Mitra Adwitiya, Shahid Ayesha, Kumari Shivangi, Mukherjee Tuhin, Pramanick Shiladitya, Mohanty Satyajit, Ansari Mohammad Azam, Adhikary Krishnendu, Prabhakar Pranav Kumar, Kesari Kavindra Kumar
Clinical Research Group, Torrent Pharmaceuticals Ltd, Gandhinagar, Gujarat, 382428, India.
Division of Pharmacology, Department of Pharmaceutical Sciences and Technology, Birla Institute of Technology, Mesra, Ranchi, 835215, Jharkhand, India.
Inflammopharmacology. 2025 Jun 20. doi: 10.1007/s10787-025-01806-x.
Wound healing is a complex process with various dimensions, often presenting as a growing concern that prompts the quest for advancements. This review emphasizes the therapeutic potential of medicinal plants rich in flavonoids, terpenoids, polyphenols, alkaloids, and steroids and discusses their valuable antibacterial, antioxidant, and anti-inflammatory properties in wound management. Cross talk of the phytochemicals with the intricate phases of wound healing, encompassing hemostasis, inflammation, proliferation, and remodeling is detailed, highlighting essential cellular and molecular mechanisms crucial for effective tissue repair. Chronic wounds, a significant global health concern, underscore the importance of advancing wound care therapies. Various treatment modalities, from platelet-rich plasma (PRP) and stem cell therapy to gene therapy, offer diverse mechanisms to promote wound closure and tissue regeneration and mitigate infection risk. Challenges such as variable efficacy, cost, and limited availability necessitate ongoing research for optimal wound management strategies. Wound dressings play a pivotal role in wound care by providing protective barriers against microbial invasion, facilitating tissue regeneration, and maintaining a moist wound environment conducive to healing. The review outlines various types of dressings, including hydrocolloid, foam, alginate, hydrogel, collagen, silver, transparent film, and composite dressings, each offering specific functions and limitations. Appropriate dressing selection depends on wound type, exudate level, and desired therapeutic outcomes. This review offers valuable insights into the complex landscape of wound-healing research and treatment. Synthesizing recent advancements in natural compounds, therapeutic interventions, and wound dressing technologies provides a comprehensive overview of current understanding and future directions in wound care.
伤口愈合是一个涉及多个层面的复杂过程,常常引发人们日益增长的关注,促使人们寻求进展。本综述强调了富含黄酮类、萜类、多酚类、生物碱和甾体类化合物的药用植物的治疗潜力,并讨论了它们在伤口处理中具有的宝贵抗菌、抗氧化和抗炎特性。详细阐述了植物化学物质与伤口愈合复杂阶段(包括止血、炎症、增殖和重塑)之间的相互作用,突出了对有效组织修复至关重要的细胞和分子机制。慢性伤口是一个重大的全球健康问题,凸显了推进伤口护理治疗的重要性。从富血小板血浆(PRP)和干细胞治疗到基因治疗等各种治疗方式,提供了促进伤口闭合和组织再生以及降低感染风险的多种机制。诸如疗效不一、成本和可用性有限等挑战使得必须持续开展研究以寻求最佳的伤口管理策略。伤口敷料在伤口护理中起着关键作用,它能提供抵御微生物入侵的保护屏障,促进组织再生,并维持有利于愈合的湿润伤口环境。该综述概述了各种类型的敷料,包括水胶体、泡沫、藻酸盐、水凝胶、胶原蛋白、银、透明薄膜和复合敷料,每种敷料都有特定的功能和局限性。合适的敷料选择取决于伤口类型、渗出液水平和期望的治疗效果。本综述为伤口愈合研究与治疗的复杂领域提供了宝贵的见解。综合天然化合物、治疗干预措施和伤口敷料技术的最新进展,全面概述了伤口护理的当前认识和未来方向。
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