Bioactive substances such as probiotics are becoming
a research
hotspot in the field of tissue regeneration due to their excellent
regulatory functions. Here, we proposed to load Lactobacillus
casei onto a bilayer silk fibroin/sodium alginate
(SF/SA) scaffold to endow the scaffold with both antibacterial and
regenerative properties. The performance of the scaffold was characterized
systemically. The L. casei-loaded scaffolds
(L-SF/SA) bring in lactic acid, which has antibacterial and wound
healing properties. In vitro, the cell-free supernatant
(CFS) of L. casei inhibited the transformation
of fibroblasts to myofibroblasts and relieved the endoplasmic reticulum
stress (ERS). In vivo, L-SF/SA accelerated the healing
of infected wounds in SD rats. The L-SF/SA reduced the bacterial load,
induced M2 polarization of macrophages, increased angiogenesis, regulated
collagen ratio, and alleviated the ERS, thereby promoting scarless
wound healing and increasing hair follicle regeneration. Therefore,
probiotic-functionalized silk fibroin/alginate scaffolds showed potential
in the infected wound healing.