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Multifunctional hydrogels based on chitosan, hyaluronic acid and other biological macromolecules for the treatment of inflammatory bowel disease: A review

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DOI: 10.1016/j.ijbiomac.2022.12.032

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Multifunctional hydrogels; Inflammatory bowel disease; Chitosan; Hyaluronic acid; Biological macromolecules

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Hydrogel, as a water-rich polymer material, is widely used in the biomedical field due to its unique physical and chemical properties and good biocompatibility. With the increasing incidence of inflammatory bowel disease (IBD) in recent years, traditional drug treatments have shown limitations, resulting in an urgent need for new therapies. Hydrogel has emerged as a potential therapeutic platform for IBD, but there is a lack of comprehensive review on functional hydrogels for IBD treatment.
Hydrogel is a three-dimensional network polymer material rich in water. It is widely used in the biomedical field because of its unique physical and chemical properties and good biocompatibility. In recent years, the incidence of inflammatory bowel disease (IBD) has gradually increased, and the disadvantages caused by traditional drug treatment of IBD have emerged. Therefore, there is an urgent need for new treatments to alleviate IBD. Hydrogel has become a potential therapeutic platform. However, there is a lack of comprehensive review of functional hydrogels for IBD treatment. This paper first summarizes the pathological changes in IBD sites. Then, the action mechanisms of hydrogels prepared from chitosan, sodium alginate, hyaluronic acid, functionalized polyethylene glycol, cellulose, pectin, and gamma-polyglutamic acid on IBD were described from aspects of drug delivery, peptide and protein delivery, biologic therapies, loading probiotics, etc. In addition, the advanced functions of IBD treatment hydrogels were summarized, with emphasis on adhesion, synergistic therapy, pH sensitivity, particle size, and temperature sensitivity. Finally, the future development direction of IBD treatment hydrogels has been prospected.

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