Antibacterial coaxial hydro-membranes accelerate diabetic wound healing by tuning surface immunomodulatory functions

Autor: Wei Zhang, Sizhan Xia, Tingting Weng, Min Yang, Jiaming Shao, Manjia Zhang, Jialiang Wang, Pengqing Xu, Jintao Wei, Ronghua Jin, Meirong Yu, Zhongtao Zhang, Chunmao Han, Xingang Wang
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Materials Today Bio, Vol 16, Iss , Pp 100395- (2022)
Druh dokumentu: article
ISSN: 2590-0064
DOI: 10.1016/j.mtbio.2022.100395
Popis: Diabetic foot ulcers, typical non-healing wounds, represent a severe clinical problem. Advanced glycation end-products (AGEs), which create a prolonged pro-inflammatory micro-environment in defective sites, can be responsible for refractoriness of these ulcers. Macrophages are polarized to the M2 phenotype to facilitate the transition from a pro-inflammatory microenvironment to an anti-inflammatory microenvironment, which has been demonstrated to be an effective way to accelerate diabetic wound closure. Herein, we developed coaxial hydro-membranes mimicking the extracellular matrix structure that are capable of anti-inflammatory and antibacterial functions for diabetic wound repair. These fibrous membranes maintain a moist microenvironment to support cell proliferation. Macrophages grow in an elongated shape on the surface of the fibrous membranes. The fibrous membranes effectively impaired macrophage AGE-induced M1 polarization and induced macrophage polarization towards the M2 phenotype. The effects of the fibrous membranes on the interactions between macrophages and repair cells under a diabetic condition were also investigated. Furthermore, in vivo results from a full-thickness diabetic wound model confirmed the potential of the coaxial hydro-membranes to accelerate wound healing. This study's results indicate that the developed bioactive anti-inflammatory and antibacterial wound dressing can affect AGE-induced macrophage activation and crosstalk between macrophages and fibroblasts for treating diabetic wounds.
Databáze: Directory of Open Access Journals