Sinno Hani, Prakash Satya
Division of Plastic and Reconstructive Surgery, Department of Surgery, McGill University, Montreal, QC, H3A 2B4, Canada.
Plast Surg Int. 2013;2013:146764. doi: 10.1155/2013/146764. Epub 2013 Jul 24.
Wound healing is a complex pathway of regulated reactions and cellular infiltrates. The mechanisms at play have been thoroughly studied but there is much still to learn. The health care system in the USA alone spends on average 9 billion dollars annually on treating of wounds. To help reduce patient morbidity and mortality related to abnormal or prolonged skin healing, an updated review and understanding of wound healing is essential. Recent works have helped shape the multistep process in wound healing and introduced various growth factors that can augment this process. The complement cascade has been shown to have a role in inflammation and has only recently been shown to augment wound healing. In this review, we have outlined the biology of wound healing and discussed the use of growth factors and the role of complements in this intricate pathway.
伤口愈合是一个由受调控的反应和细胞浸润构成的复杂过程。其中涉及的机制已得到深入研究,但仍有许多有待探索。仅美国的医疗保健系统每年在伤口治疗上的平均花费就达90亿美元。为了帮助降低与异常或长期皮肤愈合相关的患者发病率和死亡率,对伤口愈合进行更新的综述和理解至关重要。近期的研究成果有助于梳理伤口愈合的多步骤过程,并引入了多种可促进该过程的生长因子。补体级联反应已被证明在炎症中发挥作用,且直到最近才被发现可促进伤口愈合。在本综述中,我们概述了伤口愈合的生物学机制,讨论了生长因子的应用以及补体在这一复杂过程中的作用。