Bionic hydrogel treatments for diabetic wounds
Source abstract
Abstract
Diabetic wounds are characteristically difficult to heal, have a risk of serious long-term effects, and can lead to amputation and death in severe cases. In addition to routine blood glucose control, dressing is a promising diabetic wound treatment. Bionic hydrogels are novel biomaterials that combine the advantages of biomimetics and hydrogels, resulting in good biocompatibility and water retention and, thus, ideal wound dressing characteristics. A significant amount of research has gone into the pathogenesis of diabetic wounds, which has guided the design of bionic hydrogels with special functions for treating diabetic wounds and supported novel therapeutic interventions. This review provides a detailed overview of bionic hydrogel materials and their construction methods and summarizes bionic hydrogel treatments for diabetic wounds to provide a theoretical basis for future developments.
Source: crossref · Quality: baseline
Research context
OpenAlex topics: Wound Healing and Treatments · Electrospun Nanofibers in Biomedical Applications · Hydrogels: synthesis, properties, applications
SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.
Affiliations
Clinical Medical College, Affiliated Hospital of Jiujiang University 1 , No. 57 East Xunyang Road, Jiujiang 332005, Jiangxi,
Jiujiang Clinical Precision Medicine Research Center 2 , Jiujiang, Jiangxi,
Gannan Medicine University 3 , Ganzhou, Jiangxi,
Funding
Natural Science Foundation of Jiangxi Province · JiuJiang Natural Science Foundation
References (100+)
Show source-provided references
1. β-cell neogenesis: A rising star to rescue diabetes mellitus10.1016/j.jare.2023.10.008 ↗
2. Epidemiology of type 2 diabetes—Global burden of disease and forecasted trends10.2991/jegh.k.191028.001 ↗
3. Type 2 diabetes mellitus: A review of multi-target drugs10.3390/molecules25081987 ↗
4. Global, regional, and national burden of diabetes from 1990 to 2021, with projections of prevalence to 2050: A systematic analysis for the Global Burden of Disease Study 202110.1016/S0140-6736(23)01301-6 ↗
5. A dual-action strategy: Wound microenvironment responsive hydrogel and exosome-mediated glucose regulation enhance inside-out diabetic wound repair10.1016/j.jconrel.2025.113716 ↗
6. Metformin should not Be used to treat prediabetes10.2337/dc19-2221 ↗
7. Metformin in 201910.1001/jama.2019.3805 ↗
8. Glyburide therapy for gestational diabetes: Glycaemic control, maternal hypoglycaemia, and treatment failure10.1016/j.diabet.2020.11.002 ↗
9. Comparative transcriptomic adaptations of Staphylococcus aureus to the wound environment in non-diabetic and diabetic mice10.1111/wrr.13040 ↗
10. Extracellular matrix-mimetic intrinsic versatile coating derived from marine adhesive protein promotes diabetic wound healing through regulating the microenvironment10.1021/acsnano.4c03626 ↗
11. Hydrogel patch with pretreated stem cells accelerates wound closure in diabetic rats10.1016/j.bioadv.2022.213150 ↗
12. Sustained oxygenation accelerates diabetic wound healing by promoting epithelialization and angiogenesis and decreasing inflammation10.1126/sciadv.abj0153 ↗
13. A ‘mesh scaffold’ that regulates the mechanical properties and restricts the phase transition-induced volume change of the PNIPAM-based hydrogel for wearable sensors10.1039/d3mh01638b ↗
14. Mechanical properties of PNIPAM based hydrogels: A review10.1016/j.msec.2016.09.081 ↗
15. Bioinspired supramolecular hydrogel from design to applications10.1002/smtd.202300753 ↗
16. GelMA-based bioactive hydrogel scaffolds with multiple bone defect repair functions: Therapeutic strategies and recent advances10.1186/s40824-023-00422-6 ↗
17. Biomimetic hydrogels - tools for regenerative medicine, oncology, and understanding medical gas plasma therapy10.1002/smll.202403856 ↗
18. Highly oriented hydrogels for tissue regeneration: Design strategies, cellular mechanisms, and biomedical applications10.7150/thno.89493 ↗
19. Bionic composite hydrogel with a hybrid covalent/noncovalent network promoting phenotypic maintenance of hyaline cartilage10.1039/d0tb00253d ↗
20. Onion-structure bionic hydrogel capsules based on chitosan for regulating doxorubicin release10.1016/j.carbpol.2019.01.028 ↗
21. Stretchable and conductive composite structural color hydrogel films as bionic electronic skins10.1002/advs.202102156 ↗
22. Recent advances in bioinspired hydrogels with environment-responsive characteristics for biomedical applications10.1002/mabi.202100474 ↗
23. Stem cell niche-inspired microcarriers with ADSCs encapsulation for diabetic wound treatment10.1016/j.bioactmat.2023.02.031 ↗
24. Kill two birds with one stone: Dual-metal MOF-nanozyme-decorated hydrogels with ROS-scavenging, oxygen-generating, and antibacterial abilities for accelerating infected diabetic wound healing10.1002/smll.202403679 ↗
25. Structural and biological engineering of 3D hydrogels for wound healing10.1016/j.bioactmat.2022.11.019 ↗
26. State-of-the-art in natural hydrogel-based wound dressings: Design, functionalization, and fabrication approaches10.1016/j.cis.2025.103527 ↗
27. Chitosan-based self-healing hydrogel dressing for wound healing10.1016/j.cis.2024.103267 ↗
28. Molybdesum selenide-based platelet-rich plasma containing carboxymethyl chitosan/polyvinyl pyrrolidone composite antioxidant hydrogels dressing promotes the wound healing10.1186/s12951-024-02490-9 ↗
29. 3D printing-based hydrogel dressings for wound healing10.1002/advs.202404580 ↗
30. Stimuli-responsive polysaccharide-based smart hydrogels for diabetic wound healing: Design aspects, preparation methods and regulatory perspectives10.1016/j.carbpol.2023.121537 ↗
31. Recent advances in smart hydrogels derived from polysaccharides and their applications for wound dressing and healing10.1016/j.biomaterials.2025.123134 ↗
32. A mechanically resilient and tissue-conformable hydrogel with hemostatic and antibacterial capabilities for wound care10.1002/advs.202303651 ↗
33. Bionic ordered structured hydrogels: Structure types, design strategies, optimization mechanism of mechanical properties and applications10.1039/d3mh00326d ↗
34. Biomedical applications of supramolecular hydrogels with enhanced mechanical properties10.1016/j.cis.2023.103000 ↗
35. Innovations in hydrogel-based manufacturing: A comprehensive review of direct ink writing technique for biomedical applications10.1016/j.cis.2024.103095 ↗
36. Antimicrobial properties of chitosan and chitosan derivatives in the treatment of enteric infections10.3390/molecules26237136 ↗
37. Chitosan-based hydrogel wound dressing: From mechanism to applications, a review10.1016/j.ijbiomac.2023.125250 ↗
38. Review of alginate-based hydrogel bioprinting for application in tissue engineering10.1088/1758-5090/ab331e ↗
39. Alginate derived functional oligosaccharides: Recent developments, barriers, and future outlooks10.1016/j.carbpol.2021.118158 ↗
40. State of innovation in alginate-based materials10.3390/md21060353 ↗
41. Alginate microencapsulation for three-dimensional in vitro cell culture10.1021/acsbiomaterials.0c00457 ↗
42. Cellulose nanomaterials review: Structure, properties and nanocomposites10.1039/c0cs00108b ↗
43. Cellulose-based flexible functional materials for emerging intelligent electronics10.1002/adma.202000619 ↗
44. Simple and fast one-pot cellulose gel preparation in aqueous pyrrolidinium hydroxide solution–cellulose solvent and antibacterial agent10.3390/polym13121942 ↗
45. Hyaluronic acid—Based wound dressings: A review10.1016/j.carbpol.2020.116364 ↗
46. Hyaluronic acid: A review on its biology, aspects of drug delivery, route of administrations and a special emphasis on its approved marketed products and recent clinical studies10.1016/j.ijbiomac.2019.11.066 ↗
47. Targeting the stem cell niche: Role of collagen XVII in skin aging and wound repair10.7150/thno.78016 ↗
48. The role of collagen in cancer: From bench to bedside10.1186/s12967-019-2058-1 ↗
49. A tough act to follow: Collagen hydrogel modifications to improve mechanical and growth factor loading capabilities10.1016/j.mtbio.2021.100098 ↗
50. Gelatin-based electrospun nanofibers cross-linked using horseradish peroxidase for plasmid DNA delivery10.3390/biom12111638 ↗
51. Current trends in gelatin-based drug delivery systems10.3390/pharmaceutics15051499 ↗
52. Gelatin-polysaccharide composite scaffolds for 3D cell culture and tissue engineering: Towards natural therapeutics10.1002/btm2.10124 ↗
53. Silk fibroin-based biomaterials for cartilage/osteochondral repair10.7150/thno.74548 ↗
54. Silk fibroin as a functional biomaterial for tissue engineering10.3390/ijms22031499 ↗
55. Cooperative assembly of a peptide gelator and silk fibroin afford an injectable hydrogel for tissue engineering10.1021/acsami.8b01725 ↗
56. Fibrin mechanical properties and their structural origins10.1016/j.matbio.2016.08.003 ↗
57. Fibrin-based biomaterials: Modulation of macroscopic properties through rational design at the molecular level10.1016/j.actbio.2013.09.008 ↗
58. Strategies to use fibrinogen as bioink for 3D bioprinting fibrin-based soft and hard tissues10.1016/j.actbio.2020.09.024 ↗
59. Synthesis and biomedical applications of DNA hydrogel10.2174/1389200224666230710124838 ↗
60. Advances in regenerative medicine applications of tetrahedral framework nucleic acid-based nanomaterials: An expert consensus recommendation10.1038/s41368-022-00199-9 ↗
61. Advances in DNA supramolecular hydrogels for tissue engineering10.1002/mabi.202200152 ↗
62. Small molecule-templated DNA hydrogel with record stiffness integrates and releases DNA nanostructures and gene silencing nucleic acids10.1002/advs.202205713 ↗
63. Human acellular dermal matrix in reconstructive surgery—A review10.3390/biomedicines10112870 ↗
64. Injectable exosome-functionalized extracellular matrix hydrogel for metabolism balance and pyroptosis regulation in intervertebral disc degeneration10.1186/s12951-021-00991-5 ↗
65. Histological effects of combined therapy involving scar resection, decellularized scaffolds, and human iPSC-NS/PCs transplantation in chronic complete spinal cord injury10.1038/s41598-024-82959-7 ↗
66. The impact of sensory neuropathy and inflammation on epithelial wound healing in diabetic corneas10.1016/j.preteyeres.2021.101039 ↗
67. Mitochondrial dysfunction in diabetic tubulopathy10.1016/j.metabol.2022.155195 ↗
68. Hyperbaric oxygen potentiates diabetic wound healing by promoting fibroblast cell proliferation and endothelial cell angiogenesis10.1016/j.lfs.2020.118246 ↗
69. Angiogenic sprouting and capillary lumen formation modeled by human umbilical vein endothelial cells (HUVEC) in fibrin gels: The role of fibroblasts and Angiopoietin-110.1016/s0026-2862(03)00045-1 ↗
70. Macrophage-mediated inflammation in skin wound healing10.3390/cells11192953 ↗
71. Macrophage activation and polarization: Nomenclature and experimental guidelines10.1016/j.immuni.2014.06.008 ↗
72. TLR signalling augments macrophage bactericidal activity through mitochondrial ROS10.1038/nature09973 ↗
73. High glucose environment induces M1 macrophage polarization that impairs keratinocyte migration via TNF-α: An important mechanism to delay the diabetic wound healing10.1016/j.jdermsci.2019.11.004 ↗
74. Mobile mechanical signal generator for macrophage polarization10.1002/exp.20220147 ↗
75. Abnormal cell responses and role of TNF-α in impaired diabetic wound healing10.1155/2013/754802 ↗
76. Epigenetic modulation of macrophage polarization-perspectives in diabetic wounds10.1016/j.jdiacomp.2018.01.015 ↗
77. Neutrophil-mediated immunopathology and matrix metalloproteinases in central nervous system – tuberculosis10.3389/fimmu.2021.788976 ↗
78. Strategy for treatment of infected diabetic foot ulcers10.1021/acs.accounts.0c00864 ↗
79. Glucose and MMP-9 dual-responsive hydrogel with temperature sensitive self-adaptive shape and controlled drug release accelerates diabetic wound healing10.1016/j.bioactmat.2022.01.004 ↗
80. Acute and impaired wound healing: Pathophysiology and current methods for drug delivery, part 1: Normal and chronic wounds: Biology, causes, and approaches to care10.1097/01.asw.0000416006.55218.d0 ↗
81. Wound healing: An overview of acute, fibrotic and delayed healing10.2741/1184 ↗
82. Inflammation in chronic wounds10.3390/ijms17122085 ↗
83. Diabetic autonomic neuropathy10.2337/diacare.26.5.1553 ↗
84. Hyperglycemia inhibits endothelial nitric oxide synthase activity by posttranslational modification at the Akt site10.1172/jci200111235 ↗
85. Nitric oxide enhances experimental wound healing in diabetes10.1046/j.1365-2168.2002.02263.x ↗
86. Nitric oxide therapy for diabetic wound healing10.1002/adhm.201801210 ↗
87. Microenvironment-based diabetic foot ulcer nanomedicine10.1002/advs.202203308 ↗
88. HIF-1α/JMJD1A signaling regulates inflammation and oxidative stress following hyperglycemia and hypoxia-induced vascular cell injury10.1186/s11658-021-00283-8 ↗
89. Unraveling mitochondria-targeting reactive oxygen species modulation and their implementations in cancer therapy by nanomaterials10.1002/exp.20220115 ↗
90. Mitochondrial dysfunction and oxidative stress in diabetic wound10.1002/jbt.23407 ↗
91. Short overview of ROS as cell function regulators and their implications in therapy concepts10.3390/cells8080793 ↗
92. Reactive oxygen species-scavenging nanosystems in the treatment of diabetic wounds10.1002/adhm.202300779 ↗
93. Ferroptosis: An iron-dependent form of nonapoptotic cell death10.1016/j.cell.2012.03.042 ↗
94. Diabetic ferroptosis plays an important role in triggering on inflammation in diabetic wound10.1152/ajpendo.00042.2021 ↗
95. Defective NCOA4-dependent ferroptosis in senescent fibroblasts retards diabetic wound healing10.1038/s41420-023-01437-7 ↗
96. Oxidative stress and lipid peroxidation: Prospective associations between ferroptosis and delayed wound healing in diabetic ulcers10.3389/fcell.2022.898657 ↗
97. Role of advanced glycation end products in diabetic vascular injury: Molecular mechanisms and therapeutic perspectives10.1186/s40001-023-01431-w ↗
98. Food-derived tripeptide–copper self-healing hydrogel for infected wound healing10.34133/bmr.0139 ↗
99. Antimicrobial and antioxidant properties of chitosan and its derivatives and their applications: A review10.1016/j.ijbiomac.2020.08.153 ↗
100. Review on chitosan-based antibacterial hydrogels: Preparation, mechanisms, and applications10.1016/j.ijbiomac.2023.128080 ↗