Advanced Research and Development Center for Experimental Medicine (CEMEX), Grigore T. Popa University of Medicine and Pharmacy of Iasi, 9-13 Kogalniceanu Street, 700454 Iasi, Romania.
Biomedical Sciences Department, Faculty of Medical Bioengineering, Grigore T. Popa University of Medicine and Pharmacy of Iasi, 9-13 Kogalniceanu Street, 700454 Iasi, Romania.
Int J Mol Sci. 2022 Aug 7;23(15):8778. doi: 10.3390/ijms23158778.
Wound dressing design is a dynamic and rapidly growing field of the medical wound-care market worldwide. Advances in technology have resulted in the development of a wide range of wound dressings that treat different types of wounds by targeting the four phases of healing. The ideal wound dressing should perform rapid healing; preserve the body's water content; be oxygen permeable, non-adherent on the wound and hypoallergenic; and provide a barrier against external contaminants-at a reasonable cost and with minimal inconvenience to the patient. Therefore, choosing the best dressing should be based on what the wound needs and what the dressing does to achieve complete regeneration and restoration of the skin's structure and function. Biopolymers, such as alginate (ALG), chitosan (Cs), collagen (Col), hyaluronic acid (HA) and silk fibroin (SF), are extensively used in wound management due to their biocompatibility, biodegradability and similarity to macromolecules recognized by the human body. However, most of the formulations based on biopolymers still show various issues; thus, strategies to combine them with molecular biology approaches represent the future of wound healing. Therefore, this article provides an overview of biopolymers' roles in wound physiology as a perspective on the development of a new generation of enhanced, naturally inspired, smart wound dressings based on blood products, stem cells and growth factors.
伤口敷料设计是全球医学伤口护理市场中一个充满活力且快速发展的领域。技术的进步促使出现了各种各样的伤口敷料,这些敷料通过针对愈合的四个阶段来治疗不同类型的伤口。理想的伤口敷料应具有快速愈合、保持身体水分、透气、不粘连伤口且低致敏性、并为外部污染物提供屏障等功能——其成本合理,且对患者的不便最小。因此,选择最佳的敷料应基于伤口的需求以及敷料在实现皮肤结构和功能完全再生和恢复方面的作用。生物聚合物,如藻酸盐 (ALG)、壳聚糖 (Cs)、胶原蛋白 (Col)、透明质酸 (HA) 和丝素蛋白 (SF),由于其生物相容性、可生物降解性和与人体识别的大分子相似性,广泛应用于伤口管理中。然而,大多数基于生物聚合物的配方仍存在各种问题;因此,将它们与分子生物学方法相结合的策略代表了新一代基于血液制品、干细胞和生长因子的增强型、自然启发型智能伤口敷料的未来。因此,本文从伤口生理学的角度综述了生物聚合物的作用,以期开发新一代基于血液制品、干细胞和生长因子的增强型、自然启发型智能伤口敷料。
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