Diabetic wounds present a complex pathological microenvironment that severely impairs healing. To address this challenge, we developed a supramolecular double-network hydrogel (CGRP@Rh-GelMA) consisting of a self-assembled rhein network and an in situ UV-crosslinked gelatin methacryloyl (GelMA) framework. This design endowed the hydrogel with strong mechanical robustness, wet-tissue adhesion, and sustained dual-drug release of rhein and calcitonin gene-related peptide (CGRP). In vitro, CGRP@Rh-GelMA exhibited broad-spectrum antibacterial activity and potent reactive oxygen species (ROS)-scavenging capacity. The hydrogel was also associated with reduced neutrophil extracellular trap (NETosis)-related markers, including myeloperoxidase (MPO) and citrullinated histone H3 (H3Cit), as well as a shift in macrophage phenotype toward a reparative M2-like state, thereby contributing to a pro-healing immune microenvironment. In addition, CGRP@Rh-GelMA enhanced endothelial cell migration and vascular network formation in vitro, indicating pro-angiogenic potential. In a diabetic rat wound model, CGRP@Rh-GelMA accelerated wound repair, accompanied by improved immune microenvironment remodeling and neovascularization, resulting in enhanced granulation tissue formation, more organized collagen deposition, and re-epithelialization. Proteomic profiling further revealed inflammation-related pathway changes consistent with suppression of NF-κB signaling and NETosis. Collectively, these findings suggest that CGRP@Rh-GelMA is a mechanically robust and multifunctional biomaterial platform for diabetic wound healing by coordinately promoting immune and vascular repair responses.
Zhou et al. (Sat,) studied this question.