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用于慢性伤口呼吸的氧释放生物材料:从理论机制到应用前景

Oxygen-releasing biomaterials for chronic wounds breathing: From theoretical mechanism to application prospect.

作者信息

He Yu, Chang Qiang, Lu Feng

机构信息

Department of Plastic and Reconstruction Surgery, Nanfang Hospital, Southern Medical University, 1838 North Guangzhou Avenue, Guangzhou, Guangdong Province, 510515, China.

出版信息

Mater Today Bio. 2023 Jun 2;20:100687. doi: 10.1016/j.mtbio.2023.100687. eCollection 2023 Jun.


DOI:10.1016/j.mtbio.2023.100687
PMID:37334187
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10276161/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62f7/10276161/bf399f6dca63/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62f7/10276161/4eb24da58578/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62f7/10276161/7634255cb9aa/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62f7/10276161/a22474b33045/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62f7/10276161/643d46252231/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62f7/10276161/ef18c4fad93b/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62f7/10276161/bf399f6dca63/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62f7/10276161/4eb24da58578/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62f7/10276161/7634255cb9aa/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62f7/10276161/a22474b33045/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62f7/10276161/643d46252231/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62f7/10276161/ef18c4fad93b/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62f7/10276161/bf399f6dca63/gr5.jpg

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本文引用的文献

[1]
Innovative Treatment Strategies to Accelerate Wound Healing: Trajectory and Recent Advancements.

Cells. 2022-8-6

[2]
How Microalgae is Effective in Oxygen Deficiency Aggravated Diseases? A Comprehensive Review of Literature.

Int J Nanomedicine. 2022

[3]
Microbubbles Stabilized by Protein Shell: From Pioneering Ultrasound Contrast Agents to Advanced Theranostic Systems.

Pharmaceutics. 2022-6-10

[4]
An NIR-II Photothermally Triggered "Oxygen Bomb" for Hypoxic Tumor Programmed Cascade Therapy.

Adv Mater. 2022-7

[5]
Efficacy of Topical Wound Oxygen Therapy in Healing Chronic Diabetic Foot Ulcers: Systematic Review and Meta-Analysis.

Adv Wound Care (New Rochelle). 2023-4

[6]
Artificial Nonenzymatic Antioxidant MXene Nanosheet-Anchored Injectable Hydrogel as a Mild Photothermal-Controlled Oxygen Release Platform for Diabetic Wound Healing.

ACS Nano. 2022-5-24

[7]
Aqueous decomposition behavior of solid peroxides: Effect of pH and buffer composition on oxygen and hydrogen peroxide formation.

Acta Biomater. 2022-6

[8]
In Situ 3D Bioprinting Living Photosynthetic Scaffolds for Autotrophic Wound Healing.

Research (Wash D C). 2022-3-20

[9]
Chitosan/PVA Hetero-Composite Hydrogel Containing Antimicrobials, Perfluorocarbon Nanoemulsions, and Growth Factor-Loaded Nanoparticles as a Multifunctional Dressing for Diabetic Wound Healing: Synthesis, Characterization, and In Vitro/In Vivo Evaluation.

Pharmaceutics. 2022-2-28

[10]
Hyperbaric oxygen influences chronic wound healing - a cellular level review.

Physiol Res. 2021-12-31

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