Oxygen Gel May Prevent Amputations in Chronic Wounds | New Treatment for Diabetic Ulcers

by Chief Editor

The Future of Wound Healing: From Oxygen Gels to AI-Powered Bandages

Chronic wounds, a growing healthcare challenge fueled by aging populations and rising rates of diabetes, affect millions worldwide. For a significant portion of these patients, a poorly healing wound can ultimately lead to amputation. Researchers at the University of California, Riverside (UC Riverside) are pioneering a new approach with an innovative oxygen-delivering gel designed to prevent this outcome.

The Oxygen Deprivation Problem in Chronic Wounds

Wounds that fail to heal within a month are classified as chronic, impacting an estimated 12 million people annually. Approximately one in five of these patients face the possibility of amputation. A key factor hindering healing is often a lack of oxygen in the deeper layers of damaged tissue. Without sufficient oxygen, wounds remain stuck in a prolonged inflammatory state, creating an environment where bacteria thrive and tissue breaks down instead of regenerating.

“Chronic wounds don’t heal by themselves,” explains Iman Noshadi, UCR associate professor of bioengineering. “There are four stages to healing chronic wounds: inflammation, vascularization, remodeling, and regeneration. In any of these stages, lack of a stable, consistent oxygen supply is a big problem.”

How the Oxygen Gel Works: A Localized Solution

The newly developed gel addresses this oxygen deficiency directly. This soft, flexible material combines water with a choline-based liquid that is antibacterial, nontoxic, and biocompatible. When paired with a small battery, similar to those found in hearing aids, the gel functions as a miniature electrochemical oxygen generator, splitting water molecules to release a continuous and controlled supply of oxygen.

Unlike existing therapies that primarily deliver oxygen to the wound surface, this gel conforms to the unique shape of the wound, ensuring oxygen reaches the areas where it’s most needed and the risk of infection is highest. Critically, the oxygen supply can last for up to a month, a timeframe essential for new blood vessel formation.

Promising Preclinical Results and Beyond

Testing in animal models – specifically older and diabetic mice – showed significant improvements. Untreated wounds failed to heal and were often fatal, while wounds treated with the oxygen gel, replaced weekly, closed within approximately 23 days, and the animals survived. Researchers envision a future where the gel is periodically renewed as part of standard care.

The gel’s chemical composition offers an additional benefit: choline helps regulate the immune system and reduce excessive inflammation, restoring a healthier balance within the wound environment.

AI and the Future of Wound Care: A Synergistic Approach

The development of the oxygen gel isn’t happening in isolation. Innovations in artificial intelligence are likewise transforming wound care. Researchers have developed a-Heal, a portable system that actively monitors and accelerates wound healing. This system combines AI, bio-electronics, and a built-in camera, attached to a standard bandage. An AI model analyzes wound images every two hours, comparing them to an optimal healing timeline.

When healing lags, the system automatically intervenes with targeted therapies, such as localized fluoxetine delivery or gentle bio-electrical stimulation to promote cell migration. This closed-loop system continuously adapts treatment to the individual patient. Preclinical results indicate that wounds treated with a-Heal heal approximately 25 percent faster than with standard care, and the system enables remote monitoring, reducing the burden on both patients and healthcare providers.

Expanding Applications: From Wound Healing to Organ Engineering

The potential of this technology extends beyond wound care. Oxygen and nutrient deficiencies pose significant challenges in tissue and organ cultivation. “As tissues get thicker, cells die from lack of oxygen,” explains Noshadi. “This technology could be a crucial step towards sustainably growing larger tissues or organs.”

FAQ

Q: What makes this gel different from other wound healing treatments?
A: This gel delivers oxygen directly to the deepest layers of the wound, addressing a key cause of chronic wounds – oxygen deprivation – in a sustained manner.

Q: Is this gel available to patients yet?
A: The gel is currently in the preclinical stage, with promising results from animal studies. Further research and clinical trials are needed before it becomes widely available.

Q: How does the AI-powered bandage, a-Heal, work?
A: a-Heal uses AI to analyze wound images, identify healing delays, and automatically deliver targeted therapies to accelerate the healing process.

Q: Could this technology eventually eliminate the need for amputations?
A: While not all causes of chronic wounds can be solved with technology, this oxygen gel and similar innovations offer a real opportunity to reduce amputations and significantly improve patients’ quality of life.

Pro Tip: Maintaining proper wound care, including regular cleaning and dressing changes, is crucial for optimal healing, even with advanced technologies like oxygen gels and AI-powered bandages.

Did you know? Approximately 4.5 million people in the U.S. Are affected by chronic wounds annually.

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