A smart in situ-formed wound dressing with excellent
antibacterial ability against drug-resistance bacterial, antitumor,
and biofilm-eliminating activities to promote effective wound closure
is highly desirable in therapeutic and clinical applications. Herein,
we designed and developed a multifunctional; shape-adaptable; and
pH, temperature, and near-infrared radiation (NIR) multiple responsive
cellulose nanofibril (CNF)-based in situ liquid wound
dressing, using a pH-sensitive CNF grafted with terminated amino hyperbranched
polyamines (HBP-NH2) as a substrate, along with poly(N-isopropylacrylamide) and indocyanine green (ICG) loaded
as the temperature and NIR on/off switches, respectively. The 3D nanocage
network structure of CNF and the nanocavities in the hyperbranched
structure of HBP-NH2 endow the dressing with a high loading
capacity for active drugs (doxorubicin and ICG) simultaneously. Moreover,
the responsiveness of the dressing to multiple stimuli enables controllable
and efficient drug release to the wound area. The bioinspired dressing
demonstrates excellent antibacterial activity against common bacteria
and methicillin-resistant Staphylococcus aureus, antitumor activity against A375 tumor cells, and biofilm-eliminating
capability. In addition, the developed dressing synergistically combines
multiple therapeutic strategies for effective wound healing, specifically
photothermal therapy, photodynamic therapy, and chemotherapy. The
design provides an ideal clinical intervention strategy for irregular
tumor postoperative infected wounds.