This study aimed to develop novel hydrogels using polycaprolactone (PCL), nano-silver (Ag), and linalool (Lin) to address the challenge of increasing antimicrobial resistance in healing infected wounds. The hydrogels' morphological properties, in vitro release profiles, antibacterial efficacy, and safety were investigated. Hydrogels were prepared from PCL/Ag, PCL/Lin, and PCL/Ag/Lin formulations and applied to infected wounds. Assessments included wound closure rates, bacterial counts, histopathological parameters, and immunofluorescence staining for Ki-67, keratinocyte growth factor (KGF), collagen type I (COL1A), vascular endothelial growth factor (VEGF), extracellular signal-regulated kinases 1 and 2 (ERK1/2), cluster of differentiation 206 (CD206), cluster of differentiation (CD31) and basic fibroblast growth factor (bFGF). The hydrogel structures demonstrated significant safety and antibacterial activity. Administration of hydrogels accelerated wound healing by reducing bacterial counts in granulation tissue and edema, while promoting fibroblast activity and epithelization. Additionally, there was increased expression of VEGF, CD31, ERK1/2, CD206, bFGF, Ki-67, KGF, and COL1A compared to control groups (P=0.000). Synergistic interactions between Ag and Lin were observed in enhancing the wound healing process. In conclusion, these hydrogels effectively accelerated wound healing through antibacterial properties and modulation of gene expression.
Read full abstract