Vascular dysfunction severely hinders the healing process
of diabetic
wounds. Therefore, a radially structured fibrous membrane was fabricated
through electrospinning by using a polycaprolactone (PCL) and polyvinylpyrrolidone
(PVP) mixed solution containing copper peroxide nanoparticles (CPs)
as the chemodynamic therapy (CDT) agents, aiming to simultaneously
accelerate tissue regeneration and angiogenesis. The fabricated membrane
allowed for the in situ H2O2 generation activated
by the acidic diabetic microenvironment and the subsequent Fenton-type
reactions to realize 99.4% elimination against Staphylococcus
aureus. Besides, the released Cu2+ ions
significantly enhanced the expression of hypoxia-inducible factor-1α
(HIF-1α) and vascular endothelial growth factor (VEGF) in human
umbilical vein endothelial cells (HUVECs), and they showed enhanced in vitro angiogenesis. Interestingly, the CP-embedded membrane
also guided cell spreading and orientated migration of L929 fibroblasts
along the fiber distribution through the radially aligned topology.
The in vivo implantation indicated that the raidally
structured membrane modified by CPs not only dramatically accelerated
wound healing of diabetic Sprague–Dawley (SD) rats in 14 days
but also promoted angiogenesis in wound sites. The combination of
the in situ CDT with the radially structured morphology of the functional
membrane is highly promising in applications to promote diabetic wound
healing through anti-infection and revascularization.