CB-MNCs@ CS/HEC/GP promote wound healing in aged murine pressure ulcer model

Abstract Background Non-healing pressure ulcers impose heavy burdens on patients and clinicians. Cord blood mononuclear cells (CB-MNCs) are a novel type of tissue repair seed cells. However, their clinical application is restricted by low retention and survival rates post-transplantation. This study...

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Main Authors: Zhi-cheng Yang, He Lin, Guo-jun Liu, Hui Pan, Jun-lu Zhu, Xiao-hong Zhang, Feng Gao, Zhong Wang, Zhi-hao Wang
Format: Article
Language:English
Published: BMC 2025-02-01
Series:Stem Cell Research & Therapy
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Online Access:https://doi.org/10.1186/s13287-025-04177-w
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author Zhi-cheng Yang
He Lin
Guo-jun Liu
Hui Pan
Jun-lu Zhu
Xiao-hong Zhang
Feng Gao
Zhong Wang
Zhi-hao Wang
author_facet Zhi-cheng Yang
He Lin
Guo-jun Liu
Hui Pan
Jun-lu Zhu
Xiao-hong Zhang
Feng Gao
Zhong Wang
Zhi-hao Wang
author_sort Zhi-cheng Yang
collection DOAJ
description Abstract Background Non-healing pressure ulcers impose heavy burdens on patients and clinicians. Cord blood mononuclear cells (CB-MNCs) are a novel type of tissue repair seed cells. However, their clinical application is restricted by low retention and survival rates post-transplantation. This study aims to investigate the role of thermo-sensitive chitosan/hydroxyethyl cellulose/glycerophosphate (CS/HEC/GP) hydrogel encapsulated CB-MNCs in pressure ulcer wound healing. Methods Pressure ulcers were induced on the backs of aged mice. After construction and validation of the characterization of thermo-sensitive CS/HEC/GP hydrogel, CB-MNCs are encapsulated in the hydrogel, called CB-MNCs@CS/HEC/GP which was locally applied to the mouse wounds. Mouse skin tissues were harvested for histological and molecular biology analyses. Results CB-MNCs@CS/HEC/GP therapy accelerated pressure ulcer wound healing, attenuated inflammatory responses, promoted cell proliferation, angiogenesis, and collagen synthesis. Further investigation revealed that CB-MNCs@CS/HEC/GP exerted therapeutic effects by promoting changes in cell types, including fibroblasts, endothelial cells, keratinocytes, and smooth muscle cells. Conclusion CB-MNCs@CS/HEC/GP enhanced the delivery efficiency of CB-MNCs, preserved the cell viability, and contributed to pressure ulcer wound healing. Thus, CB-MNCs@CS/HEC/GP represents a novel therapeutic approach for skin regeneration of chronic wounds.
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spelling doaj-art-40c6af62f3dd467c865ad35e50200aef2025-02-09T12:15:37ZengBMCStem Cell Research & Therapy1757-65122025-02-0116112010.1186/s13287-025-04177-wCB-MNCs@ CS/HEC/GP promote wound healing in aged murine pressure ulcer modelZhi-cheng Yang0He Lin1Guo-jun Liu2Hui Pan3Jun-lu Zhu4Xiao-hong Zhang5Feng Gao6Zhong Wang7Zhi-hao Wang8Department of Geriatric Medicine & Laboratory of Gerontology and Anti-Aging Research, Qilu Hospital of Shandong UniversityDepartment of Geriatric Medicine & Laboratory of Gerontology and Anti-Aging Research, Qilu Hospital of Shandong UniversityShandong Qilu Stem Cell Engineering Co., LtdDepartment of Geriatric Medicine & Laboratory of Gerontology and Anti-Aging Research, Qilu Hospital of Shandong UniversitySchool of Nursing and Rehabilitation, Shandong UniversitySchool of Nursing and Rehabilitation, Shandong UniversityShandong Qilu Stem Cell Engineering Co., LtdShandong Qilu Stem Cell Engineering Co., LtdDepartment of Geriatric Medicine & Laboratory of Gerontology and Anti-Aging Research, Qilu Hospital of Shandong UniversityAbstract Background Non-healing pressure ulcers impose heavy burdens on patients and clinicians. Cord blood mononuclear cells (CB-MNCs) are a novel type of tissue repair seed cells. However, their clinical application is restricted by low retention and survival rates post-transplantation. This study aims to investigate the role of thermo-sensitive chitosan/hydroxyethyl cellulose/glycerophosphate (CS/HEC/GP) hydrogel encapsulated CB-MNCs in pressure ulcer wound healing. Methods Pressure ulcers were induced on the backs of aged mice. After construction and validation of the characterization of thermo-sensitive CS/HEC/GP hydrogel, CB-MNCs are encapsulated in the hydrogel, called CB-MNCs@CS/HEC/GP which was locally applied to the mouse wounds. Mouse skin tissues were harvested for histological and molecular biology analyses. Results CB-MNCs@CS/HEC/GP therapy accelerated pressure ulcer wound healing, attenuated inflammatory responses, promoted cell proliferation, angiogenesis, and collagen synthesis. Further investigation revealed that CB-MNCs@CS/HEC/GP exerted therapeutic effects by promoting changes in cell types, including fibroblasts, endothelial cells, keratinocytes, and smooth muscle cells. Conclusion CB-MNCs@CS/HEC/GP enhanced the delivery efficiency of CB-MNCs, preserved the cell viability, and contributed to pressure ulcer wound healing. Thus, CB-MNCs@CS/HEC/GP represents a novel therapeutic approach for skin regeneration of chronic wounds.https://doi.org/10.1186/s13287-025-04177-wWound healingAgedPressure ulcersCord blood mononuclear cellsThermo-sensitive hydrogel
spellingShingle Zhi-cheng Yang
He Lin
Guo-jun Liu
Hui Pan
Jun-lu Zhu
Xiao-hong Zhang
Feng Gao
Zhong Wang
Zhi-hao Wang
CB-MNCs@ CS/HEC/GP promote wound healing in aged murine pressure ulcer model
Stem Cell Research & Therapy
Wound healing
Aged
Pressure ulcers
Cord blood mononuclear cells
Thermo-sensitive hydrogel
title CB-MNCs@ CS/HEC/GP promote wound healing in aged murine pressure ulcer model
title_full CB-MNCs@ CS/HEC/GP promote wound healing in aged murine pressure ulcer model
title_fullStr CB-MNCs@ CS/HEC/GP promote wound healing in aged murine pressure ulcer model
title_full_unstemmed CB-MNCs@ CS/HEC/GP promote wound healing in aged murine pressure ulcer model
title_short CB-MNCs@ CS/HEC/GP promote wound healing in aged murine pressure ulcer model
title_sort cb mncs cs hec gp promote wound healing in aged murine pressure ulcer model
topic Wound healing
Aged
Pressure ulcers
Cord blood mononuclear cells
Thermo-sensitive hydrogel
url https://doi.org/10.1186/s13287-025-04177-w
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