Inflammation‐Responsive Hydrogel Accelerates Diabetic Wound Healing through Immunoregulation and Enhanced Angiogenesis

Author:

He Fang1,Xu Pengqin1,Zhu Zhikang12,Zhang Ying13,Cai Chenghao1,Zhang Yuxiang1,Shao Jiaming1,Jin Fang1,Li Qiong1,You Jiahuan3,Zhou Hanlei4,Zhang Wei1,Wei Jintao5,Hong Xudong6,Zhang Zhongtao1,Han Chunmao1,Zhang Yuqi137,Gu Zhen3789ORCID,Wang Xingang1

Affiliation:

1. Department of Burns and Wound Care Center Second Affiliated Hospital College of Medicine Zhejiang University Hangzhou 310009 China

2. Department of Plastic Surgery The Fourth Affiliated Hospital College of Medicine Zhejiang University Yiwu 322000 China

3. Zhejiang Provincial Key Laboratory for Advanced Drug Delivery Systems College of Pharmaceutical Sciences Zhejiang University Hangzhou 310058 China

4. Department of Vascular Surgery Second Affiliated Hospital College of Medicine Zhejiang University Hangzhou 310009 China

5. Department of Emergency Surgery Second Affiliated Hospital College of Medicine Zhejiang University Hangzhou 310009 China

6. Department of Burn and Plastic Surgery No.903 Hospital of PLA Hangzhou 310013 China

7. National Key Laboratory of Advanced Drug Delivery and Release Systems Zhejiang University Hangzhou 310058 China

8. Department of General Surgery Sir Run Run Shaw Hospital School of Medicine Zhejiang University Hangzhou 310016 China

9. Jinhua Institute of Zhejiang University Jinhua 321299 China

Abstract

AbstractAngiogenesis is a prominent component during the highly regulated process of wound healing. The application of exogenous vascular endothelial growth factor (VEGF) has shown considerable potential in facilitating angiogenesis. However, its effectiveness is often curtailed due to chronic inflammation and severe oxidative stress in diabetic wounds. Herein, an inflammation‐responsive hydrogel incorporating Prussian blue nanoparticles (PBNPs) is designed to augment the angiogenic efficacy of VEGF. Specifically, the rapid release of PBNPs from the hydrogel under inflammatory conditions effectively alleviates the oxidative stress of the wound, therefore reprogramming the immune microenvironment to preserve the bioactivity of VEGF for enhanced angiogenesis. In vitro and in vivo studies reveal that the PBNPs and VEGF co‐loaded hydrogel is biocompatible and possesses effective anti‐inflammatory properties, thereby facilitating angiogenesis to accelerate the wound healing process in a type 2 diabetic mouse model.

Funder

National Key Research and Development Program of China

National Natural Science Foundation of China

Natural Science Foundation of Zhejiang Province

Publisher

Wiley

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