He Yu, Chang Qiang, Lu Feng
Department of Plastic and Reconstruction Surgery, Nanfang Hospital, Southern Medical University, 1838 North Guangzhou Avenue, Guangzhou, Guangdong Province, 510515, China.
Mater Today Bio. 2023 Jun 2;20:100687. doi: 10.1016/j.mtbio.2023.100687. eCollection 2023 Jun.
Chronic wounds have always been considered as "gordian knots" in medicine, in which hypoxia plays a key role in blocking healing. To address this challenge, although tissue reoxygenation therapy based on hyperbaric oxygen therapy (HBOT) has been performed clinically for several years, the bench to bedside still urges the evolution of oxygen-loading and -releasing strategies with explicit benefits and consistent outcome. The combination of various oxygen carriers with biomaterials has gained momentum as an emerging therapeutic strategy in this field, exhibiting considerable application potential. This review gives an overview of the essential relationship between hypoxia and delayed wound healing. Further, detailed characteristics, preparation methods and applications of various oxygen-releasing biomaterials (ORBMs) will be elaborated, including hemoglobin, perfluorocarbon, peroxide, and oxygen-generating microorganisms, those biomaterials are applied to load, release or generate a vast of oxygen to relieve the hypoxemia and bring the subsequent cascade effect. The pioneering papers regarding to the ORBMs practice are presented and trends toward hybrid and more precise manipulation are summarized.
慢性伤口一直被视为医学中的“难解之结”,其中缺氧在阻碍伤口愈合方面起着关键作用。为应对这一挑战,尽管基于高压氧疗法(HBOT)的组织复氧疗法已在临床上应用数年,但从实验室到临床仍迫切需要发展具有明确益处和一致效果的氧加载和释放策略。各种氧载体与生物材料的结合作为该领域一种新兴的治疗策略已获得发展势头,展现出相当大的应用潜力。本综述概述了缺氧与伤口愈合延迟之间的基本关系。此外,还将详细阐述各种氧释放生物材料(ORBMs)的特性、制备方法和应用,包括血红蛋白、全氟化碳、过氧化物和产氧微生物,这些生物材料被用于加载、释放或产生大量氧气以缓解低氧血症并带来后续的级联效应。文中还介绍了关于ORBMs实践的开创性论文,并总结了混合和更精确操作的发展趋势。
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