Gao Zhaoju, Wang Qiuxiang, Yao Qingqiang, Zhang Pingping
School of Pharmacy and Pharmaceutical Sciences, Shandong First Medical University & Shandong Academy of Medical Sciences, Jinan 250000, China.
Pharmaceutics. 2021 Dec 21;14(1):6. doi: 10.3390/pharmaceutics14010006.
Diabetic wounds are complications of diabetes which are caused by skin dystrophy because of local ischemia and hypoxia. Diabetes causes wounds in a pathological state of inflammation, resulting in delayed wound healing. The structure of electrospun nanofibers is similar to that of the extracellular matrix (ECM), which is conducive to the attachment, growth, and migration of fibroblasts, thus favoring the formation of new skin tissue at the wound. The composition and size of electrospun nanofiber membranes can be easily adjusted, and the controlled release of loaded drugs can be realized by regulating the fiber structure. The porous structure of the fiber membrane is beneficial to gas exchange and exudate absorption at the wound, and the fiber surface can be easily modified to give it function. Electrospun fibers can be used as wound dressing and have great application potential in the treatment of diabetic wounds. In this study, the applications of polymer electrospun fibers, nanoparticle-loaded electrospun fibers, drug-loaded electrospun fibers, and cell-loaded electrospun fibers, in the treatment of diabetic wounds were reviewed, and provide new ideas for the effective treatment of diabetic wounds.
糖尿病伤口是糖尿病的并发症,由局部缺血和缺氧导致的皮肤营养不良引起。糖尿病在炎症的病理状态下导致伤口,造成伤口愈合延迟。电纺纳米纤维的结构与细胞外基质(ECM)相似,有利于成纤维细胞的附着、生长和迁移,从而有利于伤口处新皮肤组织的形成。电纺纳米纤维膜的组成和尺寸可以很容易地调节,通过调节纤维结构可以实现负载药物的控释。纤维膜的多孔结构有利于伤口处的气体交换和渗出液吸收,并且纤维表面可以很容易地进行改性以赋予其功能。电纺纤维可用作伤口敷料,在糖尿病伤口治疗中具有巨大的应用潜力。在本研究中,综述了聚合物电纺纤维、负载纳米颗粒的电纺纤维、负载药物的电纺纤维和负载细胞的电纺纤维在糖尿病伤口治疗中的应用,为糖尿病伤口的有效治疗提供了新思路。