Downer Mauricio, Berry Charlotte E, Parker Jennifer B, Kameni Lionel, Griffin Michelle
Department of Surgery, Division of Plastic and Reconstructive Surgery, Stanford University School of Medicine, Stanford, CA 94305, USA.
Institute for Stem Cell Biology and Regenerative Medicine, Stanford University School of Medicine, Stanford, CA 94305, USA.
Bioengineering (Basel). 2023 Nov 30;10(12):1378. doi: 10.3390/bioengineering10121378.
Wound healing is the body's process of injury recovery. Skin healing is divided into four distinct overlapping phases: hemostasis, inflammation, proliferation, and remodeling. Cell-to-cell interactions mediated by both cytokines and chemokines are imperative for the transition between these phases. Patients can face difficulties in the healing process due to the wound being too large, decreased vascularization, infection, or additional burdens of a systemic illness. The field of tissue engineering has been investigating biomaterials as an alternative for skin regeneration. Biomaterials used for wound healing may be natural, synthetic, or a combination of both. Once a specific biomaterial is selected, it acts as a scaffold for skin regeneration. When the scaffold is applied to a wound, it allows for the upregulation of distinct molecular signaling pathways important for skin repair. Although tissue engineering has made great progress, more research is needed in order to support the use of biomaterials for wound healing for clinical translation.
伤口愈合是身体损伤恢复的过程。皮肤愈合分为四个不同但相互重叠的阶段:止血、炎症、增殖和重塑。细胞因子和趋化因子介导的细胞间相互作用对于这些阶段之间的转变至关重要。由于伤口过大、血管化减少、感染或全身性疾病的额外负担,患者在愈合过程中可能会面临困难。组织工程领域一直在研究生物材料作为皮肤再生的替代物。用于伤口愈合的生物材料可以是天然的、合成的或两者的组合。一旦选择了特定的生物材料,它就充当皮肤再生的支架。当支架应用于伤口时,它允许上调对皮肤修复重要的不同分子信号通路。尽管组织工程取得了很大进展,但为了支持将生物材料用于伤口愈合的临床转化,仍需要更多的研究。