Intelligent microneedle patch with prolonged local release of hydrogen and magnesium ions for diabetic wound healing.

Wang, Pei; Wu, Jiayingzi; Yang, Haiyan; Liu, Hengke; Yao, Tianyu; Liu, Chang; Gong, Yan; Wang, Mingsong et al. · Bioact Mater · 2023

basic_science · Level V

Where this comes from

Abstract

Diabetes mellitus, an epidemic with a rapidly increasing number of patients, always leads to delayed wound healing associated with consistent pro-inflammatory M1 polarization, decreased angiogenesis and increased reactive oxygen species (ROS) in the microenvironment. Herein, a poly (lactic-<i>co</i>-glycolic acid) (PLGA)-based microneedle patch loaded with magnesium hydride (MgH<sub>2</sub>) (MN-MgH<sub>2</sub>) is manufactured for defeating diabetic wounds. The application of microneedle patch contributes to the transdermal delivery and the prolonged release of MgH<sub>2</sub> that can generate hydrogen (H<sub>2</sub>) and magnesium ions (Mg<sup>2+</sup>) after reaction with body fluids. The released H<sub>2</sub> reduces the production of ROS, transforming the pathological microenvironment induced by diabetes mellitus. Meanwhile, the released Mg<sup>2+</sup> promotes the polarization of pro-healing M2 macrophages. Consequently, cell proliferation and migration are improved, and angiogenesis and tissue regeneration are enhanced. Such intelligent microneedle patch provides a novel way for accelerating wound healing through steadily preserving and releasing of H<sub>2</sub> and Mg<sup>2+</sup> locally and sustainably.