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Mater."],"published-print":{"date-parts":[[2026,8,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Diabetic cutaneous injuries frequently exhibit prolonged inflammatory responses and excessive accumulation of reactive oxygen species (ROS), which collectively impede normal healing cascade. Standard therapeutic approaches often yield suboptimal healing outcomes in this patient population, highlighting the urgent need for innovative and effective interventions. In this study, we examined whether macrophage polarization induced by a ROS-responsive hydrogel loaded with ginger-derived nanoparticles enhanced diabetic wound healing and identified the molecular pathways involved. In this study, a ROS-responsive hydrogel loaded with ginger-derived nanoparticles (Gdn@PT) was developed, and its morphology, ROS-triggered degradation, and drug release behavior were thoroughly characterized. The d\n                    <jats:italic>b\/<\/jats:italic>\n                    d\n                    <jats:italic>b<\/jats:italic>\n                    spontaneous diabetic mouse model was employed, with animals randomly assigned to three groups (\n                    <jats:italic>n<\/jats:italic>\n                    = 10 per group): control, hydrogel alone (PT), and nanoparticle-loaded hydrogel (Gdn@PT). Full-thickness skin wounds were induced on day 0, followed by the respective treatments, and wound healing was monitored for 13 d. Histological analysis, immunofluorescence, and Western blotting were conducted to assess wound closure, collagen deposition, inflammatory cytokine expression tumor necrosis factor (TNF-\n                    <jats:italic>\u03b1<\/jats:italic>\n                    ), and macrophage polarization markers (CD86 and CD206).\n                    <jats:italic>In vitro<\/jats:italic>\n                    , the effects of Gdn@PT on macrophage polarization were investigated in lipopolysaccharide-induced RAW264.7 cells. Ginger-derived spherical nanoparticles were successfully isolated via tangential flow filtration and incorporated into ROS-responsive hydrogel matrices, yielding biocompatible nanocomposites. The therapeutic mechanism relied on the hydrogel scaffold\u2019s ROS-dependent structural degradation, which facilitated controlled release of the nanoparticulate payload within the wound microenvironment. In d\n                    <jats:italic>b\/<\/jats:italic>\n                    d\n                    <jats:italic>b<\/jats:italic>\n                    diabetic wound models, this hydrogel significantly promoted wound healing and collagen deposition, which was accompanied by PI3K-AKT pathway activation, a prominent shift in macrophage polarization toward the M2 phenotype, decreased TNF-\n                    <jats:italic>\u03b1<\/jats:italic>\n                    expression, and upregulated MCL-1 pro-survival mediator levels. These immunomodulatory effects were corroborated\n                    <jats:italic>in vitro<\/jats:italic>\n                    . This ROS-responsive hydrogel system, delivering ginger-derived nanoparticles, constitutes a promising therapeutic strategy for diabetic wound management by leveraging oxidative stress to trigger on-demand bioactive release. Notably, treatment with this system was associated with PI3K-AKT pathway activation, M2 macrophage polarization, and enhanced tissue repair, suggesting its clinical potential. Nevertheless, the profound efficacy observed mandates further comprehensive investigations, including pathway-specific inhibition or genetic manipulation studies, to fully delineate the molecular mechanisms underlying these associations and optimize translational viability.\n                  <\/jats:p>","DOI":"10.1088\/1748-605x\/ae86a5","type":"journal-article","created":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T22:52:11Z","timestamp":1783378331000},"page":"045012","update-policy":"https:\/\/doi.org\/10.1088\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Reactive oxygen species-functionalized hydrogels loaded with ginger-derived nanoparticles promote diabetic wound healing by modulating macrophage polarization"],"prefix":"10.1088","volume":"21","author":[{"given":"Xinxin","family":"Geng","sequence":"first","affiliation":[{"name":"The Affiliated Second Hospital of Chongqing Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dazhi","family":"Ke","sequence":"additional","affiliation":[{"name":"The Affiliated Second Hospital of Chongqing Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qinyi","family":"Xu","sequence":"additional","affiliation":[{"name":"College of Chinese Medicine, Chongqing Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ling","family":"Yuan","sequence":"additional","affiliation":[{"name":"College of Basic Medical Sciences, Chongqing Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huiting","family":"Luo","sequence":"additional","affiliation":[{"name":"College of Basic Medical Sciences, Chongqing Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hantao","family":"Wang","sequence":"additional","affiliation":[{"name":"College of Chinese Medicine, Chongqing Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lingling","family":"Ye","sequence":"additional","affiliation":[{"name":"College of Chinese Medicine, Chongqing Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuzhe","family":"Liu","sequence":"additional","affiliation":[{"name":"College of Chinese Medicine, Chongqing Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiurui","family":"Li","sequence":"additional","affiliation":[{"name":"College of Chinese Medicine, Chongqing Medical University"},{"name":"Chongqing Traditional Chinese Medicine Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei","family":"Xiang","sequence":"additional","affiliation":[{"name":"Chongqing Key Laboratory of Traditional Chinese Medicine for Prevention and Cure of Metabolic Diseases, Key Laboratory of Anti-inflammatory and Immunological Traditional Chinese Medicine Research and Development, Chongqing University of Chinese Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chunli","family":"Li","sequence":"additional","affiliation":[{"name":"College of Basic Medical Sciences, Chongqing Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jianwei","family":"Wang","sequence":"additional","affiliation":[{"name":"Chongqing Key Laboratory of Traditional Chinese Medicine for Prevention and Cure of Metabolic Diseases, Key Laboratory of Anti-inflammatory and Immunological Traditional Chinese Medicine Research and Development, Chongqing University of Chinese Medicine"},{"name":"College of Chinese Medicine, Chongqing Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7477-2861","authenticated-orcid":true,"given":"Shang","family":"Wang","sequence":"additional","affiliation":[{"name":"College of Chinese Medicine, Chongqing Medical University"},{"name":"Chongqing Key Laboratory of Traditional Chinese Medicine for Prevention and Cure of Metabolic Diseases, Key Laboratory of Anti-inflammatory and Immunological Traditional Chinese Medicine Research and Development, Chongqing University of Chinese Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"266","published-online":{"date-parts":[[2026,7,15]]},"reference":[{"key":"bmmae86a5bib1","doi-asserted-by":"publisher","first-page":"2087","DOI":"10.1016\/S0140-6736(23)01296-5","type":"journal-article","article-title":"Diabetes: a defining disease of the 21st century","volume":"401","author":"None","year":"2023","journal-title":"Lancet"},{"key":"bmmae86a5bib2","doi-asserted-by":"publisher","first-page":"203","DOI":"10.1016\/S0140-6736(23)01301-6","type":"journal-article","article-title":"Global, regional, and national burden of diabetes from 1990 to 2021, with projections of prevalence to 2050: a systematic analysis for the global burden of disease study 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