Bioactive multifunctional hydrogels accelerate burn wound healing via M2 macrophage-polarization, antioxidant and anti-inflammatory

Globally, more than 300,000 fatalities occur from burns annually, and burn-wound healing continues to present significant challenges owing to the wound's propensity for infections, heavy bleeding, poor angiogenesis, and persistent inflammatory responses. The immunomodulation of macrophage polar...

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Main Authors: Erman Zhao, Xiuling Tang, Xitong Li, Jun Zhao, Saiying Wang, Gaofei Wei, Le Yang, Minggao Zhao
Format: Article
Language:English
Published: Elsevier 2025-06-01
Series:Materials Today Bio
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Online Access:http://www.sciencedirect.com/science/article/pii/S2590006425002455
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author Erman Zhao
Xiuling Tang
Xitong Li
Jun Zhao
Saiying Wang
Gaofei Wei
Le Yang
Minggao Zhao
author_facet Erman Zhao
Xiuling Tang
Xitong Li
Jun Zhao
Saiying Wang
Gaofei Wei
Le Yang
Minggao Zhao
author_sort Erman Zhao
collection DOAJ
description Globally, more than 300,000 fatalities occur from burns annually, and burn-wound healing continues to present significant challenges owing to the wound's propensity for infections, heavy bleeding, poor angiogenesis, and persistent inflammatory responses. The immunomodulation of macrophage polarization toward the M2 phenotype facilitates the healing of burn wounds by controlling the tissue microenvironment and expediting the transition from the inflammatory phase to proliferation. Here, a polydopamine-mediated graphene oxide (GA), tannic acid (TA), and magnesium ion (Mg2+)-incorporated multifunctional gelatin (Gel) scaffold (GTMG) is developed to accelerate wound healing by modulating the inflammatory microenvironment of burn wounds. GA and Mg2+ confer the scaffold with the conversion of M1-type to M2-type macrophages and vascular regeneration. TA and GA synergistically provide with antimicrobial capabilities to the hydrogel. Additionally, the multifunctional hydrogel shows strong hemostatic, anti-inflammatory and biocompatible properties. Due to its strong tissue adhesion and injectability, the hydrogel can also be used for various forms of dynamic burn wounds. In vivo research shows that the hydrogel may have hemostatic, anti-inflammatory, and M2-phenotypic macrophage-polarization effects, which increase the regeneration and repair effects of burn sites and shorten the burn-healing time. The results indicate that this multifunctional hydrogel offers a promising therapeutic approach for the treatment of burn wounds by altering the immunological microenvironment and accelerating the three phases of wound healing.
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spelling doaj-art-4b9fc6f7227a45c78cf84aa5c43f6a452025-08-20T02:53:40ZengElsevierMaterials Today Bio2590-00642025-06-013210168610.1016/j.mtbio.2025.101686Bioactive multifunctional hydrogels accelerate burn wound healing via M2 macrophage-polarization, antioxidant and anti-inflammatoryErman Zhao0Xiuling Tang1Xitong Li2Jun Zhao3Saiying Wang4Gaofei Wei5Le Yang6Minggao Zhao7Precision Pharmacy & Drug Development Center, Department of Pharmacy, Tangdu Hospital, Air Force Medical University, Xi'an, 710038, ChinaPrecision Pharmacy & Drug Development Center, Department of Pharmacy, Tangdu Hospital, Air Force Medical University, Xi'an, 710038, ChinaDepartment of Surgery, Xi'an Lintong District People's Hospital, Xi'an, 710600, ChinaPrecision Pharmacy & Drug Development Center, Department of Pharmacy, Tangdu Hospital, Air Force Medical University, Xi'an, 710038, ChinaPrecision Pharmacy & Drug Development Center, Department of Pharmacy, Tangdu Hospital, Air Force Medical University, Xi'an, 710038, ChinaInstitute of Medical Research, Northwestern Polytechnical University, Xi'an, 710072, China; Corresponding author.Precision Pharmacy & Drug Development Center, Department of Pharmacy, Tangdu Hospital, Air Force Medical University, Xi'an, 710038, China; Corresponding author.Precision Pharmacy & Drug Development Center, Department of Pharmacy, Tangdu Hospital, Air Force Medical University, Xi'an, 710038, China; Corresponding author.Globally, more than 300,000 fatalities occur from burns annually, and burn-wound healing continues to present significant challenges owing to the wound's propensity for infections, heavy bleeding, poor angiogenesis, and persistent inflammatory responses. The immunomodulation of macrophage polarization toward the M2 phenotype facilitates the healing of burn wounds by controlling the tissue microenvironment and expediting the transition from the inflammatory phase to proliferation. Here, a polydopamine-mediated graphene oxide (GA), tannic acid (TA), and magnesium ion (Mg2+)-incorporated multifunctional gelatin (Gel) scaffold (GTMG) is developed to accelerate wound healing by modulating the inflammatory microenvironment of burn wounds. GA and Mg2+ confer the scaffold with the conversion of M1-type to M2-type macrophages and vascular regeneration. TA and GA synergistically provide with antimicrobial capabilities to the hydrogel. Additionally, the multifunctional hydrogel shows strong hemostatic, anti-inflammatory and biocompatible properties. Due to its strong tissue adhesion and injectability, the hydrogel can also be used for various forms of dynamic burn wounds. In vivo research shows that the hydrogel may have hemostatic, anti-inflammatory, and M2-phenotypic macrophage-polarization effects, which increase the regeneration and repair effects of burn sites and shorten the burn-healing time. The results indicate that this multifunctional hydrogel offers a promising therapeutic approach for the treatment of burn wounds by altering the immunological microenvironment and accelerating the three phases of wound healing.http://www.sciencedirect.com/science/article/pii/S2590006425002455AngiogenesisAnti-inflammation activityMacrophages polarizationMultifunctional hydrogelsBurnsAntibacterial
spellingShingle Erman Zhao
Xiuling Tang
Xitong Li
Jun Zhao
Saiying Wang
Gaofei Wei
Le Yang
Minggao Zhao
Bioactive multifunctional hydrogels accelerate burn wound healing via M2 macrophage-polarization, antioxidant and anti-inflammatory
Materials Today Bio
Angiogenesis
Anti-inflammation activity
Macrophages polarization
Multifunctional hydrogels
Burns
Antibacterial
title Bioactive multifunctional hydrogels accelerate burn wound healing via M2 macrophage-polarization, antioxidant and anti-inflammatory
title_full Bioactive multifunctional hydrogels accelerate burn wound healing via M2 macrophage-polarization, antioxidant and anti-inflammatory
title_fullStr Bioactive multifunctional hydrogels accelerate burn wound healing via M2 macrophage-polarization, antioxidant and anti-inflammatory
title_full_unstemmed Bioactive multifunctional hydrogels accelerate burn wound healing via M2 macrophage-polarization, antioxidant and anti-inflammatory
title_short Bioactive multifunctional hydrogels accelerate burn wound healing via M2 macrophage-polarization, antioxidant and anti-inflammatory
title_sort bioactive multifunctional hydrogels accelerate burn wound healing via m2 macrophage polarization antioxidant and anti inflammatory
topic Angiogenesis
Anti-inflammation activity
Macrophages polarization
Multifunctional hydrogels
Burns
Antibacterial
url http://www.sciencedirect.com/science/article/pii/S2590006425002455
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