The invention discloses MMP-9 responsive hydrogel loaded with M2 macrophage exosomes as well as a preparation method and application of the MMP-9 responsive hydrogel loaded with the M2 macrophage exosomes, the M2 macrophage-derived exosomes (M2-Exos) are obtained by constructing a
macrophage polarization model, meanwhile, the MMP-9 responsive hydrogel is used for loading and realizing controllable release of the M2-Exos, and the MMP-9 responsive hydrogel is used for
wound inflammation regulation. The preparation method comprises the following steps: mixing oxidized
dextran,
oligopeptide Pro-Val-Gly-Leu-Iso-Gly and
carboxymethyl chitosan according to a certain ratio, and carrying out cross-linking, so as to obtain the
Schiff base gel responsive to the MMP-9. And loading the M2-Exos into the hydrogel, so as to obtain the MMP-9 responsive hydrogel loaded with the M2 macrophage derived
exosome. The hydrogel can be kept stable at low MMP-9 concentration in the early stage of
inflammation, and the content M2-Exos in the hydrogel can be quickly degraded and released when MMP-9 is greatly increased in the later stage of
inflammation, so that the inflammatory reaction process of the
diabetic wound surface is accurately regulated and controlled. The MMP-9 responsive hydrogel can effectively regulate
inflammation, promote healing of diabetic wounds and relieve physiological and psychological burdens of patients caused by the diabetic wounds.