301. Nanofiber-mediated sequential photothermal antibacteria and macrophage polarization for healing MRSA-infected diabetic wounds
- Author
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Xu, Zhou, Deng, Bin, Wang, Xuewen, Yu, Jie, Xu, Zhuobin, Liu, Penggang, Liu, Caihong, Cai, Yuan, Wang, Fei, Zong, Rongling, Chen, Zhiling, Xing, Hua, and Chen, Gang
- Subjects
Male ,Methicillin-Resistant Staphylococcus aureus ,Polydopamine ,Biomedical Engineering ,Nanofibers ,Pharmaceutical Science ,Medicine (miscellaneous) ,Bioengineering ,Applied Microbiology and Biotechnology ,Diabetes Complications ,Mice ,Medical technology ,Animals ,Humans ,R855-855.5 ,Mice, Inbred ICR ,Wound Healing ,Research ,Macrophages ,Staphylococcal Infections ,Anti-Bacterial Agents ,RAW 264.7 Cells ,Infected diabetic wounds ,Macrophage polarization ,Molecular Medicine ,Antibacteria ,TP248.13-248.65 ,Biotechnology - Abstract
Background Diabetic wound healing remains a challenge because of its susceptibility to drug-resistant bacterial infection and its persistent proinflammatory state. Switching from proinflammatory M1 macrophages (Mφs) to proregenerative M2 dominant Mφs in a timely manner accelerates wound healing by coordinating inflammatory, proliferative, and angiogenic processes. Methods We propose a sequential photothermal antibacterial and subsequent M2 Mφ polarization strategy based on nanofibers (NFs) consisting of polydopamine (PDA) coating on curcumin (Cur) nanocrystals to treat Methicillin-resistant Staphylococcus aureus (MRSA)-infected diabetic wounds. Results The PDA/Cur NFs showed excellent photothermal conversion and antibacterial effects due to the PDA shell under laser irradiation, consequently resulting in the release of the inner Cur with the ability to promote cell proliferation and reinforce the M2 Mφ phenotype in vitro. In vivo studies on MRSA-infected diabetic wounds showed that PDA/Cur NFs not only inhibited MRSA infection but also accelerated the wound regeneration process. Furthermore, the NFs displayed the ability to promote the M2 Mφ phenotype with enhanced collagen deposition, angiogenesis, and cell proliferation. Conclusion Overall, the NFs displayed great potential as promising therapeutics for healing infected diabetic wounds through a sequential photothermal antibacterial and M2 Mφ polarization strategy. Graphical abstract
- Published
- 2021