Glucose-Activated Nanoreactor Initiating Cascade Reaction to Remodel Immune Microenvironment for Promoting Diabetic Wound Healing

    Luoyu Zhang, Bihua Liang, Chao Bi, Quan Chen, Runxiang Li, Huiyan Deng, Liqian Peng, Jiaoquan Chen, S. Ou, Ziyan Chen, Xiaofeng Li, Huilan Zhu, Huaping Li
    TLDR MCP@G improves diabetic wound healing by reducing stress and promoting tissue repair.
    The study presents an innovative nanozyme system, MCP@G, designed to improve diabetic wound healing by remodeling the immune microenvironment. This system integrates glucose oxidase with a Pt-deposited Mn-doped Ce metal–organic framework, mimicking superoxide dismutase and catalase activities. MCP@G initiates a cascade reaction that reduces hyperglycemia, alleviates oxidative stress, and enhances oxygen supply, effectively breaking the cycle of hyperglycemia, hypoxia, and oxidative stress. In vitro and in vivo experiments, including a diabetic rat model, showed that MCP@G significantly reduced mitochondrial oxidative stress, modulated anti-inflammatory factors, enhanced fibroblast migration, and promoted blood vessel formation, leading to accelerated wound closure, robust collagen deposition, and significant hair follicle regeneration. This multienzyme mimicking strategy offers a promising platform for treating refractory diabetic wounds.
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