
comprehensive
Advanced Materials,
Journal Year:
2024,
Volume and Issue:
36(41)
Published: June 9, 2024
Abstract
The
tumor
microenvironment
(TME)
of
typical
types
such
as
triple‐negative
breast
cancer
is
featured
by
hypoxia
and
immunosuppression
with
abundant
tumor‐associated
macrophages
(TAMs),
which
also
emerge
potential
therapeutic
targets
for
antitumor
therapy.
M1‐like
macrophage‐derived
exosomes
(M1‐Exos)
have
emerged
a
promising
candidate
their
tumor‐targeting
macrophage‐polarization
capabilities.
However,
the
limited
drug‐loading
efficiency
stability
M1‐Exos
hindered
effectiveness
in
applications.
Here,
hybrid
nanovesicle
developed
integrating
AS1411
aptamer‐conjugated
liposomes
(AApt‐Lips),
termed
M1E/AALs.
obtained
M1E/AALs
are
loaded
perfluorotributylamine
(PFTBA)
IR780,
P‐I,
to
construct
P‐I@M1E/AALs
reprogramming
TME
alleviating
engineering
TAMs.
P‐I@M1E/AAL‐mediated
therapy
enhances
situ
generation
reactive
oxygen
species,
repolarizes
TAMs
toward
an
phenotype,
promotes
infiltration
T
lymphocytes.
synergistic
based
on
significantly
suppresses
growth
prolongs
survival
4T1‐tumor‐bearing
mice.
By
multiple
treatment
modalities,
P‐I@M1E/AAL
nanoplatform
demonstrates
approach
overcoming
hypoxic
immunosuppressive
targeted
TAM
enhanced
photodynamic
immunotherapy.
This
study
highlights
innovative
TAM‐engineering
platform
tumors
characterized
TME.
Bioactive Materials,
Journal Year:
2024,
Volume and Issue:
38, P. 1 - 30
Published: April 23, 2024
Characterized
by
their
pivotal
roles
in
cell-to-cell
communication,
cell
proliferation,
and
immune
regulation
during
tissue
repair,
exosomes
have
emerged
as
a
promising
avenue
for
"cell-free
therapy"
clinical
applications.
Hydrogels,
possessing
commendable
biocompatibility,
degradability,
adjustability,
physical
properties
akin
to
biological
tissues,
also
found
extensive
utility
engineering
regenerative
repair.
The
synergistic
combination
of
hydrogels
holds
the
potential
not
only
enhance
efficiency
but
collaboratively
advance
repair
process.
This
review
has
summarized
advancements
made
over
past
decade
research
hydrogel-exosome
systems
regenerating
various
tissues
including
skin,
bone,
cartilage,
nerves
tendons,
with
focus
on
methods
encapsulating
releasing
within
hydrogels.
It
critically
examined
gaps
limitations
current
research,
whilst
proposed
future
directions
applications
this
innovative
approach.
ACS Applied Bio Materials,
Journal Year:
2025,
Volume and Issue:
unknown
Published: Feb. 28, 2025
Patients
and
healthcare
systems
face
significant
social
financial
challenges
due
to
the
increasing
number
of
individuals
with
chronic
external
internal
wounds
that
fail
heal.
The
complexity
healing
process
remains
a
serious
health
concern,
despite
effectiveness
conventional
wound
dressings
in
promoting
healing.
Recent
advancements
materials
science
fabrication
techniques
have
led
development
innovative
enhance
To
further
expedite
process,
novel
approaches
such
as
nanoparticles,
3D-printed
dressings,
biomolecule-infused
emerged,
along
cell-based
methods.
Additionally,
gene
therapy
technologies
are
being
harnessed
generate
stem
cell
derivatives
more
functional,
selective,
responsive
than
their
natural
counterparts.
This
review
highlights
potential
biomaterials,
3D
bioprinting,
gene-
therapies
However,
it
also
underscores
necessity
for
research
address
existing
integrate
these
strategies
into
standard
clinical
practice.
The
management
of
diabetic
wounds
faces
significant
challenges
due
to
the
excessive
activation
reactive
oxygen
species
(ROS),
dysregulation
inflammatory
response,
and
impaired
angiogenesis.
A
substantial
body
evidence
suggests
that
aforementioned
diverse
factors
contributing
delayed
healing
may
be
associated
with
autophagy.
Impaired
autophagy
leads
endothelial
fibroblast
dysfunction
impedes
macrophage
phenotypic
transformation.
This
disruption
hinders
angiogenesis
extracellular
matrix
deposition,
ultimately
culminating
in
wound
healing.
Therefore,
biomaterials
possessing
regulatory
functions
hold
potential
for
clinical
applications
enhancing
wounds.
hybrid
multifunctional
hydrogel
(GelMa@SIS-Qu)
has
been
developed,
comprising
methacrylamide
gelatin
(GelMa),
a
small
intestine
submucosal
acellular
(SIS),
quercetin
nanoparticles,
which
demonstrates
capability
promote
promotion
not
only
reduces
ROS
levels
cells
enhances
their
antioxidant
activity
but
also
mitigates
ROS-induced
cell
apoptosis,
thereby
promoting
Furthermore,
facilitates
transformation
macrophages
from
M1
phenotype
M2
phenotype.
study
investigates
distinctive
mechanisms
GelMa@SIS-Qu
proposes
promising
therapeutic
strategy
treating
diabetes-related
Theranostics,
Journal Year:
2024,
Volume and Issue:
14(11), P. 4198 - 4217
Published: Jan. 1, 2024
The
utilization
of
extracellular
vesicles
(EVs)
in
wound
healing
has
been
well-documented.However,
the
direct
administration
free
EVs
via
subcutaneous
injection
at
sites
may
result
rapid
dissipation
bioactive
components
and
diminished
therapeutic
efficacy.Functionalized
hydrogels
provide
effective
protection,
as
well
ensure
sustained
release
bioactivity
during
process,
making
them
an
ideal
candidate
material
for
delivering
EVs.In
this
review,
we
introduce
mechanisms
by
which
accelerate
healing,
then
elaborate
on
construction
strategies
engineered
EVs.Subsequently,
discuss
synthesis
application
delivery
systems
to
enhance
complicated
healing.Furthermore,
face
wounds,
functionalized
with
specific
microenvironment
regulation
capabilities,
such
antimicrobial,
anti-inflammatory,
immune
regulation,
used
loading
EVs,
potential
approaches
addressing
these
challenges.Ultimately,
deliberate
future
trajectories
outlooks,
offering
a
fresh
viewpoint
advancement
artificial
intelligence
(AI)-energized
materials
3D
bio-printed
multifunctional
hydrogel-based
dressings
biomedical
applications.