Ideal tissue-engineered skin scaffolds
should possess
integrated
therapeutic effects and multifunctionality, such as broad-spectrum
antibacterial properties, adjustable mechanical properties, and bionic
structure. Acellular dermal matrix (ADM) has been broadly used in
many surgical applications as an alternative treatment to the “gold
standard” tissue transplantation. However, insufficient broad-spectrum
antibacterial and mechanical properties for therapeutic efficacy limit
the practical clinical applications of ADM. Herein, a balanceable
crosslinking approach based on oxidized 2-hydroxypropyltrimethyl ammonium
chloride chitosan (OHTCC) was developed for converting ADM into on-demand
versatile skin scaffolds for integrated infected wounds therapy. Comprehensive
experiments show that different oxidation degrees of OHTCC have significative
influences on the specific origins of OHTCC-crosslinked ADM scaffolds
(OHTCC-ADM). OHTCC with an oxidation degree of about 13% could prosperously
balance the physiochemical properties, antibacterial functionality,
and cytocompatibility of the OHTCC-ADM scaffolds. Owing to the natural
features and comprehensive crosslinking effects, the proposed OHTCC-ADM
scaffolds possessed the desirable multifunctional properties, including
adjustable mechanical, degradable characteristics, and thermal stability. In vitro/in vivo biostudies indicated that
OHTCC-ADM scaffolds own well-pleasing broad-spectrum antibacterial
performances and play effectively therapeutic roles in treating infection,
inhibiting inflammation, promoting angiogenesis, and promoting collagen
deposition to enhance the infected wound healing. This study proposes
a facile balanceable crosslinking approach for the design of ADM-based
versatile skin scaffolds for integrated infected wounds therapy.