Greener healing: sustainable nanotechnology for advanced wound care

IF 5.5 3区 材料科学 Q2 MATERIALS SCIENCE, MULTIDISCIPLINARY
Deepinder Sharda, Komal Attri, Diptiman Choudhury
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Abstract

Wound healing involves a carefully regulated sequence of events, encompassing pro-inflammatory and anti-inflammatory stages, tissue regeneration, and remodeling. However, in individuals with diabetes, this process gets disrupted due to dysregulation caused by elevated glucose levels and pro-inflammatory cytokines in the bloodstream. Consequently, the pro-inflammatory stage is prolonged, while the anti-inflammatory phase is delayed, leading to impaired tissue regeneration and remodeling with extended healing time. Furthermore, the increased glucose levels in open wounds create an environment conducive to microbial growth and tissue sepsis, which can escalate to the point of limb amputation. Managing diabetic wounds requires meticulous care and monitoring due to the lack of widely available preventative and therapeutic measures. Existing clinical interventions have limitations, such as slow recovery rates, high costs, and inefficient drug delivery methods. Therefore, exploring alternative avenues to develop effective wound-healing treatments is essential. Nature offers a vast array of resources in the form of secondary metabolites, notably polyphenols, known for their antimicrobial, anti-inflammatory, antioxidant, glucose-regulating, and cell growth-promoting properties. Additionally, nanoparticles synthesized through environmentally friendly methods hold promise for wound healing applications in diabetic and non-diabetic conditions. This review provides a comprehensive discussion and summary of the potential wound-healing abilities of specific natural polyphenols and their nanoparticles. It explores the mechanisms of action underlying their efficacy and presents effective formulations for promoting wound-healing activity.

Graphical abstract

Abstract Image

更绿色的愈合:用于先进伤口护理的可持续纳米技术。
伤口愈合涉及一系列精心调节的事件,包括促炎和抗炎阶段、组织再生和重塑。然而,对于糖尿病患者来说,由于血糖水平升高和血液中的促炎细胞因子导致调节失调,这一过程会被打乱。因此,促炎阶段延长,而抗炎阶段延迟,导致组织再生和重塑受损,愈合时间延长。此外,开放性伤口中葡萄糖水平的升高也为微生物生长和组织败血症创造了有利环境,这种情况可能会发展到截肢的地步。由于缺乏广泛可用的预防和治疗措施,糖尿病伤口的管理需要精心护理和监测。现有的临床干预措施存在局限性,如恢复速度慢、成本高、给药方法效率低等。因此,探索其他途径来开发有效的伤口愈合疗法至关重要。大自然以次生代谢物的形式提供了大量资源,特别是多酚,众所周知,多酚具有抗菌、消炎、抗氧化、调节血糖和促进细胞生长的特性。此外,通过环境友好型方法合成的纳米颗粒有望应用于糖尿病和非糖尿病患者的伤口愈合。本综述全面讨论和总结了特定天然多酚及其纳米颗粒的潜在伤口愈合能力。它探讨了这些物质功效的作用机制,并介绍了促进伤口愈合活性的有效配方。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Nanoscale Research Letters
Nanoscale Research Letters 工程技术-材料科学:综合
CiteScore
11.30
自引率
0.00%
发文量
110
审稿时长
48 days
期刊介绍: Nanoscale Research Letters (NRL) provides an interdisciplinary forum for communication of scientific and technological advances in the creation and use of objects at the nanometer scale. NRL is the first nanotechnology journal from a major publisher to be published with Open Access.
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