Jaldin-Crespo Limberg, Silva Nataly, Martínez Jessica
Regenerative Medicine Center, Faculty of Medicine, Clínica Alemana-Universidad del Desarrollo, Santiago 7610658, Chile.
Faculty of Design, Universidad del Desarrollo, Santiago 7610658, Chile.
Nanomaterials (Basel). 2022 Dec 10;12(24):4409. doi: 10.3390/nano12244409.
Wound healing is a public health concern worldwide, particularly in chronic wounds due to delayed healing and susceptibility to bacterial infection. Nanomaterials are widely used in wound healing treatments due to their unique properties associated with their size and very large surface-area-to-volume ratio compared to the same material in bulk. The properties of nanomaterials can be expanded and improved upon with the addition of honey and propolis, due to the presence of bioactive molecules such as polyphenols, flavonoids, peptides, and enzymes. These bionanomaterials can act at different stages of wound healing and through different mechanisms, including anti-inflammatory, antimicrobial, antioxidant, collagen synthesis stimulation, cell proliferation, and angiogenic effects. Biomaterials, at the nanoscale, show new alternatives for wound therapy, allowing for targeted and continuous delivery of beekeeping products at the injection site, thus avoiding possible systemic adverse effects. Here, we summarize the most recent therapies for wound healing based on bionanomaterials assisted by honey and propolis, with a focus on in vitro and in vivo studies. We highlight the type, composition (honey, propolis, and polymeric scaffolds), biological, physicochemical/mechanical properties, potential applications and patents related of the last eight years. Furthermore, we discuss the challenges, advantages, disadvantages and stability of different bionanomaterials related to their clinical translation and insight into the investigation and development of new treatments for wound healing.
伤口愈合是一个全球性的公共卫生问题,尤其是在慢性伤口方面,因为其愈合延迟且易受细菌感染。纳米材料因其独特的性质(与相同材料的块状相比,其尺寸小且表面积与体积之比非常大)而被广泛用于伤口愈合治疗。由于存在多酚、黄酮类化合物、肽和酶等生物活性分子,纳米材料的性质可以通过添加蜂蜜和蜂胶来扩展和改善。这些生物纳米材料可以在伤口愈合的不同阶段通过不同机制发挥作用,包括抗炎、抗菌、抗氧化、刺激胶原蛋白合成、促进细胞增殖和血管生成作用。纳米级的生物材料为伤口治疗提供了新的选择,能够在注射部位靶向并持续递送养蜂产品,从而避免可能的全身不良反应。在此,我们总结了基于蜂蜜和蜂胶辅助的生物纳米材料的最新伤口愈合疗法,重点关注体外和体内研究。我们突出了过去八年中相关的类型、组成(蜂蜜、蜂胶和聚合物支架)、生物学、物理化学/机械性能、潜在应用和专利。此外,我们讨论了不同生物纳米材料在临床转化方面的挑战、优点、缺点和稳定性,并深入探讨了伤口愈合新疗法的研究与开发。