4.7 Article

Electrospun multifunctional nanofibrous mats loaded with bioactive anemoside B4 for accelerated wound healing in diabetic mice

Journal

DRUG DELIVERY
Volume 29, Issue 1, Pages 174-185

Publisher

TAYLOR & FRANCIS LTD
DOI: 10.1080/10717544.2021.2021319

Keywords

Traditional Chinese medicine; anemoside B4; inflammatory; diabetic wound healing

Funding

  1. National Natural Science Foundation of China [31900957, 81803766]
  2. Shandong Provincial Natural Science Foundation [ZR2019QC007, ZR2018BH036]
  3. Key Research and Discovery Program of Shandong Province [2019GSF107072]
  4. Innovation and Technology Program for the Excellent Youth Scholars of Higher Education of Shandong Province [2019KJE015]
  5. China Postdoctoral Science Foundation [2019M652326, 2019M652336]
  6. Special Programs for Postdoctoral Fellows [2020T130334]

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In this study, a multifunctional nanofiber wound dressing material loaded with anti-inflammatory ingredients was developed and its efficacy in treating diabetic wounds was demonstrated through in vitro and in vivo experiments. The material showed promising properties for promoting wound healing in diabetic patients.
With the worldwide prevalence of diabetes and considering the complicated microenvironment of diabetic wounds, the design and development of innovative multifunctional wound dressing materials are much wanted for the treatment of hard-to-heal wounds in diabetic patients. In the present study, anti-inflammatory ingredients loaded with nanofibrous wound dressing materials were manufactured by a promising blend-electrospinning strategy, and their capability for treating the diabetic wound was also systematically explored. A polymer blend consisting of Chitosan (CS) and polyvinyl alcohol (PVA) was electrospun into CS-PVA nanofibrous mats as control groups. In the meanwhile, a bioactive ingredient of Chinese medicine Pulsatilla, anemoside B4(ANE), with different contents were loaded into the electrospinning solution to construct CS-PVA-ANE nanofibrous mats. The developed CS-PVA-ANE wound dressing materials exhibited multifunctional properties including prominent water absorption, biomimetic elastic mechanical properties, and sustained ANE releasing behavior, as well as outstanding hemostatic properties. The in vitro studies showed that the CS-PVA-ANE nanofiber mats could significantly suppress lipopolysaccharide (LPS)-stimulated differentiation of pro-inflammatory (M1) macrophage subsets, and notably reduce the reactive oxygen species (ROS) generation, as well as obviously decrease inflammatory cytokine release. The in vivo animal studies showed that the CS-PVA-ANE nanofiber mats promoted the healing of diabetic wounds by significantly enhancing wound closure rates, accelerating excellent angiogenesis, promoting re-epithelization and collagen matrix deposition throughout all stages of wound healing. The present study demonstrated that CS-PVA-ANE nanofiber mats could effectively shorten the wound-healing time by inhibiting inflammatory activity, which makes them promising candidates for the treatment of hard-to-heal wounds caused by diabetes.

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