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Related Concept Videos

Diabetic Foot Ulcer01:31

Diabetic Foot Ulcer

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Definition A diabetic foot ulcer (DFU) is a chronic, non-healing wound that develops in individuals with diabetes. It typically occurs on pressure-bearing areas such as the heel, metatarsal heads, or hallux, and carries a high risk of infection and amputation.Pathophysiology • The development of DFUs can be explained by four interconnected mechanisms: neuropathy, ischemia, infection, and impaired wound healing. • Neuropathy is the most common factor. Sensory...
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Triple-Responsive Hydrogel Integrating Polyphenol-Metal Activity for Infected Diabetic Wound Therapy.

Haibo Mu1, Hua Liang1, Liangliang Hu1

  • 1College of Chemistry & Pharmacy, Northwest A&F University, Yangling 712100, China.

ACS Applied Materials & Interfaces
|May 5, 2026
PubMed
Summary
This summary is machine-generated.

A novel hydrogel dressing effectively treats infected diabetic wounds by combating bacteria, reducing oxidative stress, and promoting tissue repair. This innovative material offers a promising solution for complex wound healing challenges.

Keywords:
ROS scavengingSchiff baseboronate estercarboxymethyl chitosanchondroitin sulfatediabetic wound healingphotothermal antibacterial therapytriple-responsive hydrogel

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Area of Science:

  • Biomaterials Science
  • Regenerative Medicine
  • Wound Healing

Background:

  • Infected diabetic wounds present complex challenges due to infection, oxidative stress, inflammation, and poor blood vessel formation.
  • Current treatments often struggle to address the multifaceted nature of these wounds effectively.

Purpose of the Study:

  • To develop a triple-responsive, injectable, adhesive, and self-healing hydrogel (RCGel) for dynamic regulation of the diabetic wound microenvironment.
  • To promote efficient tissue regeneration in infected diabetic wounds.

Main Methods:

  • RCGel synthesized via Schiff-base and boronate-ester cross-linking, incorporating rosmarinic acid-cerium nanoparticles.
  • Evaluated ROS-scavenging, photothermal antibacterial efficacy against MRSA and P. aeruginosa.
  • Assessed in vitro cytocompatibility, ROS reduction, macrophage polarization, and angiogenesis.
  • Tested in vivo wound closure, infection/inflammation suppression, neovascularization, and tissue remodeling in diabetic models.

Main Results:

  • RCGel demonstrated potent ROS-scavenging and effective photothermal antibacterial activity.
  • In vitro studies showed good cytocompatibility, reduced ROS, M2 macrophage polarization, and enhanced angiogenesis.
  • In vivo, RCGel accelerated wound closure, reduced infection and inflammation, and promoted tissue regeneration in diabetic models without toxicity.

Conclusions:

  • RCGel acts as a microenvironment-adaptive multifunctional dressing with antibacterial, antioxidative, immunomodulatory, and pro-regenerative properties.
  • This hydrogel offers a promising therapeutic strategy for treating infected diabetic wounds.