New Strategies for the Treatment of Diabetic Foot Ulcers Using Nanoenzymes: Frontline Advances in Anti-Infection, Immune Regulation, and Microenvironment Improvement

Shuyu Jia,1– 3 Siyu Wu,4 Min Yi,1 Ziqi Jiang,1 Xinyu Cai,1 Shutong Chen,1 Yingzhi Li1– 3 1Orthopaedic Medical Center, The Second Norman Bethune Hospital of Jilin University, Changchun, 130041, People’s Republic of China; 2Joint International Research Laboratory of Ageing Active Strategy and Bionic H...

Full description

Saved in:
Bibliographic Details
Main Authors: Jia S, Wu S, Yi M, Jiang Z, Cai X, Chen S, Li Y
Format: Article
Language:English
Published: Dove Medical Press 2025-07-01
Series:International Journal of Nanomedicine
Subjects:
Online Access:https://www.dovepress.com/new-strategies-for-the-treatment-of-diabetic-foot-ulcers-using-nanoenz-peer-reviewed-fulltext-article-IJN
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849423996844507136
author Jia S
Wu S
Yi M
Jiang Z
Cai X
Chen S
Li Y
author_facet Jia S
Wu S
Yi M
Jiang Z
Cai X
Chen S
Li Y
author_sort Jia S
collection DOAJ
description Shuyu Jia,1– 3 Siyu Wu,4 Min Yi,1 Ziqi Jiang,1 Xinyu Cai,1 Shutong Chen,1 Yingzhi Li1– 3 1Orthopaedic Medical Center, The Second Norman Bethune Hospital of Jilin University, Changchun, 130041, People’s Republic of China; 2Joint International Research Laboratory of Ageing Active Strategy and Bionic Health in Northeast Asia of Ministry of Education, Jilin University, Changchun, Jilin Province, 130041, People’s Republic of China; 3Jilin Provincial Key Laboratory of Orthopaedics, Changchun, People’s Republic of China; 4Department of Hand Surgery, The Second Hospital of Jilin University, Changchun, 130041, People’s Republic of ChinaCorrespondence: Yingzhi Li, Orthopaedic Medical Center, The Second Norman Bethune Hospital of Jilin University, Changchun, 130041, People’s Republic of China, Email dlyz2005@jlu.edu.cnAbstract: Diabetic foot ulcers are one of the most serious consequences of diabetes, arising from vascular impairment of the skin and disturbances in the microenvironment. This condition involves pathological changes such as wound infection, hyperglycemia, hypoxia, oxidative stress, and cellular dysfunction, necessitating multifaceted interventions. Traditional treatments often target only the wound itself, resulting in limited effectiveness. In contrast, nanoenzymes offer a promising therapeutic option due to their excellent biocompatibility and tissue permeability. They exhibit higher catalytic efficiency, optimal size and structure, and improved stability compared to natural enzymes. Encapsulating various nanoenzymes within novel biomaterials can enhance therapeutic outcomes through antibacterial action, glycemic control, oxygen delivery, antioxidative effects, anti-inflammatory properties, and angiogenesis promotion. This approach represents a key direction for future diabetic wound treatment. This article summarizes the role of nanoenzymes in diabetic wound management and discusses the potential mechanisms of their action. We also provide an outlook on their application prospects, aiming to advance their clinical utilization. Keywords: chronic wound, hyperglycemia, oxidative stress, antibacterial action, angiogenesis
format Article
id doaj-art-defbb838a21c4fa09b7025edbd5c3a73
institution Kabale University
issn 1178-2013
language English
publishDate 2025-07-01
publisher Dove Medical Press
record_format Article
series International Journal of Nanomedicine
spelling doaj-art-defbb838a21c4fa09b7025edbd5c3a732025-08-20T03:30:23ZengDove Medical PressInternational Journal of Nanomedicine1178-20132025-07-01Volume 20Issue 187838810104537New Strategies for the Treatment of Diabetic Foot Ulcers Using Nanoenzymes: Frontline Advances in Anti-Infection, Immune Regulation, and Microenvironment ImprovementJia SWu S0Yi M1Jiang ZCai XChen SLi Y2Department of Hand SurgeryDepartment of Joint SurgeryDepartment of Joint SurgeryShuyu Jia,1– 3 Siyu Wu,4 Min Yi,1 Ziqi Jiang,1 Xinyu Cai,1 Shutong Chen,1 Yingzhi Li1– 3 1Orthopaedic Medical Center, The Second Norman Bethune Hospital of Jilin University, Changchun, 130041, People’s Republic of China; 2Joint International Research Laboratory of Ageing Active Strategy and Bionic Health in Northeast Asia of Ministry of Education, Jilin University, Changchun, Jilin Province, 130041, People’s Republic of China; 3Jilin Provincial Key Laboratory of Orthopaedics, Changchun, People’s Republic of China; 4Department of Hand Surgery, The Second Hospital of Jilin University, Changchun, 130041, People’s Republic of ChinaCorrespondence: Yingzhi Li, Orthopaedic Medical Center, The Second Norman Bethune Hospital of Jilin University, Changchun, 130041, People’s Republic of China, Email dlyz2005@jlu.edu.cnAbstract: Diabetic foot ulcers are one of the most serious consequences of diabetes, arising from vascular impairment of the skin and disturbances in the microenvironment. This condition involves pathological changes such as wound infection, hyperglycemia, hypoxia, oxidative stress, and cellular dysfunction, necessitating multifaceted interventions. Traditional treatments often target only the wound itself, resulting in limited effectiveness. In contrast, nanoenzymes offer a promising therapeutic option due to their excellent biocompatibility and tissue permeability. They exhibit higher catalytic efficiency, optimal size and structure, and improved stability compared to natural enzymes. Encapsulating various nanoenzymes within novel biomaterials can enhance therapeutic outcomes through antibacterial action, glycemic control, oxygen delivery, antioxidative effects, anti-inflammatory properties, and angiogenesis promotion. This approach represents a key direction for future diabetic wound treatment. This article summarizes the role of nanoenzymes in diabetic wound management and discusses the potential mechanisms of their action. We also provide an outlook on their application prospects, aiming to advance their clinical utilization. Keywords: chronic wound, hyperglycemia, oxidative stress, antibacterial action, angiogenesishttps://www.dovepress.com/new-strategies-for-the-treatment-of-diabetic-foot-ulcers-using-nanoenz-peer-reviewed-fulltext-article-IJNChronic woundHyperglycemiaOxidative StressAntibacterial ActionAngiogenesis.
spellingShingle Jia S
Wu S
Yi M
Jiang Z
Cai X
Chen S
Li Y
New Strategies for the Treatment of Diabetic Foot Ulcers Using Nanoenzymes: Frontline Advances in Anti-Infection, Immune Regulation, and Microenvironment Improvement
International Journal of Nanomedicine
Chronic wound
Hyperglycemia
Oxidative Stress
Antibacterial Action
Angiogenesis.
title New Strategies for the Treatment of Diabetic Foot Ulcers Using Nanoenzymes: Frontline Advances in Anti-Infection, Immune Regulation, and Microenvironment Improvement
title_full New Strategies for the Treatment of Diabetic Foot Ulcers Using Nanoenzymes: Frontline Advances in Anti-Infection, Immune Regulation, and Microenvironment Improvement
title_fullStr New Strategies for the Treatment of Diabetic Foot Ulcers Using Nanoenzymes: Frontline Advances in Anti-Infection, Immune Regulation, and Microenvironment Improvement
title_full_unstemmed New Strategies for the Treatment of Diabetic Foot Ulcers Using Nanoenzymes: Frontline Advances in Anti-Infection, Immune Regulation, and Microenvironment Improvement
title_short New Strategies for the Treatment of Diabetic Foot Ulcers Using Nanoenzymes: Frontline Advances in Anti-Infection, Immune Regulation, and Microenvironment Improvement
title_sort new strategies for the treatment of diabetic foot ulcers using nanoenzymes frontline advances in anti infection immune regulation and microenvironment improvement
topic Chronic wound
Hyperglycemia
Oxidative Stress
Antibacterial Action
Angiogenesis.
url https://www.dovepress.com/new-strategies-for-the-treatment-of-diabetic-foot-ulcers-using-nanoenz-peer-reviewed-fulltext-article-IJN
work_keys_str_mv AT jias newstrategiesforthetreatmentofdiabeticfootulcersusingnanoenzymesfrontlineadvancesinantiinfectionimmuneregulationandmicroenvironmentimprovement
AT wus newstrategiesforthetreatmentofdiabeticfootulcersusingnanoenzymesfrontlineadvancesinantiinfectionimmuneregulationandmicroenvironmentimprovement
AT yim newstrategiesforthetreatmentofdiabeticfootulcersusingnanoenzymesfrontlineadvancesinantiinfectionimmuneregulationandmicroenvironmentimprovement
AT jiangz newstrategiesforthetreatmentofdiabeticfootulcersusingnanoenzymesfrontlineadvancesinantiinfectionimmuneregulationandmicroenvironmentimprovement
AT caix newstrategiesforthetreatmentofdiabeticfootulcersusingnanoenzymesfrontlineadvancesinantiinfectionimmuneregulationandmicroenvironmentimprovement
AT chens newstrategiesforthetreatmentofdiabeticfootulcersusingnanoenzymesfrontlineadvancesinantiinfectionimmuneregulationandmicroenvironmentimprovement
AT liy newstrategiesforthetreatmentofdiabeticfootulcersusingnanoenzymesfrontlineadvancesinantiinfectionimmuneregulationandmicroenvironmentimprovement