Skin wounds are physical injuries that are sometimes accompanied by unpleasant side effects such as severe bleeding. However, in some cases, the wounds can be more catastrophic, which leads to microbial infections and ultimately death. Recent reports have revealed that bacterial infections origin ~ 13.6% (1 in 8) of all global deaths, which makes them the second-leading cause of death globally. The wounds provide possible and available pathways for infections to enter the body. Dressing the wound for healing and developing various processes that help accelerate wound healing are as old as human history. Today, wound dressings are advanced materials that are designed and manufactured with several purposes, including helping blood coagulation in the injured region 1, preventing infections 2, treating inflammation 3, drug delivery 4,5, accelerating the healing process 6,7, and regeneration of the lost tissue 2,8. Among the various properties of wound dressings, the ability to prevent bacterial infections is one of their most important characteristics. In this regard, various approaches, such as using antibacterial drugs, have been proposed 9,10. However, the chemical drugs can result in bacterial drug resistance, and weakening of the patient’s immune system 11.
Recently, the nanocomposite wound dressing embedded with antibacterial materials, especially metallic nanoparticles, has become one of the interesting and developing approaches for treating wounds 12. Many researchers have demonstrated more efficient healing process with nanocomposite dressings than traditional ones 13–15. However, these nanoparticles can be surrounded by the proteins and other biological species present in the body, losing their effectiveness 16. Agglomeration and subsequent decentralized releasing of the nanoparticles can lead to unbalanced effects and could be other shortcomings of the wound dressings functionalized with the metallic nanoparticles.
Metal-organic framework (MOF) is known as a type of nanoporous materials consisting of metal ions or clusters that coordinate with organic ligands, which create nanoscale three-dimensional (3D) structures 17. The MOFs have various rising applications, including drug delivery systems 18, gas separation and storage 19, biomimetic mineralization 20, energy storage 21, and advanced tissue engineering 3,22,23. Moreover, having a fully nanoporous platform, the MOFs-functionalized wound dressings can mimic the biological nanoscale structures of the extracellular matrix (ECM) 2,3,24. Silver-based MOFs (Ag-MOFs) are one of the new kinds of MOFs, which can be made using different organic ligands. Compared to the silver nanoparticles (AgNPs), the Ag-MOFs can act as a source for the gradual release of the Ag ions 25,26. Berchel and co-workers 27 designed a three-dimensional (3D) Ag-MOF made of Ag+ ions and 3-phosphonobenzoic acid, which effectively destroyed bacterial cells through the continuous release of the Ag+ ions. While the toxicity of the Ag-MOFs to human red blood cells is negligible 28. It has been approved that the Ag-MOFs benefit from superior antibacterial effects on different bacterial strains, including E. coli strain MG1655, three S. aureus strains methicillin-resistance S. aureus (MRSA), RN4220 and Newman, and two Pseudomonas aeruginosa (PA) strains PA240709 and PA130709 28. Moreover, the Ag-containing materials can limit undesired biofilms formed by the Enterobacter cloacae, Streptococcus thermophiles, and Propionibacterium acnes, the bacteria that are generally existent within the wounds 29,30. Ning et al. 31,32 synthesized various Ag-MOFs using different organic carboxylic acid ligands. They demonstrated that the production of antibacterial properties was mainly related to the slow Ag+ releasing, and synergistic effect associated with the reactive oxygen species (ROS). Therefore, it would be appropriate to mix various tissue repair approaches with the MOFs to develop a multi-functional wound dressing equipped with histocompatibility for treatment of the wound infections.
In order to design and produce efficient wound dressings, recognizing the biological and structural characteristics of the target living tissue is critical. The ECM is a complex network made of interwoven nanoscale fibrous proteins that in addition to supporting the cells, can direct the cell activities through creating the guiding platforms. Therefore, it is difficult to design and build scaffolds that can satisfactorily mimic the ECM’s behaviors. Using the synthetic nanofibers to biomimetic the ECM’s polymeric network along with the addition of favorable components such as the MOFs for inducing desired properties, has led to development of the novel wound dressings. Accordingly, in this research, nanofibrous bacterial cellulose (BC) was used as the matrix of the wound dressing to create a porous structure with a high specific surface area, creating pathways for oxygen and body fluids, along with mimics the nanoscale ECM tissues. An innovative nanorod silver-based MOF (AgNA) was fabricated using biocompatible niacin (the active form of vitamin-B3) ligands. The niacin benefits from optimistic properties, including antioxidant, anti-inflammatory, and immunomodulatory activities, as well as epithelization-inducing action, which can offer positive effects on the wound healing process. The AgNA MOFs were synthesized through an environmentally-friendly, simple, and cost-effective process. The effects of adding prepared AgNA MOFs on the physico-chemical, structural, and biological performances of the BC wound dressings were investigated. According to our best knowledge, this kind of multicomponent biological nanocomposites, i.e. the bacterial cellulose nanofibers functionalized with the AgNA MOFs, has not been created for wound dressings. Therefore, it is expected that the present study will create new perspectives for the development of the porous, biomimetic, and multifunctional platforms so that they can make constructive interactions with the living tissue, and heal the wounds in shorter periods of time.