Department of Immunology, Zanjan University of Medical Sciences, Zanjan, 77978-45157, Iran.
Cancer Gene Therapy Research Center, Zanjan University of Medical Sciences, Zanjan, 77978-45157, Iran.
Nanomedicine (Lond). 2024 Apr;19(10):915-941. doi: 10.2217/nnm-2023-0344. Epub 2024 Mar 6.
Chronic nonhealing wounds pose a serious challenge to regaining skin function and integrity. Platelet-derived extracellular vesicles (PEVs) are nanostructured particles with the potential to promote wound healing since they can enhance neovascularization and cell migration and reduce inflammation and scarring. This work provides an innovative overview of the technical laboratory issues in PEV production, PEVs' role in chronic wound healing and the benefits and challenges in its clinical translation. The article also explores the challenges of proper sourcing, extraction techniques and storage conditions, and discusses the necessity of further evaluations and combinational therapeutics, including dressing biomaterials, M2-derived exosomes, mesenchymal stem cells-derived extracellular vesicles and microneedle technology, to boost their therapeutic efficacy as advanced strategies for wound healing.
慢性难愈性创面的皮肤功能和完整性的恢复极具挑战性。血小板衍生的细胞外囊泡(PEVs)是具有促进创面愈合潜力的纳米结构颗粒,因为它们可以促进新血管生成和细胞迁移,减少炎症和瘢痕形成。这项工作提供了关于 PEV 生产的技术实验室问题、PEV 在慢性创面愈合中的作用以及其临床转化的益处和挑战的创新性概述。本文还探讨了适当的来源选择、提取技术和储存条件的挑战,并讨论了进一步评估和联合治疗的必要性,包括敷料生物材料、M2 衍生的外泌体、间充质干细胞衍生的细胞外囊泡和微针技术,以作为先进的创面愈合策略来提高其治疗效果。