Collagen/hyaluronan based hydrogels releasing sulfated hyaluronan improve dermal wound healing in diabetic mice via reducing inflammatory macrophage activity.

Collagen/hyaluronan based hydrogels releasing sulfated hyaluronan improve dermal wound healing in diabetic mice via reducing inflammatory macrophage activity.
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DOI:
10.1016/j.bioactmat.2021.04.026
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发表时间:
2021-12
影响因子:
18.9
通讯作者:
Franz S
Franz S
中科院分区:
工程技术1区
文献类型:
--
作者:
Hauck S;Zager P;Halfter N;Wandel E;Torregrossa M;Kakpenova A;Rother S;Ordieres M;Räthel S;Berg A;Möller S;Schnabelrauch M;Simon JC;Hintze V;Franz S

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Sustained inflammation associated with dysregulated macrophage activation prevents tissue formation and healing of chronic wounds. Control of inflammation and immune cell functions thus represents a promising approach in the development of advanced therapeutic strategies. Here we describe immunomodulatory hyaluronan/collagen (HA-AC/coll)-based hydrogels containing high-sulfated hyaluronan (sHA) as immunoregulatory component for the modulation of inflammatory macrophage activities in disturbed wound healing. Solute sHA downregulates inflammatory activities of bone marrow-derived and tissue-resident macrophages in vitro. This further affects macrophage-mediated pro-inflammatory activation of skin cells as shown in skin ex-vivo cultures. In a mouse model of acute skin inflammation, intradermal injection of sHA downregulates the inflammatory processes in the skin. This is associated with the promotion of an anti-inflammatory gene signature in skin macrophages indicating a shift of their activation profile. For in vivo translation, we designed HA-AC/coll hydrogels allowing delivery of sHA into wounds over a period of at least one week. Their immunoregulatory capacity was analyzed in a translational experimental approach in skin wounds of diabetic db/db mice, an established model for disturbed wound healing. The sHA-releasing hydrogels improved defective tissue repair with reduced inflammation, augmented pro-regenerative macrophage activation, increased vascularization, and accelerated new tissue formation and wound closure. Sulfated hyaluronan (sHA) is a potent immunoregulatory artificial ECM component. sHA controls inflammatory activites of macrophages via impeding TLR signaling. sHA modulates pro-inflammatory macrophage activities in skin inflammation in mice. sHA-releasing hydrogels switch macrophage activation in diabetic wounds in mice. sHA-releasing hydrogels improve disturbed wound healing in diabetic mice.
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