1. Injectable immunoregulatory hydrogels sequentially drive phenotypic polarization of macrophages for infected wound healing
- Author
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Yuxiang Wang, Chen Zhou, Zhulian Li, Gong Li, Yaping Zou, Xing Li, Peiyang Gu, Jingyi Liu, Lang Bai, Hong Yan, Jie Liang, Xingdong Zhang, Yujiang Fan, and Yong Sun
- Subjects
Sequential immunoregulation ,Macrophage phenotypic polarization ,Injectable hydrogel ,Infected wounds ,Materials of engineering and construction. Mechanics of materials ,TA401-492 ,Biology (General) ,QH301-705.5 - Abstract
Regulating macrophage phenotypes to reconcile the conflict between bacterial suppression and tissue regeneration is ideal for treating infectious skin wounds. Here, an injectable immunoregulatory hydrogel (SrmE20) that sequentially drives macrophage phenotypic polarization (M0 to M1, then to M2) was constructed by integrating anti-inflammatory components and proinflammatory solvents. In vitro experiments demonstrated that the proinflammatory solvent ethanol stabilized the hydrogel structure, maintained the phenolic hydroxyl group activity, and achieved macrophages' proinflammatory transition (M0 to M1) to enhance antibacterial effects. With ethanol depletion, the hydrogel's cations and phenolic hydroxyl groups synergistically regulated macrophages' anti-inflammatory transition (M1 to M2) to initiate regeneration. In the anti-contraction full-thickness wound model with infection, this hydrogel effectively eliminated bacteria and even achieved anti-inflammatory M2 macrophage accumulation at three days post-surgery, accelerated angiogenesis and collagen deposition. By sequentially driving macrophage phenotypic polarization, this injectable immunoregulatory hydrogel will bring new guidance for the care and treatment of infected wounds.
- Published
- 2024
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