Department of Life, Health and Environmental Sciences, University of L'Aquila, 67100 L'Aquila, Italy.
Department of Biosciences, University of Milan, Via Giovanni Celoria 26, 20133 Milan, Italy.
Molecules. 2022 Jun 1;27(11):3566. doi: 10.3390/molecules27113566.
Wound healing is a complicated process, and the effective management of wounds is a major challenge. Natural herbal remedies have now become fundamental for the management of skin disorders and the treatment of skin infections due to the side effects of modern medicine and lower price for herbal products. The aim of the present study is to summarize the most recent in vitro, in vivo, and clinical studies on major herbal preparations, their phytochemical constituents, and new formulations for wound management. Research reveals that several herbal medicaments have marked activity in the management of wounds and that this activity is ascribed to flavonoids, alkaloids, saponins, and phenolic compounds. These phytochemicals can act at different stages of the process by means of various mechanisms, including anti-inflammatory, antimicrobial, antioxidant, collagen synthesis stimulating, cell proliferation, and angiogenic effects. The application of natural compounds using nanotechnology systems may provide significant improvement in the efficacy of wound treatments. Increasing the clinical use of these therapies would require safety assessment in clinical trials.
伤口愈合是一个复杂的过程,有效的伤口管理是一个主要挑战。由于现代医学的副作用和草药产品价格更低,天然草药疗法现在已成为治疗皮肤疾病和皮肤感染的基础。本研究的目的是总结关于主要草药制剂、其植物化学成分以及伤口管理的新配方的最新体外、体内和临床研究。研究表明,几种草药药物在伤口管理方面具有显著的活性,这种活性归因于类黄酮、生物碱、皂苷和酚类化合物。这些植物化学成分可以通过不同的机制在该过程的不同阶段发挥作用,包括抗炎、抗菌、抗氧化、刺激胶原合成、细胞增殖和血管生成作用。使用纳米技术系统应用天然化合物可能会显著提高伤口治疗的疗效。要增加这些疗法的临床应用,需要在临床试验中进行安全性评估。