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多功能智能伤口敷料——皮肤再生医学最新研究进展综述

Multifunctional and Smart Wound Dressings-A Review on Recent Research Advancements in Skin Regenerative Medicine.

作者信息

Rani Raju Nithya, Silina Ekaterina, Stupin Victor, Manturova Natalia, Chidambaram Saravana Babu, Achar Raghu Ram

机构信息

Division of Biochemistry, School of Life Sciences, JSS Academy of Higher Education & Research, Mysuru 570015, Karnataka, India.

Institute of Biodesign and Modeling of Complex Systems, I.M. Sechenov First Moscow State Medical University (Sechenov University), Trubetskaya Street 8, 119991 Moscow, Russia.

出版信息

Pharmaceutics. 2022 Jul 28;14(8):1574. doi: 10.3390/pharmaceutics14081574.

Abstract

The healing of wounds is a dynamic function that necessitates coordination among multiple cell types and an optimal extracellular milieu. Much of the research focused on finding new techniques to improve and manage dermal injuries, chronic injuries, burn injuries, and sepsis, which are frequent medical concerns. A new research strategy involves developing multifunctional dressings to aid innate healing and combat numerous issues that trouble incompletely healed injuries, such as extreme inflammation, ischemic damage, scarring, and wound infection. Natural origin-based compounds offer distinct characteristics, such as excellent biocompatibility, cost-effectiveness, and low toxicity. Researchers have developed biopolymer-based wound dressings with drugs, biomacromolecules, and cells that are cytocompatible, hemostatic, initiate skin rejuvenation and rapid healing, and possess anti-inflammatory and antimicrobial activity. The main goal would be to mimic characteristics of fetal tissue regeneration in the adult healing phase, including complete hair and glandular restoration without delay or scarring. Emerging treatments based on biomaterials, nanoparticles, and biomimetic proteases have the keys to improving wound care and will be a vital addition to the therapeutic toolkit for slow-healing wounds. This study focuses on recent discoveries of several dressings that have undergone extensive pre-clinical development or are now undergoing fundamental research.

摘要

伤口愈合是一项动态功能,需要多种细胞类型之间的协调以及最佳的细胞外环境。许多研究集中在寻找新技术来改善和处理皮肤损伤、慢性损伤、烧伤和败血症,这些都是常见的医学问题。一种新的研究策略是开发多功能敷料,以促进天然愈合并应对困扰未完全愈合伤口的诸多问题,如极度炎症、缺血性损伤、瘢痕形成和伤口感染。基于天然来源的化合物具有独特的特性,如优异的生物相容性、成本效益和低毒性。研究人员已经开发出基于生物聚合物的伤口敷料,其中含有药物、生物大分子和细胞,这些敷料具有细胞相容性、止血性、能促进皮肤再生和快速愈合,并且具有抗炎和抗菌活性。主要目标是在成人愈合阶段模拟胎儿组织再生的特征,包括毛发和腺体的完全恢复,且无延迟或瘢痕形成。基于生物材料、纳米颗粒和仿生蛋白酶的新兴治疗方法是改善伤口护理的关键,将成为治疗慢性愈合伤口的治疗工具包中的重要补充。本研究聚焦于几种已进行广泛临床前开发或正在进行基础研究的敷料的最新发现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ebb5/9414988/e060a10812c2/pharmaceutics-14-01574-g001.jpg

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