Multimodal Antibacterial E‐Skin Patch Driven by Oxidative Stress for Real‐Time Wound‐Status Monitoring and Integrated Treatment of Chronic Wounds

材料科学 氧化应激 抗菌活性 伤口愈合 生物医学工程 纳米技术 复合材料 医学 外科 细菌 内科学 生物 遗传学
作者
Wanling Liu,Jing Ye,Yue Wang,Xiaobo Xu,Yujie Gao,Kangyu Liu,Jiefeng Gao,Yihong Lin,Lei Cui,Qiaoyi Wu,Huanghao Yang,Jin Zhang
出处
期刊:Advanced Functional Materials [Wiley]
标识
DOI:10.1002/adfm.202424698
摘要

Abstract Healing of chronic wounds becomes a global health issue due to increasing incidence and associated burdens, and therefore promoting tissue‐remodeling and monitoring wound‐status visually are of particular significance. Herein, an electronic‐skin patch (TENG‐gel) composed by polydimethylsiloxane/polytetrafluoroethylene film, eutectic gallium–indium (E‐GaIn), and quaternary chitosan/polyacrylamide/sodium alginate@molybdenum disulfide (MoS 2 ) nanosheet (H QPS @MoS 2 ) composite hydrogel is assembled layer‐by‐layer. First, the TENG‐gel realizes multimodal antibacterial by integrating peroxidase‐like activity, photothermal therapy, and nano‐knife effect, which eliminates both Gram‐positive/negative bacteria with killing ratio of above 95%. Besides, electrical stimulation generated from the TENG‐gel promotes migration of fibroblasts after an incubation of 48 h by activating signaling pathways, and meanwhile accelerates vascularization by secreting different growth factors of CD31, VEGF, and TGF‐β. Through providing an ideal microenvironment for tissue repair, the TENG‐gel achieves 1.6‐fold new hair follicles and 2.4‐fold collagen deposition compared with those of the control group. More interestingly, dual temperature‐/strain‐sensing performance enables the TENG‐gel with capability of monitoring wound status or reminding external danger signals in real‐time dependent on variational electrical signals. Overall, unique advantages of such smart electronic‐skin patch provide a personalized medicine strategy for realizing tissue reconstruction and monitoring synchronously.
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