Photothermal Microneedle Hydrogel Patch for Refractory Soft Tissue Injuries through Thermosensitized Anti‐Inflammaging Modulation

Author:

Zhu Wanbo1,Liu Quan2,Zhang Ziheng3,Wang Yingjie4,Mei Jiawei2,Xu Dongdong5,Zhou Jun1,Su Zheng2,Zhang Xianzuo2,Zhu Chen2,Wang Jiaxing1ORCID,Zhu Junchen4ORCID,Peng Xiaochun1ORCID,Zhang Xianlong1ORCID

Affiliation:

1. Department of Orthopedics Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine Shanghai Jiao Tong University Shanghai 200233 P. R. China

2. Department of Orthopedics The First Affiliated Hospital of USTC University of Science and Technology of China Hefei Anhui 230001 P. R. China

3. Hefei Institutes of Physical Science Chinese Academy of Sciences Hefei Anhui 230001 P. R. China

4. Department of Orthopedics The Second Affiliated Hospital of Anhui University of Chinese Medicine Anhui University of Chinese Medicine Hefei Anhui 230001 P. R. China

5. Department of Orthopedics The First Affiliated Hospital of Zhengzhou University Zhengzhou Henan 450000 P. R. China

Abstract

Soft tissue injuries (STIs) are the most common cause of extremity pain and motion dysfunction. Persistent inflammatory activation of immune cells characterized by senescence‐associated secretory phenotype (SASP) and mitochondrial stress are considered the primary causes of STIs, a pathological process also termed inflammaging. Meanwhile, scavenging excessive “cellular waste” in the inflammaging microenvironment and further activating tissue repair processes remain elusive. Herein, an anti‐inflammaging photothermal hydrogel microneedle patch for treating STIs is developed. Taurine‐loaded Prussian blue nanoparticles (Taurine@PB) are encapsulated in a methacrylate‐based hyaluronic acid hydrogel (HAMA) and further fabricated into taurine@PB@HAMA@microneedles (TPH@MN) patches. The acidic microenvironment of chronic inflammation and mild photothermal effects promote taurine release and anti‐inflammaging immunomodulation, inhibiting mitochondrial stress via the SIRT3‐NF‐κB axis to promote glycolytic metabolic microenvironment of neutrophils reprogramming toward oxidative phosphorylation metabolism. Furthermore, TPH@MN activates macrophage efferocytosis and initiates the process of tissue repair. In mouse models of chronic diabetic wounds and tibialis anterior (TA) muscle injury, TPH@MN inhibits SASP expression and promotes STIs healing through thermosensitized anti‐inflammaging immunomodulation. In summary, TPH@MN circumvents the side effects of systemic administration, providing new translatable options in the treatment modalities for patients suffering from STIs worldwide.

Funder

National Natural Science Foundation of China

Publisher

Wiley

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