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Photocatalytic glucose depletion and hydrogen generation for diabetic wound healing.

光触媒によるグルコース消費と水素生成を利用した糖尿病性創傷治癒の促進

animal study topical application positive

Abstract

Diabetic foot ulcers (DFU) are characterized by a high-glucose microenvironment that drives excessive glycation and persistent inflammation, impairing wound closure. Conventional hydrogen-rich water baths offer anti-inflammatory benefits but require prolonged daily soaking, which interferes with scab formation and fails to address the underlying hyperglycemic milieu. This study introduces hydrogen-incorporated titanium oxide nanorods capable of visible-light-driven photocatalysis that simultaneously consumes local glucose and generates hydrogen gas, using the excess glucose as a sacrificial reagent. In diabetic wound models, this dual action reduced advanced glycation end-product (AGE) synthesis and downregulated AGE receptor expression, collectively suppressing skin-cell apoptosis while enhancing proliferation and migration. The approach achieved markedly improved wound healing outcomes, offering a practical and efficient photocatalytic strategy for DFU management.

Mechanism

Hydrogen-incorporated TiO2 nanorods use excess glucose as a sacrificial agent under visible light to generate H2 locally. The combined glucose depletion and H2 production suppress AGE synthesis and receptor expression, reducing skin-cell apoptosis and promoting proliferation and migration.

Bibliographic

Authors
Chen SL, Zhu Y, Xu Q, Jiang Q, Chen DM, Chen TX, et al.
Journal
Nat Commun
Year
2022 (2022-09-27)
PMID
36167814
DOI
10.1038/s41467-022-33475-7
PMC
PMC9515190

Tags

Disease:糖尿病・代謝症候群 創傷治癒 Delivery:局所投与 Mechanism:アポトーシス抑制 炎症抑制 脂質過酸化 酸化ストレス

Delivery context

Topical applications have localized-effect reports, but systemic hydrogen intake is most efficient via inhalation. Inhalation carries explosion risk (empirical LFL of 10%; high-concentration devices are not recommended).

Safety notes

Topical applications have localized-effect reports, but systemic hydrogen intake is most efficient via inhalation. Inhalation carries explosion risk (empirical LFL of 10%; high-concentration devices are not recommended).

See also:

Other papers on the same disease / condition

Cite as: H2 Papers — PMID 36167814. https://h2-papers.org/en/papers/36167814
Source: PubMed PMID 36167814