Hyaluronic acid-g-lipoic acid granular gel for promoting diabetic wound healing

One-pot rapid preparation of long-term antioxidant and antibacterial biomedical gels based on lipoic acid and eugenol for accelerating cutaneous wound healing

The complex battlefield environment often puts great pressure on the treatment of open wounds caused by burns and trauma, which cannot heal for a long time due to the lack of medical resources. Once wounds are not sutured and severely infected, they can lead to infective endocarditis, sepsis, and even death. Therefore, it is urgent to develop advanced dressings to replace sutures and antibiotics, which can quickly seal wounds and maintain long-term stability of antibacterial and antioxidant properties. In this study, novel biobased antibacterial adhesive gels composed of natural small molecule lipoic acid and eugenol were prepared via a one-pot solvent-free reaction for wound management. The gels were crosslinked via the ring-opening polymerization of lipoic acid and hydrogen bond interaction. Due to its structure feature, the PLA-E1 gel displayed excellent flexibility, transparency, self-healing and adhesiveness. The gel system showed long-term high antioxidant activity (95%) after exposure to air at room temperature for one year. Meanwhile, the reactive oxygen species (ROS) scavenging efficacy was kept around 52%. Both trauma and burn in vivo experiments demonstrated that the PLA-E1 gel could accelerate wound healing through antibacterial, antioxidant, angiogenic and tissue regenerative effects, indicating the potential applications of cutaneous wound healing on the battlefield.

Rapidly Gelled Lipoic Acid-Based Supramolecular Hydrogel for 3D Printing of Adhesive Bandage

Developing a strongly adhesive, easily removable, and robust bandage is valuable in trauma emergencies. Poly(lipoic acid) (PLA)-based adhesives with good mechanical properties have been well-developed through a thermal ring-opening polymerization (ROP) method that is easiness. However, the additive manufacturing of PLA-based adhesives remains a challenge. Herein, α-lipoic acid (LA) and trometamol (Tris) are found to rapidly form a supramolecular hydrogel at room temperature with injectability and 3D printing potential. Meanwhile, the synthesized LA-grafted hyaluronic acid and cellulose nanocrystals are involved not only to optimize the extrusion of 3D printing but also to effectively promote fidelity and prevent the inverse closed-loop depolymerization of PLA in water. The hydrogel bandage exhibits strong adhesion to skin while it can be removed with no residue by water flushing, showing protection to neo-tissue during dressing replacement. The in vivo application of the hydrogel bandage significantly promoted wound healing by closing the wound, forming a physical barrier, and providing an anti-inflammatory effect, showing great potential in future clinical applications.

Granular Hydrogels for Harnessing the Immune Response

This review aims to understand the current progress in immune-instructive granular hydrogels and identify the key features used as immunomodulatory strategies. Published work is systematically reviewed and relevant information about granular hydrogels used throughout these studies is collected. The base polymer, microgel generation technique, polymer crosslinking chemistry, particle size and shape, annealing strategy, granular hydrogel stiffness, pore size and void space, degradability, biomolecule presentation, and drug release are cataloged for each work. Several granular hydrogel parameters used for immune modulation: porosity, architecture, bioactivity, drug release, cell delivery, and modularity, are identified. The authors found in this review that porosity is the most significant factor influencing the innate immune response to granular hydrogels, while incorporated bioactivity is more significant in influencing adaptive immune responses. Here, the authors' findings and summarized results from each section are presented and suggestions are made for future studies to better understand the benefits of using immune-instructive granular hydrogels.

Progress in the Use of Hydrogels for Antioxidant Delivery in Skin Wounds

The skin is the largest organ of the body, and it acts as a protective barrier against external factors. Chronic wounds affect millions of people worldwide and are associated with significant morbidity and reduced quality of life. One of the main factors involved in delayed wound healing is oxidative injury, which is triggered by the overproduction of reactive oxygen species. Oxidative stress has been implicated in the pathogenesis of chronic wounds, where it is known to impair wound healing by causing damage to cellular components, delaying the inflammatory phase of healing, and inhibiting the formation of new blood vessels. Thereby, the treatment of chronic wounds requires a multidisciplinary approach that addresses the underlying causes of the wound, provides optimal wound care, and promotes wound healing. Among the promising approaches to taking care of chronic wounds, antioxidants are gaining interest since they offer multiple benefits related to skin health. Therefore, in this review, we will highlight the latest advances in the use of natural polymers with antioxidants to generate tissue regeneration microenvironments for skin wound healing.

Tissue adhesive, ROS scavenging and injectable PRP-based 'plasticine' for promoting cartilage repair

Platelet-rich plasma (PRP) that has various growth factors has been used clinically in cartilage repair. However, the short residence time and release time at the injury site limit its therapeutic effect. The present study fabricated a granular hydrogel that was assembled from gelatin microspheres and tannic acid through their abundant hydrogen bonding. Gelatin microspheres with the gelatin concentration of 10 wt% and the diameter distribution of 1-10 μm were used to assemble by tannic acid to form the granular hydrogel, which exhibited elasticity under low shear strain, but flowability under higher shear strain. The viscosity decreased with the increase in shear rate. Meanwhile, the granular hydrogel exhibited self-healing feature during rheology test. Thus, granular hydrogel carrying PRP not only exhibited well-performed injectability but also performed like a 'plasticine' that possessed good plasticity. The granular hydrogel showed tissue adhesion ability and reactive oxygen species scavenging ability. Granular hydrogel carrying PRP transplanted to full-thickness articular cartilage defects could integrate well with native cartilage, resulting in newly formed cartilage articular fully filled in defects and well-integrated with the native cartilage and subchondral bone. The unique features of the present granular hydrogel, including injectability, plasticity, porous structure, tissue adhesion and reactive oxygen species scavenging provided an ideal PRP carrier toward cartilage tissue engineering.

Tissue adhesive indocyanine green-locking granular gel-mediated photothermal therapy combined with checkpoint inhibitor for preventing postsurgical recurrence and metastasis of colorectal cancer

Developing effective therapy to inhibit postoperative recurrence and metastasis of colorectal cancer (CRC) is challenging and significant to reduce mortality and morbidity. Here, a granular hydrogel, assembled from gelatin microgels by dialdehyde starch and interpenetrated with in situ polymerized poly(sulfobetaine methacrylate-co-N-isopropylacrylamide) (P(SBMA-co-NIPAM)), is prepared to load and lock Food and Drug Administration (FDA)-approved indocyanine green (ICG) with definite photothermal function and biosafety for photothermal therapy (PTT) combining with checkpoint inhibitor. The presence of P(SBMA-co-NIPAM) endows granular hydrogel with high retention to water-soluble ICG, preventing easy diffusion and rapid scavenging of ICG. The ICG-locking granular hydrogel can be spread and adhered onto the surgery site at wet state in vivo, exerting a persistent and stable PTT effect. Combined with αPD-L1 treatment, ICG-locking granular hydrogel-mediated PTT can eradicate postsurgery residual and metastatic tumors, and prevent long-term tumor recurrence. Further mechanistic studies indicate that combination treatment effectively promotes dendritic cells maturation in lymph nodes, enhances the number and infiltration of CD8+ T and CD4+ T cells in tumor tissue, and improves memory T cell number in spleen, thus activating the antitumor immune response. Overall, ICG-locking gel-mediated PTT is expected to exhibit broad clinical applications in postoperative treatment of cancers, like CRC.