Laboratory of Cell Proliferation and Ageing, Institute of Biosciences and Applications, National Centre for Scientific Research "Demokritos", Athens, Greece.
Laboratory of Cell Proliferation and Ageing, Institute of Biosciences and Applications, National Centre for Scientific Research "Demokritos", Athens, Greece.
Adv Drug Deliv Rev. 2019 Jun;146:325-343. doi: 10.1016/j.addr.2018.04.011. Epub 2018 Apr 12.
An essential element of tissue homeostasis is the response to injuries, cutaneous wound healing being the most studied example. In the adults, wound healing aims at quickly restoring the barrier function of the skin, leading however to scar, a dysfunctional fibrotic tissue. On the other hand, in fetuses a scarless tissue regeneration takes place. During ageing, the wound healing capacity declines; however, in the absence of comorbidities a higher quality in tissue repair is observed. Senescent cells have been found to accumulate in chronic unhealed wounds, but more recent reports indicate that their transient presence may be beneficial for tissue repair. In this review data on skin wound healing and scarring are presented, covering the whole spectrum from early embryonic development to adulthood, and furthermore until ageing of the organism.
组织动态平衡的一个基本要素是对损伤的反应,皮肤创伤愈合是研究得最多的例子。在成年人中,创伤愈合旨在迅速恢复皮肤的屏障功能,但会导致瘢痕,即一种功能失调的纤维组织。另一方面,在胎儿中会发生无瘢痕的组织再生。随着年龄的增长,创伤愈合能力下降;然而,在没有合并症的情况下,组织修复的质量更高。在慢性未愈合的伤口中发现衰老细胞积累,但最近的报告表明,它们的短暂存在可能对组织修复有益。在这篇综述中,提供了从早期胚胎发育到成年,甚至到机体衰老的整个皮肤创伤愈合和瘢痕形成过程的数据。