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Poor vascularization and infections hinder diabetic wound healing, posing challenges in therapy development. A multi-action approach incorporating Dicer-substrate small interfering RNA (DsiRNA) against the prostaglandin transporter (PGT) gene and gold nanoparticles (AuNPs) into a Pluronic F-127 (PF127) gel was developed. This study aimed to upscale AuNP biosynthesis using Lignosus rhinocerotis (tiger milk mushroom, TMM) extract and chitosan as stabilizers. Response Surface Methodology (RSM) optimized the synthesis with 0.6 mL chloroauric acid (HAuCl₄) and 4.4 mL TMM extract, producing upscaled AuNPs (152.93 ± 1.56 nm, + 30 mV) with a Surface Plasmon Resonance peak at 538 nm. Both lab-scale and upscaled AuNPs exhibited antibacterial activity against Staphylococcus aureus and Pseudomonas aeruginosa (MIC: 250 μg/mL). The gel formulation demonstrated favourable gelling properties for wound dressing. A 28-day toxicity study confirmed no adverse effects on haematology, biochemistry, or organ morphology. In diabetic Wistar rats, only the wounds treated with Pluronic gels containing AuNPs-DsiRNA showed no signs of infection, while the other groups exhibited infection and pustules in the wounded areas. These findings highlight the potential of AuNP-DsiRNA thermoresponsive gels as an innovative, safe, and effective therapy for diabetic wound healing.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC12412931 | PMC |
http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0327375 | PLOS |
Am J Med Sci
September 2025
The George Washington University School of Medicine and Health Sciences, Washington, DC.
Background: In transcatheter aortic valve replacement (TAVR), there is a notable "diabetes discrepancy", where worse/better/similar outcomes were all found for patients with diabetes mellitus (DM). Such divergent findings pose a challenge for clinicians to accurately assess the risks for DM patients undergoing TAVR. We hypothesized the presence of chronic complications could be linked to worse post-TAVR outcomes in DM patients.
View Article and Find Full Text PDFInt J Surg Case Rep
September 2025
Department of Immunology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand; Department of Biomedical Science, Faculty of Medicine, Universitas Surabaya, Indonesia.
Introduction And Importance: One of the risk factors linked to mortality in Fournier Gangrene (FG) is the elderly. When this risk is present and diagnosed too late, patient care may become difficult. This case report discusses the treatment of an older patient with late-diagnosed Fournier's gangrene and its consequences in this background.
View Article and Find Full Text PDFAdv Mater
September 2025
State Key Laboratory of Chemical Resource Engineering, Key Lab of Biomedical Materials of Natural Macromolecules (Beijing University of Chemical Technology, Ministry of Education), Beijing Laboratory of Biomedical Materials, Beijing University of Chemical Technology, Beijing, 100029, China.
Excessive inflammation and overexpressed matrix metalloproteinases (MMPs) are significant factors in the prolonged healing of chronic diabetic wounds. Here, a precise gene therapy strategy is proposed utilizing siRNA and employing intelligent responsive materials for controlled release to mechanistically intervene in the pathological process of chronic non-healing wounds. The system employs a cationic hyperbranched aminoglycoside with disulfide bonds (SS-HPT) as its core delivery mechanism.
View Article and Find Full Text PDFCarbohydr Polym
November 2025
State Key Laboratory of Food Science and Resources, Nanchang University, Nanchang 330047, China. Electronic address:
The global burden of diabetes has been exacerbated by a shift in dietary patterns toward diets rich in refined sugars, saturated fats and energy-dense nutrients. Diabetes is a metabolic disease characterized by chronic hyperglycemia. Persistently elevated blood glucose levels can lead to microvascular complications that contribute greatly to reduced quality of life, disability or death.
View Article and Find Full Text PDFBMJ Open
September 2025
Department of Nursing, Beijing Jishuitan Hospital, Capital Medical University, Beijing, China
Objectives: This scoping review aimed to synthesise the currently available evidence and influencing factors on the occurrence of postoperative urinary retention (POUR) in older patients with hip fractures.
Design: This scoping review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews guideline.
Data Sources: PubMed, Cochrane Library, CINAHL, Web of Science, Chinese National Knowledge Infrastructure, Wanfang Data and Sinomed databases were systematically searched from database inception to 1 September 2024.