Ning Xiaoying, He Gang, Zeng Weihui, Xia Yumin
Department of Dermatology, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
State Key Laboratory for Strength and Vibration of Mechanical Structures, Frontier Institute of Science and Technology, Xi'an Jiaotong University, Xi'an, China.
Front Med (Lausanne). 2022 Aug 11;9:915548. doi: 10.3389/fmed.2022.915548. eCollection 2022.
Wound repair remains a clinical challenge and bacterial infection is a common complication that may significantly delay healing. Therefore, proper and effective wound management is essential. The photosensitizer-based therapies mainly stimulate the photosensitizer to generate reactive oxygen species through appropriate excitation source irradiation, thereby killing pathogenic microorganisms. Moreover, they initiate local immune responses by inducing the recruitment of immune cells as well as the production of proinflammatory cytokines. In addition, these therapies can stimulate the proliferation, migration and differentiation of skin resident cells, and improve the deposition of extracellular matrix; subsequently, they promote the re-epithelialization, angiogenesis, and tissue remodeling. Studies in multiple animal models and human skin wounds have proved that the superior sterilization property and biological effects of photosensitizer-based therapies during different stages of wound repair. In this review, we summarize the recent advances in photosensitizer-based therapies for enhancing tissue regeneration, and suggest more effective therapeutics for patients with skin wounds.
伤口修复仍然是一项临床挑战,细菌感染是一种常见并发症,可能会显著延迟愈合。因此,恰当且有效的伤口管理至关重要。基于光敏剂的疗法主要是通过适当的激发源照射刺激光敏剂产生活性氧,从而杀死致病微生物。此外,它们通过诱导免疫细胞募集以及促炎细胞因子的产生引发局部免疫反应。此外,这些疗法可以刺激皮肤驻留细胞的增殖、迁移和分化,并改善细胞外基质的沉积;随后,它们促进上皮再形成、血管生成和组织重塑。在多个动物模型和人类皮肤伤口中的研究证明了基于光敏剂的疗法在伤口修复不同阶段具有卓越的杀菌性能和生物学效应。在本综述中,我们总结了基于光敏剂的疗法在促进组织再生方面的最新进展,并为皮肤伤口患者推荐更有效的治疗方法。