A one-two punch of inflammation and oxidative stress promotes revascularization for diabetic foot ulcers

Patients with diabetic foot ulcers (DFU) suffering from severe lower limb ischemia face the risk of amputation. Concomitant oxidative stress and hyperinflammation commonly manifest within the tissue affected by DFU, exacerbating the deterioration of DFU wounds. One-two punch strategy of anti-oxidati...

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Main Authors: Li Chen, Yunrong Li, Xuanxuan Zhang, Lixin Ma, Cheng Zhang, Huanhuan Chen
Format: Article
Language:English
Published: Elsevier 2025-04-01
Series:Materials Today Bio
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Online Access:http://www.sciencedirect.com/science/article/pii/S2590006425001061
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author Li Chen
Yunrong Li
Xuanxuan Zhang
Lixin Ma
Cheng Zhang
Huanhuan Chen
author_facet Li Chen
Yunrong Li
Xuanxuan Zhang
Lixin Ma
Cheng Zhang
Huanhuan Chen
author_sort Li Chen
collection DOAJ
description Patients with diabetic foot ulcers (DFU) suffering from severe lower limb ischemia face the risk of amputation. Concomitant oxidative stress and hyperinflammation commonly manifest within the tissue affected by DFU, exacerbating the deterioration of DFU wounds. One-two punch strategy of anti-oxidative damage plus anti-inflammatory is anticipated to tackle the challenge of non-healing diabetic wounds. Here, we introduced a dual-approach treatment strategy involving the probiotic Weissella cibaria (WC) modified with desferrioxamine (DFO). This engineered probiotic, known as WC@DPA, aims to ameliorate oxidative stress within the ischemic microenvironment and stimulate the formation and proliferation of endothelial tubular structures. When applied with chronic wounds and ischemic hindlimb injuries in diabetic mice, WC@DPA gel demonstrated an effective performance in modulating oxidative damage, reducing local vascular inflammation, and facilitating muscle tissue repair and vascular reconstruction. We believe that our engineered probiotic represents a promising therapeutic avenue for managing ischemic injuries associated with DFU.
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institution Kabale University
issn 2590-0064
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publishDate 2025-04-01
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series Materials Today Bio
spelling doaj-art-364813441e2f4f00b7f9fe29072b61262025-02-07T04:48:10ZengElsevierMaterials Today Bio2590-00642025-04-0131101548A one-two punch of inflammation and oxidative stress promotes revascularization for diabetic foot ulcersLi Chen0Yunrong Li1Xuanxuan Zhang2Lixin Ma3Cheng Zhang4Huanhuan Chen5State Key Laboratory of Biocatalysis and Enzyme Engineering, Hubei Key Laboratory of Industrial Biotechnology, School of Life Sciences, Hubei University, Wuhan, 430062, PR ChinaGuangxi International Zhuang Medicine Hospital Affiliated to Guangxi University of Chinese Medicine, Guangxi, 530201, PR ChinaState Key Laboratory of Biocatalysis and Enzyme Engineering, Hubei Key Laboratory of Industrial Biotechnology, School of Life Sciences, Hubei University, Wuhan, 430062, PR ChinaState Key Laboratory of Biocatalysis and Enzyme Engineering, Hubei Key Laboratory of Industrial Biotechnology, School of Life Sciences, Hubei University, Wuhan, 430062, PR China; Corresponding author.State Key Laboratory of Biocatalysis and Enzyme Engineering, Hubei Key Laboratory of Industrial Biotechnology, School of Life Sciences, Hubei University, Wuhan, 430062, PR China; Corresponding author.State Key Laboratory of Biocatalysis and Enzyme Engineering, Hubei Key Laboratory of Industrial Biotechnology, School of Life Sciences, Hubei University, Wuhan, 430062, PR China; Corresponding author.Patients with diabetic foot ulcers (DFU) suffering from severe lower limb ischemia face the risk of amputation. Concomitant oxidative stress and hyperinflammation commonly manifest within the tissue affected by DFU, exacerbating the deterioration of DFU wounds. One-two punch strategy of anti-oxidative damage plus anti-inflammatory is anticipated to tackle the challenge of non-healing diabetic wounds. Here, we introduced a dual-approach treatment strategy involving the probiotic Weissella cibaria (WC) modified with desferrioxamine (DFO). This engineered probiotic, known as WC@DPA, aims to ameliorate oxidative stress within the ischemic microenvironment and stimulate the formation and proliferation of endothelial tubular structures. When applied with chronic wounds and ischemic hindlimb injuries in diabetic mice, WC@DPA gel demonstrated an effective performance in modulating oxidative damage, reducing local vascular inflammation, and facilitating muscle tissue repair and vascular reconstruction. We believe that our engineered probiotic represents a promising therapeutic avenue for managing ischemic injuries associated with DFU.http://www.sciencedirect.com/science/article/pii/S2590006425001061Engineered living materialsNitric oxideWound healingAngiogenesisAnti-inflammation
spellingShingle Li Chen
Yunrong Li
Xuanxuan Zhang
Lixin Ma
Cheng Zhang
Huanhuan Chen
A one-two punch of inflammation and oxidative stress promotes revascularization for diabetic foot ulcers
Materials Today Bio
Engineered living materials
Nitric oxide
Wound healing
Angiogenesis
Anti-inflammation
title A one-two punch of inflammation and oxidative stress promotes revascularization for diabetic foot ulcers
title_full A one-two punch of inflammation and oxidative stress promotes revascularization for diabetic foot ulcers
title_fullStr A one-two punch of inflammation and oxidative stress promotes revascularization for diabetic foot ulcers
title_full_unstemmed A one-two punch of inflammation and oxidative stress promotes revascularization for diabetic foot ulcers
title_short A one-two punch of inflammation and oxidative stress promotes revascularization for diabetic foot ulcers
title_sort one two punch of inflammation and oxidative stress promotes revascularization for diabetic foot ulcers
topic Engineered living materials
Nitric oxide
Wound healing
Angiogenesis
Anti-inflammation
url http://www.sciencedirect.com/science/article/pii/S2590006425001061
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