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Injectable Reactive Oxygen Species-Responsive Hydrogel Dressing with Sustained Nitric Oxide Release for Bacterial Ablation and Wound Healing

机译:Injectable Reactive Oxygen Species-Responsive Hydrogel Dressing with Sustained Nitric Oxide Release for Bacterial Ablation and Wound Healing

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摘要

Skin wound healing strategies that promote sustainable healing, preventbacterial infections, and cause only mild irritation are urgently needed foropen wound therapy. In this study, a system that consists of a reactive oxygenspecies (ROS)-degradable hydrogel dressing, with encapsulated biosafe nitricoxide (NO) donor L-arginine (L-Arg), and a low level (100 × 10~(?6) m) of thehousehold disinfectant hydrogen peroxide (H_2O_2) is established for sustainablewound therapy and disinfection. Under stimulation with a low level ofH_2O_2, NO is sustainably generated from L-Arg within the hydrogel dressing,which mediates macrophage and fibroblast chemotaxis to the wound site,as well as collagen synthesis, resulting in rapid wound healing and skinorgan regeneration. The combination of H_2O_2 and NO also endows thesystem with a synergistic antibacterial ability to eliminate ampicillin-resistantEscherichia coli. In addition, a full-thickness skin wound model demonstratesthat the ROS-degradable hydrogel dressing, with a wound exudate adsorptionability, shows effective wound healing promotion and a good biocompatibility,without any hazardous residues and skin irritation. This ROS-responsive,degradable, synergistic wound healing system provides an alternativestrategy for sustainable wound treatment, both at home and in the clinic.

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