Molecular and medicine research center, Khomein University of Medical Sciences, Khomein, Iran.
Department of Microbiology, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran.
Biomed Pharmacother. 2023 Feb;158:114184. doi: 10.1016/j.biopha.2022.114184. Epub 2022 Dec 30.
Bacterial infection of the wound could potentially cause serious complications and an enormous medical and financial cost to the rapid emergence of drug-resistant bacteria. Nanomaterials are an emerging technology, that has been researched as possible antimicrobial nanomaterials for the inhibition of wound infection and enhancement of wound healing. Graphene is 2-dimensional (2D) sheet of sp carbon atoms in a honeycomb structure. It has superior properties, strength, conductivity, antimicrobial, and molecular carrier abilities. Graphene and its derivatives, Graphene oxide (GO) and reduced GO (rGO), have antibacterial activity and could damage bacterial morphology and lead to the leakage of intracellular substances. Besides, for wound infection management, Graphene-platforms could be functionalized by different antibacterial agents such as metal-nanoparticles, natural compounds, and antibiotics. The Graphene structure can absorb near-infrared wavelengths, allowing it to be used as antimicrobial photodynamic therapy. Therefore, Graphene-based material could be used to inhibit pathogens that cause serious skin infections and destroy their biofilm community, which is one of the biggest challenges in treating wound infection. Due to its agglomerated structure, GO hydrogel could entrap and stack the bacteria; thus, it prevents their initial attachment and biofilm formation. The sharp edges of GO could destroy the extracellular polymeric substance surrounding the biofilm and ruin the biofilm biomass structure. As well as, Chitosan and different natural and synthetic polymers such as collagen and polyvinyl alcohol (PVA) also have attracted a great deal of attention for use with GO as wound dressing material. To this end, multi-functional polymers based on Graphene and blends of synthetic and natural polymers can be considered valid non-antibiotic compounds useful against wound infection and improvement of wound healing. Finally, the global wound care market size was valued at USD 20.8 billion in 2022 and is expected to expand at a compound annual growth rate (CAGR) of 5.4% from 2022 to 2027 (USD 27.2 billion). This will encourage academic as well as pharmaceutical and medical device industries to investigate any new materials such as graphene and its derivatives for the treatment of wound healing.
伤口细菌感染可能会导致严重的并发症,而且随着耐药细菌的迅速出现,这将给医疗带来巨大的经济成本。纳米材料是一种新兴技术,已被研究作为可能的抗菌纳米材料,以抑制伤口感染并促进伤口愈合。石墨烯是由 sp 碳原子组成的二维(2D)蜂窝状结构的薄片。它具有优异的性能,如强度、导电性、抗菌性和分子载体能力。石墨烯及其衍生物,氧化石墨烯(GO)和还原氧化石墨烯(rGO),具有抗菌活性,可以破坏细菌形态并导致细胞内物质的泄漏。此外,对于伤口感染管理,石墨烯平台可以通过不同的抗菌剂进行功能化,如金属纳米粒子、天然化合物和抗生素。石墨烯结构可以吸收近红外波长,因此可以用作抗菌光动力疗法。因此,基于石墨烯的材料可用于抑制引起严重皮肤感染的病原体,并破坏其生物膜群落,这是治疗伤口感染的最大挑战之一。由于其聚集的结构,GO 水凝胶可以捕获和堆叠细菌;因此,它可以防止它们的初始附着和生物膜形成。GO 的锋利边缘可以破坏生物膜周围的细胞外聚合物物质并破坏生物膜生物量结构。此外,壳聚糖和不同的天然和合成聚合物,如胶原蛋白和聚乙烯醇(PVA),也因其作为伤口敷料材料而受到极大关注。为此,基于石墨烯的多功能聚合物以及合成和天然聚合物的混合物,可以被认为是对抗伤口感染和改善伤口愈合的有效非抗生素化合物。最后,全球伤口护理市场规模在 2022 年价值 208 亿美元,预计从 2022 年到 2027 年(272 亿美元)将以 5.4%的复合年增长率(CAGR)增长。这将鼓励学术界以及制药和医疗器械行业研究任何新材料,如石墨烯及其衍生物,用于治疗伤口愈合。