Cutaneous wounds, particularly chronic and nonhealing wounds such as diabetic ulcers and infected skin injuries, pose major health care challenges that affect patients' quality of life and impose a substantial economic burden on health care systems (
1). These wounds are complicated by infection and excessive inflammation, which delay healing. Therefore, effective wound management requires attention to multiple factors, including infection control, inflammation modulation, and tissue regeneration (
2). Conventional wound treatments that rely on topical application face several challenges, including low penetration, burst release, inability to deliver multiple drugs simultaneously at a single site, rapid drug clearance, poor local retention, limited efficacy, and systemic adverse effects (
3). Topical therapies that integrate antimicrobial and anti-inflammatory properties are essential for promoting healing (
4). Conventional wound treatment approaches often rely on the topical application of single therapeutic agents, such as antibiotics for infection prevention or anti-inflammatory drugs for pain and inflammation management (
5).
Tetracycline, a broad-spectrum antibiotic, has excellent antimicrobial activity against both gram-positive and gram-negative bacteria commonly associated with wound infections (
6). In addition, tetracycline has matrix metalloproteinase (MMP)-inhibitory properties, which can reduce excessive extracellular matrix degradation in chronic wounds (
7). Indomethacin, a nonsteroidal anti-inflammatory drug (NSAID), effectively reduces inflammation and pain through cyclooxygenase (COX) inhibition (
8). Although inflammation is essential for the initiation of wound healing, excessive or prolonged inflammatory responses can impair tissue regeneration. Strategic modulation of inflammation using NSAIDs can optimize healing outcomes (
9).
Nanocarriers enable localized sustained release and improve drug stability and efficacy (
10). Metal-organic frameworks (MOFs) have been extensively investigated as drug delivery systems because of their tunable porosity and high loading capacity. For example, zinc-based MOFs such as ZIF-8 have been used to load antibiotics, including tetracycline, for antibacterial therapy (
11).
MOFs, particularly zinc-based varieties functionalized with β-cyclodextrin (β-CD), are porous crystalline materials that have emerged as versatile drug delivery platforms. Their unique properties, including high surface area, tunable porosity, biocompatibility, improved hydrophilicity, host-guest drug inclusion, biological tissue interaction, and multidrug loading capacity, make them favorable carriers for controlled and targeted delivery (
12,
13).
MOFs such as ZIF-8 are attractive because of their simple synthesis, small particle size, and well-established drug delivery applications. However, several considerations justified the selection of Zn2(BDC)2(DABCO)-β-CD in this study.
1. Drug loading versatility: ZIF-8 has hydrophobic internal surfaces and lacks intrinsic host-guest inclusion capability for hydrophobic molecules, unlike Zn-β-CD, which provides a dual-compartment loading mechanism.
2. Controlled dual release: ZIF-8 exhibits pH-sensitive degradation, which is beneficial for tumor therapy. In contrast, the Zn
2(BDC)
2(DABCO)-β-CD system provides diffusion-controlled release from MOF pores and potentially smoother release kinetics, which are advantageous for sustained topical therapy (
14).
3. Structural stability and tunability: The Zn
2(BDC)
2(DABCO) framework offers larger pore dimensions than many ZIF systems, enables π-π interactions, provides better adaptability for postsynthetic modification such as β-CD integration, and supports the rational design of multidrug systems (
15).
The choice of Zn
2(BDC)
2(DABCO)-β-CD was guided by functional design requirements rather than by simplicity of synthesis. Zinc-based frameworks structurally related to Zn
2(BDC)
2(DABCO) have been evaluated for single-drug delivery applications, mainly focusing on either antimicrobial or anticancer agents (
13). However, these studies primarily investigated single-drug systems, and dual therapeutic strategies were not explored. Co-loading antibacterial tetracycline and anti-inflammatory indomethacin may synergistically enhance wound repair by combating infection and reducing local inflammation (
16).
The novelty of this project is the simultaneous co-loading of tetracycline and indomethacin within a Zn2(BDC)2(DABCO)-MOF platform modified with β-cyclodextrin. No previous study has described β-CD modification of Zn2(BDC)2(DABCO) specifically to create dual loading compartments: one for hydrophilic antibiotic incorporation through coordination and hydrogen bonding and another hydrophobic cavity for indomethacin inclusion. This specific hybrid system has not previously been presented as a topical ointment formulation for wound healing with in vivo evaluation. Therefore, the novelty of the present study lies in the rational integration of 1) a zinc-based porous MOF matrix for tetracycline loading, 2) β-cyclodextrin functionalization for hydrophobic indomethacin encapsulation, and 3) a dual-action sustained-release topical platform targeting both bacterial infection and inflammation in wound healing.
Unlike previous studies that focused on either antibacterial or anti-inflammatory monotherapy, the present work introduces a multifunctional β-CD-modified Zn2(BDC)2(DABCO) nanocomposite engineered for synchronized dual-drug delivery, addressing 2 major pathological components of wound repair within a single nanocarrier system.
Zn
2(BDC)
2(DABCO) MOF (BDC = 1,4-benzenedicarboxylate; DABCO = 1,4-diazabicyclo[2.2.2]octane) has a pillared-layer structure with accessible pores suitable for drug encapsulation (
17). The components of the MOF matrix create a heterogeneous microenvironment that confers distinct physicochemical characteristics influencing drug loading and release behavior.
Zinc is an essential trace element with a critical biological role in tissue repair. Therefore, partial degradation of the MOF and controlled Zn
2+ release may synergistically enhance wound healing alongside tetracycline and indomethacin. The presence of zinc metal nodes and carboxylate linkages also generates polar coordination sites capable of hydrogen bonding and electrostatic interactions (
11).
Regarding the Zn
2(BDC)
2(DABCO) framework, its internal pore environment is not purely hydrophobic. The terephthalate (BDC) aromatic rings introduce partially hydrophobic domains within the framework, which can promote π-π and hydrophobic interactions with drug molecules. The organic linker BDC and the DABCO ligand do not have inherent wound-healing activity; however, they contribute to the structural rigidity, porosity, and controlled degradation behavior of the framework (
18).
The presence of zinc metal nodes and carboxylate linkages generates polar coordination sites capable of hydrogen bonding and electrostatic interactions. The incorporation of β-CD enhances nanocomposite performance through multiple mechanisms (
19). This framework incorporates β-CD, a biocompatible cyclic oligosaccharide with a hydrophobic cavity suitable for the inclusion of lipophilic drugs such as indomethacin. The external surface of β-CD is hydrophilic because of the presence of multiple hydroxyl groups. This amphiphilic nature enhances the aqueous dispersibility of the overall nanocomposite while enabling selective host-guest complexation, controlling release kinetics, and improving bioavailability for combined antibacterial and anti-inflammatory therapy (
20).
Tetracycline, which contains multiple hydroxyl and amide functional groups, is primarily associated with the MOF framework through hydrogen bonding and possible coordination interactions with Zn
2+ centers (
6). In contrast, indomethacin is preferentially encapsulated within the hydrophobic cavity of β-CD through host-guest inclusion (
21).
This mixed chemical environment enables the system to accommodate both hydrophilic and hydrophobic drugs simultaneously while enhancing the antibacterial properties of the zinc-based nanocomposite and leveraging the synergistic effects of indomethacin and tetracycline in wound repair and healing.