Integrating their excellent properties in adherence and drug delivery, the AD-like hydrogel microparticles were expected to shed new light on biomedicine. To verify the practical therapeutic effect of the drug-loaded AD-like particles, the rats with DSS modeling received an enema with PBS, free Dex solution, and the Dex-loaded AD-like hydrogel microparticles, respectively, in day 1 and day 3. On day 5, all mice were sacrificed for evaluation of therapeutic efficacy. Since DSS would lead to congestive and edematous colonic membrane, thus resulting in colon shortening [
36,
37], colon weight gaining, and body weight loss, we recorded the colon length, colon weight, and body weight of the mice that received different enema treatments. There was an evident statistic distinction between the lengths of colons (Figures
5(a) and
5(b)). To be specific, the colon length of the mice with DSS modeling who received enema of Dex-loaded AD-like microparticles was longer than that receiving PBS and free Dex, which showed little difference with that of the healthy mice. In addition, the colon/body weight ratio is presented in Figure S10. The colon/body weight ratio of the mice with DSS modeling who received enema Dex-loaded AD-like microparticles decreased most, presenting a closer value to the healthy mice compared with the other two groups. The characteristics of DSS are infiltration of the colon lamina propria with neutrophils and mononuclear inflammatory cells, crypt hypertrophy, and superficial erosions. In addition, we demonstrated from the hematoxylin and eosin (H&E) histology images (Figures
5(c)–
5(f)) and histopathology scores (Figure S11) that histological inflammation was significantly diminished in mice that received enema with the Dex-loaded AD-like hydrogel microparticles compared to those that received enema with the equivalent amount of free Dex solution. Furthermore, myeloperoxidase (MPO) activity (Figures
5(g)–
5(j)) and expression of interleukin-6 (IL-6), IL-1, and factor-
α (TNF-
α) (Figures
6(a)–
6(d) and Figure S12) in the colon were detected, all of which are important indicators for colitis treatment. We found a decrease of the both indicators in mice that received treatment of AD-like particles compared with the other two experimental groups. Furthermore, immunofluorescence staining also demonstrated that the DSS modeling led to the reduced Occludin and Zo-1 protein expression at the epithelial tight junctions (Figures
6(e)–
6(l)). The presence of the Dex-loaded AD-like hydrogel particles recovered the Occludin and Zo-1 protein expression to a greater extent than the free Dex. All the above-mentioned results demonstrated that the Dex-loaded AD-like microparticles showed an efficient therapeutic effect on the treatment of UC with their prominent adhesive property and efficient drug delivery performance, indicating potential in practical clinical application.