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Author:

Wang, Chenggui (Wang, Chenggui.) | Wang, Min (Wang, Min.) | Xu, Tianzhen (Xu, Tianzhen.) | Zhang, Xingxing (Zhang, Xingxing.) | Lin, Cai (Lin, Cai.) | Gao, Weiyang (Gao, Weiyang.) | Xu, Huazi (Xu, Huazi.) | Lei, Bo (Lei, Bo.) | Mao, Cong (Mao, Cong.)

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SCIE PubMed

Abstract:

Rationale: Chronic nonhealing diabetic wound therapy and complete skin regeneration remains a critical clinical challenge. The controlled release of bioactive factors from a multifunctional hydrogel was a promising strategy to repair chronic wounds. Methods: Herein, for the first time, we developed an injectable, self-healing and antibacterial polypeptide-based FHE hydrogel (F127/OHA-EPL) with stimuli-responsive adipose-derived mesenchymal stem cells exosomes (AMSCs-exo) release for synergistically enhancing chronic wound healing and complete skin regeneration. The materials characterization, antibacterial activity, stimulated cellular behavior and in vivo full-thickness diabetic wound healing ability of the hydrogels were performed and analyzed. Results: The FHE hydrogel possessed multifunctional properties including fast self-healing process, shear-thinning injectable ability, efficient antibacterial activity, and long term pH-responsive bioactive exosomes release behavior. In vitro, the FHE@exosomes (FHE@exo) hydrogel significantly promoted the proliferation, migration and tube formation ability of human umbilical vein endothelial cells (HUVECs). In vivo, the FHE@exo hydrogel significantly enhanced the healing efficiency of diabetic full-thickness cutaneous wounds, characterized with enhanced wound closure rates, fast angiogenesis, re-epithelization and collagen deposition within the wound site. Moreover, the FHE@exo hydrogel displayed better healing outcomes than those of exosomes or FHE hydrogel alone, suggesting that the sustained release of exosomes and FHE hydrogel can synergistically facilitate diabetic wound healing. Skin appendages and less scar tissue also appeared in FHE@exo hydrogel treated wounds, indicating its potent ability to achieve complete skin regeneration. Conclusion: This work offers a new approach for repairing chronic wounds completely through a multifunctional hydrogel with controlled exosomes release.

Keyword:

bioactive exosomes diabetic wound healing multifunctional hydrogel responsive sustained release

Author Community:

  • [ 1 ] [Wang, Chenggui; Xu, Tianzhen; Gao, Weiyang; Xu, Huazi; Mao, Cong] Wenzhou Med Univ, Affiliated Hosp 2, Key Lab Orthoped Zhejiang Prov, Dept Orthoped, Wenzhou 325027, Peoples R China
  • [ 2 ] [Wang, Chenggui; Xu, Tianzhen; Gao, Weiyang; Xu, Huazi; Mao, Cong] Wenzhou Med Univ, Yuying Childrens Hosp, Wenzhou 325027, Peoples R China
  • [ 3 ] [Wang, Min; Lei, Bo] Xi An Jiao Tong Univ, Coll Stomatol, Key Lab Shaanxi Prov Craniofacial Precis Med Res, Xian 710000, Shaanxi, Peoples R China
  • [ 4 ] [Zhang, Xingxing; Lin, Cai] Wenzhou Med Univ, Affiliated Hosp 1, Ctr Diabet Foot, Wenzhou 325000, Peoples R China
  • [ 5 ] [Lei, Bo] Xi An Jiao Tong Univ, Frontier Inst Sci & Technol, Xian 710054, Shaanxi, Peoples R China
  • [ 6 ] [Lei, Bo] Xi An Jiao Tong Univ, Instrument Anal Ctr, Xian 710054, Shaanxi, Peoples R China

Reprint Author's Address:

  • Wenzhou Med Univ, Affiliated Hosp 2, Key Lab Orthoped Zhejiang Prov, Dept Orthoped, Wenzhou 325027, Peoples R China.; Mao, C (reprint author), Wenzhou Med Univ, Yuying Childrens Hosp, Wenzhou 325027, Peoples R China.; Lei, B (reprint author), Xi An Jiao Tong Univ, Coll Stomatol, Key Lab Shaanxi Prov Craniofacial Precis Med Res, Xian 710000, Shaanxi, Peoples R China.; Lei, B (reprint author), Xi An Jiao Tong Univ, Frontier Inst Sci & Technol, Xian 710054, Shaanxi, Peoples R China.; Lei, B (reprint author), Xi An Jiao Tong Univ, Instrument Anal Ctr, Xian 710054, Shaanxi, Peoples R China.

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Source :

THERANOSTICS

ISSN: 1838-7640

Year: 2019

Issue: 1

Volume: 9

Page: 65-76

8 . 5 7 9

JCR@2019

1 1 . 5 5 6

JCR@2020

ESI Discipline: CLINICAL MEDICINE;

ESI HC Threshold:84

JCR Journal Grade:4

CAS Journal Grade:1

Cited Count:

WoS CC Cited Count: 257

SCOPUS Cited Count: 646

ESI Highly Cited Papers on the List: 17 Unfold All

  • 2022-11
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  • 2022-1
  • 2021-11
  • 2021-9
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  • 2021-5
  • 2021-3
  • 2021-1
  • 2020-7
  • 2020-5
  • 2020-03
  • 2020-1
  • 2019-11

WanFang Cited Count:

Chinese Cited Count:

30 Days PV: 7

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