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The naringin/carboxymethyl chitosan/sodium hyaluronate/silk fibroin scaffold facilitates the healing of diabetic wounds by restoring the ROS-related dysfunction of vascularization and macrophage polarization.

Abstract
Chronic diabetic wounds remain a globally recognized clinical challenge, which occurs mainly due to the disturbances of wound microenvironmental induced by high concentrations of reactive oxygen species (ROS). Impairments in angiogenesis and inflammation in the wound microenvironment ultimately impede the normal healing process. Therefore, targeting macrophage and vascular endothelial cell dysfunction is a promising therapeutic strategy. In our study, we fabricated artificial composite scaffolds composed of naringin/carboxymethyl chitosan/sodium hyaluronate/silk fibroin (NG/CMCS/HA/SF) to promote wound healing. The NG/CMCS/HA/SF scaffold demonstrated favorable anti-inflammatory, anti-oxidative, and pro-angiogenic properties in both in vitro and in vivo experiments, effectively promoting the healing of diabetic wounds. The positive therapeutic effects observed indicate that the composite scaffolds have great potential in clinical wound healing applications.
AuthorsHao Yang, Hailin Xu, Dongming Lv, Shuting Li, Yanchao Rong, Zhiyong Wang, Peng Wang, Xiaoling Cao, Xiaohui Li, Zhongye Xu, Bing Tang, Jiayuan Zhu, Zhicheng Hu
JournalInternational journal of biological macromolecules (Int J Biol Macromol) Vol. 260 Issue Pt 1 Pg. 129348 (Mar 2024) ISSN: 1879-0003 [Electronic] Netherlands
PMID38219943 (Publication Type: Journal Article)
CopyrightCopyright © 2024. Published by Elsevier B.V.
Chemical References
  • Fibroins
  • Chitosan
  • Hyaluronic Acid
  • naringin
  • Reactive Oxygen Species
  • Glycosaminoglycans
  • Flavanones
Topics
  • Humans
  • Fibroins (pharmacology)
  • Chitosan (pharmacology)
  • Hyaluronic Acid (pharmacology)
  • Tissue Scaffolds
  • Reactive Oxygen Species (pharmacology)
  • Wound Healing
  • Glycosaminoglycans (pharmacology)
  • Diabetes Mellitus
  • Macrophages
  • Flavanones

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