title: Sustained release of stromal cell derived factor-1 from an antioxidant thermoresponsive hydrogel enhances dermal wound healing in diabetes.
abstract: 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 11days, 16days, 14days, and 17days 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 (24days) 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.
authors.affiliation: Biomedical Engineering Department, McCormick School of Engineering and Applied Science, Northwestern University, Evanston, IL, United States.
authors.forename: Yunxiao
authors.initials: Y
authors.lastname: Zhu
authors.affiliation: Biomedical Engineering Department, McCormick School of Engineering and Applied Science, Northwestern University, Evanston, IL, United States.
authors.forename: Ryan
authors.initials: R
authors.lastname: Hoshi
authors.affiliation: Biomedical Engineering Department, McCormick School of Engineering and Applied Science, Northwestern University, Evanston, IL, United States.
authors.forename: Siyu
authors.initials: S
authors.lastname: Chen
authors.affiliation: Biomedical Engineering Department, McCormick School of Engineering and Applied Science, Northwestern University, Evanston, IL, United States.
authors.forename: Ji
authors.initials: J
authors.lastname: Yi
authors.affiliation: Biomedical Engineering Department, McCormick School of Engineering and Applied Science, Northwestern University, Evanston, IL, United States.
authors.forename: Chongwen
authors.initials: C
authors.lastname: Duan
authors.affiliation: Division of Plastic Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States.
authors.forename: Robert D
authors.initials: RD
authors.lastname: Galiano
authors.affiliation: Biomedical Engineering Department, McCormick School of Engineering and Applied Science, Northwestern University, Evanston, IL, United States; Chemistry of Life Processes Institute, Northwestern University, Evanston, IL, United States.
authors.forename: Hao F
authors.initials: HF
authors.lastname: Zhang
authors.affiliation: Biomedical Engineering Department, McCormick School of Engineering and Applied Science, Northwestern University, Evanston, IL, United States; Chemistry of Life Processes Institute, Northwestern University, Evanston, IL, United States; Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States; Simpson-Querrey Institute, Northwestern University, Chicago, IL, United States. Electronic address: g-ameer@northwestern.edu.
authors.forename: Guillermo A
authors.initials: GA
authors.lastname: Ameer
mesh_terms: D000818:Animals; D000975:Antioxidants / Q000737:chemistry*; D002460:Cell Line; D002465:Cell Movement / Q000187:drug effects; D054377:Chemokine CXCL12 / Q000008:administration & dosage* / Q000627:therapeutic use; D002951:Citrates / Q000737:chemistry*; D003692:Delayed-Action Preparations / Q000737:chemistry*; D017719:Diabetic Foot / Q000188:drug therapy* / Q000473:pathology; D006801:Humans; D020136:Hydrogel, Polyethylene Glycol Dimethacrylate / Q000737:chemistry*; D013696:Temperature; D014945:Wound Healing / Q000187:drug effects*
chemical_list: D000975:Antioxidants; D054377:Chemokine CXCL12; D002951:Citrates; D003692:Delayed-Action Preparations; D020136:Hydrogel, Polyethylene Glycol Dimethacrylate
keywords: Antioxidant; Diabetes; Endothelial progenitor cell; Foot ulcers; Stromal derived factor-1; Thermoresponsive polymer