Zhang Yiwen, Tang Zixuan, Chen Liyun, Yang Min, Zeng Yating, Bai Xujue, Zhang Bingna, Zhou Jianda, Zhang Wancong, Tang Shijie
Department of Plastic Surgery and Burn Center, Second Affiliated Hospital, Shantou University Medical College, Shantou, Guangdong 515051, China; Plastic Surgery Institute of Shantou University Medical College, Shantou, Guangdong 515051, China.
Plastic Surgery Institute of Shantou University Medical College, Shantou, Guangdong 515051, China; Research Center of Translational Medicine, Second Affiliated Hospital of Shantou University Medical College, Shantou, Guangdong 515051, China.
J Control Release. 2025 Feb 10;378:961-981. doi: 10.1016/j.jconrel.2024.12.055. Epub 2025 Jan 1.
Healing of diabetic wounds is significantly impeded by a complex environment comprising biofilm formation, excessive inflammation, and compromised angiogenic capacity, leading to a disordered physiological healing process. Restoration and maintenance of a normal and orderly healing process in diabetic wounds remain unmet therapeutic objectives. Herein, an innovative bimetal-phenolic network hydrogel system is designed with a concentric circular structure, enabling dual-drug delivery with differentiated release kinetics. The outer layer, Cu@TA (tannic acid)-loaded ε-PL (poly-l-lysine)-SilMA (methacrylated silk), is engineered for an initial release to scavenge reactive oxygen species and exert antibacterial and anti-inflammatory effects. The inner layer, Zn@TA-loaded ε-PL-SilMA, is designed for sustained release to promote cell migration, modulate the immune microenvironment, and induce angiogenesis. By incorporating a polyphenolic-metal network, the Cu@TA/Zn@TA/ε-PL-SilMA hydrogel can alter its degradation rate, enabling the sequential release of Cu@TA and Zn@TA. An in vivo diabetic rat wound model, transcriptomic sequencing, and histological staining analyses revealed that the Cu@TA/Zn@TA/ε-PL-SilMA hydrogel effectively activates the Wnt/β-catenin signaling pathway, synergistically promoting wound healing by accelerating angiogenesis, effectively reducing inflammation, and promoting collagen deposition. This innovative hydrogel, with sequential degradation and release properties, is broadly applicable, ensures orderly wound healing, and holds promise for accelerating diabetic wound repair.
糖尿病伤口的愈合受到包括生物膜形成、过度炎症反应和血管生成能力受损在内的复杂环境的显著阻碍,导致生理愈合过程紊乱。恢复和维持糖尿病伤口正常且有序的愈合过程仍是未实现的治疗目标。在此,设计了一种具有同心圆结构的创新双金属-酚醛网络水凝胶系统,能够实现具有差异化释放动力学的双药递送。外层负载Cu@TA(单宁酸)的ε-PL(聚-L-赖氨酸)-SilMA(甲基丙烯酸化丝素)经设计可实现初始释放,以清除活性氧并发挥抗菌和抗炎作用。内层负载Zn@TA的ε-PL-SilMA经设计可实现持续释放,以促进细胞迁移、调节免疫微环境并诱导血管生成。通过引入多酚-金属网络,Cu@TA/Zn@TA/ε-PL-SilMA水凝胶可以改变其降解速率,实现Cu@TA和Zn@TA的顺序释放。体内糖尿病大鼠伤口模型、转录组测序和组织学染色分析表明,Cu@TA/Zn@TA/ε-PL-SilMA水凝胶可有效激活Wnt/β-连环蛋白信号通路,通过加速血管生成、有效减轻炎症和促进胶原蛋白沉积来协同促进伤口愈合。这种具有顺序降解和释放特性的创新水凝胶具有广泛的适用性,可确保伤口有序愈合,有望加速糖尿病伤口修复。