再生医学的新兴技术:伤口护理和治疗的未来。

IF 4.8 3区 医学 Q1 GENETICS & HEREDITY
Journal of Molecular Medicine-Jmm Pub Date : 2024-12-01 Epub Date: 2024-10-02 DOI:10.1007/s00109-024-02493-x
Yashvi Sharma, Subhadip Ghatak, Chandan K Sen, Sujata Mohanty
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引用次数: 0

摘要

伤口愈合是一个复杂的生物过程,由止血、炎症、血管生成、细胞增殖和 ECM 重塑等简单生物过程的有序阶段组成。系统或环境条件会影响这些阶段的转变。这些阶段之间任何不及时的转换都会导致慢性伤口和疤痕,给患者带来巨大的社会经济负担。目前的治疗方法主要是支持性的,主要涉及预防感染和控制炎症。这往往会导致延迟愈合和伤口并发症。再生医学和组织工程学的最新进展提供了创新的、针对患者的解决方案。间充质干细胞(MSCs)及其分泌物在这方面尤其突出。此外,组织纳米转染等技术实现了原位基因编辑,这种针对特定需求的方法无需复杂的实验室程序。三维生物打印和 ECM 生物支架等创新方法也有可能从分子和细胞层面解决伤口问题。这些再生方法针对常见的愈合障碍,如过度炎症,从而通过刺激关键信号通路促进自我恢复。本综述旨在探讨伤口护理领域现有技术和新兴技术的优势和局限性,并为该领域的潜在进步提供见解。向这种以患者为中心的疗法转变反映了伤口护理策略的范式变化。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Emerging technologies in regenerative medicine: The future of wound care and therapy.

Wound healing, an intricate biological process, comprises orderly phases of simple biological processed including hemostasis, inflammation, angiogenesis, cell proliferation, and ECM remodeling. The regulation of the shift in these phases can be influenced by systemic or environmental conditions. Any untimely transitions between these phases can lead to chronic wounds and scarring, imposing a significant socio-economic burden on patients. Current treatment modalities are largely supportive in nature and primarily involve the prevention of infection and controlling inflammation. This often results in delayed healing and wound complications. Recent strides in regenerative medicine and tissue engineering offer innovative and patient-specific solutions. Mesenchymal stem cells (MSCs) and their secretome have gained specific prominence in this regard. Additionally, technologies like tissue nano-transfection enable in situ gene editing, a need-specific approach without the requirement of complex laboratory procedures. Innovating approaches like 3D bioprinting and ECM bioscaffolds also hold the potential to address wounds at the molecular and cellular levels. These regenerative approaches target common healing obstacles, such as hyper-inflammation thereby promoting self-recovery through crucial signaling pathway stimulation. The rationale of this review is to examine the benefits and limitations of both current and emerging technologies in wound care and to offer insights into potential advancements in the field. The shift towards such patient-centric therapies reflects a paradigmatic change in wound care strategies.

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来源期刊
Journal of Molecular Medicine-Jmm
Journal of Molecular Medicine-Jmm 医学-医学:研究与实验
CiteScore
9.30
自引率
0.00%
发文量
100
审稿时长
1.3 months
期刊介绍: The Journal of Molecular Medicine publishes original research articles and review articles that range from basic findings in mechanisms of disease pathogenesis to therapy. The focus includes all human diseases, including but not limited to: Aging, angiogenesis, autoimmune diseases as well as other inflammatory diseases, cancer, cardiovascular diseases, development and differentiation, endocrinology, gastrointestinal diseases and hepatology, genetics and epigenetics, hematology, hypoxia research, immunology, infectious diseases, metabolic disorders, neuroscience of diseases, -omics based disease research, regenerative medicine, and stem cell research. Studies solely based on cell lines will not be considered. Studies that are based on model organisms will be considered as long as they are directly relevant to human disease.
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