Enhanced In Vivo Wound Healing Efficacy of a Novel Hydrogel Loaded with Copper (II) Schiff Base Quinoline Complex (CuSQ) Solid Lipid Nanoparticles

Wound dressings created using nanotechnology are known as suitable substrates to speed up the healing of both acute and chronic wounds. Therapeutic substances can be delivered using these materials. In this study, a hydrogel loaded with Cu (II) Schiff base 8-hydroxy quinoline complex (CuSQ) solid lipid nanoparticles (SLN) was formulated to investigate its wound healing potential in an excision wound healing model in rats. The CuSQ SLN were spherical shaped with sizes ranging from 111 to 202 nm and a polydispersity index (PDI) ranging from 0.43 to 0.76, encapsulation efficiency (EE) % between 85 and 88, and zeta potential (ZP) of −11.8 to −40 mV. The formulated hydrogel showed good homogeneity, good stability, and a pH of 6.4 which indicates no skin irritation and had no cytotoxicity on the human skin fibroblast (HSF) cell line. In the in vivo study, animals were placed in five groups: control, standard, plain hydrogel, low dose, and high dose of CuSQ hydrogel. Both doses of CuSQ showed significantly faster healing rates compared to standard and control rats. In addition, the histopathology study showed more collagen, improved angiogenesis, and intact re-epithelization with less inflammation. A significant increase in transforming growth factor-beta1 (TGF-β1) level and increased immune expression of vascular endothelial growth factor (VEGF) by CuSQ treatment validates its role in collagen synthesis, proliferation of fibroblasts and enhancement of angiogenesis. Matrix metalloproteinase-9 (MMP-9) was found to be significantly reduced after CuSQ treatment. Immunohistochemistry of tumor necrosis factor alpha (TNF-α) revealed a marked decrease in inflammation. Thus, we concluded that CuSQ would be a beneficial drug for cutaneous wound healing since it effectively accelerated wound healing through regulation of various cytokines and growth factors.


Introduction
Biopolymer-based wound dressings and bioengineered skin substitutes including hydrogels, sponges, and electrospun mats are generally thought to play a crucial role in wound healing as they can stop excessive water loss from the wound and protect it from infection [1,2]. Due to their resemblance to the extracellular matrix (ECM), hydrogels have been found to be particularly useful biomaterials for applications in tissue engineering and wound healing [3][4][5]. Benefits of hydrogels include proper absorption of wound exudate,

Physicochemical Properties
The CuSQ complex is colored and resistant to moisture and air. The analytical findings support the hypothesized chemical formula and demonstrate that 1:1:1 mixed ligand Salen/8-hydroxy quinoline complex was formed. The complex's molar conductance in a 10 -3 M DMF solution is 24.10 Ω -1 cm 2 mol -1 . This finding confirms the solution's nonelectrolytic nature (Table 1).

Fourier Transformation Infrared Spectra (FTIR)
In Figure 1 and Table 2, the FTIR spectra of Salen and the CuSQ complex are depicted. A band at 1608 cm −1 in the spectrum of Salen may indicate the presence of the C=N azomethine group. This band is moved to a higher frequency upon CuSQ complex synthesis (1624 cm −1 ). This demonstrates the azomethine nitrogen's involvement in complex formation [17][18][19]. The shift of a band from 1247 cm −1 in Salen to 1213 cm −1 during complex formation due to the v (C-O) peak provides more evidence for the coordination of the phenolic oxygen. The formation of additional bands at 442 and 516 cm −1 that correspond to the stretching vibrations of the M-N and M-O bonds [20,21] provides support to this. omethine group. This band is moved to a higher frequency upon CuSQ complex synthesis (1624 cm −1 ). This demonstrates the azomethine nitrogen's involvement in complex formation [17][18][19]. The shift of a band from 1247 cm −1 in Salen to 1213 cm −1 during complex formation due to the v (C-O) peak provides more evidence for the coordination of the phenolic oxygen. The formation of additional bands at 442 and 516 cm −1 that correspond to the stretching vibrations of the M-N and M-O bonds [20,21] provides support to this.    Table 3 and Figure 2 display the UV-Vis spectra of the Salen ligand and its CuSQ complex in DMSO. Three absorption bands were observed in the Salen's electronic spectra at wavelengths of 280, 320, and 409 nm. The π-π * transition was thought to be responsible for the first band at max = 280 nm. The second and third absorption bands, located at max = 320 and 409 nm, respectively, were attributed to the charge transfer and the nπ * transition of the (C=N) group. The coordination of the azomethine nitrogen to the Cu (II) ions was confirmed by the spectrum of the CuSQ complex, which showed that these bands are displaced to 280 nm and 380 nm for the π-π * and n-π * transitions, respectively [22].    Table 3 and Figure 2 display the UV-Vis spectra of the Salen ligand and its CuSQ complex in DMSO. Three absorption bands were observed in the Salen's electronic spectra at wavelengths of 280, 320, and 409 nm. The π-π * transition was thought to be responsible for the first band at max = 280 nm. The second and third absorption bands, located at max = 320 and 409 nm, respectively, were attributed to the charge transfer and the n-π * transition of the (C=N) group. The coordination of the azomethine nitrogen to the Cu (II) ions was confirmed by the spectrum of the CuSQ complex, which showed that these bands are displaced to 280 nm and 380 nm for the π-π * and n-π * transitions, respectively [22]. Table 3. Electronic spectra of Salen ligand and its CuSQ complex.

Antimicrobial Bioassay
The results are listed in Table 4 and shown in Figure 3. These findings demonstrate that the CuSQ complex is a more effective inhibitor of microbial growth than the free Salen ligand. The inhibition zones for CuSQ are larger than those for gentamicin against S. aureus (+ve) (35 mm) and P. vulgaris (−ve) (33 mm), while the inhibition zones of gentamicin are

Antimicrobial Bioassay
The results are listed in Table 4 and shown in Figure 3. These finding that the CuSQ complex is a more effective inhibitor of microbial growth than ligand. The inhibition zones for CuSQ are larger than those for gentamicin reus (+ve) (35 mm) and P. vulgaris (−ve) (33 mm), while the inhibition zones are (24 mm) and (25 mm) respectively. The inhibition potency of CuSQ aga (+ve) is superior to that of gentamicin, where the inhibition diameter is 27 of gentamicin is 26 mm.

Scanning Electron Microscope (SEM)
The CuSQ-loaded SLNs were characterized by scanning electron microscope (SEM as shown in Figure 4. Particles were smooth and spherical in shape. Additionally, due t the lipid nature of the carriers, the presence of surfactants, and sample preparation prio to SEM examination, particles typically clustered together.   The CuSQ-loaded SLNs were characterized by scanning electron microscope (SEM) as shown in Figure 4. Particles were smooth and spherical in shape. Additionally, due to the lipid nature of the carriers, the presence of surfactants, and sample preparation prior to SEM examination, particles typically clustered together.

Characterization of CuSQ-Loaded SLNs
The CuSQ-loaded SLNs were characterized by scanning electro as shown in Figure 4. Particles were smooth and spherical in shape. the lipid nature of the carriers, the presence of surfactants, and sam to SEM examination, particles typically clustered together.

Particle Size, Polydispersity Index (PDI), and Zeta Potential An
To confirm that the particles of the SLNs are in the nanoscal measurement was carried out. All SLNs we prepared were in the na particle sizes ranging from 100 ± 0.26 nm to 202 ± 0.42 nm (n = 3). M tions had low values of polydispersity (0.43 ± 0.12-0.52 ± 0.11) (n = 3) size uniformities as shown in Table 5. Regarding zeta potential, va 0.13 and −40 mv ± 0.23 as shown in Table 5. Zeta potential measurem dispersion and storage stability predictions. Due to electrostatic repu cles with a high zeta potential are less likely to aggregate.

Entrapment Efficiency
The encapsulation efficiency percentage (EE%) was in the rang shown in Table 5. The proportion of core material incorporated into

Particle Size, Polydispersity Index (PDI), and Zeta Potential Analysis
To confirm that the particles of the SLNs are in the nanoscale range, particle size measurement was carried out. All SLNs we prepared were in the nanoscale, with typical particle sizes ranging from 100 ± 0.26 nm to 202 ± 0.42 nm (n = 3). Moreover, all formulations had low values of polydispersity (0.43 ± 0.12-0.52 ± 0.11) (n = 3) which ensure particle size uniformities as shown in Table 5. Regarding zeta potential, values were −11.8 mv ± 0.13 and −40 mv ± 0.23 as shown in Table 5. Zeta potential measurement enables colloidal dispersion and storage stability predictions. Due to electrostatic repulsion, charged particles with a high zeta potential are less likely to aggregate.

Entrapment Efficiency
The encapsulation efficiency percentage (EE%) was in the range between 85-88% as shown in Table 5. The proportion of core material incorporated into the nanostructure in relation to the overall amount of core material introduced during the encapsulation process is known as the EE%. EE is equal to (mE/mT) 100%; where mE is the mass of the core material integrated and mT is the total mass of the core material introduced.

Cytotoxicity Assay
Analysis of the cytotoxic effects of the CuSQ SLN on the viability of the HSF cell line using SRB assay was performed. The CuSQ SLN were non-cytotoxic and the IC 50 was 1.2 µg/mL.

Evaluation of Hydrogel Physical Characteristic
The formulated hydrogels showed good homogeneity, good stability, and a pH of 6.4 which indicates that it is not irritant to skin.

In Vitro Drug Dissolution of Hydrogel
To determine the release profile, the cumulative released amount of CuSQ from the hydrogel was plotted against time. A rapid initial release was noted, which was followed by a slower release rate. The slower release in the later stage was attributed to the fact that solubilized drugs can only be released slowly from lipid matrices due to dissolution and diffusion. The first burst rate may be caused by drug desorption associated with the surface of nanoparticles. The drug could be transferred right away into the receiver compartment due to the dialysis membrane. The release study showed the sustained release of CuSQ over 12 h to reach 90% of drug release. The first hours up to 5 h showed 30-40% of released drug which confirmed that slightly prolonged drug release has occurred. The proper selection of lipids and surfactants can affect the release profile; in fact, the in vitro release from the SLN dispersion was found to be in the range of 40% to 90% at the end of 12 h ( Figure 5).

Cytotoxicity Assay
Analysis of the cytotoxic effects of the CuSQ SLN on the viability of the HSF using SRB assay was performed. The CuSQ SLN were non-cytotoxic and the IC50 μg/mL.

Evaluation of Hydrogel Physical Characteristic
The formulated hydrogels showed good homogeneity, good stability, and a 6.4 which indicates that it is not irritant to skin.

In Vitro Drug Dissolution of Hydrogel
To determine the release profile, the cumulative released amount of CuSQ fr hydrogel was plotted against time. A rapid initial release was noted, which was fo by a slower release rate. The slower release in the later stage was attributed to the f solubilized drugs can only be released slowly from lipid matrices due to dissolut diffusion. The first burst rate may be caused by drug desorption associated with face of nanoparticles. The drug could be transferred right away into the receiver co ment due to the dialysis membrane. The release study showed the sustained re CuSQ over 12 h to reach 90% of drug release. The first hours up to 5 h showed 30released drug which confirmed that slightly prolonged drug release has occurr proper selection of lipids and surfactants can affect the release profile; in fact, the release from the SLN dispersion was found to be in the range of 40% to 90% at the 12 h ( Figure 5).

Effect of CuSQ Hydrogel on Wound Closure in Rats
The wound area representative photos of the rats of all the five groups on days 0, 3, 5, 7, 10, and 12 are given in Figure 6A. The healing percentage of wounds of all groups was found to increase in a timely dependent fashion ( Figure 6B). Wound healing was markedly faster in both low and high dose CuSQ-treated groups as compared to the control and standard groups as they had highly significant greater area under the curve (AUC) throughout the study period (p < 0.0001) ( Figure 6C).

Effect of CuSQ Hydrogel on Wound Closure in Rats
The wound area representative photos of the rats of all the five groups on days 0, 3, 5, 7, 10, and 12 are given in Figure 6A. The healing percentage of wounds of all groups was found to increase in a timely dependent fashion ( Figure 6B). Wound healing was markedly faster in both low and high dose CuSQ-treated groups as compared to the control and standard groups as they had highly significant greater area under the curve (AUC) throughout the study period (p < 0.0001) ( Figure 6C). Figure 6. The effect of CuSQ hydrogel on wound healing as compared to standard gentamicin (0.1% garamycin cream). The left panel (A) depicts the wounds' gross appearance from day 0 (the day of wound induction) until day 12. The right panel (B) shows the rate of wound healing from day 0 to day 12 (C) shows the quantified area under the curve (AUC). Data represented as mean ± SD of at least 8 wounds. When compared to the control and standard, CuSQ at both low and high doses has greater AUC (p < 0.0001); the exact p values are shown in the graph.

Effect of CuSQ Hydrogel on TGF Beta and MMP-9
The transforming growth factor beta (TGF-β) was found to be significantly increased in both doses of CuSQ hydrogels compared to the control group; however no significant difference was observed between the plain hydrogel and the control group ( Figure 7A). Similarly, both low and high dose of CuSQ hydrogel significantly reduced the MMP-9 level compared to the control group ( Figure 7B).  The transforming growth factor beta (TGF-β) was found to be significantly increased in both doses of CuSQ hydrogels compared to the control group; however no significant difference was observed between the plain hydrogel and the control group ( Figure 7A). Similarly, both low and high dose of CuSQ hydrogel significantly reduced the MMP-9 level compared to the control group ( Figure 7B). Microscopic examination of the wound area from the control group vealed signs of incomplete re-epithelization especially toward the cente Haphazardly arranged granulation tissue was filling the wound area wi organization at the periphery. An intense diffuse inflammatory reaction the wound gap. The standard group ( Figure 8B) showed a thin line of ne thelium covering the wound surface with the presence of less inflamed gr filling the wound gap. Concerning the plain group ( Figure 8C), re-epithe ratinization was observed. The wound gap was filled with organized tis ous newly formed capillaries. Severe inflammatory reactions were notic area. Better healing signs were detected in the low dose CuSQ group (F plete and thick epithelial cover was seen over the wound surface and the was filling the wound gap completely. Numerous proliferating fibroblast as well as many newly formed capillaries. Perfect healing and wound c served in the high dose CuSQ group ( Figure 8E). Newly developed epit ratinization completely wrapped the wound site. The gap left by the w with collagen-rich, structured tissue, with little inflammation. As shown generally, histological score of the wound healing criteria showed signifi healing parameters in the high dose group followed by that of the low do

Histopathology and Healing Score
Microscopic examination of the wound area from the control group ( Figure 8A) revealed signs of incomplete re-epithelization especially toward the center of the wound. Haphazardly arranged granulation tissue was filling the wound area with small areas of organization at the periphery. An intense diffuse inflammatory reaction was noticed at the wound gap. The standard group ( Figure 8B) showed a thin line of newly formed epithelium covering the wound surface with the presence of less inflamed granulation tissue filling the wound gap. Concerning the plain group ( Figure 8C), re-epithelization and keratinization was observed. The wound gap was filled with organized tissue with numerous newly formed capillaries. Severe inflammatory reactions were noticed at the wound area. Better healing signs were detected in the low dose CuSQ group ( Figure 8D), complete and thick epithelial cover was seen over the wound surface and the organized tissue was filling the wound gap completely. Numerous proliferating fibroblasts were observed as well as many newly formed capillaries. Perfect healing and wound closure were observed in the high dose CuSQ group ( Figure 8E). Newly developed epithelium with keratinization completely wrapped the wound site. The gap left by the wound was filled with collagen-rich, structured tissue, with little inflammation. As shown in Figure 8F-I, generally, histological score of the wound healing criteria showed significantly improved healing parameters in the high dose group followed by that of the low dose group. **** for p < 0.0001, *** for p < 0.001, ** for p < 0.01, * p < 0.05, ns for non-significant.  The amount of collagen at the wound area was determined using MTC stained sections Figure 9A-F. The lowest amount of collagen was detected in the control group in comparison to the other experimental groups. Both standard and plain groups showed moderate amounts of collagen. Collagen content was significantly increased in both the low dose and high dose CuSQ treated groups in dose-dependent manner.

Immunohistochemistry VEGF Expression
Positive immune staining for VEGF at the wound area in the control group ( Figure 10A) was limited in comparison to the other groups. Significantly higher values of VEGF were recorded in both standard ( Figure 10B) and plain groups ( Figure 10C). Both low-treated ( Figure 10D) and high dose treated CuSQ groups ( Figure 10E) showed increased VEGF in a dose-dependent manner ( Figure 10F).

VEGF Expression
Positive immune staining for VEGF at the wound area in the control group ( Figure  10A) was limited in comparison to the other groups. Significantly higher values of VEGF were recorded in both standard ( Figure 10B) and plain groups ( Figure 10C). Both lowtreated ( Figure 10D) and high dose treated CuSQ groups ( Figure 10E) showed increased VEGF in a dose-dependent manner ( Figure 10F).

TNF-α Expression
As illustrated in Figure 11, the highest value of TNF-α was recorded in a control group ( Figure 11A). Both the standard ( Figure 11B) and plain group ( Figure 11C) showed significant reduction in TNF-α expression when compared to the control group. The greatest significant decrease in TNF-α expression was recorded in the low dose CuSQ ( Figure  11D) and high dose CuSQ ( Figure 11E) treated groups, respectively.  . Data represented as mean ± SE of at least 5 wounds. **** for p < 0.0001, *** for p < 0.001, ns for non-significant.

TNF-α Expression
As illustrated in Figure 11, the highest value of TNF-α was recorded in a control group ( Figure 11A). Both the standard ( Figure 11B) and plain group ( Figure 11C) showed significant reduction in TNF-α expression when compared to the control group. The greatest significant decrease in TNF-α expression was recorded in the low dose CuSQ ( Figure 11D) and high dose CuSQ ( Figure 11E) treated groups, respectively.

Discussion
Hemostasis, inflammation, proliferation, and remodeling are the four distinct and overlapping stages of wound healing that acute wounds typically go through as they heal [23][24][25]. The process typically begins with an inflammatory response, followed by dermal and epidermal cell migration and proliferation, as well as matrix production, to fill the wound gap and restore the skin barrier [26].
The proliferative phase of wound healing is marked by the presence and abundance of dermal fibroblasts and elevated level of collagen production where diverse factors are implicated as important key player cytokines [27]. The secreted factors include vascular endothelial cell growth factor (VEGF), transforming growth factor (TGF)-β, and matrix metalloproteases (MMPs). The transforming growth factor-beta1 (TGF-1), vascular endothelial growth factor (VEGF), and fibroblast growth factor (FGF) are engaged in the healing process through encouraging cell proliferation by turning on several processes like the development of the extracellular matrix (ECM), re-epithelialization, and angiogenesis [28].
An ideal healing agent should be able to prevent infection, hasten the healing process by modifying growth factors and cytokines as well as be favorable for cell proliferation and matrix deposition, improved re-epithelization and minimal scar formation. It has been previously noted that the coordination of the Schiff base compounds to the metal ions especially copper increased their activity against several pathogenic bacteria [29].
Furthermore, 8-hydroxy quinoline has a strong chelation property and a powerful bactericidal effect especially after chelation with metal ions. In fact, many metal complexes of 8-hydroxy quinoline were screened for antibacterial effects against several strains of bacteria and they showed significantly greater inhibitory activity [30].
Hence, the CuSQ complex has been tested for its antibacterial efficacy against several types of bacteria and was proven to have superior antibacterial activity as compared to gentamicin. Therefore, due to its apparent antibacterial activity together with the power- . Data represented as mean ± SE of at least 5 wounds. **** for p < 0.0001, *** for p < 0.001, ** for p < 0.01, ns for non-significant.

Discussion
Hemostasis, inflammation, proliferation, and remodeling are the four distinct and overlapping stages of wound healing that acute wounds typically go through as they heal [23][24][25]. The process typically begins with an inflammatory response, followed by dermal and epidermal cell migration and proliferation, as well as matrix production, to fill the wound gap and restore the skin barrier [26].
The proliferative phase of wound healing is marked by the presence and abundance of dermal fibroblasts and elevated level of collagen production where diverse factors are implicated as important key player cytokines [27]. The secreted factors include vascular endothelial cell growth factor (VEGF), transforming growth factor (TGF)-β, and matrix metalloproteases (MMPs). The transforming growth factor-beta1 (TGF-1), vascular endothelial growth factor (VEGF), and fibroblast growth factor (FGF) are engaged in the healing process through encouraging cell proliferation by turning on several processes like the development of the extracellular matrix (ECM), re-epithelialization, and angiogenesis [28].
An ideal healing agent should be able to prevent infection, hasten the healing process by modifying growth factors and cytokines as well as be favorable for cell proliferation and matrix deposition, improved re-epithelization and minimal scar formation. It has been previously noted that the coordination of the Schiff base compounds to the metal ions especially copper increased their activity against several pathogenic bacteria [29].
Furthermore, 8-hydroxy quinoline has a strong chelation property and a powerful bactericidal effect especially after chelation with metal ions. In fact, many metal complexes of 8-hydroxy quinoline were screened for antibacterial effects against several strains of bacteria and they showed significantly greater inhibitory activity [30].
Hence, the CuSQ complex has been tested for its antibacterial efficacy against several types of bacteria and was proven to have superior antibacterial activity as compared to gentamicin. Therefore, due to its apparent antibacterial activity together with the powerful efficacy of copper to stimulate angiogenesis and collagen deposition [31], this complex was ideal to be incorporated in a wound healing formulation. Therefore, using nanobiotechnology in conjunction with knowledge of the cellular and subcellular activities that take place during wound healing has enabled us to incorporate this complex into an SLN based hydrogel formulation for the improvement of wound care. To exclude any potential cytotoxicity of copper nanoparticles, the CuSQ SLN were tested for cytotoxicity against human fibroblast cells. To maintain systematic stability, the hydrogel network generally has numerous interactions. Through strong physical crosslinking, such as the production of hydrogen bonds, electrostatic contacts, covalent bonds, hydrophobic interactions, and other physical crosslinks, nanomaterials in hydrogels have significantly increased the mechanical strength of hydrogels. Nanomaterials as SLN can directly transfer antibacterial medications to the wound site during the healing process, enabling them to continue working, lowering the growth of bacteria that are resistant to several antibiotics, and accelerating the healing process [30].
Hydrogel adhesion can be obtained by integrating nanotechnology and hydrogels, for example, by covalent coupling and noncovalent complexes. Additionally, hydrogels can be applied directly to the wound site filling it to enable faster wound healing and the development of capillaries and hair follicles [32].
In fact, small SLN have a large specific surface area, which makes it more likely to stick together when applied to the skin and to have adhesive capabilities through film formation. Water evaporation from the skin is stopped via film development, and CuSQ penetration through human skin is enhanced. The adhesion to the stratum corneum generated by the nanometer-sized particles of SLN boosted CuSQ penetration into viable skin.
Nanohydrogels also reduce the frequent administration issue that is the main drawback of traditional dosage forms, which is helpful in the treatment of chronic wounds. The application potential of nanohydrogels as wound dressings is enhanced by the important role that nanomaterials can play in hydrogels. In addition to enhancing the hydrogel's mechanical characteristics, water solubility, and cell adhesion, nanotechnology can load different biologically active particles to yield slow release extended drug delivery that has a superior therapeutic effect compared to traditional topical medications. Additionally, a smaller number of medications can function better due to the huge surface area of the nanoparticles, which also somewhat lessens the toxicity of the drugs [33].
Wound contraction is described as a cellular mechanism for organizing the surrounding tissue matrix in order to accelerate healing time by decreasing the quantity of ECM generated [34]. In many ways, wound contraction is advantageous since it can greatly speed up healing by requiring less granulation tissue to replace tissue lost during the healing process [35]. Given the above, measuring wound contraction is a crucial technique for determining how well cutaneous wounds are healing. In the present study, CuSQ hydrogel showed significantly higher wound contraction as compared to the control rats. Although, plain hydrogel showed significantly reduced wound area, the effect was more pronounced in both low and high doses of CuSQ hydrogel. This could be attributed to increased collagen synthesis and better re-epithelization after CuSQ topical application.
Tumor necrosis factor (TNF-α) is a potent inflammatory cytokine released during the inflammatory stage of healing process. Inflammatory cells release TNF-α, which suppresses the production of ECM and activates MMPs. Recent research has shown that inflammatory cytokines have antagonistic effects on TGF-β1. Maintaining tissue homeostasis and ECM deposition may be significantly influenced by the antagonistic connection between TGF-β and TNF-α [36].
TGF-β increases keratinocyte regenerative maturation, attracts fibroblasts to the wound bed, and stimulates fibroblast-induced collagen production [37,38]. It is a crucial cytokine in typical wound healing and fibrosis. Additionally, TGF-β increases the expression of tissue inhibitor of metalloproteinases while downregulating matrix metalloproteinase expression, causing the synthesis of ECM, particularly collagen I, to be stimulated. As a result, it regulates the ECM remodeling and tissue contraction of granulation tissue, two crucial processes in wound healing [36].
Our results showed a significant decrease in TNF-α expression following treatment with our formulation compared to the control rats. The decrease in TNF-α levels on day 12 in the CuSQ-treated rats suggests that it has the potential to reduce the inflammatory response. In addition, the TGF-β level was significantly elevated in CuSQ-treated rats compared to non-treated rats and the standard treated rats which is correlated with increased staining intensity of collagen fibers evidenced by MTC staining, granulation tissue formation as well as re-epithelization in the healed tissues. Many Cu (II) complexes of NSAIDs showed improved anti-inflammatory and antiulcerogenic activities [39]. This was comparable with TNF-α significant decrease in response to the low and high concentrations of CuSQ hydrogel. On comparing the results of both concentrations of CuSQ hydrogels with the plain dosage form it was evident that CuSQ had higher significantly different levels of TGF-β and TNF-α. The mounting levels of TGF-β in the wound of treated rats confirmed the predominant healing ability of the synthesized CuSQ complex. These findings support the study by [40] in copper dressing-treated mice where significant levels of TGF-β gene expression demonstrated a 32-fold increase. Copper influences keratinocyte and fibroblast proliferation, epithelialization, collagen production, extracellular matrix remodeling, and angiogenesis either directly or indirectly. These processes speed up the healing of wounds [40].
These results indicate that CuSQ may act on wound healing via inhibition of inflammation and induction of fibroblast proliferation and granulation tissue formation through stimulating TGF-β [36].
MMP-9 affects angiogenesis by causing proangiogenic cytokines, such as VEGF and TNF-α to become active [41]. Considering that the elevated active MMP-9 expression in skin tissue is linked to the delayed wound healing, our results showed a significantly reduced level of MMP-9 in skin wounds of animals treated by CuSQ hydrogel compared to the control rats which proves the protective effect of our novel formulation. These results are in correlation with the H and E results where significant increase in reepithelization and angiogenesis were detected in rats treated with our formulation confirming the emerging role of the CuSQ hydrogel in modulating the crucial growth factors and cytokines of wound healing machinery leading to accelerating the wound-healing process [42].
The most prevalent, efficient, and persistent signal that is known to promote angiogenesis in wounds is thought to be VEGF. Comparing CuSQ-treated rats to both the control and the standard group, VEGF expression was noticeably higher in the CuSQ-treated group. VEGF expression was significantly elevated in CuSQ-treated rats in comparison to both the control and the standard group. The significant increased VEGF expression levels in healed tissues of the low and high concentrations of synthesized CuSQ complex in a dose-dependent matter owes to the angiogenic effect of Copper II. Copper was reported to be potentially involved in the activation of HIF-1 and VEGF expression [43]. Recent investigations have unmistakably demonstrated that nanoparticles (NPs) represent a crucial therapy platform for skin wounds. Cu is a well-known NP with a lengthy history of direct angiogenesis involvement and antibacterial action. By controlling the expression of 84 genes linked to angiogenesis and wound repair, copper has also been demonstrated to have a possible involvement in the healing of wounds [44].
According to the histology results of our study, the effective role of the CuSQ hydrogel on the wound healing process was clear in the improved healing parameters and perfect wound closure at both low and high doses.
A significant reduction in inflammation in the highly treated group was demonstrated followed by the low-concentration group. In addition, the angiogenic response was promoted as a significant increase in angiogenesis score was noted in both groups and was higher than the standard drug. A significant stimulation in collagen deposition was also observed in a concentration-dependent manner. Copper dependent enzymes such as lysyl oxidase and prolyl 4-hydroxylase play a significant role in collagen synthesis. In addition, enhanced collagen synthesis and deposition may be attributed to enhanced vascularization in CuSQ-treated rats. Furthermore, as there was increased expression of TGF-β and VEGF in our study, the vascularization was subsequently improved. These findings are in alignment with many studies that demonstrated the well-established copper complexes and dressing efficacy in healing acute wounds via promoting neovascularization, increased epithelialization, collagen deposition, and accelerated wound contraction [39,44,45]. Thus, in contrast to control and standard treated groups, CuSQ-treated rats had faster wound healing due to enhanced angiogenesis and collagen synthesis. From the current study, it can be concluded that CuSQ nanoparticle-based hydrogel efficiently promotes various wound healing phases through modulation of different cytokines and growth factors, and hence could be a promising therapeutic modality for the treatment of cutaneous wounds.

Reagents
Ethylene diamine, salicylaldehyde, 8-hydroxy quinoline, sodium hydroxide, copper (II) chloride (CuCl 2 2H 2 O) were purchased from Sigma-Aldrich Chemie (Darmstadt, Germany). Organic solvents, including absolute ethanol and dimethyl sulfoxide (DMSO), were provided at reagent grade, and used without purification. Chemicals used for the synthesis of nanoparticles: lecithin, cholesterol, Tween 80, polyvinyl alcohol, and phosphate buffer were purchased from Sigma-Aldrich Chemie (Darmstadt, Germany) and all other chemicals were of analytical grade.

Characterization
Microanalyses of carbon, hydrogen, and nitrogen were performed using a CHNS-932 (LECO) Varo elemental analyzer. FTIR spectrophotometer from Shimadzu (model 8101) In KBr pellets, Fourier transform infrared (FT-IR) spectra between 400 and 4000 cm −1 were recorded. A Bruker 400 MHz spectrometer was used to record the 1 H and 13 C NMR spectra in DMSO-d 6 , with tetra methyl silane (TMS) serving as an internal standard. The electron ionization method was utilized to record mass spectra at 70 eV on an HP MS-5988 GS-MS. UV-visible spectra were recorded using a Shimadzu UV mini-1240 spectrophotometer. The molar conductivity of 10 −3 M solutions of the CuSQ complex in DMF was measured using a Jenway 4010 conductivity meter [45].

Synthesis of Schiff Base (Salen)
The method of Schiff base synthesis was previously discussed [45].

Synthesis of Mixed Complex (CuSQ)
Scheme 1 shows the synthesis pathway for CuSQ mixed Salen ligand complex with 8-hydroxy quinoline. The yields, melting points, conductance, magnetic moments, and elemental analysis results for the mixed ligand complex are shown in Table 1 [11].

Antimicrobial Potency
The antimicrobial activity of the Cu (II) complex was evaluated using two Gra positive bacteria (Bacillus subtilis (+ve) and Staphylococcus aureus (+ve)) and two Gra negative bacteria (Escherichia coli (-ve) and Proteus vulgaris (-ve)) by the agar diffusion te The compound under investigation was dissolved in DMSO and paper discs were i pregnated with the solution. The disks were dried and set in agar plates containing microorganisms [45]. Then, the plates were incubated for 25-33 h at 24 ± 2 °C and t inhibition zones, i.e., those where the concentration of the compound exceeds the mi mum inhibitory concentration (MIC), were accurately evaluated. Gentamicin as an an bacterial agent was used for comparison.

Synthesis of CuSQ Solid Lipid Nanoparticles (SLN)
Solid lipid nanoparticles of CuSQ were prepared by w/o/w type double emulsifi tion method as shown in Table 6. The preparation method was previously described el where [46].

Antimicrobial Potency
The antimicrobial activity of the Cu (II) complex was evaluated using two Grampositive bacteria (Bacillus subtilis (+ve) and Staphylococcus aureus (+ve)) and two Gramnegative bacteria (Escherichia coli (-ve) and Proteus vulgaris (-ve)) by the agar diffusion test. The compound under investigation was dissolved in DMSO and paper discs were impregnated with the solution. The disks were dried and set in agar plates containing the microorganisms [45]. Then, the plates were incubated for 25-33 h at 24 ± 2 • C and the inhibition zones, i.e., those where the concentration of the compound exceeds the minimum inhibitory concentration (MIC), were accurately evaluated. Gentamicin as an antibacterial agent was used for comparison.

Synthesis of CuSQ Solid Lipid Nanoparticles (SLN)
Solid lipid nanoparticles of CuSQ were prepared by w/o/w type double emulsification method as shown in Table 6. The preparation method was previously described elsewhere [46]. The surface morphology of CuSQ SLNs was observed by scanning electron microscope (SEM). The image was scanned at an acceleration voltage of 20 kV with a chamber pressure of 0.8 mmHg [47].

Particle Size Analysis, Polydispersity Index and Zeta Potential
CuSQ SLNs dispersions were characterized for average particle size (z-average size) using Laser diffraction (Malvern Mastersizer 2000 SM, Malvern Instruments Corp) with beam length 2.40 mm, range lens of 300 RF mm, and at 14.4% obscuration. Polydispersity (PDI) describes the degree of non-uniformity of a size distribution of particles. This index is dimensionless and scaled such that values smaller than 0.05 are mainly seen with highly monodisperse standards. PDI values bigger than 0.7 indicate that the sample has a very broad particle size distribution. Zeta potential (surface charge) was determined by measuring the electrophoretic mobility of nanoparticles using Malvern Mastersizer [46].

Entrapment Efficiency
The entrapment efficiency was calculated by using 10 mL of solid lipid nanoparticles dissolved in 20 mL of ethyl alcohol and the solution was centrifuged at 12,000 rpm. The supernatant fluid was collected and passed through a membrane filter. The quantity of drug in the solution was measured by ultraviolet spectroscopy at 280 nm [46]. 4.8. Cytotoxicity of CuSQ Loaded SLNs 4.8.1. Cell Culture HSF: human skin fibroblast was obtained from Nawah Scientific Inc., (Mokatam, Cairo, Egypt). Cells were maintained in DMEM media supplemented with 100 mg/mL of streptomycin, 100 units/mL of penicillin and 10% of heat-inactivated fetal bovine serum in humidified, 5% (v/v) CO 2 atmosphere at 37 • C.

Preparation of CuSQ Nanoparticles Hydrogel
The hydrogel was prepared by dissolving the hydrophilic polymers carbopol 940 in a 0.1N NaOH solution used as a cross-linking agent with addition of water using magnetic stirrer (500 rpm). The colloidal dispersion of CuSQ solid lipid nanostructures were added under magnetic stirring. 1% v/v isopropyl myristate and 0.25% w/v benzalkonium chloride were added (Table 7) [50]. The prepared hydrogel formulations were inspected visually for their pH, color, homogeneity, consistency, grittiness, texture, and phase separation [50].

Determination of pH
The pH of hydrogel formulations was determined by digital pH meter. One gram of gel was dissolved in 25 mL of distilled water and the electrode was then dipped into gel formulation for 30 min until constant reading obtained and constant reading was noted. The measurement of pH for each formulation was carried out in triplicate and average values were calculated [50].

Washability
Formulations were applied on the skin and then ease and extent of washing with water were checked manually [50].

In Vitro Drug Dissolution of Hydrogel
Franz diffusion cell with cellophane membrane was used for in vitro drug release studies of loaded hydrogel. The procedure was carried out according to the method of Singh et al. [51]. Samples were analyzed by using a UV spectrophotometer at 280 nm. Experiments were carried out in triplicate to ensure accuracy. A total number of 20 male Wistar albino rats (120-150 g) were utilized for wound healing experimental study. They were supplied by the Modern veterinary office at Cairo. Animals were kept for 1-week acclimatization at the animal house of October University for Modern Sciences and Arts (MSA). The animals were housed in clean cages and maintained in 12:12 h dark light cycle in standard room temperature of 22 ± 3 • C. They had ad libitum access to drinking water and food. Calculation of the sample size (n = 8) was carried out using the G * Power 3.1.9 software, the statistical power used was 80% and alpha value = 0.05. All animals' procedures were carried out according to the ethical guidelines of MSA ethical committee (PT6/EC6/2020F).

Excision Wound
Excision wounds were created according to the method of Mukherjee et al. [52] where animals were anesthetized by injection of a mixture of xylazine (7 mg/kg) and ketamine (70 mg/kg) intraperitoneally. After that, their dorsal hair was shaved and cleaned with 70% ethanol and using a 1 cm biopsy punch 2 circular open excision wounds (1 cm 2 ) were made per rat where the full thickness of the back skin was cut out. The wounds were then cleaned with saline and the animals were housed individually.

Experimental Design
Animals were randomly allocated into 5 groups (4 rats/group). Group 1 served as control group and the wounds of these animals were left without treatment. Group II served as the standard group were animals received standard gentamicin (0.1% garamycin cream). Group III received the plain hydrogel. Groups IV received low dose CuSQ hydrogel (0.05 ug/mL). Groups V received high dose CuSQ hydrogel (0.2 ug/mL). All treatments were applied every other day.

Estimation of the Rate of Wound Healing
Progressive changes in wound healing were assessed quantitatively using image J 1.52 software. The wound area was calculated using scaled pictures of the wounds on days 0, 3, 5, 7, 10, and 12. Percentage healing was calculated using the following equation, where n= number of days (3, 5, 7, 10, or 12) that the healed area was read.

Histopathological Examination
Skin tissue samples from the wound area were kept in 10% neutral buffered formalin. Specimen were routinely processed and stained with hematoxylin and eosin (HE) for light microscopy [53]. Microscopic wound healing criteria were evaluated including reepithelization, granulation tissue formation, inflammation, and angiogenesis as described in [54] with modification of inflammation score as it was described in ascending score with increased severity. Masson trichrome stain (MTC) was used for evaluation of collagen content at the wound area.

Immunohistochemistry
Five µm tissue sections were cut into adhesive slides, deparaffinized, rehydrated, and subjected to the epitope retrieval method by heat, endogenous peroxidase blocking, and protein blocking. Primary mouse monoclonal anti VEGF and anti-TNF-α (at a dilution of 1:150) for 12 h at 4 • C. After washing, secondary HRP-labeled antibody was applied at room temperature for 2 h. DAB-Substrate kit was used to develop the color. Control negative slides were obtained by deletion of primary antibodies. Positive expression was quantified as area % using CellSens dimensions (Olympus software).

Statistical Analysis
Statistical analysis was performed using the GraphPad Prism version 8.1.2 software utilizing analysis of variance (ANOVA) followed by Tukey's multiple comparisons test or the paired t-test, where appropriate, and statistical significance was set at p < 0.05. Significance was presented as: **** for p < 0.0001, *** for p < 0.001, ** for p < 0.01, and * for p < 0.05.

Conclusions
In the present study CuSQ mixed ligand complex was synthesized and characterized by several analytical and spectroscopic tools. Results of antimicrobial study have demonstrated a powerful antibacterial effect that was more potent than the standard gentamicin drug. In vivo study of CuSQ SLN-loaded hydrogel showed more powerful wound healing activity compared to gentamicin. CuSQ hydrogel has shown prominent anti-inflammatory and pro-angiogenic effects and enhanced tissue remodeling and collagen deposition. It could thus be concluded that CuSQ nanoparticles-based hydrogel efficiently promotes various wound healing phases and could be a promising nano formulation for cutaneous wound healing acceleration.