Research Center for Tissue Repair and Regeneration Affiliated to the Medical Innovation Research Department, Chinese PLA General Hospital and PLA Medical College; PLA Key Laboratory of Tissue Repair and Regenerative Medicine and Beijing Key Research Laboratory of Skin Injury, Repair and Regeneration; Research Unit of Trauma Care, Tissue Repair and Regeneration, Chinese Academy of Medical Sciences, 2019RU051, Beijing, 100048, China.
Department of Tissue Regeneration and Wound Repair, Chinese PLA General Hospital, Beijing, 100853, China.
Mil Med Res. 2024 Feb 18;11(1):13. doi: 10.1186/s40779-024-00519-6.
Scar formation resulting from burns or severe trauma can significantly compromise the structural integrity of skin and lead to permanent loss of skin appendages, ultimately impairing its normal physiological function. Accumulating evidence underscores the potential of targeted modulation of mechanical cues to enhance skin regeneration, promoting scarless repair by influencing the extracellular microenvironment and driving the phenotypic transitions. The field of skin repair and skin appendage regeneration has witnessed remarkable advancements in the utilization of biomaterials with distinct physical properties. However, a comprehensive understanding of the underlying mechanisms remains somewhat elusive, limiting the broader application of these innovations. In this review, we present two promising biomaterial-based mechanical approaches aimed at bolstering the regenerative capacity of compromised skin. The first approach involves leveraging biomaterials with specific biophysical properties to create an optimal scarless environment that supports cellular activities essential for regeneration. The second approach centers on harnessing mechanical forces exerted by biomaterials to enhance cellular plasticity, facilitating efficient cellular reprogramming and, consequently, promoting the regeneration of skin appendages. In summary, the manipulation of mechanical cues using biomaterial-based strategies holds significant promise as a supplementary approach for achieving scarless wound healing, coupled with the restoration of multiple skin appendage functions.
烧伤或严重创伤导致的瘢痕形成会显著损害皮肤的结构完整性,并导致皮肤附属物的永久性丧失,最终损害其正常的生理功能。越来越多的证据强调了靶向调节机械线索的潜力,通过影响细胞外微环境和驱动表型转变来促进皮肤再生,实现无瘢痕修复。在利用具有独特物理性质的生物材料促进皮肤修复和皮肤附属物再生方面,该领域已经取得了显著的进展。然而,对潜在机制的全面理解仍然有些难以捉摸,限制了这些创新的更广泛应用。在这篇综述中,我们提出了两种有前途的基于生物材料的机械方法,旨在增强受损皮肤的再生能力。第一种方法涉及利用具有特定生物物理特性的生物材料来创建一个最佳的无瘢痕环境,支持细胞再生所必需的细胞活动。第二种方法集中于利用生物材料施加的机械力来增强细胞的可塑性,促进有效的细胞重编程,从而促进皮肤附属物的再生。总之,利用基于生物材料的策略来操纵机械线索有望成为实现无瘢痕伤口愈合的补充方法,同时恢复多种皮肤附属物的功能。
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