Liu Yan, Zhou Shiya, Gao Yanlin, Zhai Yinglei
Shenyang Pharmaceutical University, No.103, Shenyang 110016, China.
School of Pharmacy, Shenyang Pharmaceutical University, Shenyang 110016, China.
Asian J Pharm Sci. 2019 Mar;14(2):130-143. doi: 10.1016/j.ajps.2018.04.004. Epub 2018 May 10.
Diabetes is one of the most prevalent diseases in the world with high-mortality and complex complications including diabetic foot ulcer (DFU). It has been reported that the difficulties in repairing the wound related to DFU has much relationship with the wound infection, change of inflammatory responses, lack of extracellular matrix (ECM), and the failure of angiogenesis. Following the development of medical materials and pharmaceutical technology, nanofibers has been developed by electrospinning with huge porosity, excellent humidity absorption, a better oxygen exchange rate, and some antibacterial activities. That is to say, as a potential material, nanofibers must be a wonderful candidate for the DFU treatment with so many benefits. Careful selection of polymers from natural resource and synthetic resource can widen the nanofibrous application. Popular methods applied for the nanofibrous fabrication consist of uniaxial electrospinning and coaxial electrospinning. Furthermore, nanofibers loading chemical, biochemical active pharmaceutical ingredient (API) or even stem cells can be wonderful dosage forms for the treatment of DFU. This review summarizes the present techniques applied in the fabrication of nanofibrous dressing (ND) that utilizes a variety of materials and active agents to offer a better health care for the patients suffering from DFU.
糖尿病是世界上最普遍的疾病之一,死亡率高且并发症复杂,包括糖尿病足溃疡(DFU)。据报道,与DFU相关的伤口修复困难与伤口感染、炎症反应变化、细胞外基质(ECM)缺乏以及血管生成失败有很大关系。随着医用材料和制药技术的发展,通过静电纺丝开发出了纳米纤维,其具有巨大的孔隙率、优异的吸湿性能、更好的氧气交换率以及一些抗菌活性。也就是说,作为一种潜在材料,纳米纤维因其诸多优点必然是治疗DFU的理想候选材料。从天然资源和合成资源中精心选择聚合物可以拓宽纳米纤维的应用范围。用于制造纳米纤维的常用方法包括单轴静电纺丝和同轴静电纺丝。此外,负载化学物质、生化活性药物成分(API)甚至干细胞的纳米纤维可以成为治疗DFU的理想剂型。本综述总结了目前用于制造纳米纤维敷料(ND)的技术,该敷料利用多种材料和活性剂为患有DFU的患者提供更好的医疗护理。