What this is
- () are a severe complication of diabetes, affecting 15–25% of patients and leading to high amputation rates.
- Current treatments, including growth factor applications, often fail due to poor stability and delivery challenges.
- This research introduces a lipid nanoparticle-encapsulated (-circPDGFB) formulation designed for sustained delivery of PDGFB to enhance wound healing.
Essence
- -circPDGFB enables prolonged expression of PDGFB, significantly accelerating diabetic wound healing in mice. A single dose showed superior efficacy compared to existing treatments.
Key takeaways
- -circPDGFB demonstrated enhanced fibroblast and endothelial cell functions, promoting proliferation, migration, and angiogenesis. This dual action supports effective wound healing.
- In a diabetic mouse model, a single application of -circPDGFB resulted in rapid and sustained wound closure, outperforming both linear RNA formulations and traditional growth factor therapies.
- Histological analysis revealed superior tissue regeneration with -circPDGFB, including increased collagen deposition and enhanced vascularization compared to other treatments.
Caveats
- The study's findings are based on a murine model, which may not fully replicate human diabetic wound healing complexities.
- The evaluation period was relatively short, limiting insights into long-term effects on tissue remodeling and potential adverse outcomes.
- Patient heterogeneity in diabetes could lead to variability in treatment efficacy, suggesting that -circPDGFB may not be universally effective across all diabetic wounds.
Definitions
- Lipid nanoparticles (LNP): Nanoparticles composed of lipids used to encapsulate and deliver nucleic acids or drugs effectively.
- Circular RNA (circRNA): A type of RNA that forms a covalently closed loop, providing enhanced stability and prolonged expression compared to linear RNA.
- Diabetic foot ulcers (DFUs): Chronic wounds that occur in patients with diabetes, often leading to severe complications, including infections and amputations.
Simplified
Introduction
Diabetes mellitus (DM) is a chronic metabolic disorder affecting over 500 million individuals worldwide, characterized by hyperglycemia and associated complications where impaired wound healing and increased infection susceptibility impose significant clinical burdens and markedly reduce patients’ quality of life [1, 2]. Diabetic foot ulcers (DFUs), affecting 15–25% of patients, represent a particularly severe complication that frequently progresses to amputation (20% of cases) and carries a staggering 5-year mortality rate exceeding 50% [1, 3–5]. While current treatments including debridement, negative pressure therapy, and growth factor applications form the standard of care, their effectiveness is substantially limited by the complex pathophysiology of diabetic wounds [1, 5]. The persistent therapeutic shortcomings highlight the critical need for innovative treatment strategies that can overcome these fundamental biological and clinical barriers.
Platelet-derived growth factor-B (PDGFB) belongs to the platelet-derived growth factor protein family [6, 7]. The PDGFB subunit specifically can homodimerize to form the PDGF-BB homodimer. Dimerization of PDGF subunits is an essential step for the formation of biologically active PDGF-BB. Upon binding to its cognate receptor, PDGFR-β, PDGF-BB activates multiple downstream signaling cascades, such as Ras/MAPK pathway and PI3K/Akt pathway [6, 7]. These signaling networks collectively orchestrate various physiological and pathological processes, including angiogenesis, wound healing and mesenchymal cell proliferation. In cutaneous wound repair, PDGFB enhances fibroblast migration, collagen deposition and angiogenesis, thereby accelerating healing. Notably, the U.S. FDA approved recombinant human PDGFB (Regranex®) in 1997 for the treatment of diabetic foot ulcers. However, in diabetic wounds, PDGFB expression and function are frequently impaired due to the hyperglycemic microenvironment, leading to defective tissue repair [1, 3–5]. Short-term growth factor supplementation often fails to achieve sustained therapeutic effects, highlighting the urgent need for novel strategies that enable prolonged, low-dose, localized expression of growth factors directly within the wound bed.
Gene therapy is a strategy that delivers functional genetic material such as DNA or RNA into patient cells to correct abnormal gene expression or compensate for functional deficiencies [8–12]. Recent advances in RNA-based non-viral strategies, particularly exemplified by the success of mRNA vaccines against COVID-19, have demonstrated notable clinical feasibility. Compared to traditional gene therapy, mRNA offers distinct advantages: no nuclear entry or genomic integration risks, rapid protein expression (within hours), and scalable manufacturing [10, 11]. However, linear RNA is vulnerable to degradation by intracellular RNases and has a short half-life, which limits sustained protein expression. In contrast, circular RNA (circRNA), a covalently closed continuous loop lacking 5′ cap and 3′ poly(A) tail structures, exhibits enhanced nuclease resistance and maintains effective intracellular concentrations over prolonged periods, enabling stable and long-term therapeutic gene expression [13, 14]. Furthermore, purified circRNA has been shown to elicit reduced innate immune activation compared to unmodified RNA. These properties, together with its superior biostability and low immunogenicity, have highlighted the broad potential of circRNA in vaccine development and regenerative medicine [13, 14]. Therefore, engineered circRNAs can serve as ideal vectors for sustained intracellular protein production and as therapeutic protein treatment.
The success of gene therapy critically depends on safe, efficient, and controllable delivery platforms. Although viral vectors, such as adeno-associated virus (AAV) and lentivirus, demonstrate relatively high transfection efficiency, their inherent immunogenicity can trigger potent host immune responses, leading to rapid clearance of the vectors [15]. Lipid nanoparticles (LNP), composed of ionizable lipids, phospholipids, cholesterol, and PEGylated lipids, form stable bilayer structures and exhibit notable advantages across multiple aspects [16, 17]. Compared to traditional viral and polymeric vectors, LNPs possess lower immunogenicity, attributable primarily the neutral surface charge of PEG lipids at physiological pH, which help evade recognition and clearance by the innate immune system, thereby reducing anti-vector immune responses [16, 17]. Furthermore, the PEG lipid layer in LNPs enables efficient encapsulation and protection of nucleic acid therapeutics, facilitates endosomal escape, significantly enhances cytosolic release efficiency, and prolongs the duration of target protein expression [16, 17]. These properties establish LNPs as a highly promising delivery platform capable of achieving long-lasting, low-immunogenicity therapeutic effects with single-dose administration, making them especially suitable for regenerative medicine applications requiring sustained growth factor expression.
RNA-based delivery platforms have advanced rapidly in recent years. According to comprehensive reviews on non-viral gene delivery systems, the major RNA delivery strategies currently include lipid nanoparticles (LNPs), cationic polymers (such as PEI and PAMAM), and extracellular vesicles (including exosomes) [18, 19]. Cationic polymers often exhibit high transfection efficiency. However, their pronounced cytotoxicity and safety concerns substantially hinder clinical translation. Extracellular vesicles, while possessing favorable biocompatibility and intrinsic targeting potential, face significant challenges in large-scale production, purification, and cargo standardization [18, 19]. In contrast, LNPs benefit from well-established manufacturing processes, robust stability, scalable production, and an extensively validated safety profile [20]. Therefore, when clinical translatability and scalability are emphasized, LNPs represent the most mature and practically viable non-viral RNA delivery system. This consideration provides a strong rationale for selecting LNPs as the delivery vehicle in the present circRNA-based therapeutic strategy.
In this study, we developed a lipid nanoparticle-encapsulated circular mRNA encoding PDGFB to enhance skin wound healing, where the engineered LNP system not only provides a biocompatible microenvironment at the injury site but also demonstrates superior delivery efficiency that enables sustained release of PDGFB, thereby effectively stimulating both neovascularization and collagen deposition. This work not only establishes LNP-circPDGFB as an innovative platform for tissue repair but also introduces a transformative “single-dose, long-acting” therapeutic paradigm for DFUs, offering a potential breakthrough in diabetic wound care.
Results
Encapsulation and characterization of LNP-linPDGFB and LNP-circPDGFB
The schematic diagram illustrates the using of LNP-circPDGFB to accelerate diabetic wound healing (Fig. 1A). The circular RNA encoding PDGFB (Supplementary Table S1) was synthesized through a group I intron-based autocatalytic cyclization strategy, as outlined in Supplementary Figure S1A. Capillary electrophoresis was employed to analyze the molecular weights of both linear and circular PDGFB RNA transcripts (Supplementary Figure S1B, C). Encapsulation was performed using microfluidic technology. Briefly, the ionizable lipid SM-102, cholesterol, DSPC, and DMG-PEG2000 dissolved in ethanol were mixed with mRNA dissolved in citric acid buffer, and the resultant nanoparticles encapsulating linRNA and circRNA were referred to as LNP-linPDGFB and LNP-circPDGFB, respectively (Fig. 1A).
LNP-linPDGFB and LNP-circPDGFB were characterised by dynamic light scattering (DLS), as shown in Fig. 1B-E and Supplementary Figure S1D. The results revealed that LNP-linPDGFB had a mean average hydrodynamic diameter of 100.9 nm with a narrow polydispersity index of 0.161 and a zeta potential of −0.6873 mV (Fig. 1B, C and Supplementary Figure S1D). LNP-circPDGFB had a mean average hydrodynamic diameter of 110.6 nm with a narrow polydispersity index of 0.065 and a zeta potential of −0.1335 mV (Fig. 1D, E and Supplementary Figure S1D). Encapsulation rate of LNP-linPDGFB and LNP-circPDGFB were evaluated by Quant-it RiboGreen RNA Assay and were 94.97% and 94.77%, respectively (Supplementary Figure S1D).

Encapsulation and characterization of LNP-linPDGFB and LNP-circPDGFB. () The Pattern diagram illustrates the using of LNP-circPDGFB to accelerate diabetic wound healing. (-) Size of LNP-linPDGFB and LNP-circPDGFB.= 3. (-) Zeta potential of LNP-linPDGFB and LNP-circPDGFB.= 3 A B C D E n n
CircRNAs displayed higher and longer levels of protein expression than linear RNAs
To validate the stability and prolonged expression of LNP-encapsulated circRNA, we first evaluated the sustained protein expression capacity of circRNA using GFP as a reporter gene. Following transfection of LNP- circGFP and LNP-linGFP (Supplementary Figure S2A) into 293 T cells, fluorescence imaging and quantitative analysis revealed significantly prolonged GFP expression mediated by circRNA (Fig. 2A). While fluorescence intensities were comparable between groups on day 1, the circRNA group demonstrated substantially higher signal than linear mRNA by day 3. Notably, strong circRNA-mediated fluorescence persisted through day 9, with detectable signal remaining at day 11 (Fig. 2B). To systematically compare the temporal expression dynamics of linear versus circular mRNA, we transfected HEK293T cells with constructs encoding either GFP or PDGFB in both linear and circular forms. Western blot analysis revealed low levels of protein expression from both linear and circular GFP mRNA at 24 h post-transfection. Notably, linear GFP expression peaked at 48 h and began to decline by 72 h, whereas circular GFP exhibited sustained upregulation from 24 to 72 h, resulting in significantly higher protein levels at later time points compared to the linear form (Fig. 2C). In the PDGFB expression system, both linear and circular mRNA reached their highest expression at 24 h, followed by a gradual decrease. However, the circular PDGFB showed higher initial expression than its linear counterpart. Although both declined over time, circular PDGFB maintained relatively high expression until 48 h, in contrast to the linear form, which decreased to very low levels. By 96 h, circular PDGFB remained detectable, whereas linear PDGFB expression was nearly undetectable as early as 72 h (Fig. 2D). Based on these temporal profiles, we selected 72 h as the optimal pretreatment duration for subsequent in vitro experiments. To quantitatively assess fluorescence signal dynamics, we transfected HEK293T cells with equal amounts of LNP-linFluc and LNP-circFluc (Supplementary Figure S2B) and periodically measured luciferase activity. Consistent with previous observations, both mRNA forms showed low luciferase activity on day 1. Circular Fluc activity continued to increase steadily, surpassing linear Fluc levels significantly by day 5 (Fig. 2E).
We next evaluated potential immunogenicity by measuring three proinflammatory cytokines (IFN-α, IL-6 and IL-1β) following transfection. Strikingly, compared to negative controls, neither linear nor circular RNA showed substantial immunogenicity (Fig. 2F-H). Moreover, circular RNA demonstrated comparable or even lower expression for some inflammatory cytokines relative to controls (Fig. 2H). In summary, our comprehensive analyses demonstrate that circRNA provides prolonged, stable expression with minimal immunogenicity compared to linear mRNA, while maintaining sustained high-level protein production over extended periods.

CircRNAs displayed higher and longer levels of protein expression than linear RNAs in vitro () Representative fluorescence images of 293 T cells transfected with LNP-linGFP and LNP-circGFP, showing eGFP expression at days 1, 3, 5, 7, 9, 11, 15, and 17 post-transfection. Scale bar = 500 μm. () Quantitative analysis of mean GFP fluorescence intensity in 293 T cells over time. Error bars represent SD (= 3). **< 0.01, ***< 0.001. () Western blot analysis comparing expression persistence of GFP between LNP-linGFP and LNP-circGFP. () Western blot evaluation of expression durability of PDGFB for LNP-linPDGFB and LNP-circPDGFB. () Assessment of expression persistence for LNP-linFluc and LNP-circFluc in transfected HEK293T cells. Error bars represent SD (= 3). ***< 0.001. (-) qRT-PCR analysis of immune responses (IFN-α, IL-6, IL-1β) in 293 T cells treated with LNP-linFluc and LNP- circFluc (10 µg mRNA dose). mRNA levels were normalized to GAPDH. Error bars represent SD (= 3). *< 0.05, ns, not significant A B C D E F H n P P n P n P
Effect of LNP-linPDGFB and LNP-circPDGFB on endothelial cells
Angiogenesis is a key factor in the healing of diabetic wounds [1, 3]. To evaluate the therapeutic potential of LNP-circPDGFB in diabetic wound healing, we systematically examined its effects on key endothelial cell functions. Human umbilical vein endothelial cells (HUVECs) were subjected to a 72-h pretreatment with five experimental conditions: LNP-linFluc, LNP-circFluc, PDGF-BB protein, LNP-linPDGFB and LNP-circPDGFB. Functional assessments were conducted using EdU incorporation for proliferation, Transwell assays for migration, and Matrigel-based tube formation for angiogenic capacity. EdU staining revealed robust proliferative activation in groups treated with PDGF-BB protein, LNP-linPDGFB and LNP-circPDGFB, with LNP-circPDGFB exhibiting the most potent effect (Fig. 3A-B). Transwell migration assays demonstrated significantly enhanced cell motility in both LNP-linPDGFB and LNP-circPDGFB groups compared to controls, with the circular mRNA formulation yielding superior migratory outcomes (Fig. 3C-D). Angiogenesis experiment results and quantitative analyses of tube formation further confirmed the strong pro-angiogenic phenotype induced by LNP-circPDGFB, as evidenced by significant increases in total tube length and branch point number relative to all other groups (Fig. 3E-G). Our collective results indicate that LNP-circPDGFB effectively promotes endothelial cell proliferation, migration, and angiogenesis, underscoring its promising therapeutic utility in facilitating vascularization during diabetic wound repair.

Effects of LNP-linPDGFB and LNP-circPDGFB on endothelial cell. () Representative images of EdU incorporation staining in fibroblasts treated with LNP-linFluc, LNP-circFluc, PDGF-BB protein, LNP-linPDGFB and LNP-circPDGFB. EdU-positive cells are shown in red. Scale bar = 1 mm. () Corresponding quantitative analysis demonstrated the proliferative response of HUVECs across the five treatment groups. Error bars represent SD (= 3). **< 0.01, ***< 0.001. () Transwell migration assays revealed distinct migratory capacities of HUVECs following treatment with each formulation. Scale bar = 500 μm. () Quantification of the number of migrating cells in the Transwell assay, with LNP-circPDGFB showing the highest migration rate. Error bars represent SD (= 3). **< 0.01, ***< 0.001. (-) Representative images of tube formation observed at 12 h post-treatment () and quantitative analyses highlighted differential angiogenic potential among the experimental groups (-). Scale bar = 500 μm. Error bars represent SD (= 3). *< 0.05, **< 0.01,***< 0.001 A B C D E G E F G n P P n P P n P P P
Effect of LNP-linPDGFB and LNP-circPDGFB on fibroblast
Fibroblast proliferation, migration, and collagen synthesis play critical roles in wound healing [21, 22]. We next evaluated PDGFB mRNA impact on mouse embryonic fibroblast cell line NIH3T3. EdU and CCK-8 proliferation assays revealed that compared to LNP-linFluc and LNP-circFluc control groups, treatments with PDGF-BB protein, LNP-linPDGFB and LNP-circPDGFB for 72 h all significantly enhanced NIH3T3 cell proliferation, with LNP-circPDGFB demonstrating the most pronounced pro-proliferative effects (Fig. 4A-C). Transwell migration assays further confirmed that LNP-circPDGFB treatment significantly increased cellular migration rates compared to controls (Fig. 4D-E). These results align with our HUVEC findings, demonstrating that LNP-circPDGFB not only enhances vascular endothelial cell functions but also significantly promotes fibroblast proliferation and migration. By simultaneously augmenting these two critical repair cell populations, our study presents a novel therapeutic strategy for improving diabetic wound healing.

Effect of LNP-linPDGFB and LNP-circPDGFB on fibroblast in vitro. () Representative images of EdU staining in NIH3T3 cells treated with LNP-linFluc, LNP-circFluc, PDGF-BB protein, LNP-linPDGFB and LNP-circPDGFB. EdU-positive cells are shown in red. Scale bar = 1 mm. () Corresponding quantitative analysis demonstrated the proliferative capacity of NIH3T3 cells across the five treatment groups. Error bars represent SD (= 3). *< 0.05, **< 0.01, ***< 0.001. () CCK8 analysis demonstrated the proliferative capacity of NIH3T3 cells across the five treatment groups. Error bars represent SD (= 6). *< 0.05, **< 0.01. () Transwell migration assays showed distinct migratory patterns of NIH3T3 cells treated with each formulation. Scale bar: 500 μm. () Quantitative analysis of migrated cells. Error bars represent SD (= 3). **< 0.01, ***< 0.001, ns, not significant A B C D E n P P P n P P n P P
long-term effect of LNP-circPDGFB on diabetic wound healing In situ
Having established the potent in vitro effects of LNP-circPDGFB on both endothelial cells and fibroblasts - the two pivotal cell types involved in wound repair - we next sought to evaluate its in situ therapeutic performance in a physiologically relevant context. To dynamically monitor protein expression kinetics in vivo, we encapsulated firefly luciferase-encoding circular RNA (Fluc-circRNA) or linear mRNA (Fluc-linRNA) into optimized lipid nanoparticles (LNPs) and applied them topically to full-thickness dorsal wounds in C57 mice. Longitudinal bioluminescent imaging (Fig. 5A-B) revealed that while linear mRNA showed higher initial expression but rapid decline by day 3, circRNA-mediated expression remained robust throughout the first week and persisted at detectable levels until day 11, demonstrating superior pharmacokinetics ideal for wound healing applications.
We next evaluated the in situ therapeutic performance of LNP-circPDGFB in a diabetic wound healing model using extended comparative controls. In addition to LNP-linFluc and LNP-circFluc, diabetic mice were treated under identical dosing conditions with clinically relevant and mechanistically distinct comparators, including LNP-linVEGF, LNP-circVEGF, recombinant human PDGF-BB protein, Regranex®, LNP-linPDGFB, and LNP-circPDGFB. Macroscopic wound closure analysis demonstrated that a single topical administration of LNP-circPDGFB resulted in the most rapid and sustained wound healing throughout the observation period (Fig. 5C–E). Although LNP-circVEGF significantly promoted wound closure relative to control groups, its overall efficacy was inferior to that of LNP-circPDGFB, while Regranex® showed a moderate therapeutic effect that was less pronounced than either circular RNA–based LNP formulation. In contrast, linear RNA formulations, reporter RNA controls, and untreated wounds exhibited comparatively limited or delayed healing responses. Quantitative analysis of wound area trajectories further confirmed a clear efficacy hierarchy, with LNP-circPDGFB achieving the fastest wound closure, followed by LNP-circVEGF and Regranex®, whereas linear RNA formulations and control groups showed minimal therapeutic benefit (Fig. 5D–E). Collectively, these results indicate that LNP-circPDGFB enables superior and durable in situ wound repair compared with both clinically approved growth factor therapy and other LNP-based RNA formulations.

Long-term effect of LNP-circPDGFB on diabetic wound healing. () Representative bioluminescence images of single-dose administration of LNP-linFluc and LNP-circFluc in normal mouse wounds at different time points. () Corresponding quantitative analysis of normal mouse wounds following single-dose administration of LNP-linFluc or LNP -circFluc at days0,1,3,6,9 and 11 post-treatments. Error bars represent SD (= 3). **< 0.01, ***< 0.001. () Wound images of diabetic wounds treated with Control, LNP-linFluc, LNP-circFluc, PDGF-BB protein, Regranex, LNP-linVEGF, LNP-circVEGF, LNP-linPDGFB and LNP-circPDGFB at different time points. Scale bar: 5 mm. () Trajectories analysis of wound healing in mice from the same as above nine treatment group. () Quantitative analysis of diabetic mice treated with single doses of Control, LNP-linFluc, LNP-circFluc, PDGF-BB protein, Regranex, LNP-linVEGF, LNP-circVEGF, LNP-linPDGFB and LNP-circPDGFB, captured at days 0,1,3,7,11and 15 post-administration. Error bars represent SD (= 3). *< 0.05, **< 0.01, ***< 0.001 A B C D E n P P n P P P ® ®
Investigation on tissue regeneration and angiogenesis after LNP-linPDGFB and LNP-circPDGFB treatments
To further evaluate tissue regeneration and angiogenesis following different therapeutic interventions, wound tissues from mice treated with PDGF-BB protein, Regranex®, LNP-linPDGFB, LNP-circPDGFB, LNP-linVEGF, LNP-circVEGF, and control formulations were subjected to systematic histological and immunofluorescence analyses (Fig. 6A). Histological examination at day 15 post-injury revealed marked differences in tissue repair outcomes among the treatment groups (Fig. 6B). Among these, wounds treated with LNP-circPDGFB exhibited the most pronounced regenerative features, including a thicker neo-epidermal layer and more abundant collagen deposition (Fig. 6B–D). In comparison, PDGF-BB protein, Regranex®, LNP-linPDGFB, and LNP-circVEGF also promoted tissue regeneration to varying extents, as evidenced by reduced wound width, increased epidermal thickness, and enhanced collagen deposition. Notably, across these parameters, LNP-circVEGF showed overall better effects than its linear RNA counterpart and Regranex®, but remained inferior to the LNP-circPDGFB treatment.
Quantitative analysis of the Collagen I and CD31-positive area proportion revealed significant differences among the treatment groups in promoting wound Collagen I expression and angiogenesis (Fig. 6E-G). Compared with the control, LNP-linFluc, and LNP-circFluc groups, all treatments associated with functional growth factors significantly increased the proportion of CD31-positive micro vessels. Among them, the LNP-linVEGF and Regranex® groups exhibited a moderate pro-angiogenic effect, whereas the LNP-circVEGF group further significantly increased the CD31-positive proportion, with a pro-angiogenic capacity comparable to that of the LNP-circPDGFB group. Consistent with enhanced tissue remodeling, α-SMA staining revealed increased accumulation of myofibroblasts in PDGFB-related treatment groups, with the most prominent effect observed in the LNP-circPDGFB group, suggesting enhanced wound contraction and extracellular matrix remodeling (Fig. 6E, H). Notably, these comprehensive therapeutic benefits were achieved without eliciting detectable immune responses or toxicity (Supplementary Fig. 3). Overall, these histological and immunofluorescence analyses indicate a clear efficacy hierarchy in tissue regeneration and remodeling, with LNP-circPDGFB producing the most pronounced improvements, followed by LNP-circVEGF, while linear RNA formulations exhibited comparatively weaker effects. The observed effects can be attributed to the unique advantages of our platform: the nuclease-resistant circular structure enables sustained PDGFB expression, while LNP delivery maintains local bioavailability. This dual approach overcomes the transient growth factor availability that limits current treatments, simultaneously addressing angiogenesis, fibroblast activation, and ECM reorganization - the key pathophysiological deficits in diabetic wounds.

Investigation on tissue regeneration and angiogenesis after LNP-circPDGFB treatment. () Representative images of H&E and Masson’s trichrome staining demonstrating collagen deposition and regenerated wound tissue morphology with Control, LNP-linFluc, LNP-circFluc, PDGF-BB protein, Regranex, LNP-linVEGF, LNP-circVEGF, LNP-linPDGFB and LNP-circPDGFB treatment at day 15. Scale bar = 1 mm. (-) Quantitative analysis of wound width, epidermal thickness and ration of collagen area. Error bars represent SD (= 3). *< 0.05, **< 0.01, ***< 0.001. ns, not significant. (-) Immunofluorescence staining and quantitative analysis of COL1, CD31, and α-SMA expression. Scale bar = 800 μm. Error bars represent SD (= 3). *< 0.05, ***< 0.001, ns, not significant A B D E H ® n P P P n P P
Single-cell analysis of the wound under LNP-linPDGFB and LNP-circPDGFB treatment
To further understand the mechanisms of therapeutic effects of LNP-circPDGFB on diabetic wound, we conducted single-cell analysis on the wound tissue samples treated by LNP-circPDGFB or LNP-circFluc, respectively. UMAP clustering revealed 18 distinct clusters, representing 14 unique cellular types (Fig. 7A-B and Supplementary Figure S4A-C). We analyzed the proportions of these cell types and observed increased proportions for keratinocytes, fibroblasts and endothelial cells in PDGFB group (Fig. 7C). We next explored the number of DEGs between PDGFB and FLUC cell types. The results showed that fibroblasts have a predominance of upregulated DEGs, suggesting enhanced cellular activity (Fig. 7D).
Chronic hyperglycemia has been shown to impair fibroblast migration, alter mechanotransduction, and disrupt the balance between matrix deposition and remodeling, leading to immature granulation tissue and structurally compromised repair. The upregulation of genes involved in collagen synthesis, matrix assembly, and cytoskeletal dynamics observed in our scRNA-seq data suggests that sustained PDGFB expression may help overcome these intrinsic cellular deficits, promoting a reparative fibroblast phenotype capable of coordinated migration and matrix remodeling. We next compared the differences between PDGFB and FLUC sample of fibroblasts and endothelial cells. We identified upregulated DEGs directly associated with PDGF signaling pathway (Fos, Junb, Egr1), genes involved in extracellular matrix (ECM) synthesis and remodeling (Col1a2, Col5a2, Col7a1, Loxl2, Bgn, Mmp4, Serpinh1 Timp2), and genes related to cell migration or cytoskeleton reorganization (Vim, Tpm1, Tpm2, Cfl2, Cd44, Enah, Rock1). The expression of these genes was significantly upregulated in fibroblasts from PDGFB samples (Fig. 7E, left panel). GO and GSEA analysis of the upregulated genes in fibroblasts highlighted significant enrichment in pathways related to PDGF signaling, PI3K–Akt signaling, angiogenesis, growth factor signaling, and ECM organization in PDGFB samples (Fig. 7E, right panel, Supplementary Figure S5). The enrichment in PDGF-related signaling pathways suggests activation of mechanisms involved in fibroblast proliferation and migration. Notably, PI3K–Akt signaling is a key downstream pathway of PDGF and is frequently dysregulated in diabetic fibroblasts, contributing to impaired migration, survival, and matrix remodeling [23, 24]. Therefore, the observed enrichment of ECM-related and cytoskeleton-associated pathways may reflect a partial restoration of fibroblast reparative functions that are typically compromised under diabetic conditions. The enrichment in angiogenesis-related pathways further implies a potential role of these fibroblasts in supporting vascular development, which is often insufficient in chronic diabetic wounds. Collectively, these findings suggest that LNP-circPDGFB may promote fibroblasts toward a more reparative phenotype under diabetic wound conditions.
Analysis of endothelial cells revealed upregulation of genes associated with key biological functions (Fig. 7F, left panel). Notably, genes such as Itgav and Fgfr2 were enriched, implicating activation of the PI3K-Akt pathway. Additionally, MAPK pathway genes, including Dusp1, Dusp6, Junb, and Fos, also showed increased expression. Angiogenesis related genes, such as Egfl7, Angptl4, Col15a1, and Serpine1, were also upregulated, indicating potential promotion of blood vessel formation. These findings suggest that the identified genes in endothelial cells may play a significant role in disease-related processes. Enrichment analysis of the upregulated genes in endothelial cells revealed significant associations with pathways related to PI3K–Akt and MAPK signaling, cellular migration, vascular biology, and ECM dynamics (Fig. 7F, right panel). These pathways are closely linked to endothelial survival, activation, and angiogenic responses. Under diabetic conditions, PI3K–Akt signaling is frequently impaired, contributing to endothelial dysfunction and non-productive angiogenesis despite the presence of pro-angiogenic stimuli [1, 3, 4]. In this context, the enrichment of PI3K–Akt- and MAPK-associated pathways may indicate reactivation of endothelial programs required for productive angiogenesis rather than dysfunctional vascular responses. The involvement of vascular biology and ECM organization pathways further suggests improved coordination between endothelial cells and the surrounding matrix, which is critical for stable vessel formation during diabetic wound repair.

Single-cell analysis of the wound under LNP-linPDGFB and LNP-circPDGFB treatment. () UMAP visualization of single-cell transcriptomes, showing 18 distinct clusters that correspond to 14 unique cell types. () Dot plot showing the expression of marker genes across different cell clusters, highlighting the specific expression profiles for each cell type. () Proportional representation of cell types in PDGFB and FLUC samples, indicating variations in cellular composition between the two conditions. () Bar graph displaying the number of DEGs for each cell types between PDGFBB and FLUC samples. (-) Scatter plot of DEGs in fibroblasts () and endothelial cells () between PDGFB and FLUC samples (left panel), with point size indicating the magnitude of the log2 fold change. Radar chart of GO terms enriched among the upregulated DEGs in fibroblasts () and endothelial cells () (right panel), where the length of each axis corresponds to the degree of enrichment A B C D E F E F E F
Discussion
This study indicates that LNP-circPDGFB could be a significant advancement in diabetic wound therapy, offering a potential solution to key limitations of existing treatments. The core findings lie in combining the sustained protein expression characteristics of circular RNA with the efficient delivery capacity of lipid nanoparticles, establishing a therapeutic platform capable of achieving prolonged PDGFB expression through single administration. Unlike conventional growth factor therapies requiring frequent applications due to rapid degradation [25], our approach maintains effective drug concentrations via endogenous synthesis, significantly improving wound healing outcomes. The multimodal mechanism of LNP-circPDGFB simultaneously enhances both endothelial cell-mediated angiogenesis and fibroblast-driven tissue remodeling, showing potential to ameliorate key aspects of diabetic wound pathophysiology, as supported by in vitro, in vivo and single-cell RNA sequencing analysis.
Diabetic wound healing is fundamentally distinct from physiological acute wound repair and is characterized by persistent hyperglycemia, oxidative stress, endothelial dysfunction, impaired fibroblast responsiveness, and defective extracellular matrix remodeling Our studies establish that LNP-circPDGFB effectively addresses key pathological features of diabetic wounds by enhancing proliferation and migration capacities of fibroblasts and endothelial cells (Figs. 3 and 4). By encapsulating PDGFB-encoding circRNA within LNPs, we successfully developed an LNP-circPDGFB formulation capable of accelerating diabetic wound healing. The circRNA synthesized through group I intron autocatalytic strategy demonstrates superior stability and prolonged protein expression compared to linear mRNA, both in vitro and in vivo, without obvious cytotoxicity. Most notably, single-dose administration achieved nearly complete wound recovery by day 15, and the difference between PDGF-BB- and VEGF-based therapies may be attributed to their distinct cellular targets during wound repair. VEGF primarily acts on endothelial cells to promote angiogenesis, whereas PDGF-BB exerts broader effects by regulating both endothelial cells and mesenchymal cells, particularly fibroblasts, thereby supporting proliferation, migration, and extracellular matrix production. Effective diabetic wound healing relies on coordinated interactions between endothelial cells and fibroblasts to drive angiogenesis, granulation tissue formation, and matrix remodeling. Given that both cell types are functionally impaired in diabetic wounds, the broader cellular activity of PDGF-BB may contribute to the superior therapeutic outcomes observed with LNP-circPDGFB compared with VEGF-based formulations.
The development of LNP-mRNA therapeutics provides a safer alternative to viral vectors [16, 17]. Pioneering work by Li Xinsong et al. indicated that LNP-VEGF mRNA significantly improves angiogenesis and accelerates wound healing in diabetic mouse models [26, 27]. However, wound healing constitutes a highly complex process requiring coordinated contributions from multiple tissue and cellular lineages, particularly the tight orchestration of fibroblast migration, proliferation, matrix deposition, and angiogenesis [21, 22]. Within this context, our LNP-circPDGFB system exhibits pleiotropic functionality by uniquely integrating pro-angiogenic and pro-fibrogenic activities to facilitate diabetic wound repair. Specifically, LNP-circPDGFB markedly enhanced endothelial cell proliferation, migration, and tube formation, while concurrently promoting proliferation and migration of fibroblast (Figs. 3 and 4). In diabetic mouse models, a single administration of LNP-circPDGFB accelerated wound closure, accompanied by robust early neovascularization (CD31+ staining) and collagen production (Figs. 5 and 6). ScRNA-seq analyses further confirmed coordinated activation of both angiogenic and fibrotic pathways (Fig. 7). Importantly, the single-dose regimen achieved significant efficacy without inducing systemic toxicity associated with repeated administrations. This multi-mechanistic action underscores the promising therapeutic utility of LNP-circPDGFB for diabetic wound treatment, paves the way for the treatment of diabetic wounds.
LNP-circPDGFB maintained the favorable safety in immunogenicity assessments (Supplementary Figure S3), with no detectable systemic distribution or immunogenicity, representing another key advantage. In contrast to limited prior reports suggesting potential immunogenicity associated with LNP delivery systems [28], our study observed no evidence of immune activation. Both in vitro and in vivo experiments demonstrated minimal immunogenicity for our engineered LNP delivery platform. In HEK293T cell line assays treated with 5 µg/mL LNP-circFluc for 24 h, qPCR analysis revealed no significant upregulation of key pro-inflammatory cytokines—including IFN-α, IL-6, or IL-1β—in either linear or circular Fluc groups compared to controls (Fig. 2F-H). In a diabetic wound model, the levels of immune cell infiltration (CD3⁺ T cells, CD20⁺ B cells, and CD68⁺ macrophages) within the wound microenvironment were comparable between the LNP-circPDGFB treated group and untreated controls (Supplementary Figure S3). Systemic cytokine levels (IL-6, IL-17, TNFα) also remained stable (Supplementary Figure S3). These data strongly indicate favorable biocompatibility of the therapy. Collectively, these results underscore the superior safety profile of LNP-circPDGFB, supporting its suitability for chronic wound treatment.
Although this study preliminarily demonstrates the favorable biocompatibility and therapeutic potential of the LNP-circPDGFB formulation, several aspects warrant further investigation to support clinical translation. The ionizable lipid component of LNPs influences delivery efficiency, pharmacokinetics, and immunocompatibility, and further optimization of lipid chemistry, such as incorporating features responsive to the wound microenvironment or biodegradable linkers, may improve targeting specificity and long-term safety in diabetic wounds. In parallel, recent advances in multifunctional wound dressings have highlighted the benefit of integrating material design with bioactive cues to address the complex pathology of chronic wounds [29, 30]. Notably, Koupai et al. reported a vanillin and IGF-1 loaded dual-layer micro nanofibrous dressing, which was shown to provide antibacterial protection, modulation of inflammation, and growth factor associated tissue regeneration [31]. In this context, our gene-based strategy may complement material-based approaches by enabling sustained in situ production of PDGF-BB via LNP delivered circular mRNA, whose enhanced nuclease resistance may be compatible with the inflammatory and protease rich environment of diabetic wounds. Together, multifunctional dressings that help establish a favorable wound microenvironment and nucleic acid-based therapies that may aim to restore impaired growth factor signaling could potentially act in a complementary manner.
Despite the promising therapeutic outcomes observed in this study, several important limitations should be acknowledged. First, patients with diabetes are highly heterogeneous, and substantial differences in the wound microenvironment—including glycemic control, insulin resistance, peripheral neuropathy, local blood perfusion, inflammatory status, and immune responses—can result in considerable variability in treatment efficacy among individuals. Consequently, the present therapy is likely to be most effective in wounds with relatively preserved circulation, controllable inflammation, and retained cellular responsiveness, and it is neither intended nor sufficient to serve as a universal treatment or to replace existing standard-of-care practices such as debridement, offloading, or cell-based therapies. Second, the evaluation was conducted over a relatively short observation period, allowing assessment of wound closure, angiogenesis, and extracellular matrix deposition but not fully capturing long-term tissue remodeling, scar quality, or potential fibrotic or immune-related outcomes. In addition, the murine diabetic wound model used, although widely accepted, does not fully recapitulate the complexity of human diabetic wounds, particularly regarding chronic inflammation, immune dysfunction, and comorbid vascular disease. Finally, while the current LNP formulation demonstrated favorable short-term biocompatibility and sustained local expression, further investigation into long-term immunogenicity, optimization of lipid composition and dosing strategies, and potential integration with advanced wound care modalities will be necessary to enhance translational relevance. Addressing these limitations will be essential for advancing this approach toward clinical application.
Conclusions
In summary, this work establishes a robust and translationally-oriented therapeutic strategy founded upon two synergistic technologies: the implementation of engineered circular RNA structural topology confers prolonged and stable expression of PDGFB, effectively overcoming the transient protein expression limitations inherent to conventional linear mRNA platforms, and the rationally designed LNP-based delivery system ensures efficient biodistribution. The resultant integrated LNP-circPDGFB platform drives a coordinated healing response by simultaneously activating pro-angiogenic and pro-fibrogenic functional modules, which translates into accelerated wound closure, enhanced mature neovascularization, and robust collagen matrix deposition in a diabetic murine model. Coupled with a favorable immunogenicity profile and sustained pharmacodynamic activity following single-dose administration, these mechanistic and therapeutic advantages strongly underscore the translational potential of this RNA-based approach for effective clinical management of diabetic wounds.
Methods
Materials
Citrate buffer (Cat: C1013-100 ml) was purchased from Solarbio (Beijing, China). Streptozotocin (STZ) (Cat: HY-13753-100 mg) was purchased from MedChemExpress (New Jersey, USA). Ionizable lipid (SM-102), Cholesterol, 1,2-distearoyl-sn-glycero-3-phosphocholine (DSPC), and 1,2-dimyristoyl-rac-glycero-3-methoxypolyethylene glycol-2000 (DMG-PEG2000) were purchased from Genscript (Guangzhou, China). Ready-to-use tribromoethanol anesthetic (Cat: M2920) was purchased from Nanjing Aibei Biotechnology Co.Ltd. (Nanjing, China). The Dual-Luciferase Reporter Assay Kit (Cat: DL101-01) was purchased from Vazyme Biotech Co.Ltd. (Nanjing, China). The EdU Detection Kit (Cat: C10310-1/2/3) was purchased from RiboBio Co.Ltd. (Guangzhou, China). Anti-fade mounting medium with DAPI (Cat: P0131-25 ml) was purchased from Beyotime (Shanghai, China). Matrigel (Cat:356234) was purchased from Corning Inc. (New York, USA). Transwell plates (Cat:3422) were purchased from Corning Inc. (New York, USA). HiScript IV ALL-in-One Ultra RT SuperMix (Cat: R433-01) for qPCR was purchased from Vazyme Biotech Co.Ltd. (Nanjing, China).
Synthesis of linear and circular RNA
Linear and circular mRNA vectors were constructed by Genscript (Guangzhou, China). The genes of firefly luciferase (Fluc), green fluorescent protein (GFP) and PDGFB (Gene ID: 18591) were taken as inserts. For construction of linear mRNA vectors, mRNA was produced in vitro by T7 High Yield RNA Synthesis Kit on a linearized DNA template, which encoding 5′-UTR sequence, Pdgfb open reading frame, 3′-UTR sequence, and poly-A tail sequence. UTP was replaced with 1-methylpseudouridine (m1Ψ) to produce mRNA containing modified nucleosides. The initial linear mRNA was capped and purified by the Genscript Capping System. Using linear DNA as a template, the Fluc-mRNA and GFP-mRNA were prepared in the same method. All mRNA was analyzed by agarose gel and cryopreserved at −20 °C.
For construction of circular mRNA vectors, the empty circRNA backbone with 5′ homology arm sequence, 3′ intron sequence, linker-1 sequence, IRES sequence, linker-2 sequence, 5′ intron sequence and 3′ homology arm sequence were designed in the authors’ laboratory and synthesized by Genscript (Guangzhou, China). The coding sequences (CDS) of PDGFB, Fluc and GFP were PCR amplified and inserted into the empty circRNA backbone via Gibson assembly, generating circRNA expression plasmids for in vitro transcription (IVT). PDGFB circRNA was synthesized by Genscript. Using T7 High Yield RNA Synthesis Kit, PDGFB circRNA precursor was synthesized via IVT from linearized circRNA plasmid template. RNA product was mixed with appropriate DNase I for 30 min to digest the initial DNA template and the product was column purified with Monarch RNA Cleanup Kit. Subsequently, the reaction mixture was added with GTP at a concentration of 2 mM, and then the mixture was incubated at 55 °C for 15 min to catalyze the cyclization of circRNA. To enrich circular RNA products, the sample was digested with RNase R at 37 °C for 15–30 min, followed by additional column purification. The same procedure was applied to synthesize Fluc and GFP circRNAs.
LNP encapsulation of linear and circular RNA
Lipid nanoparticles encapsulating either linear or circular RNA were prepared using a microfluidic-based method. In brief, an RNA aqueous solution at pH 4.0 is quickly combined with a lipid mixture dissolved in ethanol. The lipid mixture consists of an ionizable cationic lipid, DSPC, DMG-PEG2000 and cholesterol. The ratios for the lipid mixture are as follows: SM-102: DSPC: cholesterol: DMG-PEG2000 = 50:10:38.5:1.5. The resulting LNP suspension was then dialyzed against PBS and stored at −80 °C at a final concentration of 0.1 mg/mL for further use. The encapsulation efficiency of linear and circular mRNA was determined using the Quant-iT RiboGreen RNA Assay Kit (Invitrogen, R11490↗). Specifically, TE buffer and 2% TE-Triton buffer, which could break the lipid layer of the lipid nanoparticles, were used respectively to treat LNP samples in order to determine the amount of dissociating circRNA and total circRNA, and the fluorescence intensity was measured by microplate reader after adding Ribogreen reagent. The encapsulation efficiency was determined by the following formula: Encapsulation efficiency (%) = [(total circRNA-free circRNA)/total circRNA] × 100%. Particle size, polydispersity index (PDI) and Zeta potential of LNP-circRNA or LNP-linRNA was measured by dynamic light scattering (DLS) (Malvern, Zetasizer Nano ZS, Herefordshire, UK).
In vitro transfection with LNP-linGFP and LNP-circGFP
Twenty-four hours prior to transfection, HEK293T cells were passaged into 12-well plates to achieve 30% confluency. The cells were transfected with either LNP-linGFP or LNP-circGFP (0.5 µg/well; stock concentration: 0.1 µg/µL). Fresh complete medium (DMEM supplemented with 10% fetal bovine serum) was added before transfection. Three replicate wells were set up for each group, with an untreated group serving as the blank control. After 6 h, the medium was replaced. GFP fluorescence was monitored every other day (on days 1, 3, 5, 7, 9, 11, 13, 15 and 17) using an inverted fluorescence microscope to assess mRNA expression and LNP delivery efficiency. The medium was refreshed daily to maintain cell viability.
Western blot analysis
Western blot was performed as previously described [32]. 293 T cells transfected with LNP-GFP circRNA, LNP-GFP linRNA, LNP-linPDGFB or LNP-circPDGFB were collected and lysed with 1× loading buffer. Proteins were separated by SDS-PAGE (90 V for stacking gel, 120 V for separating gel) and transferred to PVDF membranes (350 mA, 70 min). Membranes were blocked with skim milk for 1 h, incubated with primary(GFP 1:1000; Cell SignalingTechnology 2956 S、PDGFB 1:50;Santa Cruz sc-36580、β-tubulin (1:5000; BeijingRay Antibody Biotech, RM2003) and HRP-conjugated secondary antibodies, and visualized using the Bio-Rad ChemiDoc Imaging System after ECL substrate application.
Luciferase reporter assay
293 T cells (1 × 10⁴/well) were cultured in 24-well plates until reaching 30% confluence. Cells were treated with 2 µL of LNP-Fluc circRNA or LNP-Fluc linRNA for 24 h. After removing the medium, cells were washed twice with PBS and lysed with 1× Cell Lysis Buffer for 5 min at room temperature. Lysates were centrifuged at 12,000 × g for 2 min, and supernatants were collected. For detection, 20 µL of lysate was mixed with 100 µL Luciferase Substrate (Dual Luciferase Reporter Assay Kit; DL101Vazyme), and Firefly luciferase activity was immediately measured using a microplate reader. Relative fluorescence intensity was assessed at 72 h and 120 h using the same method.
RT-qPCR (Quantitative real-time PCR)
Real-time quantitative PCR was performed as previously described [33]. Total RNA was extracted using TRIzol reagent (Vazyme Biotech, R411-01). cDNA was synthesized from 1 µg RNA using the HiScript IV All-in-One Ultra RT SuperMix for qPCR (Vazyme Biotech, R433-01) according to the manufacturer’s protocol. Gene-specific primer pairs (designed using NCBI tools) are listed in Supplementary Table S2. Quantitative real-time PCR was performed using SYBR Green Master (Vazyme Biotech, Q711-03) according to the manufacturer’s protocol. All reactions were performed in technical triplicates, with β-actin/GAPDH as the internal control.
Cell proliferation assays
For proliferation assessment, HUVEC and NIH3T3 cells were seeded in 96-well plates (1,000 cells/well) and cultured until 30% confluence. The five treatment groups were incubated with cells for 72 h, with untreated cells serving as controls. Cell viability was measured using Cell Counting Kit-8 (CCK-8, BeyoTime C0037) according to the manufacturer’s protocol. Briefly, 10 µL of CCK-8 reagent (diluted 1:1000 in DMEM) was added to each well, followed by 2-h incubation at 37 °C. Absorbance at 450 nm was measured using a microplate reader. For EDU, twenty-four hours prior to transfection, both cell types were seeded into 48-well plates (2,000 cells/well). The same five treatment groups as before were applied: LNP-linFluc, LNP-circFluc, PDGF-BB protein, LNP-linPDGFB, and LNP-circPDGFB. After 72 h of pre-treatment, cell proliferation was assessed according to the EdU assay kit instructions (RiboBio, C10310-1/2/3).
Cell migration assays
Cell migration capacity was evaluated using Transwell chambers (Corning 3422, USA). NIH3T3 and HUVEC cells were seeded into 24-well plates 24 h before transfection to achieve 30% confluency. After 24 h, the cells were transfected with LNP-linFluc, LNP-circFluc, PDGF-BB protein, LNP-linPDGFB or LNP-circPDGFB (7 µg/well). Following 72 h of pretreatment, the cells were trypsinized, counted, and resuspended in 100 µL of serum-free DMEM medium. The cell suspension was then transferred to the upper chamber of a Transwell insert placed in a 24-well plate at a density of 60,000 cells/well. The lower chamber contained 700 µL of DMEM medium supplemented with 20% FBS. After incubation for 24 h (37 °C, 5% CO₂), the upper chamber was removed, washed three times with PBS, fixed with 4% paraformaldehyde for 2 h and stained overnight with 0.1% crystal violet (Solarbio, C8470). After staining, non-migrated cells on the upper surface were gently removed with a cotton swab. The migrated cells were then observed under a microscope and images were captured.
Tube formation assay
HUVEC cells were seeded into 24-well plates for pretreatment under the same conditions and groups as used in the Transwell migration assay. First, 30 µL of Matrigel (Corning, 356243) was added to each well of a 24-well plate and evenly spread to cover the bottom, followed by incubation at 37 °C in a CO₂ incubator for 60 min to allow gel polymerization. After 72 h of pretreatment with the five mRNA groups, the cells were trypsinized, counted and seeded onto the polymerized Matrigel at a density of 2 × 10⁴ cells per well. The cells were then incubated for 12 h (37 °C, 5% CO₂), and tube formation was documented under a microscope.
Bioluminescence imaging of circRNA expression dynamics
Male C57BL/6 mice (20–25 g) were anesthetized with isoflurane and received 9-mm full-thickness dorsal wounds created using sterile biopsy punches. The animals were divided into two treatment groups receiving single topical applications of: LNP-linFluc and LNP-circFluc (10 µg mRNA in 20 µL solution per wound, the mRNA dose, administration route, and key time points were primarily determined based on previously published studies that systematically evaluated the expression kinetics, duration of biological activity, and safety of LNP-mediated mRNA or delivery in diabetic wound models [26, 34]. After 60-min immobilization to ensure formulation absorption, bioluminescence imaging was performed following intraperitoneal injection of D-luciferin (15 mg/ml, MB1834, MeilunBio) using an AniView100 (PHOTON) with standardized acquisition parameters which mice were maintained under isoflurane anesthesia. The imaging protocol enabled quantitative comparison of temporal expression patterns between linear and circular RNA constructs, with photon flux (photons/sec/cm²/sr) quantified using Living Image software. Experimental rigor was maintained through: uniform wound dimensions (9 ± 0.2 mm) and exclusion of specimens with dosing irregularities. Three independent replicates were performed per timepoint, with system calibration conducted before each imaging session to ensure measurement consistency. This longitudinal approach provided direct visualization of the enhanced pharmacokinetics conferred by circRNA’s nuclease resistance in the wound microenvironment.
Diabetic mouse wound healing model and in vivo treatment
All animal studies were approved by the Institutional Animal Care and Use Committee of South of China Agricultural University. Mice were housed in specific pathogen-free conditions at 20–26℃, with 30–70% humidity. Animals were monitored regularly throughout the study and that predefined humane endpoints were applied to minimize suffering, in accordance with institutional animal care guidelines. For the in vivo experiments, mice were age-matched and randomly assigned to experimental groups, using at least n = 3 mice per genotype or treatment. C57BL/6J (WT) mice were purchased from Guangzhou Yancheng Biological Technology Co. Ltd (Guangzhou, China). Diabetes was induced in C57BL/6 male mice (20–25 g) via 2 weeks of high-fat/high-sugar diet followed by intraperitoneal injection of streptozotocin (STZ, HY-13753-50 mg MedChemExperss) dissolved in citrate buffer (PH = 4.5 C1013-100 ml Solarbio). Mice with fasting blood glucose > 11.1 mmol/L (measured via tail vein blood using Sinocare glucometer) 1-week post-STZ were considered diabetic. Diabetic mice were randomly divided into 9 groups (n = 3 per group): LNP-linFluc, LNP-circFluc, PDGF-BB protein, Regranex, LNP-linVEGF, LNP-circVEGF, LNP-linPDGFB, LNP-circPDGFB treatment groups, and an untreated control group. All procedures were performed under anesthesia induced by tribromoethanol (M2920, Nanjing Aibei Biotechnology). After removing dorsal hair, full-thickness skin wounds (6 mm in diameter) were created using a sterile biopsy punch, and sew a ring with an inner circle of 9 mm along the edge of the wound and stick it on. The nine treatment groups received topical application of their respective solutions, while the control group remained untreated. Anesthesia was maintained for 60 min to facilitate absorption. Wound healing progress was recorded every other day post-treatment using a ruler for size calibration. Quantitative analysis was performed using ImageJ software. On day 15 after surgery, the mice were euthanized, and wound specimens were collected for paraffin embedding and histological examination.
Histological analysis
On day 15, wound tissues (1 × 1 cm squares) were fixed in 4% paraformaldehyde for 24 h, paraffin-embedded, and sectioned (5 μm thickness) using hematoxylin and eosin (H&E) staining, Masson’s trichrome staining (performed according to the kit instructions), and immunofluorescence (IF) staining to assess tissue formation, collagen deposition, capillary density, immune cell infiltration, and inflammatory cytokine expression. For immunofluorescence staining, antigen retrieval was performed on tissue sections using antigen retrieval buffer under microwave treatment. The sections were then blocked with ready-to-use goat serum at 37 °C for 30 min. The primary antibodies used were: α-SMA (ab124964, 1:4000; Abcam), CD31 (AF3628, 1:2000; R&D Systems; stock concentration 0.2 mg/ml), Collagen I (ab270993, 1:2000; Abcam), CD3 (100206, 1:2000; BioLegend), CD20 (PA516701↗, 1:600; Thermo), CD68 (ab955, 1:50; Abcam), TNFα (26405-1-AP, 1:5000; Proteintech), IL-6 (A0286, 1:5000; ABclonal), and IL-17 (506904, 1:2000; BioLegend). The primary antibodies were incubated at 4 °C overnight. The corresponding secondary antibodies were: Alexa Fluor 647 donkey anti-goat IgG (ab150131, 1:667; Abcam), Alexa Fluor 488 goat anti-mouse IgG (ab150113, 1:667; Abcam), Alexa Fluor 488 goat anti-rabbit IgG (ab150077, 1:667; Abcam), and Alexa Fluor 555 donkey anti-mouse IgG (ab150110, 1:667; Abcam). Finally, the sections were mounted with an anti-fade mounting medium containing DAPI (P0131-25 ml; Beyotime) and imaged using a confocal microscope. Quantitative analysis of α-SMA, CD31, Collagen I, IL-6, IL-17, and TNF-α expression was performed using ImageJ software.
Processing of scRNA-seq data
The sequencing reads were assessed by quality metrics, and raw reads were mapped to the mouse reference genome (mm10) to generate gene expression matrices via CellRanger pipeline [35] (10× Genomics, v8.0.0). The gene expression matrix was processed using Seurat package [36] (version 4.3.0). Low-quality cells were filtered out if they had fewer than 500 UMI counts, fewer than 200 detected genes, more than 6000 detected genes, or mitochondrial read percentages exceeding 5% [37, 38]. Furthermore, to avoid the effects of doublets, potential doublets were predicted using the DoubletFinder package [39] (v2.0.3) and excluded.
Gene expression was normalized, scaled by a factor of 10,000, and then log-transformed. The top 2000 highly variable genes (HVGs) were detected with the FindVariableFeatures function and used for subsequent analysis. Principal component analysis (PCA) was performed on those HVGs with the PCA function. Batch effects were corrected using the canonical correlation analysis (CCA) method in Seurat package, based on the top 30 PCA components. For visualization, unsupervised Uniform Manifold Approximation and Projection (UMAP) dimensionality reduction and cell clustering were performed using the top 30 principal components via the RunUMAP, FindNeighbors and FindClusters functions.
Differential expression and functional enrichment analysis
To identify differentially expressed genes (DEGs) between groups, we used the FindMarkers function with test.use = “wilcox”. Genes with |log2FoldChange| > 0.25 and P value < 0.05 were considered DEGs. Gene Ontology (GO) [40] and Gene Set Enrichment Analysis (GSEA) [41] pathway enrichment analyses were performed using the clusterProfiler package [42] (v4.0.5) with an adjusted P-value threshold of 0.05. P-values were adjusted using the Bonferroni method.
Statistical analysis
Statistical analyses were performed using GraphPad Prism 8.0 software (GraphPad Software, La Jolla, CA, USA). All quantitative data are presented as mean ± standard error of the mean (SEM) from at least three independent experiments. Prior to parametric statistical analyses, data distributions were assessed for normality to confirm that the assumptions underlying these tests were met. Comparisons among multiple groups were conducted using one-way analysis of variance (ANOVA), while comparisons between two groups were performed using Student’s t-test. A P value < 0.05 was considered statistically significant.
Supplementary Information
Supplementary Material 1