The treatment of diabetic wounds remains a major challenge in clinical practice, with chronic wounds characterized by multiple drug-resistant bacterial infections, angiopathy, and oxidative damage to the microenvironment. Herein, a novel in situ injectable HA@MnO2/FGF-2/Exos hydrogel is introduced for improving diabetic wound healing. Through a simple local injection, this hydrogel is able to form a protective barrier covering the wound, providing rapid hemostasis and long-term antibacterial protection. The MnO2/epsilon-PL nanosheet is able to catalyze the excess H2O2 produced in the wound, converting it to O-2, thus not only eliminating the harmful effects of H2O2 but also providing O-2 for wound healing. Moreover, the release of M2-derived Exosomes (M2 Exos) and FGF-2 growth factor stimulates angiogenesis and epithelization, respectively. These in vivo and in vitro results demonstrate accelerated healing of diabetic wounds with the use of the HA@MnO2/FGF-2/Exos hydrogel, presenting a viable strategy for chronic diabetic wound repair.
基金:
National Science Foundation of ChinaNational Natural Science Foundation of China (NSFC) [82072444, 82002313]; National Key Research & Development Program of China [2018YFC2001502, 2018YFB1105705]; China Postdoctoral Science FoundationChina Postdoctoral Science Foundation [2021TQ0118]; Department of Science and Technology of Hubei Province [2020BCB004]; Hubei Province Key Laboratory of Oral and Maxillofacial Development and Regeneration [2020kqhm008]; Health Commission of Hubei Province [WJ2019Z009]; Wuhan Union Hospital "Pharmaceutical Technology nursing" special fund [2019xhyn021]