Diabetic wounds are a worldwide health problem causing extremely heavy public health burden and require effective treatment. Optimal strategies for treating nonhealing diabetic wounds include stem-cell-based therapy and delivery of novel drug substances, such as functional microRNAs (miRNAs); however, miRNA easily degrades in the wound microenvironment. Herein, we developed a human adipose stem-cell-derived exosome (hASC-exos)-based miRNA delivery strategy to enhance its therapeutic efficacy. The miR-21-5p mimics, as novel therapeutic candidates for diabetic wounds, were loaded into hASC-exos by electroporation, taking advantage of natural availability and biocompatibility of exosomes as extracellular miRNA transporting particles. The engineered exosomes (E-exos) exhibited excellent effects on promoting proliferation and migration of keratinocytes via Wnt/β-catenin signaling in vitro and accelerating diabetic wound healing by increasing re-epithelialization, collagen remodeling, angiogenesis, and vessel maturation in vivo. Results from this study would set the fundamentals of applying hASC-exos to deliver future drug substances and to develop cell-free therapy for wound-healing treatments.

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Bioadhesive microporous architectures that mimic the functions of a natural extracellular matrix (ECM) were prepared by self-assembling polydopamine (PDA) microcapsules, which not only favor cell adhesion and growth, but also facilitate growth factor immobilization and release. PDA-coated polystyrene (PS) microspheres are synthesized by polymerization of dopamine on sulfonated PS microspheres and then assembled using positively charged chitosan (CHI) layers as link agents. After the PS core templates were removed, microporous architectures composed of PDA microcapsules were obtained. The produced microporous PDA architectures have a high capability of adsorbing BMP-2 and realize the sustained release of BMP-2. More importantly, the bioadhesive micro architecture and its immobilized BMP-2 synergistically enhance the activity and osteogenetic differentiation of bone marrow mesenchymal stem cells (BMSCs). Both supercell adhesion and BMP-2 immobilization ability of these architectures are attributed to the intrinsic adhesive nature of PDA and the porous architectures via the assembly of PDA microcapsules. The bioadhesive microporous PDA architectures with both cell affinitive and GF release features have a great potential to mimic natural ECM for modifying various medical devices in the fields of tissue engineering and regenerative medicine.

A novel shear-thinning hybrid bioink with good printability, mechanical support, biocompatibility, and bioactivity was developed by combining gellan gum, sodium alginate, and thixotropic magnesium phosphate-based gel (GG–SA/TMP-BG).

Hydroxyapatite (HA) coatings on titanium (Ti) substrates have attracted much attention owing to the combination of good mechanical properties of Ti and superior biocompatibility of HA. Incorporating silver (Ag) into HA coatings is an effective method to impart the coatings with antibacterial properties. However, the uniform distribution of Ag is still a challenge and Ag particles in the coatings are easy to agglomerate, which in turn affects the applications of the coatings. In this study, we employed pulsed electrochemical deposition to co-deposit HA and Ag simultaneously, which realized the uniform distribution of Ag particles in the coatings. This method was based on the use of a well-designed electrolyte containing Ag ions, calcium ions and L-cysteine, in which cysteine acted as the coordination agent to stabilize Ag ions. The antibacterial and cell culture tests were used to evaluate the antibacterial properties and biocompatibility of HA/Ag composite coatings, respectively. The results indicated the as-prepared coatings had good antibacterial properties and biocompatibility. However, an appropriate silver content should be chosen to balance the biocompatibility and antibacterial properties. Heat treatments promoted the adhesive strength and enhanced the biocompatibility without sacrificing the antibacterial properties of the HA/Ag coatings. In summary, this study provided an alternative method to prepare bioactive surfaces with bactericidal ability for biomedical devices.

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