光热治疗
医学
肉芽组织
伤口愈合
佐剂
黑色素瘤
近距离放射治疗
放射治疗
生物医学工程
癌症研究
外科
材料科学
肿瘤科
纳米技术
作者
Peng Liu,Hao Lü,Jessica C. Hsu,Ming Zhou,Zhisheng Luo,Ying Peng,Weibo Cai,Shuo Hu
标识
DOI:10.1002/advs.202414468
摘要
Abstract In the surgical management of malignant melanoma, incomplete tumor resection and large‐area cutaneous defects are major contributors to high locoregional recurrence and uncontrolled wound infections, resulting in poor prognosis and prolonged recovery times for patients. Herein, a versatile nanocomposite microneedle patch (referred to as GM‐Ag 2 S/Ca 32 P) is designed to simultaneously eliminate residual tumor post‐surgery and promote the healing of infectious wounds. This microneedle patch effectively penetrates subcutaneous tissues, delivering therapeutic payloads to infiltrating tumor cells and bacteria. The Ag 2 S/Ca 32 P nanocomposites encapsulated within the microneedle patch decompose in the acidic microenvironment of tumors and bacterial biofilms, releasing radioactive 32 P and Ag 2 S nanodots, which enhance tumor eradication and bacteria killing through synergistic brachytherapy and photothermal therapy (PTT). Moreover, the nanocomposite microneedle patch promotes scar‐free wound healing by reducing inflammation, and promoting granulation tissue formation, collagen deposition, and angiogenesis, thanks to localized hyperthermia, radiation, and the swelling and biodegradation of the microneedle matrices. This microneedle patch‐based postoperative adjuvant therapy offers a comprehensive strategy for addressing melanoma recurrence and infectious wound healing, with promising potential for clinical application in postsurgical management.
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