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Qiu X, Nie L, Liu P, Xiong X, Chen F, Liu X, Bu P, Zhou B, Tan M, Zhan F, Xiao X, Feng Q, Cai K. From hemostasis to proliferation: Accelerating the infected wound healing through a comprehensive repair strategy based on GA/OKGM hydrogel loaded with MXene@TiO 2 nanosheets. Biomaterials 2024; 308:122548. [PMID: 38554642 DOI: 10.1016/j.biomaterials.2024.122548] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2023] [Revised: 03/17/2024] [Accepted: 03/20/2024] [Indexed: 04/02/2024]
Abstract
The treatment of infected wounds poses a formidable challenge in clinical practice due to the detrimental effects of uncontrolled bacterial infection and excessive oxidative stress, resulting in prolonged inflammation and impaired wound healing. In this study, we presented a MXene@TiO2 (MT) nanosheets loaded composite hydrogel named as GA/OKGM/MT hydrogel, which was formed based on the Schiff base reaction between adipic dihydrazide modified gelatin (GA)and Oxidized Konjac Glucomannan (OKGM), as the wound dressing. During the hemostasis phase, the GA/OKGM/MT hydrogel demonstrated effective adherence to the skin, facilitating rapid hemostasis. In the subsequent inflammation phase, the GA/OKGM/MT hydrogel effectively eradicated bacteria through MXene@TiO2-induced photothermal therapy (PTT) and eliminated excessive reactive oxygen species (ROS), thereby facilitating the transition from the inflammation phase to the proliferation phase. During the proliferation phase, the combined application of GA/OKGM/MT hydrogel with electrical stimulation (ES) promoted fibroblast proliferation and migration, leading to accelerated collagen deposition and angiogenesis at the wound site. Overall, the comprehensive repair strategy based on the GA/OKGM/MT hydrogel demonstrated both safety and reliability. It expedited the progression through the hemostasis, inflammation, and proliferation phases of wound healing, showcasing significant potential for the treatment of infected wounds.
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Affiliation(s)
- Xingan Qiu
- Key Laboratory of Biorheological Science and Technology, Ministry of Educations, College of Bioengineering, Chongqing University, Chongqing, 400044, China; Department of Orthopedics, Chongqing University Three Gorges Hospital, Chongqing, 404000, China
| | - Linxia Nie
- School of Medicine, Chongqing University, Chongqing, 400044, China
| | - Pei Liu
- Fujian Provincial Key Laboratory of Advanced Materials Oriented Chemical Engineering, College of Chemistry and Materials Science, Fujian Normal University, Fuzhou, Fujian, 350007, China
| | - Xiaojiang Xiong
- Department of Orthopedics, Chongqing University Three Gorges Hospital, Chongqing, 404000, China
| | - Fangye Chen
- Key Laboratory of Biorheological Science and Technology, Ministry of Educations, College of Bioengineering, Chongqing University, Chongqing, 400044, China
| | - Xuezhe Liu
- Key Laboratory of Biorheological Science and Technology, Ministry of Educations, College of Bioengineering, Chongqing University, Chongqing, 400044, China
| | - Pengzhen Bu
- Key Laboratory of Biorheological Science and Technology, Ministry of Educations, College of Bioengineering, Chongqing University, Chongqing, 400044, China
| | - Bikun Zhou
- Key Laboratory of Biorheological Science and Technology, Ministry of Educations, College of Bioengineering, Chongqing University, Chongqing, 400044, China
| | - Meijun Tan
- Key Laboratory of Biorheological Science and Technology, Ministry of Educations, College of Bioengineering, Chongqing University, Chongqing, 400044, China
| | - Fangbiao Zhan
- Department of Orthopedics, Chongqing University Three Gorges Hospital, Chongqing, 404000, China; School of Medicine, Chongqing University, Chongqing, 400044, China; Chongqing Municipality Clinical Research Center for Geriatric Diseases, Chongqing, 404000, China
| | - Xiufeng Xiao
- Fujian Provincial Key Laboratory of Advanced Materials Oriented Chemical Engineering, College of Chemistry and Materials Science, Fujian Normal University, Fuzhou, Fujian, 350007, China.
| | - Qian Feng
- Key Laboratory of Biorheological Science and Technology, Ministry of Educations, College of Bioengineering, Chongqing University, Chongqing, 400044, China.
| | - Kaiyong Cai
- Key Laboratory of Biorheological Science and Technology, Ministry of Educations, College of Bioengineering, Chongqing University, Chongqing, 400044, China.
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