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Here, we report an immunomodulatory colloidal bioink that integrates zein\u2010based oxygen\u2010generating microparticles and human mesenchymal stem cells within a porous, mechanically robust matrix for adaptive in situ bioprinting. Implemented with the autonomous, intelligent, visually guided in situ robotic bioprinting platform, this bioink enables patient\u2010specific deposition directly onto wound defects with high spatial conformity and stable tissue integration. Sustained oxygen release alleviates local hypoxic stress, enhances stem cell survival, and reshapes the wound microenvironment to favor regenerative immune responses. In diabetic wound models, the printed constructs promote angiogenesis, accelerate wound closure, and improve tissue regeneration. Spatial transcriptomic analysis further reveals macrophage heterogeneity across wound compartments and identifies a coordinated M1\u2010to\u2010M2 transition spatially and transcriptionally associated with the combined contribution of oxygen modulation and stem cell\u2010derived paracrine signaling. Together, this study establishes a therapeutic strategy that combines intelligent biomaterial design, controlled hypoxic conditioning, and adaptive robotic bioprinting to achieve precision immunomodulation and personalized regenerative treatment for chronic diabetic wounds with clinical translational potential and broad future applicability.<\/jats:p>","DOI":"10.1002\/adfm.77191","type":"journal-article","created":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T06:44:23Z","timestamp":1784875463000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Immune\u2010Responsive Bioinks Enable Vision\u2010Guided in Situ Robotic Bioprinting to Accelerate Diabetic Wound Healing"],"prefix":"10.1002","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3210-9580","authenticated-orcid":false,"given":"Seol\u2010Ha","family":"Jeong","sequence":"first","affiliation":[{"name":"Division of Engineering in Medicine Department of Medicine Harvard Medical School Brigham and Women's Hospital  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eleftheria\u2010Angeliki","family":"Valsami","sequence":"additional","affiliation":[{"name":"Joslin\u2010Beth Israel Deaconess Foot Center and The Rongxiang Xu MD Center For Regenerative Therapeutics Beth Israel Deaconess Medical Center Harvard\u00a0Medical\u00a0School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5244-2092","authenticated-orcid":false,"given":"Ki\u2010Tae","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Molecular Genetics &amp; Dental Pharmacology School of Dentistry and Dental Research Institute Seoul National University  Seoul Republic of Korea"},{"name":"Epigenetic Regulation of Aged Skeletomuscular System Laboratory Dental Multiomics Center Seoul National University  Seoul Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kijun","family":"Park","sequence":"additional","affiliation":[{"name":"Division of Engineering in Medicine Department of Medicine Harvard Medical School Brigham and Women's Hospital  Boston Massachusetts USA"},{"name":"School of Electrical and Electronic Engineering Yonsei University  Seoul Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jihyun","family":"Kim","sequence":"additional","affiliation":[{"name":"Division of Engineering in Medicine Department of Medicine Harvard Medical School Brigham and Women's Hospital  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Javier Alejandro Lozano","family":"Soto","sequence":"additional","affiliation":[{"name":"Division of Engineering in Medicine Department of Medicine Harvard Medical School Brigham and Women's Hospital  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8266-8885","authenticated-orcid":false,"given":"Jaeseo","family":"Lee","sequence":"additional","affiliation":[{"name":"Division of Engineering in Medicine Department of Medicine Harvard Medical School Brigham and Women's Hospital  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rafael Alejandro Cornejo","family":"Rodr\u00edguez","sequence":"additional","affiliation":[{"name":"Division of Engineering in Medicine Department of Medicine Harvard Medical School Brigham and Women's Hospital  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3884-3236","authenticated-orcid":false,"given":"Danilo","family":"Martins dos Santos","sequence":"additional","affiliation":[{"name":"Division of Engineering in Medicine Department of Medicine Harvard Medical School Brigham and Women's Hospital  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jarno","family":"Hiemstra","sequence":"additional","affiliation":[{"name":"Division of Engineering in Medicine Department of Medicine Harvard Medical School Brigham and Women's Hospital  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-9736-3570","authenticated-orcid":false,"given":"Mei L. 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