Jha Bhawana, Majie Ankit, Roy Kankan, Gorain Bapi
Department of Pharmaceutical Sciences and Technology, Birla Institute of Technology, Mesra, Ranchi, Jharkhand, 835215, India.
Naunyn Schmiedebergs Arch Pharmacol. 2025 May 3. doi: 10.1007/s00210-025-04180-1.
The skin acts as a vital barrier against external threats and regulates moisture levels. The skin's repair and rejuvenation encompass complex molecular and cellular mechanisms, constituting an essential yet intricate process to preserve skin integrity following trauma or surgical intervention. Acute wound repair unfolds through different interrelated stages, whereas chronic wounds pose significant healthcare challenges, often linked to conditions like diabetes and vascular diseases. Understanding of wound physiology is crucial for developing effective treatments. Chronic wounds require more comprehensive treatments, including surgical debridement, glycemic control, and antibiotic therapy. Ascorbic acid (AA) emerges as a promising wound-healing agent because it facilitates collagen synthesis, enhances antioxidant defense, promotes re-epithelialization and angiogenesis, regulates pH, and exhibits antimicrobial properties. Research outcomes on applying AA-based formulations on wound environment demonstrated its potential to accelerate wound closure and tissue regeneration, offering hope for improved wound management and reduced healthcare burdens associated with chronic wounds. The application of AA, which often utilizes innovative delivery methods and synergistic combinations with other actives, shows promise in preclinical studies for superior efficacy, biocompatibility, and controlled release profiles. Overall, AA-based therapies represent a significant avenue for advancing wound care and addressing the challenges of chronic wounds in healthcare systems.
皮肤作为抵御外部威胁的重要屏障,调节着水分水平。皮肤的修复和焕新涉及复杂的分子和细胞机制,是创伤或手术干预后维持皮肤完整性必不可少却又错综复杂的过程。急性伤口修复通过不同的相互关联阶段展开,而慢性伤口给医疗保健带来重大挑战,常与糖尿病和血管疾病等状况相关。了解伤口生理学对于开发有效的治疗方法至关重要。慢性伤口需要更全面的治疗,包括手术清创、血糖控制和抗生素治疗。抗坏血酸(AA)作为一种有前景的伤口愈合剂脱颖而出,因为它促进胶原蛋白合成、增强抗氧化防御、促进再上皮化和血管生成、调节pH值并具有抗菌特性。关于在伤口环境中应用基于AA的制剂的研究结果表明,它有加速伤口闭合和组织再生的潜力,为改善伤口管理和减轻与慢性伤口相关的医疗负担带来了希望。AA的应用通常采用创新的给药方法,并与其他活性成分协同组合,在临床前研究中显示出具有卓越疗效、生物相容性和控释特性的前景。总体而言,基于AA的疗法是推进伤口护理以及应对医疗保健系统中慢性伤口挑战的重要途径。