Biodegradable exosome-engineered hydrogels for the prevention of peritoneal adhesions via anti-oxidation and anti-inflammation

Peritoneal adhesions (PA) are a common and severe complication after abdominal surgery, impacting millions of patients worldwide. The use of anti-adhesion materials as physical barriers is an effective strategy to prevent postoperative adhesions. However, the local inflammatory microenvironment exer...

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Main Authors: Weitong Wang, Yuchen Ren, Qingyu Yu, Lijie Jiang, Chaojie Yu, Zhiwei Yue, Yue Wang, Jiajun Lu, Pengcheng Che, Junjie Li, Hong Sun
Format: Article
Language:English
Published: Elsevier 2024-12-01
Series:Materials Today Bio
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Online Access:http://www.sciencedirect.com/science/article/pii/S2590006424003739
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author Weitong Wang
Yuchen Ren
Qingyu Yu
Lijie Jiang
Chaojie Yu
Zhiwei Yue
Yue Wang
Jiajun Lu
Pengcheng Che
Junjie Li
Hong Sun
author_facet Weitong Wang
Yuchen Ren
Qingyu Yu
Lijie Jiang
Chaojie Yu
Zhiwei Yue
Yue Wang
Jiajun Lu
Pengcheng Che
Junjie Li
Hong Sun
author_sort Weitong Wang
collection DOAJ
description Peritoneal adhesions (PA) are a common and severe complication after abdominal surgery, impacting millions of patients worldwide. The use of anti-adhesion materials as physical barriers is an effective strategy to prevent postoperative adhesions. However, the local inflammatory microenvironment exerts a significant impact on the efficacy of anti-adhesion therapies. In this study, an injectable hydrogel based on oxidized dextran/carboxymethyl chitosan (DCC) is designed and prepared. Furthermore, the DCC hydrogel is specifically engineered to load the adipose mesenchymal stem cells (ADSCs)-derived exosomes (Exos) for the treatment of PA. The prepared DCC hydrogel can act as the physical barrier via covering the irregular wound surface effectively. Moreover, it shows controlled degradation property, enabling the regulated release of Exos. The DCC hydrogel loaded Exos (DCC/Exo) system has high antioxidant capacity, and can effectively modulate the inflammatory microenvironments and diminish apoptosis. Notably, it promotes a polarization shift towards the M2-like phenotype in macrophages. The RNA-seq analysis confirms that the DCC/Exo system exhibits significant anti-inflammatory properties and promotes a reduction in collagen deposition. Consequently, the DCC/Exo system can inhibit peritoneal adhesions significantly in a mouse cecum-abdominal wall injury model. These results demonstrate the DCC/Exo is an ideal material for preventing postoperative adhesions.
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spelling doaj-art-eee85cac895442d3a840939738208ff92025-08-20T02:39:31ZengElsevierMaterials Today Bio2590-00642024-12-012910131210.1016/j.mtbio.2024.101312Biodegradable exosome-engineered hydrogels for the prevention of peritoneal adhesions via anti-oxidation and anti-inflammationWeitong Wang0Yuchen Ren1Qingyu Yu2Lijie Jiang3Chaojie Yu4Zhiwei Yue5Yue Wang6Jiajun Lu7Pengcheng Che8Junjie Li9Hong Sun10Department of Basic Medical Sciences, North China University of Science and Technology, Tangshan, 063210, ChinaDepartment of Basic Medical Sciences, North China University of Science and Technology, Tangshan, 063210, ChinaFrontiers Science Center for Synthetic Biology and Key Laboratory of Systems Bioengineering, Ministry of Education, School of Chemical Engineering and Technology, Tianjin University, Tianjin, 300350, ChinaDepartment of Basic Medical Sciences, North China University of Science and Technology, Tangshan, 063210, ChinaFrontiers Science Center for Synthetic Biology and Key Laboratory of Systems Bioengineering, Ministry of Education, School of Chemical Engineering and Technology, Tianjin University, Tianjin, 300350, ChinaDepartment of Basic Medical Sciences, North China University of Science and Technology, Tangshan, 063210, ChinaDepartment of Basic Medical Sciences, North China University of Science and Technology, Tangshan, 063210, ChinaDepartment of Basic Medical Sciences, North China University of Science and Technology, Tangshan, 063210, ChinaSchool of Nursing and Rehabilitation, North China University of Science and Technology, Tangshan, 063210, China; Corresponding author.Frontiers Science Center for Synthetic Biology and Key Laboratory of Systems Bioengineering, Ministry of Education, School of Chemical Engineering and Technology, Tianjin University, Tianjin, 300350, China; Corresponding author.Department of Basic Medical Sciences, North China University of Science and Technology, Tangshan, 063210, China; Corresponding author.Peritoneal adhesions (PA) are a common and severe complication after abdominal surgery, impacting millions of patients worldwide. The use of anti-adhesion materials as physical barriers is an effective strategy to prevent postoperative adhesions. However, the local inflammatory microenvironment exerts a significant impact on the efficacy of anti-adhesion therapies. In this study, an injectable hydrogel based on oxidized dextran/carboxymethyl chitosan (DCC) is designed and prepared. Furthermore, the DCC hydrogel is specifically engineered to load the adipose mesenchymal stem cells (ADSCs)-derived exosomes (Exos) for the treatment of PA. The prepared DCC hydrogel can act as the physical barrier via covering the irregular wound surface effectively. Moreover, it shows controlled degradation property, enabling the regulated release of Exos. The DCC hydrogel loaded Exos (DCC/Exo) system has high antioxidant capacity, and can effectively modulate the inflammatory microenvironments and diminish apoptosis. Notably, it promotes a polarization shift towards the M2-like phenotype in macrophages. The RNA-seq analysis confirms that the DCC/Exo system exhibits significant anti-inflammatory properties and promotes a reduction in collagen deposition. Consequently, the DCC/Exo system can inhibit peritoneal adhesions significantly in a mouse cecum-abdominal wall injury model. These results demonstrate the DCC/Exo is an ideal material for preventing postoperative adhesions.http://www.sciencedirect.com/science/article/pii/S2590006424003739Peritoneal adhesionsExosomesHydrogelsImmunoregulation
spellingShingle Weitong Wang
Yuchen Ren
Qingyu Yu
Lijie Jiang
Chaojie Yu
Zhiwei Yue
Yue Wang
Jiajun Lu
Pengcheng Che
Junjie Li
Hong Sun
Biodegradable exosome-engineered hydrogels for the prevention of peritoneal adhesions via anti-oxidation and anti-inflammation
Materials Today Bio
Peritoneal adhesions
Exosomes
Hydrogels
Immunoregulation
title Biodegradable exosome-engineered hydrogels for the prevention of peritoneal adhesions via anti-oxidation and anti-inflammation
title_full Biodegradable exosome-engineered hydrogels for the prevention of peritoneal adhesions via anti-oxidation and anti-inflammation
title_fullStr Biodegradable exosome-engineered hydrogels for the prevention of peritoneal adhesions via anti-oxidation and anti-inflammation
title_full_unstemmed Biodegradable exosome-engineered hydrogels for the prevention of peritoneal adhesions via anti-oxidation and anti-inflammation
title_short Biodegradable exosome-engineered hydrogels for the prevention of peritoneal adhesions via anti-oxidation and anti-inflammation
title_sort biodegradable exosome engineered hydrogels for the prevention of peritoneal adhesions via anti oxidation and anti inflammation
topic Peritoneal adhesions
Exosomes
Hydrogels
Immunoregulation
url http://www.sciencedirect.com/science/article/pii/S2590006424003739
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