Hydrogel may help heal diabetic ulcers

HOUSTON – (March 20, 2018) – A hydrogel invented at Rice University that is adept at helping the body heal may also be particularly good at treating wounds related to diabetes.

The Rice lab of chemist and bioengineer Jeffrey Hartgerink reported this week that tests on diabetic animal models showed the injectable hydrogel significantly accelerated wound healing compared with another hydrogel often used in clinics. The study appears this week in the American Chemical Society journal ACS Biomaterials Science and Engineering. The multidomain peptide (MDP) hydrogel known by its amino acid sequence – K2(SL)6K2 – has in a recent study proven useful for the timed release of immunotherapy drugs. It has also been shown to encourage healing all by itself.

That quality may be useful for people with diabetes mellitus who often develop chronic wounds in their lower extremities that take longer to heal than normal wounds.

"This is particularly exciting because the study shows our material has an effect that's positive and better than things that are already out there," Hartgerink said. "This has been a long time coming."

He said the typical treatment for a diabetic foot ulcer has not changed much over the last century.

"The current gold standard of treatment is to debride the wound, which means to remove necrotic tissue. The wound is washed, bandaged and patients are told to keep pressure off the foot," said Nicole Carrejo, a Rice graduate student and the paper's lead author. "Various treatments and materials may be tried, but oftentimes, everything fails, which can lead to amputation."

The researchers reported that Rice's MDP hydrogel significantly accelerated the healing of wounds in genetically diabetic rodents. Treatment led to wound closure in 14 days, the formation of thick granulation tissue, including dense growth of blood vessels and nerve cells, and the regeneration of hair follicles.

They compared their results with a control group treated with a commercial hydrogel that required twice as long to reach the same degree of wound closure. "Unlike our MDP hydrogel, the control hydrogel does not get infiltrated by cells," Carrejo said. "Although the control results in the healing of wounds, we believe cellular infiltration of our MDP helps lead to the acceleration of wound healing."

Hartgerink hopes to move the hydrogel toward clinical trials as a material rather than a drug to ease the federal approval process. "That would make it much more practical to do a clinical trial," he said. "These preclinical experiments have been exciting enough to warrant that thought process."

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Co-authors of the paper are graduate students Amanda Moore, Tania Lopez Silva, David Leach, I-Che Li and Douglas Walker, all of Rice. Hartgerink is a professor of chemistry and of bioengineering.

The research was supported by the Welch Foundation, National Institutes of Health, National Science Foundation, Mexican National Council for Science and Technology and the Stauffer-Rothrock Fellowship.

Read the abstract at https://pubs.acs.org/doi/abs/10.1021/acsbiomaterials.8b00031

This news release can be found online at http://news.rice.edu/2018/03/20/hydrogel-may-help-heal-diabetic-ulcers/

Follow Rice News and Media Relations via Twitter @RiceUNews

Related materials:

Slow-release hydrogel aids immunotherapy for cancer: http://news.rice.edu/2018/03/07/slow-release-hydrogel-aids-immunotherapy-for-cancer-2/

Hartgerink Research Group: http://www.ruf.rice.edu/~jdh/

Rice Department of Chemistry: http://chemistry.rice.edu

Rice Department of Bioengineering: http://bioe.rice.edu

Images for download:

http://news.rice.edu/files/2018/03/0326_DIABETES-1-WEB-2leu024.jpg

Rice University graduate student Nicole Carrejo holds a vial of hydrogel invented at Rice that has proven useful for healing injuries and may be able to accelerate the healing of diabetic ulcers, according to scientists. (Credit: Jeff Fitlow/Rice University)

http://news.rice.edu/files/2018/03/0326_DIABETES-2-WEB-29w3l7k.jpg

Rice University graduate student Nicole Carrejo analyzes a sample of K2(SL)6K2, an injectable hydrogel researchers believe may help accelerate the healing of diabetic ulcers. (Credit: Jeff Fitlow/Rice University)

http://news.rice.edu/files/2018/03/0326_DIABETES-3-WEB-2dxzqmo.jpg

Rice University chemist and bioengineer Jeffrey Hartgerink and graduate student Nicole Carrejo. (Credit: Jeff Fitlow/Rice University)

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Related Journal Article

http://dx.doi.org/10.1021/acsbiomaterials.8b00031