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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    TLDR A microneedle patch with curcumin and stem cell components effectively treats hypertrophic scars and promotes healing.
    This study addresses hypertrophic scars (HS) by developing a functionalized microneedle (MN) patch that targets the pathological microenvironment of HS, characterized by elevated mitophagy, suppressed apoptosis, and excess inflammation. The MN patch integrates curcumin-loaded extracellular vesicles (Cur@EV) and a decellularized extracellular matrix from umbilical cord-derived mesenchymal stem cells (UdECM). This combination inhibits mitophagy, promotes apoptosis, reduces collagen deposition, and modulates inflammation by facilitating M2 macrophage polarization. In a rabbit HS model, the MN patch demonstrated regenerative therapeutic outcomes, including HS inhibition and new hair follicle formation. This innovative approach offers a minimally invasive strategy for HS management, with future research focusing on optimizing patch design, assessing long-term safety and efficacy, and exploring broader applications.
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