Chirality-Dependent Supramolecular Biomaterials Remodeling of Scar Microenvironment via Integrin-Mediated Regulation for Hypertrophic Scars Therapy
Corresponding Author: Chuanliang Feng
Nano-Micro Letters,
Vol. 18 (2026), Article Number: 343
Abstract
Hypertrophic scars, characterized by excessive fibroblast activation, present significant clinical challenges. Current treatments (e.g., laser, surgery, steroids) face limitations: Surgery is costly and associated with high recurrence rates, while pharmacological interventions often induce pain and exhibit low bioavailability or efficacy. To address this, we engineered a novel chiral supramolecular biomaterial derived from L-/D-phenylalanine and D-phenylalanine (L/DP) with well-defined nanostructure and optical activity. L/DP achieved biomimetic integration and stereoselective regulating of integrin β1 (ITGβ1) in scar tissue. In vitro, LP suppressed fibroblast proliferation by downregulating ITGβ1 (72%), inhibiting FAK/PI3K/AKT signaling and TGF-β1. In vivo (rabbit ear HS model), LP reduced scar thickness (54%), collagen deposition (39%), and α-SMA expression (45%), outperforming conventional drugs by 23%. This chirality-directed strategy provides a drug-free, painless, and highly effective HS therapy via integrin-mediated remodeling of the scar microenvironment and holds substantial clinical promise.
Highlights:
1 A chiral supramolecular biomaterial (L-/D-phenylalanine and D-phenylalanine, L/DP) is rationally designed with defined chiral nanostructure and optical activity for hypertrophic scars (HS) therapy.
2 The LP biomaterial significantly inhibited excessive fibroblast proliferation by downregulating ITGβ1 by 72%, suppressing downstream FAK/PI3K/AKT signaling and TGF-β1 activation.
3 In rabbit HS models, LP outperforms drug and DP, reducing scar thickness by 54%, collagen deposition by 39%, and α-SMA expression by 45%, offering an effective, painless, drug-free HS therapy strategy.
Keywords
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Y. Li, W. Zhang, J. Gao, J. Liu, H. Wang et al., Adipose tissue-derived stem cells suppress hypertrophic scar fibrosis via the p38/MAPK signaling pathway. Stem Cell Res. Ther. 7(1), 102 (2016). https://doi.org/10.1186/s13287-016-0356-6
M. Barczyk, S. Carracedo, D. Gullberg, Integrins. Cell Tissue Res. 339(1), 269–280 (2010). https://doi.org/10.1007/s00441-009-0834-6
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L. Wang, X. Ding, L. Fan, A.M. Filppula, Q. Li et al., Self-healing dynamic hydrogel microps with structural color for wound management. Nano-Micro Lett. 16(1), 232 (2024). https://doi.org/10.1007/s40820-024-01422-4
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X. Wang, C. Cui, X. Meng, C. Han, B. Wu et al., Chiral supramolecular hydrogel enhanced transdermal delivery of sodium aescinate to modulate M1 macrophage polarization against lymphedema. Adv. Sci. 11(5), 2303495 (2024). https://doi.org/10.1002/advs.202303495
Z. Cai, C. Qu, W. Song, H. Wang, S. Chen et al., Hierarchical chiral calcium silicate hydrate films promote vascularization for tendon-to-bone healing. Adv. Mater. 36(31), 2404842 (2024). https://doi.org/10.1002/adma.202404842
M. Liu, X. Zhou, Y. Wang, W. Zhao, X. Zhao et al., A strategy involving microporous microneedles integrated with CAR-TREM2-macrophages for scar management by regulating fibrotic microenvironment. Adv. Mater. 36(49), 2406153 (2024). https://doi.org/10.1002/adma.202406153
M. Li, L. Yang, C. Wang, M. Cui, Z. Wen et al., Rapid induction of long-lasting systemic and mucosal immunity via thermostable microneedle-mediated chitosan oligosaccharide-encapsulated DNA nanops. ACS Nano 17(23), 24200–24217 (2023). https://doi.org/10.1021/acsnano.3c09521
X. Wang, C. Han, J. Xia, C. Cui, P. Min et al., Ultrasound-mediated piezoelectric microneedles regulating macrophage polarization and remodeling pathological microenvironment for lymphedema improvement. ACS Nano 19(1), 1447–1462 (2025). https://doi.org/10.1021/acsnano.4c14292
M. Song, M. Ha, S. Shin, M. Kim, S. Son et al., A hierarchical short microneedle-cupping dual-amplified patch enables accelerated, uniform, pain-free transdermal delivery of extracellular vesicles. Nano-Micro Lett. 18(1), 11 (2025). https://doi.org/10.1007/s40820-025-01853-7
Y. Han, X. Qin, W. Lin, C. Wang, X. Yin et al., Microneedle-based approaches for skin disease treatment. Nano-Micro Lett. 17(1), 132 (2025). https://doi.org/10.1007/s40820-025-01662-y
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