Polysaccharide-Based Biomaterials: Chemical Design and Advanced Dressings for Diabetic Chronic Wound Repair
www.dovepress.com
Oct. 24, 2026, 7:02 a.m.
Diabetic foot ulcers represent a significant global health challenge, characterized by hyperglycemic environments, persistent inflammation, oxidative stress, impaired angiogenesis, and recurrent infections that collectively impede healing and increase amputation risk. This review, published in the International Journal of General Medicine by researchers from Qingdao Municipal Hospital and affiliated institutions in China, examines polysaccharide-based biomaterials as promising solutions for wound repair. Natural polysaccharides offer biocompatibility, biodegradability, and low immunogenicity while providing multiple therapeutic functions including antibacterial, antioxidant, anti-inflammatory, pro-angiogenic, and immunomodulatory effects through macrophage polarization regulation. When incorporated into wound dressings, polysaccharide-derived formulations absorb exudate, maintain moist microenvironments, neutralize reactive oxygen species, suppress pathogens and biofilms, and promote angiogenesis and re-epithelialization to accelerate wound closure. Despite their therapeutic potential, clinical translation remains constrained by unclear structure-activity relationships, batch-to-batch inconsistencies, undefined molecular mechanisms, and scalable manufacturing limitations. This comprehensive review addresses these challenges by analyzing polysaccharide classifications and their applications in diabetic wound management, providing critical insights for advancing these biomaterials toward clinical implementation.