Abstract
Diabetic
foot
ulcer
(DFU),
characterized
by
high
recurrence
rate,
amputations
and
mortality,
poses
a
significant
challenge
in
diabetes
management.
The
complex
pathology
involves
dysregulated
glucose
homeostasis
leading
to
systemic
local
microenvironmental
complications,
including
peripheral
neuropathy,
micro-
macro-angiopathy,
recurrent
infection,
persistent
inflammation
re-epithelialization.
Novel
approaches
accelerate
DFU
healing
are
actively
pursued,
with
focus
on
utilizing
exosomes.
Exosomes
natural
nanovesicles
mediating
cellular
communication
containing
diverse
functional
molecular
cargos,
DNA,
mRNA,
microRNA
(miRNA),
lncRNA,
proteins,
lipids
metabolites.
While
some
exosomes
show
promise
modulating
function
promoting
healing,
their
efficacy
is
limited
low
yield,
impurities,
loading
content
inadequate
targeting.
Engineering
enhance
curative
activity
represents
potentially
more
efficient
approach
for
DFUs.
This
could
facilitate
focused
repair
regeneration
of
nerves,
blood
vessels
soft
tissue
after
development.
review
provides
an
overview
pathogenesis,
strategies
exosome
engineering
the
targeted
therapeutic
application
engineered
addressing
critical
pathological
changes
associated
Materials Today Bio,
Год журнала:
2022,
Номер
18, С. 100508 - 100508
Опубликована: Ноя. 30, 2022
Poor
wound
healing
after
diabetes
mellitus
remains
a
challenging
problem,
and
its
pathophysiological
mechanisms
have
not
yet
been
fully
elucidated.
Persistent
bleeding,
disturbed
regulation
of
inflammation,
blocked
cell
proliferation,
susceptible
infection
impaired
tissue
remodeling
are
the
main
features
diabetic
healing.
Conventional
dressings,
including
gauze,
films
bandages,
limited
function.
They
generally
act
as
physical
barriers
absorbers
exudates,
which
fail
to
meet
requirements
whol
process.
Wounds
in
patients
typically
heal
slowly
due
hyperglycemia
within
bed.
Once
bacterial
cells
develop
into
biofilms,
wounds
will
exhibit
robust
drug
resistance.
Recently,
application
stimuli-responsive
hydrogels,
also
known
"smart
hydrogels",
for
has
attracted
particular
attention.
The
basic
feature
this
system
is
capacities
change
mechanical
properties,
swelling
ability,
hydrophilicity,
permeability
biologically
active
molecules,
etc.,
response
various
stimuli,
temperature,
potential
hydrogen
(pH),
protease
other
biological
factors.
Smart
hydrogels
can
improve
therapeutic
efficacy
limit
total
toxicity
according
characteristics
wounds.
In
review,
we
summarized
mechanism
It
hoped
that
work
provide
some
inspiration
suggestions
research
field.
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
36(10)
Опубликована: Фев. 16, 2023
Abstract
The
growing
interest
in
nanomedicine
over
the
last
20
years
has
carved
out
a
research
field
called
“nanocatalytic
therapy,”
where
catalytic
reactions
mediated
by
nanomaterials
are
employed
to
intervene
disease‐critical
biomolecular
processes.
Among
many
kinds
of
catalytic/enzyme‐mimetic
investigated
thus
far,
ceria
nanoparticles
stand
from
others
owing
their
unique
scavenging
properties
against
biologically
noxious
free
radicals,
including
reactive
oxygen
species
(ROS)
and
nitrogen
(RNS),
exerting
enzyme
mimicry
nonenzymatic
activities.
Much
effort
been
made
utilize
as
self‐regenerating
antioxidative
anti‐inflammatory
agents
for
various
diseases,
given
detrimental
effects
ROS
RNS
therein
that
need
alleviation.
In
this
context,
review
is
intended
provide
an
overview
what
makes
merit
attention
disease
therapy.
introductory
part
describes
characteristics
oxygen‐deficient
metal
oxide.
pathophysiological
roles
then
presented,
well
mechanisms
nanoparticles.
Representative
examples
recent
ceria‐nanoparticle‐based
therapeutics
summarized
categorization
into
organ
types,
followed
discussion
on
remaining
challenges
future
directions.
Advanced Healthcare Materials,
Год журнала:
2023,
Номер
12(25)
Опубликована: Апрель 13, 2023
Diabetic
wounds
are
characterized
by
drug-resistant
bacterial
infections,
biofilm
formation,
impaired
angiogenesis
and
perfusion,
oxidative
damage
to
the
microenvironment.
Given
their
complex
nature,
diabetic
remain
a
major
challenge
in
clinical
practice.
Reactive
oxygen
species
(ROS),
which
have
been
shown
trigger
hyperinflammation
excessive
cellular
apoptosis,
play
pivotal
role
pathogenesis
of
wounds.
ROS-scavenging
nanosystems
recently
emerged
as
smart
multifunctional
nanomedicines
with
broad
synergistic
applicability.
The
documented
anti-inflammatory
pro-angiogenic
ability
treatments
predestines
these
promising
options
for
treatment
Yet,
this
context,
therapeutic
applicability
efficacy
be
elucidated.
Herein,
ROS
is
deciphered,
properties
strengths
capacity
summarized.
In
addition,
current
challenges
such
potential
future
directions
discussed
through
clinical-translational
lens.
Advanced Functional Materials,
Год журнала:
2024,
Номер
34(38)
Опубликована: Апрель 21, 2024
Abstract
Persistent
oxidative
stress
and
bacterial
infection
are
significant
challenges
that
impede
diabetic
wound
healing.
By
combining
diagnosis
treatment,
pH
variation
on
the
tissue
can
be
monitored
in
real
time,
precise
treatment
carried
out
promptly
to
promote
In
this
study,
a
lipoic
acid‐modified
chitosa
(LAMC)
hydrogel
is
constructed
via
an
amidation
reaction,
ceria
oxide‐molybdenum
disulfide
nanoparticles
with
polydopamine
layer
(C@M@P),
along
carbon
quantum
dots
(CDs)
synthesized
by
hydrothermal
method,
loaded
into
hydrogel,
thus
developing
diagnostic
therapeutic
(LAMC/CD‐C@M@P).
incorporating
CDs,
exhibits
high
sensitivity
reversibility
under
ultraviolet
light.
Furthermore,
images
of
hydrogels
collected
using
smartphones
converted
signals,
providing
means
for
early
detection
infection.
Notably,
LAMC/CD‐C@M@P
excellent
photothermal
antibacterial
capability
against
Staphylococcus
aureus
Escherichia
coli
remarkable
antioxidant
anti‐inflammatory
abilities
alleviate
reactive
oxygen
species
relieve
inflammation
response.
summary,
multifunctional
offers
great
potential
as
innovative
dressing
platform,
representing
advancement
chronic
management.
International Journal of Nanomedicine,
Год журнала:
2023,
Номер
Volume 18, С. 1537 - 1560
Опубликована: Март 1, 2023
Abstract:
Diabetes
mellitus
(DM)
induced
wound
healing
impairment
remains
a
serious
health
problem
and
burden
on
the
clinical
obligation
for
high
amputation
rates.
Based
features
of
microenvironment,
biomaterials
loading
specific
drugs
can
benefit
diabetic
treatment.
Drug
delivery
systems
(DDSs)
carry
diverse
functional
substances
to
site.
Nano-drug
(NDDSs),
benefiting
from
their
related
nano
size,
overcome
limitations
conventional
DDSs
application
are
considered
as
developing
process
in
treatment
field.
Recently,
number
finely
designed
nanocarriers
efficiently
various
(bioactive
non-bioactive
factors)
have
emerged
circumvent
constraints
faced
by
traditional
DDSs.
This
review
describes
recent
advances
nano-drug
involved
mitigating
diabetes
mellitus-based
non-healing
wounds.
Keywords:
drug
system,
nanotechnology,
healing,
nanoparticles
Smart Materials in Medicine,
Год журнала:
2023,
Номер
4, С. 427 - 446
Опубликована: Янв. 1, 2023
Reactive
oxygen
species
(ROS),
acting
as
essential
mediators
in
the
biological
system,
highly
influence
physiologic
and
pathologic
processes
of
human
body.
The
aberrant
production
ROS,
caused
by
various
diseases,
may
lead
to
inflammation
cellular
damages,
well
homeostasis
disruption.
In
recent
years,
biomaterials
sensitive
stimuli
have
received
increasing
attention
due
their
potential
for
achieving
more
specific
diagnoses
effective
treatments.
Particularly,
ROS-responsive
could
be
triggered
ROS
damaged
tissue
microenvironment
release
payloads
or
exert
a
therapeutically
beneficial
effect,
consequently
regulating
elevated
level
downregulating
oxidative
stress
promote
regeneration.
this
review,
we
outline
underlying
mechanisms
generation
diseases
summarize
cutting-edge
advances
developing
expedite
inflammation-related
regenerative
medicine
engineering
applications
body
systems.
particular,
pointed
out
challenges
shortcomings
that
current
ROS-sensitive
materials
encounter,
offer
distinctive
insights
into
field
present
solutions
improved
strategies.
Journal of Materials Chemistry B,
Год журнала:
2023,
Номер
11(29), С. 6746 - 6761
Опубликована: Янв. 1, 2023
The
slow
healing
of
diabetic
wounds
has
seriously
affected
human
health.
Meanwhile,
the
open
are
susceptible
to
bacterial
infection.
Clinical
therapeutic
methods
such
as
antibiotic
therapy,
insulin
treatment,
and
surgical
debridement
have
made
great
achievements
in
treatment
wounds.
However,
drug-resistant
bacteria
will
develop
after
long-term
use
antibiotics,
resulting
decreased
efficacy.
To
improve
effect,
increasing
drug
concentration
is
a
common
strategy
clinical
practice,
but
it
also
brings
serious
side
effects.
In
addition,
hyperglycemia
control
or
can
easily
bring
negative
effects
patients,
hypoglycemia
damage
normal
tissue.
Therefore,
essential
novel
strategies
effectively
promote
wound
healing.
recent
years,
nanozyme-based
systems
received
extensive
attention
because
they
possess
advantages
nanomaterials
natural
enzymes.
For
example,
nanozymes
small
size
high
surface
area
volume
ratio,
which
enhance
tissue
penetration
increase
reactive
active
sites.
Moreover,
compared
with
enzymes,
more
stable
catalytic
activity,
lower
production
cost,
stronger
operability.
this
review,
we
first
reviewed
basic
characteristics
then
elaborated
on
mechanism
action
principle
different
types
from
three
aspects:
controlling
infection,
hyperglycemia,
relieving
inflammation.
Finally,
challenges,
prospects
future
implementation
for
outlined.