Antibacterial, anti-inflammatory, and healing-promoting
treatment
of chronically infected wounds is not only clinical problems to be
solved urgently but also important needs related to peopleās
livelihood. However, multifunctional hydrogel dressings with highly
efficient antibacterial, anti-inflammatory, and wound microenvironment
sensitive drug release performance still remain a challenge. In this
work, a multifunctional hydrogel dressing was achieved by introducing
mussel-like super adhesion catechol groups and glucose/ROS-sensitive
dynamic phenylboronester bond cross-linking network, which endowed
the hydrogel with excellent injectable, self-healing, tissue adhesion
properties, and glucose/ROS-sensitive drug release performance. Additionally,
high-efficiency photothermal synergistic antibacterial TP@Ag NPs were
prepared and introduced into the hydrogel. The glucose/ROS responsive
borate bond in the hydrogel network could realize the responsive release
of TP@Ag NPs, thereby promoting M2 polarization to achieve an efficient
anti-inflammatory effect. And the excess reactive oxygen (ROS) could
also be scavenged by the synergistic effect of the catechol group
and ROS-sensitive borate bond in the hydrogel. Moreover, excellent
biocompatibility and antioxidant performance were shown in the hydrogels.
Finally, the hydrogel could fully fill and adhere to irregular wound
tissue through injection and significantly promote infected diabetic
wound healing in vivo through efficient photothermal synergistic sterilization,
ROS scavenging ability, and modulation of macrophage M2 polarization
to reduce inflammatory response. Thus, it illustrated the superiority
of the hydrogel as an advanced functional dressing for infected diabetic
wound healing.