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Study Design

Methods
Living bacteria-loaded oxidized dextran hydrogel fabricated with Lactobacillus bulgaricus encapsulated in gelatin microcapsules via microcapsule technology, and mangiferin incorporated via dynamic borate ester bond; pH/ROS responsive hydrogel (OPM@GLB) prepared through Schiff base reaction; tested in vitro and in vivo.
Diabetic wound (DW) is characterized by chronic inflammation and bacterial infection, making its healing a continuing clinical challenge. Herein, a living bacteria-loaded oxidized dextran hydrogel is successfully fabricated to accelerate wound healing via regulating inflammatory factors. Lactobacillus bulgaricus (LB), as a live microorganism, was encapsulated in the hydrogel via microcapsule technology with gelatin as a substance to reduce secondary infections and ensure the survival of LB. Gelatin microcapsules and oxidized dextran were used to prepare a pH/ROS responsive hydrogel (OPM@GLB) through a Schiff base reaction. Furthermore, mangiferin was also incorporated into the hydrogel by a dynamic borate ester bond to support desirable nutrition for LB. In vitro and in vivo results showed that the OPM@GLB hydrogel exhibited significant antibacterial and anti-inflammatory properties and promoted angiogenesis and collagen deposition to accelerate diabetic wound healing. This study may offer new insights for treating diabetic wound in the clinic.

Research Insights

SupplementDoseHealth OutcomeEffect TypeEffect SizeSource
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