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
Science Advances,
Journal Year:
2023,
Volume and Issue:
9(21)
Published: May 26, 2023
Implant-associated
infection
is
a
major
threat
affecting
the
success
of
orthopedic
surgeries.
Although
various
materials
scavenge
bacteria
by
generating
reactive
oxygen
species
(ROS),
intrinsic
inability
ROS
to
distinguish
from
cells
notably
limits
therapeutic
effects.
Here,
we
found
that
arginine
carbon
dots
(Arg-CDs)
were
transformed
exhibited
supreme
antibacterial
and
osteoinductive
activity.
We
further
designed
Schiff
base
bond
between
Arg-CDs
aldehyde
hyaluronic
acid/gelatin
methacryloyl
(HG)
hydrogel
release
in
response
acidic
bone
injury
microenvironment.
The
free
could
selectively
kill
excessive
ROS.
Furthermore,
Arg-CD-loaded
HG
composite
showed
excellent
activity
through
inducing
M2
polarization
macrophages
up-regulating
interleukin-10
(Il10)
expression.
Together,
our
findings
revealed
transformation
into
zero-dimensional
endow
material
with
exceptional
activity,
favoring
regeneration
infectious
bone.
Nature Communications,
Journal Year:
2023,
Volume and Issue:
14(1)
Published: Nov. 29, 2023
High
glucose-induced
vascular
endothelial
injury
is
a
major
pathological
factor
involved
in
non-healing
diabetic
wounds.
To
interrupt
this
process,
we
design
an
all-peptide
printable
hydrogel
platform
based
on
highly
efficient
and
precise
one-step
click
chemistry
of
thiolated
γ-polyglutamic
acid,
glycidyl
methacrylate-conjugated
arginine-glycine-aspartate
sequences.
Vascular
growth
165-overexpressed
human
umbilical
vein
cells
are
printed
using
platform,
hence
fabricating
living
material
with
high
cell
viability
spatial
distribution
control.
This
cell-laden
accelerates
the
wound
healing
rats
unabated
165
release,
which
promotes
angiogenesis
alleviates
damages
mitochondria,
thereby
reducing
tissue
hypoxia,
downregulating
inflammation,
facilitating
extracellular
matrix
remodeling.
Together,
study
offers
promising
strategy
for
tissue-friendly,
high-efficient,
accurate
3D
delivery
self-renewable
therapy.
BMEMat,
Journal Year:
2023,
Volume and Issue:
1(3)
Published: June 30, 2023
Abstract
Diabetic
foot
ulcers
(DFU)
are
a
common
and
often
debilitating
complication
of
diabetes
that
can
result
in
lower
limb
amputations
if
left
untreated.
Hydrogel
dressings
three‐dimensional
networks
hydrophilic
polymers
absorb
retain
large
amounts
water,
have
been
shown
to
possess
excellent
biocompatibility,
low
toxicity,
fluid
handling
properties.
In
addition,
hydrogels
create
moist
wound
environment
promotes
healing
by
supporting
cell
proliferation,
migration,
angiogenesis.
Hydrogels,
therefore,
emerged
as
promising
for
promoting
DFU
healing.
this
review,
we
attempt
chart
the
landscape
emerging
field
hydrogel
dressing
treatment.
We
will
explicitly
review
assorted
preparation
methods
well
detailed
discussion
various
types
deployed
study.
also
crystallize
key
findings,
identify
remaining
challenges,
present
an
outlook
on
future
development
enticing
field.
Advanced Healthcare Materials,
Journal Year:
2023,
Volume and Issue:
13(4)
Published: Nov. 9, 2023
Diabetic
wounds
are
more
likely
to
develop
into
complex
and
severe
chronic
wounds.
The
objective
of
this
study
is
assess
a
reactive
oxygen
species
(ROS)-responsive
multifunctional
injectable
hydrogel
for
the
purpose
diabetic
wound
healing.
A
(HA@Cur@Ag)
successfully
synthesized
with
dual
antioxidant,
antibacterial,
anti-inflammatory
properties
by
crosslinking
thiol
hyaluronic
acid
(SH-HA)
disulfide-bonded
hyperbranched
polyethylene
glycol
(HB-PBHE)
through
Michael
addition;
while,
incorporating
curcumin
liposomes
silver
nanoparticles
(AgNPs).
HA@Cur@Ag
exhibits
favorable
biocompatibility,
degradability,
injectivity.
outcomes
in
vitro
vivo
experiments
demonstrate
that
can
effectively
be
loaded
release
liposomes,
as
well
ions,
thereby
facilitating
healing
multiple
mechanisms,
including
ROS
scavenging,
bactericidal
activity,
effects,
promotion
angiogenesis.
Transcriptome
sequencing
reveals
suppresses
activation
tumour
necrosis
factor
(TNF)/nuclear
κB
(NF-κB)
pathway
ameliorate
oxidative
stress
inflammation
These
findings
suggest
ROS-responsive
hydrogel,
which
possesses
ability
precisely
coordinate
integrate
intricate
biological
molecular
processes
involved
healing,
notable
potential
expediting
Acta Biomaterialia,
Journal Year:
2024,
Volume and Issue:
176, P. 128 - 143
Published: Jan. 24, 2024
Chronic
diabetic
wounds
are
a
severe
complication
of
diabetes,
often
leading
to
high
treatment
costs
and
amputation
rates.
Numerous
studies
have
revealed
that
nitric
oxide
(NO)
therapy
is
promising
option
because
it
favours
wound
revascularization.
Here,
base-paired
injectable
adhesive
hydrogels
(CAT)
were
prepared
using
adenine-
thymine-modified
chitosan
(CSA
CST).
By
further
introducing
S-nitrosoglutathione
(GSNO)
binary
L-arginine
(bArg),
we
obtained
NO
sustained-release
hydrogel
(CAT/bArg/GSON)
was
more
suitable
for
the
chronic
wounds.
The
results
showed
expression
HIF-1α
VEGF
upregulated
in
CAT/bArg/GSON
group,
improved
blood
vessel
regeneration
observed,
indicating
an
important
role
NO.
In
addition,
research
findings
following
with
hydrogel,
viability
Staphylococcus
aureus
Escherichia
coli
decreased
14
±
2%
6
1%,
respectively.
Moreover,
microenvironment
improved,
as
evidenced
by
60
1%
clearance
DPPH.
particular,
histological
examination
immunohistochemical
staining
treated
CAT/bArg/GSNO
exhibited
denser
neovascularization,
faster
epithelial
tissue
regeneration,
thicker
collagen
deposition.
Overall,
this
study
proposes
effective
strategy
prepare
dressings
dual
donors.
functionality
has
been
thoroughly
demonstrated
on
vascular
could
be
potential
promoting
healing.
This
article
prepares
utilizing
principle
complementary
base
pairing,
which
offers
several
advantages,
including
good
adhesion,
biocompatibility,
flow
properties,
making
material
dressings.
Loaded
GSNO
bArg
can
steadily
release
through
degradation
gel.
Then,
released
not
only
possesses
antioxidant
properties
but
also
continue
generate
small
amount
under
action
NOS.
design
achieves
sustained
stable
supply
at
site,
maximizing
angiogenesis-promoting
antibacterial
effects
More
neovascularization
abundant
observed
regenerated
tissues.
provides
repair
wound.