纳米材料干预伤口愈合:临床前和临床研究的现状。

IF 3.4 3区 医学 Q2 CELL BIOLOGY
Garima Agarwal, Samir Bhargava, Shweta Dumoga
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引用次数: 0

摘要

伤口愈合是一个复杂的、高度协调的过程,涉及一系列分子和细胞阶段——止血、炎症、增殖和重塑。这些阶段受生长因子如细胞因子和趋化因子调节,协调成纤维细胞、角化细胞、祖细胞和内皮细胞的作用。这一过程的中断可能导致慢性伤口,这是一个不断升级的全球健康问题。尽管取得了进步,但目前的伤口愈合技术面临着一些限制。传统的敷料往往不能提供最佳的水分平衡,导致愈合延迟。生物工程皮肤替代品和生长因子疗法虽然很有前景,但受到成本高、可用性有限、免疫排斥和疗效不一致的限制。此外,感染控制仍然是一项重大挑战,需要能够在促进组织再生的同时增强抗菌保护的替代策略。因此,纳米技术已经成为伤口护理的潜在改变者,它提供了细胞和调节分子的精确靶向,增强了治疗递送,并与伤口环境进行了量身定制的相互作用。这篇综述探讨了纳米材料在伤口愈合中的作用,强调了它们独特的物理化学性质和促进组织再生的能力。我们概述了纳米技术的最新进展,包括纳米颗粒、纳米工程支架、基因和干细胞治疗。此外,我们强调了基于纳米技术的治疗的临床前和临床进展,旨在解决传统伤口护理策略的局限性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Nanomaterial interventions for wound healing: Current status of preclinical and clinical studies.

Wound healing is a complex, highly coordinated process involving a series of molecular and cellular phases-haemostasis, inflammation, proliferation, and remodelling. These phases are regulated by growth factors such as cytokines and chemokines, coordinating the actions of fibroblasts, keratinocytes, progenitor, and endothelial cells. Disruptions in this process can lead to chronic wounds, an escalating global health issue. Despite advancements, current wound healing technologies face several limitations. Conventional dressings often fail to provide optimal moisture balance, leading to delayed healing. Bioengineered skin substitutes and growth factor therapies, while promising, are restricted by high costs, limited availability, immune rejection, and inconsistent efficacy. Moreover, infection control remains a significant challenge, necessitating alternative strategies that can enhance antimicrobial protection while promoting tissue regeneration. In response, nanotechnology has emerged as a potential game-changer in wound care, offering precise targeting of cells and regulatory molecules, enhanced therapeutic delivery, and tailored interaction with the wound environment. This review explores the role of nanomaterials in wound healing, emphasising their unique physicochemical properties and ability to promote tissue regeneration. We provide an overview of recent advances in nanotechnology, including nanoparticles, nanoengineered scaffolds, and gene and stem cell therapies. Additionally, we highlight the preclinical and clinical advancements of nanotechnology-based treatments, aiming to address the limitations of traditional wound care strategies.

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来源期刊
Wound Repair and Regeneration
Wound Repair and Regeneration 医学-皮肤病学
CiteScore
5.90
自引率
3.40%
发文量
71
审稿时长
6-12 weeks
期刊介绍: Wound Repair and Regeneration provides extensive international coverage of cellular and molecular biology, connective tissue, and biological mediator studies in the field of tissue repair and regeneration and serves a diverse audience of surgeons, plastic surgeons, dermatologists, biochemists, cell biologists, and others. Wound Repair and Regeneration is the official journal of The Wound Healing Society, The European Tissue Repair Society, The Japanese Society for Wound Healing, and The Australian Wound Management Association.
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