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伤口敷料作为生长因子传递平台在慢性伤口愈合中的应用。

Wound dressings as growth factor delivery platforms for chronic wound healing.

机构信息

Institute for Polymers Composites and Biomaterials (IPCB) - CNR, Pozzuoli, Italy.

Drug Delivery Laboratory, Department of Pharmacy, University of Napoli Federico II, Naples, Italy.

出版信息

Expert Opin Drug Deliv. 2021 Jun;18(6):737-759. doi: 10.1080/17425247.2021.1867096. Epub 2021 Jan 3.

Abstract

: Years of tissue engineering research have clearly demonstrated the potential of integrating growth factors (GFs) into scaffolds for tissue regeneration, a concept that has recently been applied to wound dressings. The old concept of wound dressings that only take a passive role in wound healing has now been overtaken, and advanced dressings which can take an active part in wound healing, are of current research interest.: In this review we will focus on the recent strategies for the delivery of GFs to wound sites with an emphasis on the different approaches used to achieve fine tuning of spatial and temporal concentrations to achieve therapeutic efficacy.: The use of GFs to accelerate wound healing and reduce scar formation is now considered a feasible therapeutic approach in patients with a high risk of infections and complications. The integration of micro - and nanotechnologies into wound dressings could be the key to overcome the inherent instability of GFs and offer adequate control over the release rate. Many investigations have led to encouraging outcomes in various and wound models, and it is expected that some of these technologies will satisfy clinical needs and will enter commercialization.

摘要

多年的组织工程研究已经清楚地表明,将生长因子 (GFs) 整合到用于组织再生的支架中具有潜力,这一概念最近已应用于伤口敷料。传统的伤口敷料在伤口愈合中只起被动作用的概念已经过时,目前人们对能够主动参与伤口愈合的先进敷料更感兴趣。在这篇综述中,我们将重点介绍最近将 GFs 递送到伤口部位的策略,重点介绍为实现时空浓度的精细调节以达到治疗效果而采用的不同方法。在感染和并发症风险较高的患者中,使用 GFs 加速伤口愈合和减少疤痕形成现在被认为是一种可行的治疗方法。将微纳技术与伤口敷料相结合可能是克服 GFs 固有不稳定性的关键,并能对释放率进行充分控制。许多研究在各种 和 伤口模型中取得了令人鼓舞的结果,预计其中一些技术将满足临床需求并进入商业化阶段。

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