Antibacterial, adhesive, and MSC exosomes encapsulated microneedles with spatio-temporal variation functions for diabetic wound healing

被引:72
作者
Gan, Jingjing [1 ]
Zhang, Xiaoxuan [2 ]
Ma, Wenjuan [1 ]
Zhao, Yuanjin [1 ,2 ]
Sun, Lingyun [1 ]
机构
[1] Nanjing Univ, Med Sch, Affiliated Drum Tower Hosp, Inst Translat Med,Dept Rheumatol & Immunol, Nanjing 210008, Peoples R China
[2] Southeast Univ, Sch Biol Sci & Med Engn, State Key Lab Bioelect, Nanjing 210096, Peoples R China
基金
中国国家自然科学基金; 美国国家科学基金会;
关键词
Bioinspired; Microneedle; Wound healing; MSC-exosome; Patch; CHALLENGES; MANAGEMENT; HYDROGEL; OPPORTUNITIES; NANOPARTICLE;
D O I
10.1016/j.nantod.2022.101630
中图分类号
O6 [化学];
学科分类号
0703 ;
摘要
Chronic wounds affect healthcare systems and increase the risk of infection. Despite the clinical demand for improving healing, an effective and safe therapeutic approach is still lacking. Here, we present a novel spatio-temporal-varying adhesive microneedle (MN) patch encapsulated with mesenchymal stem cell-derived exosomes (MSC-exos) and antibacterial Ag nanoparticles (AgNPs) for improving wound healing. This MN patch is fabricated by replicating a predesigned flexible template. Consisting of porous metha-crylate gelatin hydrogels, the MN tips can continuously deliver anti-inflammatory and pro-angiogenic MSC-exos to wound beds, which can accelerate healing by improving cell functions, remodeling blood vessels and restoring immune systems. Besides, the silk-fibroin-composed MN back enables the patch to stick to the skin well and fix at the wounded site, thus avoiding secondary bandage. By incorporating AgNPs in the MN back, the MN patch is endowed with the ability to efficiently resist microbial contamination and further benefits wound repair. Such a composite MN patch performs well in relieving inflammation, promoting angiogenesis, and suppressing wound-infecting bacteria during wound injury in diabetic rats, with no adverse effects observed. All the features make this multifunctional MN patch potentially valuable for clinical applications.(c) 2022 Published by Elsevier Ltd.
引用
收藏
页数:12
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