静电纺丝纤维作为伤口愈合应用中药物和生物制剂递送的敷料材料

Electrospun Fibers as a Dressing Material for Drug and Biological Agent Delivery in Wound Healing Applications.

作者信息

Gizaw Mulugeta, Thompson Jeffrey, Faglie Addison, Lee Shih-Yu, Neuenschwander Pierre, Chou Shih-Feng

机构信息

Department of Mechanical Engineering, College of Engineering, The University of Texas at Tyler, Tyler, TX 75799, USA.

School of Nursing, College of Nursing and Health Sciences, The University of Texas at Tyler, Tyler, TX 75799, USA.

出版信息

Bioengineering (Basel). 2018 Jan 27;5(1):9. doi: 10.3390/bioengineering5010009.

Abstract

Wound healing is a complex tissue regeneration process that promotes the growth of new tissue to provide the body with the necessary barrier from the outside environment. In the class of non-healing wounds, diabetic wounds, and ulcers, dressing materials that are available clinically (e.g., gels and creams) have demonstrated only a slow improvement with current available technologies. Among all available current technologies, electrospun fibers exhibit several characteristics that may provide novel replacement dressing materials for the above-mentioned wounds. Therefore, in this review, we focus on recent achievements in electrospun drug-eluting fibers for wound healing applications. In particular, we review drug release, including small molecule drugs, proteins and peptides, and gene vectors from electrospun fibers with respect to wound healing. Furthermore, we provide an overview on multifunctional dressing materials based on electrospun fibers, including those that are capable of achieving wound debridement and wound healing simultaneously as well as multi-drugs loading/types suitable for various stages of the healing process. Our review provides important and sufficient information to inform the field in development of fiber-based dressing materials for clinical treatment of non-healing wounds.

摘要

伤口愈合是一个复杂的组织再生过程,可促进新组织生长,为身体提供抵御外部环境的必要屏障。在难愈合伤口、糖尿病伤口和溃疡这类伤口中,临床可用的敷料材料(如凝胶和乳膏)在现有技术下仅显示出缓慢的改善。在所有现有技术中,电纺纤维具有一些特性,可为上述伤口提供新型替代敷料材料。因此,在本综述中,我们重点关注用于伤口愈合应用的电纺载药纤维的最新进展。特别是,我们综述了从电纺纤维中释放药物(包括小分子药物、蛋白质和肽以及基因载体)在伤口愈合方面的情况。此外,我们概述了基于电纺纤维的多功能敷料材料,包括那些能够同时实现伤口清创和伤口愈合的材料以及适用于愈合过程各个阶段的多种药物负载/类型。我们的综述提供了重要且充分的信息,为该领域开发用于临床治疗难愈合伤口的纤维基敷料材料提供参考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adf7/5874875/1d160326bdec/bioengineering-05-00009-g001.jpg

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