Enhanced photodynamic therapy efficacy of Ni-doped/oxygen vacancy double-defect Ni-ZnO@C photosensitizer in bacteria-infected wounds based on ROS damage and ATP synthesis inhibition.

• A novel ZnO photosensitizer mediated by Ni-doped and oxygen vacancy double defect structure. • Enhanced photogenerated electron–hole pair separation and photocatalytic efficiency. • Excellent antibacterial properties based on ROS damage and ATP synthesis inhibition. • Outstanding wound healing performance by tissue regeneration and anti-inflammatory. • A great biomedical application merit for combating the drug resistance challenge. The use of zinc oxide (ZnO) photosensitizers (PSs)-mediated photodynamic therapy (PDT) against bacterial wound infections is greatly restricted by diminished photocatalytic efficiency caused by the rapid recombination of photogenerated electrons and holes. In this work, ZnO PSs with a Ni-doped/oxygen vacancy and a protective carbon shell were successfully synthesized by calcinating a Ni-doping zeolitic imidazolate framework-8 precursor. The double-defect structure and the carbon-based substrates significantly promoted the efficiency of photogenerated electron–hole pair separation, meanwhile, the 3 % Ni doping endows it with great photocatalytic performance as elucidated by photodegradation assays of methylene blue (MB) and density functional theory (DFT) calculations, reinforcing the generation of reactive oxygen species (ROS) by ZnO and showing obvious advantages in antibacterial properties. As the enhanced photogenerated electron transfer and the ROS damage underwent localized accumulation, the PSs disturbed the bacterial membrane integrity and caused bacterial ATP synthesis inhibition, further leading to bacterial lysis and promoting bacterial deaths. Additionally, the PSs showed outstanding efficacy in eradicating bacterial biofilms. Simultaneously, the significantly enhanced PDT antibacterial performance of the PSs in vivo could initiate wound tissue repair and trigger anti-inflammatory reactions by significantly regulating the expression levels of regeneration- and inflammation-related genes or proteins. Furthermore, the PSs consistently exhibited favorable compatibility both in vitro and in vivo. In summary, this study offers evidence of the remarkably efficient and biologically safe performance of Ni-ZnO@C PSs, with antibacterial properties advancing wound healing, both in controlled laboratory environments and living organisms, further underscoring their substantial potential for biomedical applications. [Display omitted] [ABSTRACT FROM AUTHOR]