An Immune-Regulating Polysaccharide Hybrid Hydrogel with Mild Photothermal Effect and Anti-Inflammatory for Accelerating Infected Wound Healing.

Bacterial infections and excessive inflammation present substantial challenges for clinical wound healing. Hydrogels with mild photothermal (PTT) effects have emerged as promising agents owing to their dual actions: positive effects on cells and negative effects on bacteria. Here, an injectable self-healing hydrogel of oxidized konjac glucomannan/arginine-modified chitosan (OKGM/CS-Arg, OC) integrated with protocatechualdehyde-@Fe (PF) nanoparticles capable of effectively absorbing near-infrared radiation is synthesized successfully. The OC/PF hydrogels exhibit excellent mechanical properties, biocompatibility, and antioxidant activity. Moreover, in synergy with PTT, OC/PF demonstrates potent antibacterial effects while concurrently stimulating cell migration and new blood vessel formation. In methicillin-resistant Staphylococcus aureus-infected full-thickness mouse wounds, the OC/PF hydrogel displays remarkable antibacterial and anti-inflammatory activities, and accelerates wound healing by regulating the wound immune microenvironment and promoting M2 macrophage polarization. Consequently, the OC/PF hydrogel represents a novel therapeutic approach for treating multidrug-resistant bacterial infections and offers a technologically advanced solution for managing infectious wounds in clinical settings.

Staphylococcus aureus small-colony variants: Formation, infection, and treatment.

Staphylococcus aureus (Sau) plays an important role in human infections occurring in both the community and hospital settings. Sau-related chronic and relapsing infections are mainly attributed to small-colony variants (SCVs), a type of subpopulation that has a size one-tenth that of normal colonies and is accompanied by several unique characteristics, including a lack of or reduced pigmentation, decreased hemolytic activity, increased biofilm formation, enhanced resistance to antimicrobials, upregulated genes encoding adhesion molecules, and downregulated genes for virulence factors. This review summarizes the significance of genetic mutations involved in diverse biosynthesis pathways that contribute to Sau-SCV promotion. Sau-SCV-caused persistent infections and the prospects and challenges faced in the treatment of Sau-SCV infections are addressed. Progress in the management of Sau-SCVs may provide guidance for addressing the long-term and recurrent infections caused by other bacterial SCVs.