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Doxycycline Loaded Collagen-Chitosan Composite Scaffold for the Accelerated Healing of Diabetic Wounds
Published on: August 21, 2021
Network pharmacology-guided self-assembling quercetin hydrogel from Astragalus membranaceous accelerates diabetic
Meixuan Liu1, Hanlei Zhou2, Jialiang Wang1
1Department of Burns & Wound Care Center, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310009, China; Zhejiang Key Laboratory of Trauma, Burn and medical rescue, Hangzhou 310009, China.
Background:
Delayed diabetic wound healing remains a significant clinical challenge. Astragalus membranaceus, a traditional Chinese herb, is widely used for the topical treatment of diabetic wounds. However, its complex composition has hampered the identification of its main active components and precise mechanisms of action.
Purpose:
This study aimed to identify the main active component of A. membranaceous responsible for diabetic wound healing and to develop an advanced nanocomposite delivery system to enhance its therapeutic efficacy.
Methods:
The main active component and its core therapeutic targets were screened using network pharmacology and validated by molecular docking. To address the inherent limitations of the identified component, quercetin-loaded chitosan nanoparticles (QNPs) were fabricated via self-assembly and subsequently incorporated into a gelatin methacryloyl (GelMA) hydrogel to form QNPs@GelMA. The therapeutic effects of QNPs@GelMA were systematically evaluated in vitro and in vivo using a range of techniques including ROS test, histopathological staining, immunofluorescence, and TUNEL staining.
Results:
Network pharmacology and molecular docking identified quercetin as the main active component of A. membranaceous, with core targets involving JUN, IL-6, IL-1β, and TP53. The constructed QNPs@GelMA hydrogel facilitated sustained release of quercetin at the wound site. In cellular and animal experiments, QNPs@GelMA significantly enhanced diabetic wound healing by exerting potent antioxidative and anti-inflammatory effects, promoting macrophage M2 polarization, stimulating angiogenesis, and inhibiting apoptosis. Mechanistically, the hydrogel downregulated the protein expression of RAGE and NF-κB.
Conclusion:
This study elucidated that quercetin was the main active component of A. membranaceous for diabetic wound healing. The QNPs@GelMA hydrogel exhibited excellent wound repair properties via downregulating RAGE/NF-κB signaling pathway, offering an advanced dressing for the treatment of diabetic wounds and providing a novel methodology for identifying active components in traditional herbs.

