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用于伤口、皮肤及医疗保健的胶原蛋白类产品。

Collagen-Based Products in Wound, Skin, and Health Care.

作者信息

Sen Chandan K, Friday Andrew, Khanna Savita, Roy Sashwati

机构信息

Department of Surgery, McGowan Institute for Regenerative Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.

出版信息

Adv Wound Care (New Rochelle). 2025 Jul 28. doi: 10.1177/21621918251361118.

Abstract

Collagen, the most abundant structural protein in the human body, plays a vital role in wound healing, tissue repair, and skin integrity. Collagen-based products-ranging from wound dressings, skin substitutes, dental and orthopedic scaffolds, to topical cosmetics and oral supplements-have proliferated rapidly across healthcare and consumer markets. Medical applications leverage collagen's biocompatibility, biodegradability, and scaffold-forming properties to manage chronic wounds, burns, and bone defects, while emerging technologies such as recombinant collagen and phage-integrated dressings target future innovations. Topical collagen improves skin hydration but is unlikely to replace endogenous collagen; injectable fillers offer temporary cosmetic enhancement with some potential risks. Oral collagen supplements, although marketed for skin, joint, and hair health, primarily serve as incomplete proteins and require cautious interpretation, as rigorous clinical evidence supporting transformative outcomes remains limited. Specific formulations such as undenatured type II collagen show promise for inflammatory joint conditions by promoting immune tolerance. In wound care, collagen-based scaffolds enhance healing by supporting fibroblast proliferation, reducing inflammation, and modulating moisture balance, while novel crosslinked matrices and living skin equivalents push regenerative medicine boundaries. Not all collagen-based products are the same. As the global collagen market surges toward $18.7 billion by 2030, users must distinguish between marketing claims and evidence-based benefits of specific preparations. Proper product selection should be guided by clinical context, molecular source (animal, marine, recombinant), and intended use with awareness of underlying scientific evidence critical to therapeutic success. Continued innovation, rigorous validation, mechanism of action studies and rigorous clinical testing are essential to fully realize collagen's therapeutic potential across medicine and wellness.

摘要

胶原蛋白是人体中最丰富的结构蛋白,在伤口愈合、组织修复和皮肤完整性方面发挥着至关重要的作用。基于胶原蛋白的产品种类繁多,从伤口敷料、皮肤替代品、牙科和骨科支架到外用化妆品和口服补充剂,已在医疗保健和消费市场迅速普及。医学应用利用胶原蛋白的生物相容性、生物降解性和成支架特性来治疗慢性伤口、烧伤和骨缺损,而重组胶原蛋白和噬菌体整合敷料等新兴技术则瞄准未来的创新方向。外用胶原蛋白可改善皮肤水合作用,但不太可能替代内源性胶原蛋白;注射填充剂虽能提供临时的美容效果,但存在一些潜在风险。口服胶原蛋白补充剂虽打着促进皮肤、关节和头发健康的旗号进行营销,但其主要作用是作为不完全蛋白质,对此需要谨慎解读,因为支持其具有变革性效果的严格临床证据仍然有限。特定配方,比如未变性II型胶原蛋白,通过促进免疫耐受,在炎症性关节疾病方面显示出应用前景。在伤口护理中,基于胶原蛋白的支架通过支持成纤维细胞增殖、减轻炎症和调节水分平衡来促进愈合,而新型交联基质和活性皮肤替代物则推动了再生医学的发展。并非所有基于胶原蛋白的产品都一样。到2030年,全球胶原蛋白市场规模有望飙升至187亿美元,用户必须区分特定产品的营销宣传和循证效益。正确的产品选择应以临床背景、分子来源(动物、海洋、重组)和预期用途为指导,并充分了解对治疗成功至关重要的基础科学证据。持续创新、严格验证、作用机制研究和严格的临床试验对于充分发挥胶原蛋白在医学和健康领域的治疗潜力至关重要。

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