透明质酸
自愈水凝胶
伤口愈合
化学
再生(生物学)
组织重塑
糖尿病
癌症研究
炎症
自噬
巨噬细胞
氧化应激
细胞生物学
药理学
医学
纳米技术
生物相容性材料
慢性伤口
伤口敷料
过氧化氢
再生医学
病态的
脂肪组织
纳米颗粒
作者
Kefan Wu,Xiaoxue Yang,Yonghang Liu,Yi Xiao,Shiyu Meng,Ao Li,Yi Zhun Zhu,Hui Guo,Xiaolin Wang
摘要
ABSTRACT Diabetic wounds remain a persistent clinical challenge due to the intertwined pathologies of chronic inflammation, oxidative stress, bacterial colonization, and impaired neovascularization. Conventional hydrogel dressings, however, typically lack both the spatiotemporal precision and synergistic multifunctionality that are required to counteract the complex pathological drivers of diabetic wound chronicity. Here, we present a biomimetic nanocomposite hydrogel (QN‐S‐HG) that integrates neutrophil‐membrane‐coated quercetin‐loaded nanoparticles with a pH‐responsive hydrogen sulfide (H 2 S) releasing hyaluronic acid network. The neutrophil‐mimetic nanoparticles achieve dual‐targeted delivery to inflammatory cells and bacteria, simultaneously exerting anti‐inflammatory, antioxidant, and broad‐spectrum antibacterial effects. Concurrently, the H 2 S donor S‐propargylcysteine (SPRC) is covalently conjugated via dynamic Schiff base bonds to the hydrogel scaffold, enabling acid‐triggered release in the pathological wound milieu to stimulate angiogenesis. Remarkably, the crosslinker‐free and hydrogen‐bond‐mediated hyaluronic acid network endows the hydrogel with injectability, self‐healing, and tissue‐adhesive properties, ensuring conformal coverage and sustained local bioactivity. In a diabetic rat full‐thickness wound model, QN‐S‐HG markedly accelerates closure, promotes macrophage repolarization, enhances neovascularization, and facilitates orderly collagen remodeling with hair follicle regeneration. By orchestrating targeted pharmacotherapy, microenvironment‐triggered gaseous signaling, and adaptive material mechanics, this platform addresses the multifaceted pathophysiology of diabetic wounds and offers a clinically translatable paradigm for advanced regenerative wound care.
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