Synergistic Innovative Therapies in Dermatology: Integrating Platelet Derivatives, Biomaterials, and Exogenous Bioactive Substances for Enhancing Skin Repair and Regeneration.

IF 5.1 2区 医学 Q1 CHEMISTRY, MEDICINAL
Drug Design, Development and Therapy Pub Date : 2025-09-27 eCollection Date: 2025-01-01 DOI:10.2147/DDDT.S546097
Eduardo Anitua, Roberto Tierno, Gorka Orive, Mohammad Hamdan Alkhraisat
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引用次数: 0

Abstract

Background: The treatment of dermatological diseases has evolved significantly with the advent of advanced therapeutic strategies involving platelet-rich products. These products are rich in morphogens, growth factors, and proteins that play a crucial role in tissue regeneration and wound healing. Their combination with different biomaterials has been engineered to enhance the biomaterials' safety and performance in the context of tissue healing.

Objective: This narrative review aims to explore the current evidence on the biological mechanisms, efficacy, and clinical applications of these combined therapies. Furthermore, we examine the potential advantages of synergistic effects and the challenges associated with optimizing treatment protocols.

Methods: Relevant literature was retrieved through a structured search strategy implemented across PubMed, Scopus, and Google Scholar databases. Studies included investigated co-administration of platelet-rich products with other agents in topical, injectable, or composite formulations for dermatological conditions with no restriction regarding publication date.

Results: The review summarizes in vitro and in vivo biological effects of various biopolymers and active substances combined with platelet-rich products, highlighting diverse application strategies and their effectiveness across dermatological contexts.

Conclusion: Adding platelet-rich products has shown promising results in enhancing therapeutic outcomes for various dermatological conditions, including chronic wounds, burns, scars, and skin aging. Although promising results have been reported, the need for critical thinking regarding the selection of the biomaterial and the platelet-rich products, standardized methodologies, large-scale randomized controlled trials, and long-term follow-up studies is emphasized to fully establish the clinical benefits of these combined treatments in dermatology.

皮肤病学的协同创新疗法:整合血小板衍生物、生物材料和外源性生物活性物质,以增强皮肤修复和再生。
背景:随着涉及富血小板产品的先进治疗策略的出现,皮肤病的治疗有了显著的发展。这些产品富含形态因子、生长因子和蛋白质,在组织再生和伤口愈合中起着至关重要的作用。它们与不同生物材料的结合被设计成增强生物材料在组织愈合方面的安全性和性能。目的:本综述旨在探讨这些联合疗法的生物学机制、疗效和临床应用的最新证据。此外,我们研究了协同效应的潜在优势和优化治疗方案相关的挑战。方法:通过在PubMed、Scopus和谷歌Scholar数据库中实施的结构化搜索策略检索相关文献。研究包括调查富血小板产品与其他药物在皮肤疾病的局部、注射或复合配方中共同给药,对发表日期没有限制。结果:综述了各种生物聚合物和活性物质与富血小板产品结合的体内外生物学效应,重点介绍了不同的应用策略及其在皮肤病学背景下的有效性。结论:添加富含血小板的产品在提高各种皮肤病的治疗效果方面显示出有希望的结果,包括慢性伤口、烧伤、疤痕和皮肤老化。虽然已经报道了有希望的结果,但需要对生物材料和富血小板产品的选择,标准化方法,大规模随机对照试验和长期随访研究进行批判性思考,以充分确定这些联合治疗在皮肤病学中的临床益处。
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来源期刊
Drug Design, Development and Therapy
Drug Design, Development and Therapy CHEMISTRY, MEDICINAL-PHARMACOLOGY & PHARMACY
CiteScore
9.00
自引率
0.00%
发文量
382
审稿时长
>12 weeks
期刊介绍: Drug Design, Development and Therapy is an international, peer-reviewed, open access journal that spans the spectrum of drug design, discovery and development through to clinical applications. The journal is characterized by the rapid reporting of high-quality original research, reviews, expert opinions, commentary and clinical studies in all therapeutic areas. Specific topics covered by the journal include: Drug target identification and validation Phenotypic screening and target deconvolution Biochemical analyses of drug targets and their pathways New methods or relevant applications in molecular/drug design and computer-aided drug discovery* Design, synthesis, and biological evaluation of novel biologically active compounds (including diagnostics or chemical probes) Structural or molecular biological studies elucidating molecular recognition processes Fragment-based drug discovery Pharmaceutical/red biotechnology Isolation, structural characterization, (bio)synthesis, bioengineering and pharmacological evaluation of natural products** Distribution, pharmacokinetics and metabolic transformations of drugs or biologically active compounds in drug development Drug delivery and formulation (design and characterization of dosage forms, release mechanisms and in vivo testing) Preclinical development studies Translational animal models Mechanisms of action and signalling pathways Toxicology Gene therapy, cell therapy and immunotherapy Personalized medicine and pharmacogenomics Clinical drug evaluation Patient safety and sustained use of medicines.
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