Deep tumor penetration,
long blood circulation, rapid drug release,
and sufficient stability are the most concerning dilemmas of nano-drug-delivery
systems for efficient chemotherapy. Herein, we develop reduction/oxidation-responsive
hierarchical nanoparticles co-encapsulating paclitaxel (PTX) and pH-stimulated
hyaluronidase (pSH) to surmount the sequential biological barriers
for precise cancer therapy. Poly(ethylene glycol) diamine (PEG-dia)
is applied to collaboratively cross-link the shell of nanoparticles
self-assembled by a hyaluronic acid–stearic acid conjugate
linked via a disulfide bond (HA–SS–SA,
HSS) to fabricate the hierarchical nanoparticles (PHSS). The PTX and
pSH coloaded hierarchical nanoparticles (PTX/pSH-PHSS) enhance the
stability in normal physiological conditions and accelerate drug release
at tumorous pH, and highly reductive or oxidative environments. Functionalized
with PEG and HA, the hierarchical nanoparticles preferentially prolong
the circulation time, accumulate at the tumor site, and enter MDA-MB-231
cells via CD44-mediated endocytosis. Within the acidic
tumor micro-environment, pSH would be partially reactivated to decompose
the dense tumor extracellular matrix for deep tumor penetration. Interestingly,
PTX/pSH-PHSS could be degraded apace by the completely activated pSH
within endo/lysosomes and the intracellular redox micro-environment
to facilitate drug release to produce the highest tumor inhibition
(93.71%) in breast cancer models.
Acute and chronic wound infection has become a major worldwide healthcare burden leading to significantly high morbidity and mortality. The underlying mechanism of infections has been widely investigated by scientist, while standard wound management is routinely been used in general practice. However, strategies for the diagnosis and treatment of wound infections remain a great challenge due to the occurrence of biofilm colonization, delayed healing and drug resistance. In the present review, we summarize the common microorganisms found in acute and chronic wound infections and discuss the challenges from the aspects of clinical diagnosis, non-surgical methods and surgical methods. Moreover, we highlight emerging innovations in the development of antimicrobial peptides, phages, controlled drug delivery, wound dressing materials and herbal medicine, and find that sensitive diagnostics, combined treatment and skin microbiome regulation could be future directions in the treatment of wound infection.
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