Synergistic Antioxidant-Antimicrobial-Immunomodulatory Self-Healing 'Radical Sponge' Hydrogel for Diabetic Wound Regeneration via Microenvironment Reprogramming Mediated by Coordinated MAPK Suppression and PI3K-AKT Activation

    March 2026 in “ Chemical Engineering Journal
    Chengrun Li, Xinping Fan, Jiahe Zheng, Qingxia Zhang, Xiuyan GAO, Xiaomin Ren, Yuna Zhang, Yen Wei, Guige Hou, Huanhuan Yan
    TLDR The hydrogel helps heal diabetic wounds by combining antibacterial, antioxidant, and immune-boosting effects.
    This study presents the development of a multifunctional self-healing hydrogel, termed "radical sponge" (B@DOCY), designed for diabetic wound regeneration. The hydrogel integrates dopamine-modified oxidized sodium alginate, carboxymethyl chitosan, cystamine dihydrochloride, and basic fibroblast growth factor (bFGF) through dynamic covalent and non-covalent interactions. It exhibits strong tissue adhesion, electroactivity, and conductivity, alongside potent antioxidant activity with over 95% reactive oxygen and nitrogen species scavenging. The hydrogel demonstrated significant antibacterial efficacy, immunomodulatory potential, and enhanced fibroblast and vascular cell functions. In a diabetic wound model, it promoted epithelialization, hair follicle regeneration, collagen deposition, and vascular reconstruction, offering a comprehensive solution for diabetic wound management by integrating antibacterial, antioxidant, and immunomodulatory actions with sustained bFGF release.
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