Aug 2026· Biomaterials Science· 0 citations· 28 references
Medicine
TL;DR
This work developed a synergistic single-platform strategy for precise regulation of diabetic wound microenvironments, providing a promising therapeutic alternative for refractory diabetic wound treatment.
Abstract
The refractory healing of diabetic wounds represents a major clinical challenge, primarily attributed to a vicious cycle formed by persistent bacterial infection, excessive oxidative stress, and a dysregulated immune microenvironment. To simultaneously address multiple pathological barriers, an intelligent composite nanoplatform was designed and constructed in this study, integrating near-infrared (NIR) photothermal therapy, reactive oxygen species (ROS) scavenging, antimicrobial activity, and immunomodulation. A mesoporous polydopamine (MPDA) core was loaded with chlorogenic acid (CGA), a natural antioxidant, and further coated with a copper-zinc bimetallic organic framework (Cu/Zn-MOF) to fabricate Cu/Zn-MOF@CGA@MPDA NPs, exhibiting pH-responsive dissociation in the acidic infected wound microenvironment. Under 808 nm near-infrared irradiation, the fabricated NPs showed excellent photothermal performance, efficiently eliminating bacteria and biofilms in vitro. They also scavenged ROS to relieve oxidative damage and promoted macrophage polarization from the pro-inflammatory M1 to pro-healing M2 phenotype. In a diabetic rat model of infected full-thickness skin wounds, the nanoplatform achieved antibacterial and anti-inflammatory effects simultaneously. Such synergistic functions promoted collagen deposition and re-epithelialization, thereby accelerating diabetic wound healing. Histological and hematological tests verified its good biocompatibility and biosafety. This work developed a synergistic single-platform strategy for precise regulation of diabetic wound microenvironments, providing a promising therapeutic alternative for refractory diabetic wound treatment.
Chronic diabetic wounds represent a severe complication of diabetes mellitus and a prototypical form of chronic nonhealing wounds, characterized by biofilm-associated infection, persistent inflammation, and impaired angiogenesis. Herein, a multifunctional microneedle platform incorporating cationic chitosan-coated ruthenium dioxide nanozymes (RuO2@QCS NPs), termed RuO2@QCS-MN, is developed to accelerate diabetic wound healing through microenvironment reprogramming. This integrated system combines photothermal antibacterial activity, reactive oxygen species (ROS) scavenging, and in situ oxygen generation to coordinately regulate the pathological milieu of infected wounds. The microneedles effectively penetrate bacterial biofilms and deliver nanozymes to bacteria-enriched regions, enabling efficient yet mild photothermal antibacterial therapy. Meanwhile, RuO2@QCS NPs exhibit catalase-like activity, catalyzing endogenous hydrogen peroxide into oxygen, thereby enhancing nanozyme diffusion, alleviating oxidative stress, modulating inflammatory responses, and promoting macrophage polarization. Simultaneous oxygen generation may alleviate hypoxia and promote angiogenic responses. Both in vitro and diabetic in vivo models demonstrate efficient bacterial elimination, inflammation suppression, and enhanced re-epithelialization and neovascularization, ultimately accelerating wound repair. This work establishes a highly integrated nanozyme-enabled therapeutic paradigm for the localized treatment of infected diabetic wounds.
Xiang Li, Yuemiao Mao, Bo Ye et al.· ACS Applied Materials and In...· 0 citations
This work demonstrates a safe and effective strategy for combating MDR infections through the combined action of photothermal therapy and nanozyme catalysis, offering promising potential for clinical wound management.
Weiwei Zhang, Lixiang Fan, Xuanjun Zhang et al.· ACS Applied Materials and In...· 0 citations
This work presents an externally triggered multifunctional therapeutic platform that integrates photothermal bacterial eradication with antioxidant regulation, providing a promising strategy for chronic wound management.
Overall, this study provides a pH-responsive, nanozyme-integrated fibrous membrane with combined antibacterial and pro-regenerative functions, offering a promising strategy for the treatment of bacteria-infected wounds without relying on antibiotics.
Han Lin, Jingyan Huang, Xiaoqi Xie et al.· Colloids and Surfaces B: Bio...· 0 citations
Diabetic wounds represent one of the most devastating complications of diabetes mellitus, characterized by delayed or non-healing outcomes arising from the complex pathological microenvironment, including vascular impairment, excessive inflammation, and persistent infection. To achieve simultaneous modulation of the multiple pathological features underlying diabetic wounds, herein we developed polydopamine nanoparticles surface-functionalized with copper-tannic acid metal-phenolic networks (PDA@Cu-TA). PDA@Cu-TA improves the photothermal conversion efficiency of pristine PDA. Benefiting from the chelating effect of Cu-TA and the strong adhesion of PDA, this composite material achieves responsive sustained release of Cu2+, which greatly elevates its biosafety. In addition, the combination of released Cu2+ and mild photothermal treatment exhibits outstanding antibacterial capacity and markedly facilitates neovascularization. In vitro studies demonstrated that PDA@Cu-TA exhibited excellent antioxidant, anti-inflammatory, pro-angiogenic, and antibacterial activities, along with outstanding biocompatibility.In vivo experiments further confirmed that PDA@Cu-TA significantly accelerated wound closure in diabetic mice.Collectively, this study presents a multifunctional nanoplatform that enables synchronous regulation of the diabetic pathological microenvironment for effective wound repair via mild photothermal therapy.
Juan Wang, Wei Liu· Biomaterials Advances· 0 citations
PCNZnCy adapts to the wound's specific microenvironment, enabling it to kill bacteria, reduce oxidative stress, and promote tissue regeneration, and makes it a strong candidate for multifactorial, complex wound pathologies, in which multiple complications overlap.
Yipeng Pang, F. M. Amona, Hanyuan Liu et al.· Theranostics· 0 citations
