Chronic infected wounds are often highly problematic for diabetic patients. However, Zhihe Qing, Changsha University of Science and Technology, China, Ronghua Yang, Hunan Normal University, Changsha, China, and colleagues have developed a targeted approach to wound healing that makes use of nanomedicine. The researchers were able to deactivate wound-infecting bacteria using a solution of nanocapsules that alter the wound environment and unleash reactive oxygen species.
Healing Chronic Wounds
Chronic wounds in diabetic patients are an ideal place for bacteria to grow. The glucose-rich environment allows bacteria to form biofilms, making it very difficult for antibiotics to get to where they are needed. In addition, patients with diabetes often have weakened immune systems. In these cases, chemodynamic therapy offers a promising approach. Reactive oxygen species generated in situ weaken and damage the bacterial cells, causing them to die.
A catalyst is responsible for producing these reactive oxygen species. It breaks down hydrogen peroxide in the immediate environment of the bacterial cells, preferably directly on or in their cell wall. Platinum nanoparticles are particularly well suited as a catalyst for this role. These nanobeads can have aptamers attached to them: short DNA chains that bind to bacteria. These catalyst particles—nanozymes—work in a similar way to enzymes, hence their name. The nanozyme sticks to the bacteria and releases oxygen radicals into the cell, as long as hydrogen peroxide is also present to produce the radicals in the first place.
Breaking pH Limitations
The main issue is that the catalyst can only break the hydrogen peroxide down in an acidic environment. However, most diabetic wounds are alkaline. To enable the nanozyme system to still be effective under these conditions, the team dipped into their biochemistry bag of tricks and made use of the glucose-rich environment of diabetic wounds.
The microbial enzyme glucose oxidase, which is already known in medical diagnostics and the food industry, uses oxygen to convert glucose to gluconic acid, forming hydrogen peroxide and an acidic solution. The researchers attached glucose oxidase to the nanozymes and then embedded the whole system in a protective shell of hyaluronic acid.
The shell not only allowed the nanozyme particles to grow approximately five-fold to 0.1 μm (about a tenth of the size of a bacterium), it also kept them stable and unaltered in solution for more than 30 days. The hyaluronic acid shell served yet another purpose: Bacteria produce enzymes that decompose hyaluronic acid, meaning the bacteria essentially unleash the tools of their own demise.
Enhanced Antibacterial Effect
The nanocapsule solution was tested on bacterial cultures of Staphylococcus aureus and killed the bacteria within a few hours. The team then treated chronic infected wounds in diabetic mice, and the results were decisive: Under identical conditions, only the wounds treated with the nanocapsule solution healed completely and quickly.
The researchers emphasized that the method did not require the synthesis of new materials; rather, they “solved physiological limitations on nanozymes by regulating the local microenvironment”. They also suggested that modifications of this type would be suitable for other nanozyme systems.
- A Glucose‐Powered Activatable Nanozyme Breaking pH and H2O2 Limitations for Treating Diabetic Infections,
Lifang Chen, Shuohui Xing, Yanli Lei, Qiaoshu Chen, Zhen Zou, Ke Quan, Zhihe Qing, Juewen Liu, Ronghua Yang,
Angew. Chem. Int. Ed. 2021.