Chronic
wounds
affect
~2%
of
the
U.S.
population
and
increase
risks
amputation
mortality.
Unfortunately,
treatments
for
such
are
often
expensive,
complex,
only
moderately
effective.
Electrotherapy
represents
a
cost-effective
treatment;
however,
its
reliance
on
bulky
equipment
limits
clinical
use.
Here,
we
introduce
water-powered,
electronics-free
dressings
(WPEDs)
that
offer
unique
solution
to
this
issue.
The
WPED
performs
even
under
harsh
conditions-situations
wherein
many
present
fail.
It
uses
flexible,
biocompatible
magnesium-silver/silver
chloride
battery
pair
stimulation
electrodes;
upon
addition
water,
creates
radial
electric
field.
Experiments
in
diabetic
mice
confirm
WPED's
ability
accelerate
wound
closure
promote
healing
by
increasing
epidermal
thickness,
modulating
inflammation,
promoting
angiogenesis.
Across
preclinical
models,
WPED-treated
group
heals
faster
than
control
with
rates
comparable
requiring
expensive
biologics
and/or
complex
electronics.
results
demonstrate
potential
as
an
effective
more
practical
treatment
dressing.
Advanced Materials,
Год журнала:
2023,
Номер
35(19)
Опубликована: Фев. 22, 2023
Diabetic
wound
(DW)
therapy
is
currently
a
big
challenge
in
medicine
and
strategies
to
enhance
neurogenesis
angiogenesis
have
appeared
be
promising
direction.
However,
the
current
treatments
failed
coordinate
simultaneously,
leading
an
increased
disability
rate
caused
by
DWs.
Herein,
whole-course-repair
system
introduced
hydrogel
concurrently
achieve
mutually
supportive
cycle
of
neurogenesis-angiogenesis
under
favorable
immune-microenvironment.
This
can
first
one-step
packaged
syringe
for
later
situ
local
injections
cover
wounds
long-termly
accelerated
healing
via
synergistic
effect
magnesium
ions
(Mg2+
)
engineered
small
extracellular
vesicles
(sEVs).
The
self-healing
bio-adhesive
properties
make
it
ideal
physical
barrier
At
inflammation
stage,
formulation
recruit
bone
marrow-derived
mesenchymal
stem
cells
sites
stimulate
them
toward
neurogenic
differentiation,
while
providing
immune
microenvironment
macrophage
reprogramming.
proliferation
stage
repair,
robust
occurs
newly
differentiated
neural
released
Mg2+
,
allowing
regenerative
take
place
at
site.
provides
novel
platform
combined
DW
therapy.
ACS Nano,
Год журнала:
2023,
Номер
17(16), С. 15962 - 15977
Опубликована: Авг. 3, 2023
Treatment
of
diabetic
foot
ulcers
(DFU)
needs
to
reduce
inflammation,
relieve
hypoxia,
lower
blood
glucose,
promote
angiogenesis,
and
eliminate
pathogenic
bacteria,
but
the
therapeutic
efficacy
is
greatly
limited
by
diversity
synergy
drug
functions
as
well
DFU
microenvironment
itself.
Herein,
an
ultrasound-augmented
multienzyme-like
nanozyme
hydrogel
spray
was
developed
using
hyaluronic
acid
encapsulated
l-arginine
ultrasmall
gold
nanoparticles
Cu1.6O
coloaded
phosphorus
doped
graphitic
carbon
nitride
nanosheets
(ACPCAH).
This
possesses
five
types
enzyme-like
activities,
including
superoxide
dismutase
(SOD)-,
catalase
(CAT)-,
glucose
oxidase
(GOx)-,
peroxidase
(POD)-,
nitric
oxide
synthase
(NOS)-like
activities.
The
kinetics
reaction
mechanism
sonodynamic/sonothermal
synergistic
enhancement
SOD-CAT-GOx-POD/NOS
cascade
ACPCAH
are
fully
investigated.
Both
in
vitro
vivo
tests
demonstrate
that
this
can
be
activated
thus
accelerating
wound
healing
effectively.
study
highlights
a
competitive
approach
based
on
nanozymes
for
development
all-in-one
therapies.
Advanced Materials,
Год журнала:
2023,
Номер
unknown
Опубликована: Июль 12, 2023
Abstract
Natural
living
materials
serving
as
biotherapeutics
exhibit
great
potential
for
treating
various
diseases
owing
to
their
immunoactivity,
tissue
targeting,
and
other
biological
activities.
In
this
review,
the
recent
developments
in
engineered
materials,
including
mammalian
cells,
bacteria,
viruses,
fungi,
microalgae,
plants,
active
derivatives
that
are
used
summarized.
Further,
future
perspectives
challenges
of
such
material‐based
discussed
provide
considerations
advances
biomedical
applications.
Advanced Healthcare Materials,
Год журнала:
2023,
Номер
12(20)
Опубликована: Март 25, 2023
Treatment
of
infected
bone
defects
is
a
major
clinical
challenge;
bioactive
materials
combining
sufficient
antimicrobial
activity
and
favorable
osteogenic
ability
are
urgently
needed.
In
this
study,
through
facile
one-pot
hydrothermal
reaction
zinc
acetate
in
the
presence
tannic
acid
(TA),
with
or
without
silver
nitrate
(AgNO3
),
used
to
synthesize
TA
nanoparticles
(Ag
NPs)
bulk-modified
oxide
(ZnO)
(ZnO-TA
ZnO-TA-Ag),
which
further
composited
zein
fabricate
porous
microparticulate
scaffolds
for
defect
repair.
Bulk
modification
significantly
improves
release
rate
antibacterial
metal
ions
(Zn2+
>100
times
that
ZnO).
Fast
long-lasting
(>35
d)
Zn2+
Ag+
guaranteed
capability
excellent
properties
promoting
differentiation
marrow
mesenchymal
stem
cells
endogenous
citric
production
mineralization
providing
considerable
immunomodulatory
M2
polarization
macrophages.
At
same
time,
synchronously-released
could
scavenge
reactive
oxygen
species
(ROS)
ROS
produced
by
ions,
effectively
balancing
osteogenesis
sufficiently
control
infection
while
protecting
surrounding
tissue
from
damage,
thus
Advanced Healthcare Materials,
Год журнала:
2024,
Номер
13(22)
Опубликована: Май 9, 2024
Hydrogels
have
emerged
as
promising
candidates
for
biomedical
applications,
especially
in
the
field
of
antibacterial
therapeutics,
due
to
their
unique
structural
properties,
highly
tunable
physicochemical
and
excellent
biocompatibility.
The
integration
stimuli-responsive
functions
into
hydrogels
holds
potential
enhance
properties
therapeutic
efficacy,
dynamically
responding
different
external
or
internal
stimuli,
such
pH,
temperature,
enzymes,
light.
Therefore,
this
review
describes
applications
hydrogel
dressings
responsive
stimuli
therapy.
collaborative
interaction
between
materials
is
discussed.
This
synergistic
approach,
contrast
conventional
materials,
not
only
amplifies
effect
but
also
alleviates
adverse
side
effects
diminishes
incidence
multiple
infections
drug
resistance.
provides
a
comprehensive
overview
current
challenges
outlines
future
research
directions
hydrogels.
It
underscores
imperative
ongoing
interdisciplinary
aimed
at
unraveling
mechanisms
wound
healing.
understanding
crucial
optimizing
design
implementation
Ultimately,
aims
offer
scientific
guidance
development
practical
clinical
application
dressings.
Advanced Healthcare Materials,
Год журнала:
2024,
Номер
13(22)
Опубликована: Май 27, 2024
Infected
wounds
pose
challenges
such
as
exudate
management,
bacterial
infections,
and
persistent
inflammation,
making
them
a
significant
challenge
for
modern
dressings.
To
address
these
issues
in
infected
more
effectively,
aerogel-hydrogel
biphase
gels
based
on
dextran
are
developed.
The
gel
introduced
this
study
exhibits
antibacterial
anti-inflammatory
properties
the
process
of
wound
therapy,
contributing
to
accelerated
healing.
aerogel
phase
exceptional
water-absorption
capabilities,
rapidly
soaking
up
from
wound,
thereby
fostering
clean
hygienic
healing
microenvironment.
Concurrently,
is
enriched
with
hydrogen
sulfide
donors.
Following
water
absorption
formation
hydrogel
phase,
it
enables
sustained
release
around
sites.
experiments
confirm
that
sulfide,
by
promoting
M2
macrophage
differentiation
reducing
levels
inflammatory
factors,
effectively
diminishes
local
inflammation
at
site.
Furthermore,
sodium
copper
chlorophyllin
component
within
demonstrates
effective
through
photodynamic
antimicrobial
providing
viable
solution
infection
challenges.
Wound
healing
is
a
complex,
variable,
and
time-dynamic
repair
process.
Wounds
can
be
classified
as
acute
wounds
or
chronic
wounds,
effective
wound
management
still
major
challenge
in
clinical
nursing
settings.
The
microenvironment
collectively
regulated
by
internal
biomolecules,
external
drugs,
sanitation.
Traditional
dressings
(powders,
bandages,
sponges,
etc.)
often
have
poor
therapeutic
effects
during
processes
because
they
cannot
respond
to
the
dynamic
changes
over
long-term.
Stimulus-responsive
biomaterials,
which
are
activated
various
factors
intrinsic
influences,
hold
great
promise
for
precise
drug
delivery
controlled
release.
Various
stimulus-responsive
hydrogels
been
developed
recent
years,
exhibiting
range
of
“smart”
properties,
such
interacting
with
wound,
sensing
conditions
environmental
changes,
responding
accordingly,
thereby
effectively
promoting
healing.
This
review
discusses
latest
advancements
used
We
introduce
design
scheme
stimulus-response
detail
based
on
local
biological/biochemical
peculiarities
(pH,
reactive
oxygen
species
glucose,
enzymes,
physical
microenvironments
(temperature,
light,
ultrasound,
electric
fields,
etc.).
Furthermore,
we
explore
several
promising
tissue-engineered
constructs
(nanofibers,
scaffolds,
microneedles,
microspheres).
Finally,
summarize
basis
active
research
challenges,
current
progress,
development
trends
field.