TY - JOUR
T1 - Sustained release of stromal cell derived factor-1 from an antioxidant thermoresponsive hydrogel enhances dermal wound healing in diabetes
AU - Zhu, Yunxiao
AU - Hoshi, Ryan
AU - Chen, Siyu
AU - Yi, Ji
AU - Duan, Chongwen
AU - Galiano, Robert D.
AU - Zhang, Hao F.
AU - Ameer, Guillermo A.
N1 - Publisher Copyright:
© 2016 Elsevier B.V.
PY - 2016/9/28
Y1 - 2016/9/28
N2 - Diabetic foot ulcers (DFUs) are a severe complication of diabetes mellitus. Altered cell migration due to microcirculatory deficiencies as well as excessive and prolonged reactive oxygen species production are implicated in the delayed healing of DFUs. The goal of this research was to assess whether sustained release of SDF-1, a chemokine that promotes endothelial progenitor cell homing and angiogenesis, from a citrate-based antioxidant thermoresponsive polymer would significantly improve impaired dermal wound healing in diabetes. Poly (polyethylene glycol citrate-co-N-isopropylacrylamide) (PPCN) was synthesized via sequential polycondensation and free radical polymerization reactions. SDF-1 was entrapped via gelation of the PPCN + SDF-1 solution above its lower critical solution temperature (LCST) and its release and bioactivity was measured. The effect of sustained release of SDF-1 from PPCN (PPCN + SDF-1) versus a bolus application of SDF-1 in phosphate buffered saline (PBS) on wound healing was evaluated in a diabetic murine splinted excisional dermal wound model using gross observation, histology, immunohistochemistry, and optical coherence tomography microangiography. Increasing PPCN concentration decreased SDF-1 release rate. The time to 50% wound closure was 11 days, 16 days, 14 days, and 17 days for wounds treated with PPCN + SDF-1, SDF-1 only, PPCN only, and PBS, respectively. Wounds treated with PPCN + SDF-1 had the shortest time for complete healing (24 days) and exhibited accelerated granulation tissue production, epithelial maturation, and the highest density of perfused blood vessels. In conclusion, sustained release of SDF-1 from PPCN is a promising and easy to use therapeutic strategy to improve the treatment of chronic non-healing DFUs.
AB - Diabetic foot ulcers (DFUs) are a severe complication of diabetes mellitus. Altered cell migration due to microcirculatory deficiencies as well as excessive and prolonged reactive oxygen species production are implicated in the delayed healing of DFUs. The goal of this research was to assess whether sustained release of SDF-1, a chemokine that promotes endothelial progenitor cell homing and angiogenesis, from a citrate-based antioxidant thermoresponsive polymer would significantly improve impaired dermal wound healing in diabetes. Poly (polyethylene glycol citrate-co-N-isopropylacrylamide) (PPCN) was synthesized via sequential polycondensation and free radical polymerization reactions. SDF-1 was entrapped via gelation of the PPCN + SDF-1 solution above its lower critical solution temperature (LCST) and its release and bioactivity was measured. The effect of sustained release of SDF-1 from PPCN (PPCN + SDF-1) versus a bolus application of SDF-1 in phosphate buffered saline (PBS) on wound healing was evaluated in a diabetic murine splinted excisional dermal wound model using gross observation, histology, immunohistochemistry, and optical coherence tomography microangiography. Increasing PPCN concentration decreased SDF-1 release rate. The time to 50% wound closure was 11 days, 16 days, 14 days, and 17 days for wounds treated with PPCN + SDF-1, SDF-1 only, PPCN only, and PBS, respectively. Wounds treated with PPCN + SDF-1 had the shortest time for complete healing (24 days) and exhibited accelerated granulation tissue production, epithelial maturation, and the highest density of perfused blood vessels. In conclusion, sustained release of SDF-1 from PPCN is a promising and easy to use therapeutic strategy to improve the treatment of chronic non-healing DFUs.
KW - Antioxidant
KW - Diabetes
KW - Endothelial progenitor cell
KW - Foot ulcers
KW - Stromal derived factor-1
KW - Thermoresponsive polymer
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U2 - 10.1016/j.jconrel.2016.07.043
DO - 10.1016/j.jconrel.2016.07.043
M3 - Article
C2 - 27473766
AN - SCOPUS:84979763408
SN - 0168-3659
VL - 238
SP - 114
EP - 122
JO - Journal of Controlled Release
JF - Journal of Controlled Release
ER -