miRNA Nanoprodrugs and Burn Wound Repair
miRNA nanoprodrugs are adopted to achieve early immune regulation of wounds. This nanomedicine consists of a tetrahedral framework self-assembled from DNA molecules, which can carry immunomodulatory miR-146a-5p. After the nanostructure reaches the wound and is internalized by cells, structural rearrangement occurs in response to intracellular RNase H, releasing active miRNA. This further targets and inhibits the TRAF6/NF-κB inflammatory signaling pathway, alleviates excessive inflammation and drives macrophage polarization toward a reparative phenotype.

miRNA nanoprodrugs are used to ameliorate oxidative stress in wounds. This nanomedicine complex exerts regulatory effects in the wound microenvironment, restores the expression of endogenous antioxidant defense systems (such as SOD2, HO-1 and the Nrf2 pathway), and reduces intracellular reactive oxygen species levels. Accordingly, it mitigates the damage of oxidative stress to tissue cells and optimizes the local wound microenvironment.

miRNA nanoprodrugs are applied to achieve anti-fibrosis during the wound remodeling phase. Integrated into the GelMA hydrogel network, these nanoprodrugs achieve local retention and sustained slow release at the wound site. During tissue remodeling, they can effectively suppress excessive fibroblast activation and myofibroblast differentiation, downregulate the pro-fibrotic TGF-β/Smad signaling pathway, reduce excessive extracellular matrix deposition, promote ordered collagen arrangement and skin appendage regeneration, and ultimately facilitate high-quality wound healing.
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