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电纺生物材料在皮肤伤口愈合中瘢痕治疗与预防中的应用

Electrospun Biomaterials in the Treatment and Prevention of Scars in Skin Wound Healing.

作者信息

Mulholland Eoghan J

机构信息

Gastrointestinal Stem Cell Biology Laboratory, Wellcome Trust Centre for Human Genetics, University of Oxford, Oxford, United Kingdom.

出版信息

Front Bioeng Biotechnol. 2020 Jun 3;8:481. doi: 10.3389/fbioe.2020.00481. eCollection 2020.

Abstract

Electrospinning is a promising method for the rapid and cost-effective production of nanofibers from a wide variety of polymers given the high surface area morphology of these nanofibers, they make excellent wound dressings, and so have significant potential in the prevention and treatment of scars. Wound healing and the resulting scar formation are exceptionally well-characterized on a molecular and cellular level. Despite this, novel effective anti-scarring treatments which exploit this knowledge are still clinically absent. As the process of electrospinning can produce fibers from a variety of polymers, the treatment avenues for scars are vast, with therapeutic potential in choice of polymers, drug incorporation, and cell-seeded scaffolds. It is essential to show the new advances in this field; thus, this review will investigate the molecular processes of wound healing and scar tissue formation, the process of electrospinning, and examine how electrospun biomaterials can be utilized and adapted to wound repair in the hope of reducing scar tissue formation and conferring an enhanced tensile strength of the skin. Future directions of the research will explore potential novel electrospun treatments, such as gene therapies, as targets for enhanced tissue repair applications. With this class of biomaterial gaining such momentum and having such promise, it is necessary to refine our understanding of its process to be able to combine this technology with cutting-edge therapies to relieve the burden scars place on world healthcare systems.

摘要

鉴于纳米纤维具有高比表面积形态,静电纺丝是一种很有前景的方法,可快速且经济高效地从多种聚合物生产纳米纤维。它们可制成出色的伤口敷料,因此在预防和治疗疤痕方面具有巨大潜力。伤口愈合及由此产生的疤痕形成在分子和细胞水平上已有非常详尽的描述。尽管如此,利用这些知识的新型有效抗疤痕治疗方法在临床上仍然缺乏。由于静电纺丝过程可以从多种聚合物中生产纤维,疤痕的治疗途径广泛,在聚合物选择、药物掺入和细胞接种支架方面具有治疗潜力。展示该领域的新进展至关重要;因此,本综述将研究伤口愈合和疤痕组织形成的分子过程、静电纺丝过程,并探讨静电纺丝生物材料如何用于伤口修复并进行调整,以期减少疤痕组织形成并增强皮肤的拉伸强度。未来的研究方向将探索潜在的新型静电纺丝治疗方法,如基因疗法,作为增强组织修复应用的靶点。鉴于这类生物材料发展势头迅猛且前景广阔,有必要深化我们对其过程的理解,以便能够将该技术与前沿疗法相结合,减轻疤痕给全球医疗保健系统带来的负担。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a9d/7283777/b32f605de0a4/fbioe-08-00481-g0005.jpg

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