Emerging strategies for nitric oxide production and their topical application as nanodressings to promote diabetic wound healing

Abstract The challenges associated with prolonged healing or non-healing of chronic diabetic wounds contribute significantly to the increased incidence of lower limb amputation. A pivotal factor in the impediment of healing is the reduced production of endogenous nitric oxide (NO) due to the hypergl...

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Main Authors: Dan Xia, Ying Guo, Ruodan Xu, Ning Li
Format: Article
Language:English
Published: BMC 2025-01-01
Series:Journal of Nanobiotechnology
Subjects:
Online Access:https://doi.org/10.1186/s12951-025-03135-1
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author Dan Xia
Ying Guo
Ruodan Xu
Ning Li
author_facet Dan Xia
Ying Guo
Ruodan Xu
Ning Li
author_sort Dan Xia
collection DOAJ
description Abstract The challenges associated with prolonged healing or non-healing of chronic diabetic wounds contribute significantly to the increased incidence of lower limb amputation. A pivotal factor in the impediment of healing is the reduced production of endogenous nitric oxide (NO) due to the hyperglycemic microenvironment typical of chronic diabetes. While both endogenous and exogenous NO have been shown to promote the healing process of diabetic wounds, the direct application of NO in wound management is limited due to its gaseous nature and the risk of explosive release. This review summarizes recent advances of nanodressings incorporating NO donors in the treatment of diabetic wounds, detailing the specific conditions under which these nanodressings facilitate NO release, with a focus on the beneficial effects of NO, strategies for its supplementation, and the challenges encountered in the clinical translation of NO donors as a clinically viable nanomedicine in the context of improving diabetic wound healing. Graphical Abstract
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series Journal of Nanobiotechnology
spelling doaj-art-c7918899bfba4dd08b3751c08b82e32c2025-02-02T12:41:08ZengBMCJournal of Nanobiotechnology1477-31552025-01-0123112410.1186/s12951-025-03135-1Emerging strategies for nitric oxide production and their topical application as nanodressings to promote diabetic wound healingDan Xia0Ying Guo1Ruodan Xu2Ning Li3Tianjin Key Laboratory of Materials Laminating Fabrication and Interface Control Technology, School of Materials Science and Engineering, Hebei University of TechnologyTianjin Key Laboratory of Materials Laminating Fabrication and Interface Control Technology, School of Materials Science and Engineering, Hebei University of TechnologyDepartment of Biobmedical Engineering and Technology, Institute of Basic Theory for Chinese Medicine, China Academy of Chinese Medical SciencesDepartment of Biobmedical Engineering and Technology, Institute of Basic Theory for Chinese Medicine, China Academy of Chinese Medical SciencesAbstract The challenges associated with prolonged healing or non-healing of chronic diabetic wounds contribute significantly to the increased incidence of lower limb amputation. A pivotal factor in the impediment of healing is the reduced production of endogenous nitric oxide (NO) due to the hyperglycemic microenvironment typical of chronic diabetes. While both endogenous and exogenous NO have been shown to promote the healing process of diabetic wounds, the direct application of NO in wound management is limited due to its gaseous nature and the risk of explosive release. This review summarizes recent advances of nanodressings incorporating NO donors in the treatment of diabetic wounds, detailing the specific conditions under which these nanodressings facilitate NO release, with a focus on the beneficial effects of NO, strategies for its supplementation, and the challenges encountered in the clinical translation of NO donors as a clinically viable nanomedicine in the context of improving diabetic wound healing. Graphical Abstracthttps://doi.org/10.1186/s12951-025-03135-1Nitric oxideDiabetic wound healingNanodressing
spellingShingle Dan Xia
Ying Guo
Ruodan Xu
Ning Li
Emerging strategies for nitric oxide production and their topical application as nanodressings to promote diabetic wound healing
Journal of Nanobiotechnology
Nitric oxide
Diabetic wound healing
Nanodressing
title Emerging strategies for nitric oxide production and their topical application as nanodressings to promote diabetic wound healing
title_full Emerging strategies for nitric oxide production and their topical application as nanodressings to promote diabetic wound healing
title_fullStr Emerging strategies for nitric oxide production and their topical application as nanodressings to promote diabetic wound healing
title_full_unstemmed Emerging strategies for nitric oxide production and their topical application as nanodressings to promote diabetic wound healing
title_short Emerging strategies for nitric oxide production and their topical application as nanodressings to promote diabetic wound healing
title_sort emerging strategies for nitric oxide production and their topical application as nanodressings to promote diabetic wound healing
topic Nitric oxide
Diabetic wound healing
Nanodressing
url https://doi.org/10.1186/s12951-025-03135-1
work_keys_str_mv AT danxia emergingstrategiesfornitricoxideproductionandtheirtopicalapplicationasnanodressingstopromotediabeticwoundhealing
AT yingguo emergingstrategiesfornitricoxideproductionandtheirtopicalapplicationasnanodressingstopromotediabeticwoundhealing
AT ruodanxu emergingstrategiesfornitricoxideproductionandtheirtopicalapplicationasnanodressingstopromotediabeticwoundhealing
AT ningli emergingstrategiesfornitricoxideproductionandtheirtopicalapplicationasnanodressingstopromotediabeticwoundhealing