Shukla Sandeep Kumar, Sharma Ajay Kumar, Gupta Vanya, Yashavarddhan M H
Institute of Nuclear Medicine and Allied Sciences, DRDO, Delhi, India.
Institute of Nuclear Medicine and Allied Sciences, DRDO, Delhi, India.
J Tissue Viability. 2019 Nov;28(4):218-222. doi: 10.1016/j.jtv.2019.09.002. Epub 2019 Sep 14.
Wound inflammation is a rapid and highly orchestrated process that significantly impacts the wound healing cascade. Consequent to injury, a series of events set off that include inflammatory, proliferation and maturation phases leading to wound closure and restoration of normal skin integrity. Stimuli causing stress to host immune system or induce inflammatory response include tissue damage and pathogenic microbial infection.Several evidences points towards the positive role of inflammation as it essential to fight against the attack of invading pathogens and to remove dead tissues from the site of injury. Besides its positive role, prolonged inflammation is injurious and may result in deregulated stages of the wound healing which may lead to excessive scarring. Achieving balance in inflammatory cascade is one of the challenging tasks for development of a wound healing drug. This review mainly focuses on the pharmacological control of inflammation by agents which critically balance the inflammatory cascade. However, none of the agent is available in the healthcare market which exclusively plays a role in wound repair. In this review we shall explore different factors or agents affecting inflammation in wound healing. This information might be helpful in designing and development new process, technologies or drugs for better management of wound care. In addition, understanding the effect of inflammation on the outcome of the healing process will serve as a significant milestone in the area of pathological tissue repair.
伤口炎症是一个迅速且高度协调的过程,对伤口愈合级联反应有重大影响。受伤后,一系列事件会被触发,包括炎症、增殖和成熟阶段,最终导致伤口闭合和正常皮肤完整性的恢复。导致宿主免疫系统应激或引发炎症反应的刺激因素包括组织损伤和病原微生物感染。多项证据表明炎症具有积极作用,因为它对于抵抗入侵病原体的攻击以及从损伤部位清除坏死组织至关重要。除了其积极作用外,长时间的炎症是有害的,可能会导致伤口愈合阶段失调,进而可能导致过度瘢痕形成。在伤口愈合药物的研发中,实现炎症级联反应的平衡是一项具有挑战性的任务。本综述主要关注能够关键地平衡炎症级联反应的药物对炎症的药理控制。然而,医疗保健市场上没有一种药物专门在伤口修复中发挥作用。在本综述中,我们将探讨影响伤口愈合中炎症的不同因素或药物。这些信息可能有助于设计和开发新的方法、技术或药物,以更好地管理伤口护理。此外,了解炎症对愈合过程结果的影响将成为病理组织修复领域的一个重要里程碑。