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微针辅助给药在伤口愈合中的治疗潜力:现状、挑战与未来展望

Therapeutic Potential of Microneedle Assisted Drug Delivery for Wound Healing: Current State of the Art, Challenges, and Future Perspective.

作者信息

Kumar Devesh, Pandey Shubham, Shiekmydeen Jailani, Kumar Mohit, Chopra Shruti, Bhatia Amit

机构信息

Institute of Pharmaceutical Research, GLA University, Mathura, 281406, Uttar Pradesh, India.

Institute of Nuclear Medicine & Allied Sciences (INMAS), Brig. S. K Majumdar Marg, Timarpur, Delhi, 110054, India.

出版信息

AAPS PharmSciTech. 2025 Jan 8;26(1):25. doi: 10.1208/s12249-024-03017-z.

DOI:10.1208/s12249-024-03017-z
PMID:39779610
Abstract

Microneedles (MNs) appear as a transformative and minimally invasive platform for transdermal drug delivery, representing a highly promising strategy in wound healing therapeutics. This technology, entailing the fabrication of micron-scale needle arrays, enables the targeted and efficient delivery of bioactive agents into the epidermal and dermal layers without inducing significant pain or discomfort. The precise penetration of MNs facilitates localized and sustained drug release, which significantly enhances tissue regeneration and accelerates wound closure. Furthermore, MNs can be engineered to encapsulate essential bioactive compounds, including antimicrobial agents, growth factors, and stem cells, which are critical for modulating the wound healing cascade and mitigating infection risk. The biodegradable nature of these MNs obviates the need for device removal, rendering them particularly advantageous in the management of chronic wounds such as diabetic ulcers and pressure sores. The integration of nanotechnology within MNs further augments their drug-loading capacity, stability, and controlled-release kinetics, offering a sophisticated therapeutic modality. This cutting-edge approach has the potential to redefine wound care by optimizing therapeutic efficacy, reducing adverse effects, and enhancing patient adherence. As MN technology advances, its application in wound healing exemplifies a dynamic frontier within biomedical engineering and regenerative medicine.

摘要

微针似乎是一种用于透皮给药的变革性和微创平台,是伤口愈合治疗中一种极有前景的策略。这项技术需要制造微米级的针阵列,能够将生物活性剂靶向且高效地递送至表皮和真皮层,而不会引起明显的疼痛或不适。微针的精确穿透有助于局部和持续的药物释放,这显著增强了组织再生并加速了伤口愈合。此外,微针可以设计成包裹必需的生物活性化合物,包括抗菌剂、生长因子和干细胞,这些对于调节伤口愈合级联反应和降低感染风险至关重要。这些微针的可生物降解特性消除了取出装置的需要,使其在治疗糖尿病溃疡和压疮等慢性伤口方面特别具有优势。纳米技术与微针的结合进一步提高了它们的载药能力、稳定性和控释动力学,提供了一种先进的治疗方式。这种前沿方法有可能通过优化治疗效果、减少不良反应和提高患者依从性来重新定义伤口护理。随着微针技术的进步,其在伤口愈合中的应用体现了生物医学工程和再生医学领域一个充满活力的前沿领域。

相似文献

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Therapeutic Potential of Microneedle Assisted Drug Delivery for Wound Healing: Current State of the Art, Challenges, and Future Perspective.微针辅助给药在伤口愈合中的治疗潜力:现状、挑战与未来展望
AAPS PharmSciTech. 2025 Jan 8;26(1):25. doi: 10.1208/s12249-024-03017-z.
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本文引用的文献

1
"On-demand" nanosystem-integrated microneedles for amplified triple therapy against recalcitrant bacteria and biofilm growth.用于增强针对顽固性细菌和生物膜生长的三联疗法的“按需”纳米系统集成微针
Mater Today Bio. 2024 Nov 6;29:101327. doi: 10.1016/j.mtbio.2024.101327. eCollection 2024 Dec.
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Microneedles based on hyaluronic acid-polyvinyl alcohol with antibacterial, anti-inflammatory, and antioxidant effects promote diabetic wound healing.基于具有抗菌、抗炎和抗氧化作用的透明质酸-聚乙烯醇的微针可促进糖尿病伤口愈合。
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Advances in microneedle technology for biomedical detection.
微针技术在生物医学检测中的进展。
Biomater Sci. 2024 Oct 8;12(20):5134-5149. doi: 10.1039/d4bm00794h.
4
M2 macrophage-polarized anti-inflammatory microneedle patch for accelerating biofilm-infected diabetic wound healing via modulating the insulin pathway.M2 巨噬细胞极化抗炎微针贴片通过调节胰岛素通路加速生物膜感染性糖尿病伤口愈合。
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A one-stop integrated natural antimicrobial microneedles with anti-inflammatory, pro-angiogenic and long-term moisturizing properties to accelerate diabetic wound healing.一种集抗炎、促血管生成和长效保湿功能于一体的天然抗菌微针,可加速糖尿病伤口愈合。
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6
Single-dose of integrated bilayer microneedles for enhanced hypertrophic scar therapy with rapid anti-inflammatory and sustained inhibition of myofibroblasts.单剂量整合双层微针促进增生性瘢痕治疗:快速抗炎和持续抑制肌成纤维细胞。
Biomaterials. 2025 Jan;312:122742. doi: 10.1016/j.biomaterials.2024.122742. Epub 2024 Jul 31.
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Functional hyaluronic acid microneedles for skin photoaging based on collagen induction and oxidative stress regulation strategies.基于胶原诱导和氧化应激调控策略的皮肤光老化用功能性透明质酸微针。
Int J Biol Macromol. 2024 Oct;277(Pt 2):134080. doi: 10.1016/j.ijbiomac.2024.134080. Epub 2024 Jul 27.
8
Bioactive sucralfate-based microneedles promote wound healing through reprogramming macrophages and protecting endogenous growth factors.基于生物活性蔗糖酯的微针通过重编程巨噬细胞和保护内源性生长因子促进伤口愈合。
Biomaterials. 2024 Dec;311:122700. doi: 10.1016/j.biomaterials.2024.122700. Epub 2024 Jul 4.
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Formulation, Optimization, and Evaluation of Non-Propellent Foam-Based Formulation for Burn Wounds Treatment.非推进剂泡沫制剂用于烧伤创面治疗的制剂、优化和评价。
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Recent Applications of Chitosan and Its Derivatives in Antibacterial, Anticancer, Wound Healing, and Tissue Engineering Fields.壳聚糖及其衍生物在抗菌、抗癌、伤口愈合和组织工程领域的最新应用
Polymers (Basel). 2024 May 10;16(10):1351. doi: 10.3390/polym16101351.