Immunomodulation effects of collagen hydrogel encapsulating extracellular vesicles derived from calcium silicate stimulated-adipose mesenchymal stem cells for diabetic healing

Abstract Diabetic wounds are characterized by chronic inflammation, reduced angiogenesis, and insufficient collagen deposition, leading to impaired healing. Extracellular vesicles (EVs) derived from adipose-derived mesenchymal stem cells (ADSC) offer a promising cell-free therapeutic strategy, yet t...

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Main Authors: Yen-Hong Lin, Yeh Chen, En-Wei Liu, Mei-Chih Chen, Min-Hua Yu, Cheng-Yu Chen, Chia-Che Ho, Tai-Yi Hsu-Jiang, Jian-Jr Lee, Der-Yang Cho, Ming-You Shie
Format: Article
Language:English
Published: BMC 2025-01-01
Series:Journal of Nanobiotechnology
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Online Access:https://doi.org/10.1186/s12951-025-03097-4
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author Yen-Hong Lin
Yeh Chen
En-Wei Liu
Mei-Chih Chen
Min-Hua Yu
Cheng-Yu Chen
Chia-Che Ho
Tai-Yi Hsu-Jiang
Jian-Jr Lee
Der-Yang Cho
Ming-You Shie
author_facet Yen-Hong Lin
Yeh Chen
En-Wei Liu
Mei-Chih Chen
Min-Hua Yu
Cheng-Yu Chen
Chia-Che Ho
Tai-Yi Hsu-Jiang
Jian-Jr Lee
Der-Yang Cho
Ming-You Shie
author_sort Yen-Hong Lin
collection DOAJ
description Abstract Diabetic wounds are characterized by chronic inflammation, reduced angiogenesis, and insufficient collagen deposition, leading to impaired healing. Extracellular vesicles (EVs) derived from adipose-derived mesenchymal stem cells (ADSC) offer a promising cell-free therapeutic strategy, yet their efficacy and immunomodulation can be enhanced through bioactivation. In this study, we developed calcium silicate (CS)-stimulated ADSC-derived EVs (CSEV) incorporated into collagen hydrogels to create a sustained-release system for promoting diabetic wound healing. CSEV exhibited enhanced protein content, surface marker expression, and bioactive cargo enriched with pro-angiogenic and anti-inflammatory factors. In vitro, CSEV-loaded collagen significantly reduced reactive oxygen species production, promoted cell proliferation and migration compared to standard EV-loaded collagen. Cytokine profiling revealed the upregulation of anti-inflammatory cytokines and extracellular matrix components, highlighting their immunomodulatory and regenerative potential. In vivo, histological evaluation of diabetic rabbit models treated with CSEV-loaded collagen revealed superior reepithelialization and organized collagen deposition, indicating accelerated wound closure. These findings underscore the potential of CSEV-loaded collagen hydrogels as an innovative and effective therapeutic platform for enhancing diabetic wound healing by simultaneously addressing inflammation and tissue regeneration. Graphical abstract
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spelling doaj-art-30fb6fd35fc24a1fba8160f8aab1c8532025-02-02T12:41:09ZengBMCJournal of Nanobiotechnology1477-31552025-01-0123112110.1186/s12951-025-03097-4Immunomodulation effects of collagen hydrogel encapsulating extracellular vesicles derived from calcium silicate stimulated-adipose mesenchymal stem cells for diabetic healingYen-Hong Lin0Yeh Chen1En-Wei Liu2Mei-Chih Chen3Min-Hua Yu4Cheng-Yu Chen5Chia-Che Ho6Tai-Yi Hsu-Jiang7Jian-Jr Lee8Der-Yang Cho9Ming-You Shie10Department of Biomedical Engineering, China Medical UniversityDepartment of Food Science and Biotechnology, National Chung Hsing UniversityDepartment of Plastic and Reconstructive Surgery, China Medical University HospitalTranslational Cell Therapy Center, Department of Medical Research, China Medical University HospitalInstitute of Translational Medicine and New Drug Development, China Medical UniversityResearch & Development Center for x-Dimensional Extracellular Vesicles, Department of Medical Research, China Medical University HospitalDepartment of Bioinformatics and Medical Engineering, Asia UniversitySchool of Medicine, China Medical UniversityDepartment of Plastic and Reconstructive Surgery, China Medical University HospitalResearch & Development Center for x-Dimensional Extracellular Vesicles, Department of Medical Research, China Medical University HospitalDepartment of Biomedical Engineering, China Medical UniversityAbstract Diabetic wounds are characterized by chronic inflammation, reduced angiogenesis, and insufficient collagen deposition, leading to impaired healing. Extracellular vesicles (EVs) derived from adipose-derived mesenchymal stem cells (ADSC) offer a promising cell-free therapeutic strategy, yet their efficacy and immunomodulation can be enhanced through bioactivation. In this study, we developed calcium silicate (CS)-stimulated ADSC-derived EVs (CSEV) incorporated into collagen hydrogels to create a sustained-release system for promoting diabetic wound healing. CSEV exhibited enhanced protein content, surface marker expression, and bioactive cargo enriched with pro-angiogenic and anti-inflammatory factors. In vitro, CSEV-loaded collagen significantly reduced reactive oxygen species production, promoted cell proliferation and migration compared to standard EV-loaded collagen. Cytokine profiling revealed the upregulation of anti-inflammatory cytokines and extracellular matrix components, highlighting their immunomodulatory and regenerative potential. In vivo, histological evaluation of diabetic rabbit models treated with CSEV-loaded collagen revealed superior reepithelialization and organized collagen deposition, indicating accelerated wound closure. These findings underscore the potential of CSEV-loaded collagen hydrogels as an innovative and effective therapeutic platform for enhancing diabetic wound healing by simultaneously addressing inflammation and tissue regeneration. Graphical abstracthttps://doi.org/10.1186/s12951-025-03097-4Extracellular vesiclesCalcium silicateImmunomodulationDiabetic wound healing
spellingShingle Yen-Hong Lin
Yeh Chen
En-Wei Liu
Mei-Chih Chen
Min-Hua Yu
Cheng-Yu Chen
Chia-Che Ho
Tai-Yi Hsu-Jiang
Jian-Jr Lee
Der-Yang Cho
Ming-You Shie
Immunomodulation effects of collagen hydrogel encapsulating extracellular vesicles derived from calcium silicate stimulated-adipose mesenchymal stem cells for diabetic healing
Journal of Nanobiotechnology
Extracellular vesicles
Calcium silicate
Immunomodulation
Diabetic wound healing
title Immunomodulation effects of collagen hydrogel encapsulating extracellular vesicles derived from calcium silicate stimulated-adipose mesenchymal stem cells for diabetic healing
title_full Immunomodulation effects of collagen hydrogel encapsulating extracellular vesicles derived from calcium silicate stimulated-adipose mesenchymal stem cells for diabetic healing
title_fullStr Immunomodulation effects of collagen hydrogel encapsulating extracellular vesicles derived from calcium silicate stimulated-adipose mesenchymal stem cells for diabetic healing
title_full_unstemmed Immunomodulation effects of collagen hydrogel encapsulating extracellular vesicles derived from calcium silicate stimulated-adipose mesenchymal stem cells for diabetic healing
title_short Immunomodulation effects of collagen hydrogel encapsulating extracellular vesicles derived from calcium silicate stimulated-adipose mesenchymal stem cells for diabetic healing
title_sort immunomodulation effects of collagen hydrogel encapsulating extracellular vesicles derived from calcium silicate stimulated adipose mesenchymal stem cells for diabetic healing
topic Extracellular vesicles
Calcium silicate
Immunomodulation
Diabetic wound healing
url https://doi.org/10.1186/s12951-025-03097-4
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