Endogenous electric field-driven neuro-immuno-regulatory scaffold for effective diabetic wound healing

The pathological microenvironment in diabetic wounds is delineated by heightened inflammatory responses and persistent proinflammatory macrophage activity, which significantly hinders the wound healing process. Exogenous electrical stimulation (ES), by modulating the electric field distribution in w...

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Main Authors: Zhiqing Liu, Tianlong Wang, Jinhui Zhao, Lei Zhang, Yiping Luo, Yixing Chen, Xinhui Wu, Yaqi Liu, Aihemaitijiang Aierken, Dilixiati Duolikun, Hui Jiang, Xinyu Zhao, Chang Li, Yingchuan Li, Wentao Cao, Jianzhong Du, Longpo Zheng
Format: Article
Language:English
Published: KeAi Communications Co., Ltd. 2025-05-01
Series:Bioactive Materials
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Online Access:http://www.sciencedirect.com/science/article/pii/S2452199X25000246
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author Zhiqing Liu
Tianlong Wang
Jinhui Zhao
Lei Zhang
Yiping Luo
Yixing Chen
Xinhui Wu
Yaqi Liu
Aihemaitijiang Aierken
Dilixiati Duolikun
Hui Jiang
Xinyu Zhao
Chang Li
Yingchuan Li
Wentao Cao
Jianzhong Du
Longpo Zheng
author_facet Zhiqing Liu
Tianlong Wang
Jinhui Zhao
Lei Zhang
Yiping Luo
Yixing Chen
Xinhui Wu
Yaqi Liu
Aihemaitijiang Aierken
Dilixiati Duolikun
Hui Jiang
Xinyu Zhao
Chang Li
Yingchuan Li
Wentao Cao
Jianzhong Du
Longpo Zheng
author_sort Zhiqing Liu
collection DOAJ
description The pathological microenvironment in diabetic wounds is delineated by heightened inflammatory responses and persistent proinflammatory macrophage activity, which significantly hinders the wound healing process. Exogenous electrical stimulation (ES), by modulating the electric field distribution in wounds, has shown significant potential in treating inflammatory wounds. However, this approach relies on additional power sources and complex circuit designs. Here, a bionic neuro-immuno-regulatory (BNIR) system was proposed for reshaping the endogenous electric fields (EFs) through collecting ion flow. The BNIR system comprises microporous structure scaffolds and nanosheets, enabling swift biofluid collection and electrical signal transmission, with the ability to promote cell proliferation and migration and exhibit antioxidant properties. More importantly, the BNIR system induced the transition of M1 macrophages to M2 macrophages through neuro-immuno-regulatory. In diabetic rat skin wounds, the BNIR system significantly enhanced healing by simultaneously neuro-immuno-regulatory, promoting angiogenesis, scavenging ROS, and facilitating tissue remodeling. This work aims to advance the development of a bionic system for electrosensitive tissue repair.
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institution Kabale University
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language English
publishDate 2025-05-01
publisher KeAi Communications Co., Ltd.
record_format Article
series Bioactive Materials
spelling doaj-art-77aa55c46c8b49d58f53298cca57375f2025-01-26T05:04:27ZengKeAi Communications Co., Ltd.Bioactive Materials2452-199X2025-05-0147266282Endogenous electric field-driven neuro-immuno-regulatory scaffold for effective diabetic wound healingZhiqing Liu0Tianlong Wang1Jinhui Zhao2Lei Zhang3Yiping Luo4Yixing Chen5Xinhui Wu6Yaqi Liu7Aihemaitijiang Aierken8Dilixiati Duolikun9Hui Jiang10Xinyu Zhao11Chang Li12Yingchuan Li13Wentao Cao14Jianzhong Du15Longpo Zheng16Department of Orthopedics, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai, 200072, ChinaDepartment of Orthopedics, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai, 200072, ChinaDepartment of Orthopedics, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai, 200072, ChinaDepartment of Orthopedics, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai, 200072, ChinaDepartment of Orthopedics, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai, 200072, ChinaDepartment of Orthopedics, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai, 200072, ChinaDepartment of Orthopedics, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai, 200072, ChinaDepartment of Orthopedics, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai, 200072, ChinaDepartment of Orthopedics, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai, 200072, ChinaDepartment of Orthopedics, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai, 200072, ChinaDepartment of Orthopedics, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai, 200072, ChinaDepartment of Orthopedics, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai, 200072, ChinaDepartment of Orthopedics, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai, 200072, ChinaDepartment of Critical Care Medicine, School of Medicine, Shanghai Tenth People's Hospital, Tongji University, Shanghai, China; Corresponding author. 301 Middle Yanchang Road, Jing'an District, Shanghai, 200072, China.Department of Prosthodontics, Shanghai Stomatological Hospital & School of Stomatology, Fudan University, Shanghai, 201102, China; Corresponding authors. 166 Hechuan Road, Minhang District, Shanghai, 201100, China.Department of Orthopedics, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai, 200072, China; Department of Polymeric Materials, School of Materials Science and Engineering, Tongji University, 4800 Caoan Road, Shanghai, 201804, China; School of Materials Science and Engineering, East China University of Science and Technology, Shanghai, 200237, China; Corresponding author. 301 Middle Yanchang Road, Jing'an District, Shanghai, 200072, China.Department of Orthopedics, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai, 200072, China; Shanghai Trauma Emergency Center, Shanghai, 200072, China; Orthopedic Intelligent Minimally Invasive Diagnosis & Treatment Center, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai, 200072, China; Corresponding authors. 301 Middle Yanchang Road, Jing'an District, Shanghai, 200072, China.The pathological microenvironment in diabetic wounds is delineated by heightened inflammatory responses and persistent proinflammatory macrophage activity, which significantly hinders the wound healing process. Exogenous electrical stimulation (ES), by modulating the electric field distribution in wounds, has shown significant potential in treating inflammatory wounds. However, this approach relies on additional power sources and complex circuit designs. Here, a bionic neuro-immuno-regulatory (BNIR) system was proposed for reshaping the endogenous electric fields (EFs) through collecting ion flow. The BNIR system comprises microporous structure scaffolds and nanosheets, enabling swift biofluid collection and electrical signal transmission, with the ability to promote cell proliferation and migration and exhibit antioxidant properties. More importantly, the BNIR system induced the transition of M1 macrophages to M2 macrophages through neuro-immuno-regulatory. In diabetic rat skin wounds, the BNIR system significantly enhanced healing by simultaneously neuro-immuno-regulatory, promoting angiogenesis, scavenging ROS, and facilitating tissue remodeling. This work aims to advance the development of a bionic system for electrosensitive tissue repair.http://www.sciencedirect.com/science/article/pii/S2452199X25000246Conductive scaffoldWound exudate managementEndogenous electric fieldNeuro-immuno-regulatoryDiabetic wound healing
spellingShingle Zhiqing Liu
Tianlong Wang
Jinhui Zhao
Lei Zhang
Yiping Luo
Yixing Chen
Xinhui Wu
Yaqi Liu
Aihemaitijiang Aierken
Dilixiati Duolikun
Hui Jiang
Xinyu Zhao
Chang Li
Yingchuan Li
Wentao Cao
Jianzhong Du
Longpo Zheng
Endogenous electric field-driven neuro-immuno-regulatory scaffold for effective diabetic wound healing
Bioactive Materials
Conductive scaffold
Wound exudate management
Endogenous electric field
Neuro-immuno-regulatory
Diabetic wound healing
title Endogenous electric field-driven neuro-immuno-regulatory scaffold for effective diabetic wound healing
title_full Endogenous electric field-driven neuro-immuno-regulatory scaffold for effective diabetic wound healing
title_fullStr Endogenous electric field-driven neuro-immuno-regulatory scaffold for effective diabetic wound healing
title_full_unstemmed Endogenous electric field-driven neuro-immuno-regulatory scaffold for effective diabetic wound healing
title_short Endogenous electric field-driven neuro-immuno-regulatory scaffold for effective diabetic wound healing
title_sort endogenous electric field driven neuro immuno regulatory scaffold for effective diabetic wound healing
topic Conductive scaffold
Wound exudate management
Endogenous electric field
Neuro-immuno-regulatory
Diabetic wound healing
url http://www.sciencedirect.com/science/article/pii/S2452199X25000246
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