Su, Zhiwen, Chen, Yan, Liang, Haifeng, Liu, Zhongxun, Wu, Deguang, Li, Jian, Su, Hao, Yan, Yiran, Huang, Zhi, and Yu, Bo
Diabetes-related skin ulcers are of significant clinical concern. Although conventional dressings have been developed, their outcomes have not been adequate, indicating the need to investigate functional dressings for the treatment of diabetic ulcers. Copper selenide nanoparticles (Cu 2 Se NPs) demonstrate outstanding photoresponsiveness, which is critical to the healing process. However, their limited solubility in water restricts their application. To synthesize the ODT-PMMA@Cu 2 Se NP-doped decellularized periosteum‑sodium alginate functional dressing-ODT-PMMA@Cu 2 Se/ECM-S (OP@Cu 2 Se/ECM-S), Cu 2 Se NPs were modified by n-octadecanethiol (ODT) end-functionalized poly (methacrylic acid) (PMAA) ligands homogeneously dispersed in a decellularized periosteum/sodium alginate matrix. This process improved the water solubility and stability. Moreover, under near-infrared irradiation (NIR), ODT-PMMA@Cu 2 Se demonstrated robust photo-responsiveness along with photothermal and photodynamic effects, leading to rapid heating and stimulation of reactive oxygen species (ROS) generation. These two processes work in concert to exhibit excellent antibacterial ability; at 20 μg/mL concentration of Cu 2 Se NPs, the bacterial activities of S. aureus and E. coli were 5.40 % and 0.96 %, respectively. Without the NIR laser irradiation, OP@Cu 2 Se/ECM-S rapidly increased the vascular endothelial growth factor (VEGF) expression, triggered the phosphatidylinositide 3-kinases (PI3K) and protein kinase B (AKT) signaling pathway, affected the expression of bFGF and CD31, and promoted neovascularization, proliferation, and cell migration. In a diabetic mouse wound model, OP@Cu 2 Se/ECM-S exhibited good biocompatibility and promoted epidermal regeneration, collagen deposition, and neovascularization. In a mouse model of subcutaneous abscesses, OP@Cu 2 Se/ECM-S also showed excellent antibacterial activity, in vivo experiments confirmed a decrease in bacterial activity to 1.97 %. Thus, OP@Cu 2 Se/ECM-S is a potentially useful approach for healing diabetic wounds. • Its strong biological activity and superior antibacterial properties are crucial for the healing of diabetic wounds. • The misuse of antibiotics combined with the drawbacks of nanoparticles causes a rise in both cytotoxicity and cell resistance. • A multifunctional dressing that is photoresponsive and free of antibiotics was prepared in this research. Its superior antibacterial and healing properties in vitro and investigated the underlying mechanisms. • Cu 2 Se NPs were functionalized with ODT-PMMA ligands for the first time, distributing them uniformly in the decellularized periosteum/sodium alginate, and exhibiting full healing of diabetic wounds and hair follicle regeneration without the need for near-infrared light. • Moreover, OP@Cu 2 Se/ECM-S has powerful antibacterial properties in the presence of NIR, virtually eliminating microorganisms. [ABSTRACT FROM AUTHOR]