Nurkesh Ayan, Jaguparov Alexandr, Jimi Shiro, Saparov Arman
Department of Medicine, School of Medicine, Nazarbayev University, Nur-Sultan, Kazakhstan.
Central Laboratory for Pathology and Morphology, Faculty of Medicine, Fukuoka University, Fukuoka, Japan.
Front Cell Dev Biol. 2020 Jul 14;8:638. doi: 10.3389/fcell.2020.00638. eCollection 2020.
Bioengineered materials are widely utilized due to their biocompatibility and degradability, as well as their moisturizing and antibacterial properties. One field of their application in medicine is to treat wounds by promoting tissue regeneration and improving wound healing. In addition to creating a physical and chemical barrier against primary infection, the mechanical stability of the porous structure of biomaterials provides an extracellular matrix (ECM)-like niche for cells. Growth factors (GFs) and cytokines, which are secreted by the cells, are essential parts of the complex process of tissue regeneration and wound healing. There are several clinically approved GFs for topical administration and direct injections. However, the limited time of bioactivity at the wound site often requires repeated drug administration that increases cost and may cause adverse side effects. The tissue regeneration promoting factors incorporated into the materials have significantly enhanced wound healing in comparison to bolus drug treatment. Biomaterials protect the cargos from protease degradation and provide sustainable drug delivery for an extended period of time. This prolonged drug bioactivity lowered the dosage, eliminated the need for repeated administration, and decreased the potential of undesirable side effects. In the following mini-review, recent advances in the field of single and combinatorial delivery of GFs and cytokines for treating cutaneous wound healing will be discussed.
生物工程材料因其生物相容性、可降解性以及保湿和抗菌特性而被广泛应用。它们在医学上的一个应用领域是通过促进组织再生和改善伤口愈合来治疗伤口。除了对原发性感染形成物理和化学屏障外,生物材料多孔结构的机械稳定性为细胞提供了类似细胞外基质(ECM)的微环境。细胞分泌的生长因子(GFs)和细胞因子是组织再生和伤口愈合复杂过程的重要组成部分。有几种临床上批准用于局部给药和直接注射的生长因子。然而,伤口部位生物活性时间有限,往往需要重复给药,这增加了成本,还可能导致不良副作用。与推注药物治疗相比,掺入材料中的组织再生促进因子显著增强了伤口愈合。生物材料可保护所载药物不被蛋白酶降解,并能长时间提供可持续的药物递送。这种延长的药物生物活性降低了剂量,消除了重复给药的必要性,并降低了产生不良副作用的可能性。在以下小型综述中,将讨论用于治疗皮肤伤口愈合的生长因子和细胞因子单一及联合递送领域的最新进展。