Remolding Microenvironmental Homeostasis for Enhancing Regenerative Hypertrophic Scar Treatment Based on Functionalized Microneedles

    July 2025 in “ Interdisciplinary materials
    Shengjie Jiang, Jialiang Zhou, Liyun Wang, Xin Liu, Jiaming Sun, Yu Zhuang, Yu Li, Haiyan Li, Dejian Li, Zhaoyong Zou, Zhen Gao, Kaili Lin
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    Studysummary This study found that a microneedle patch integrating curcumin-loaded vesicles and a stem cell-derived matrix showed promise in reducing hypertrophic scars and promoting hair follicle formation in a rabbit model.
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    This study presents a novel approach for treating hypertrophic scars (HS) using functionalized microneedle (MN) patches that incorporate curcumin-loaded extracellular vesicles (Cur@EV) and a decellularized extracellular matrix from umbilical cord-derived mesenchymal stem cells (UdECM). The MN patches target the pathological microenvironment of HS by inhibiting mitophagy and inducing apoptosis in hypertrophic scar fibroblasts (HSFs), leading to reduced collagen accumulation. UdECM promotes M2 macrophage polarization, reducing inflammation and fibrosis. In a rabbit HS model, the patches not only decreased scar formation but also promoted hair follicle regeneration, suggesting potential clinical applications for HS treatment. Future research will focus on optimizing the patch design and assessing its long-term safety and efficacy.
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