Antibiotic resistance is a major challenge in the clinical treatment of bacterial infectious diseases. Herein, we constructed a multifunctional DNA nanoplatform as a versatile carrier for bacteria-specific delivery of clinical antibiotic ciprofloxacin (CIP) and classic nanoantibiotic silver nanoparticles (AgNP). In our rational design, CIP was efficiently loaded in the self-assembly double-bundle DNA tetrahedron through intercalation with DNA duplex, and single-strand DNA-modified AgNP was embedded in the cavity of the DNA tetrahedron through hybridization. With the site-specific assembly of targeting aptamer in the well-defined DNA tetrahedron, the bacteria-specific dual-antibiotic delivery system exhibited excellent combined bactericidal properties. With enhanced antibiotic accumulation through breaking the out membrane of bacteria, the antibiotic delivery system effectively inhibited biofilm formation and promoted the healing of infected wounds in vivo. This DNA-based antibiotic delivery system provides a promising strategy for the treatment of antibiotic-resistant infections.

The serve burn or scald wounds always face persistent infections and self-repair function decline caused by serious tissue necrosis, leading to delayed healing or even sepsis. In this work, we proposed a click-chemistry hydrogel delivery system of antibacterial and tissue remodeling function nanovesicles for deep scald wound treatment. An hydrophilic photodynamic aggregation-induced emission photosensitizer 4-(2-(5-(4-(diphenylamino)phenyl)thiophen-2-yl)vinyl)-1-(2-hydroxyethyl) pyridin-1-ium bromide (THB) was firstly encapsulated into nanovesicles derived from easily accessible adipose stem cells (ANVs) to create THB@ANVs, which exhibits enhanced bacteria-targeting property and multiple tissue remodeling effects. To deliver THB@ANVs, an injectable click-chemistry hydrogel of carboxymethyl chitosan was used to form a wound treatment system for deep scald wounds. The hydrogel can well matching the wound morphology and respond to the acidic microenvironment of the wound to accelerate sustained release. In vivo wound healing evaluations show that the composite hydrogel can efficiently accelerate wound healing by reducing the number of bacteria, promoting early angiogenesis, and regulating immune reaction. This study provides a simple, low-cost, and effective “one-stop” strategy with diverse functions and wide applicability for scald wound remodeling and antibiosis.