Self‐Evolving Hydrogel Dressing Temporally Accelerates Infected Diabetic Wound Healing
to combat multidrug-resistant biofilm-forming bacteria. Subsequently, Ag nanozymes with superoxide dismutase/catalase-like activities continuously scavenge reactive oxygen species while generating oxygen, facilitating macrophage M1-to-M2 repolarization and ensuing inflammatory-to-proliferative phase transition. Accumulated ammonia enhances cell proliferation, migration and angiogenesis. The dressing demonstrates exceptional biocompatibility and bioactivity in accelerating Staphylococcus aureus-infected full-thickness cutaneous wound healing in a diabetic rat model, as validated by hemostatic, broad-spectrum antibacterial, antioxidative and immunomodulatory abilities, enhanced oxygenation and cell proliferation, and extensive collagen deposition, vascularization and re-epithelialization. RNA-seq results further reveal the activation of multiple pro-healing signaling axes. Consequently, this platform offers a powerful dynamic strategy of realizing robust antibacterial activity and active temporal niche modulation to guide the healing of infected diabetic wounds.
Authors
- Chenyang Liu (ORCID: https://orcid.org/0000-0002-0626-8425)
- Junmin Qian (ORCID: https://orcid.org/0000-0003-4888-9489)
- Aili Suo
- Mofan Xiao
- Yue Wang (ORCID: https://orcid.org/0000-0003-0098-5359)
- Zhuanli Bai (ORCID: https://orcid.org/0000-0002-7456-1818)
- Huichen Zhao
- Bei Han
- Weijun Xu
- Jinlei Wang
- Xinyu Li
Institutions
- Xi'an Medical University (CN)
- First Affiliated Hospital of Xi'an Jiaotong University (CN)
- Xi'an Jiaotong University (CN)
Publication Details
- Journal
- Advanced Materials
- Published
- 2026-04-21
- DOI
- https://doi.org/10.1002/adma.202523302
- Primary Topic
- Wound Healing and Treatments
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- National Natural Science Foundation of China
- China Postdoctoral Science Foundation
- Wu Jieping Medical Foundation