Napavichayanun Supamas, Aramwit Pornanong
a Bioactive Resources for Innovative Clinical Applications Research Unit, Chulalongkorn University , Bangkok , Thailand.
b Faculty of Pharmaceutical Sciences, Department of Pharmacy Practice , Chulalongkorn University , Bangkok , Thailand.
J Biomater Sci Polym Ed. 2017 Jun;28(8):703-729. doi: 10.1080/09205063.2017.1301772. Epub 2017 Mar 9.
Wound healing is a natural process of body reaction to repair itself after injury. Nonetheless, many internal and external factors such as aging, comorbidity, stress, smoking, alcohol drinking, infections, malnutrition, or wound environment significantly affect the quality and speed of wound healing. The unsuitable conditions may delay wound healing process and cause chronic wound or scar formation. Therefore, many researches have attempted to search for agents that can accelerate wound healing with safety and biocompatibility to human body. Widely studied wound healing agents are those derived from either natural sources including plants and animals or chemical synthesis. The natural products seem to be safer and more biocompatible to human tissue. This review paper demonstrated various kinds of the animal-derived products including chitosan, collagen, honey, anabolic steroids, silk sericin, peptides, and proteoglycan in term of mechanisms of action, advantages, and disadvantages when applied as wound healing accelerator. The benefits of these animal-derived products are wound healing promotion, anti-inflammatory, antimicrobial activity, moisturizing effect, biocompatibility, and safety. However, the drawbacks such as allergy, low stability, batch-to-batch variability, and high extraction and purification costs could not be avoided in some products.
伤口愈合是身体受伤后自我修复的自然过程。然而,许多内部和外部因素,如衰老、合并症、压力、吸烟、饮酒、感染、营养不良或伤口环境,都会显著影响伤口愈合的质量和速度。不合适的条件可能会延迟伤口愈合过程,并导致慢性伤口或疤痕形成。因此,许多研究试图寻找能够安全且与人体具有生物相容性地加速伤口愈合的药物。广泛研究的伤口愈合药物包括来自植物和动物等天然来源或化学合成的药物。天然产物似乎对人体组织更安全且具有更高的生物相容性。这篇综述文章展示了各种动物源性产品,包括壳聚糖、胶原蛋白、蜂蜜、合成代谢类固醇、丝胶蛋白、肽和蛋白聚糖,阐述了它们作为伤口愈合促进剂时的作用机制、优点和缺点。这些动物源性产品的益处包括促进伤口愈合、抗炎、抗菌活性、保湿作用、生物相容性和安全性。然而,某些产品中不可避免地存在一些缺点,如过敏、稳定性低、批次间差异以及提取和纯化成本高。