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Ghosh R, Singh P, Pandit AH, Tariq U, Bhunia BK, Kumar A. Emerging Technological Advancement for Chronic Wound Treatment and Their Role in Accelerating Wound Healing. ACS APPLIED BIO MATERIALS 2024; 7:7101-7132. [PMID: 39466167 DOI: 10.1021/acsabm.4c01064] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/29/2024]
Abstract
Chronic wounds are a major healthcare burden and may severely affect the social, mental, and economic status of the patients. Any impairment in wound healing stages due to underlying factors leads to a prolonged healing time and subsequently to chronic wounds. Traditional approaches for the treatment of chronic wounds include dressing free local therapy, dressing therapy, and tissue engineering based scaffold therapies. However, traditional therapies need improvisation and have been advanced through breakthrough technologies. The present review spans traditional therapies and further gives an extensive account of advancements in the treatment of chronic wounds. Cutting edge technologies, such as 3D printing, which includes inkjet printing, fused deposition modeling, digital light processing, extrusion-based printing, microneedle array-based therapies, gene therapy, which includes microRNAs (miRNAs) therapy, and smart wound dressings for real time monitoring of wound conditions through assessment of pH, temperature, oxygen, moisture, metabolites, and their use for planning of better treatment strategies have been discussed in detail. The review further gives the future direction of treatments that will aid in lowering the healthcare burden caused due to chronic wounds.
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Affiliation(s)
- Rupita Ghosh
- Centre for Environmental Science and Engineering, Indian Institute of Technology Kanpur, Kanpur 208016, UP India
- Department of Biological Sciences and Bioengineering, Indian Institute of Technology Kanpur, Kanpur 208016, UP India
| | - Prerna Singh
- Centre for Environmental Science and Engineering, Indian Institute of Technology Kanpur, Kanpur 208016, UP India
- Department of Biological Sciences and Bioengineering, Indian Institute of Technology Kanpur, Kanpur 208016, UP India
| | - Ashiq Hussain Pandit
- Centre for Environmental Science and Engineering, Indian Institute of Technology Kanpur, Kanpur 208016, UP India
- Department of Biological Sciences and Bioengineering, Indian Institute of Technology Kanpur, Kanpur 208016, UP India
| | - Ubaid Tariq
- Centre for Environmental Science and Engineering, Indian Institute of Technology Kanpur, Kanpur 208016, UP India
- Department of Biological Sciences and Bioengineering, Indian Institute of Technology Kanpur, Kanpur 208016, UP India
| | - Bibhas Kumar Bhunia
- Centre of Excellence for Materials in Medicine, Gangwal School of Medical Sciences and Technology, Indian Institute of Technology Kanpur, Kanpur 208016, UP India
| | - Ashok Kumar
- Centre for Environmental Science and Engineering, Indian Institute of Technology Kanpur, Kanpur 208016, UP India
- Department of Biological Sciences and Bioengineering, Indian Institute of Technology Kanpur, Kanpur 208016, UP India
- Centre for Nanosciences, Indian Institute of Technology Kanpur, Kanpur 208016, UP India
- The Mehta Family Centre for Engineering in Medicine, Indian Institute of Technology Kanpur, Kanpur 208016, UP India
- Centre of Excellence for Materials in Medicine, Gangwal School of Medical Sciences and Technology, Indian Institute of Technology Kanpur, Kanpur 208016, UP India
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Fan Y, Wang H, Wang C, Xing Y, Liu S, Feng L, Zhang X, Chen J. Advances in Smart-Response Hydrogels for Skin Wound Repair. Polymers (Basel) 2024; 16:2818. [PMID: 39408528 PMCID: PMC11479249 DOI: 10.3390/polym16192818] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2024] [Revised: 09/21/2024] [Accepted: 09/30/2024] [Indexed: 10/20/2024] Open
Abstract
Hydrogels have emerged as promising candidates for biomedical applications, especially in the treatment of skin wounds, as a result of their unique structural properties, highly tunable physicochemical properties, and excellent biocompatibility. The integration of smart-response features into hydrogels allows for dynamic responses to different external or internal stimuli. Therefore, this paper reviews the design of different smart-responsive hydrogels for different microenvironments in the field of skin wound therapy. First, the unique microenvironments of three typical chronic difficult-to-heal wounds and the key mechanisms affecting wound healing therapeutic measures are outlined. Strategies for the construction of internal stimulus-responsive hydrogels (e.g., pH, ROS, enzymes, and glucose) and external stimulus-responsive hydrogels (e.g., temperature, light, electricity, and magnetic fields) are highlighted from the perspective of the wound microenvironment and the in vitro environment, and the constitutive relationships between material design, intelligent response, and wound healing are revealed. Finally, this paper discusses the severe challenges faced by smart-responsive hydrogels during skin wound repair and provides an outlook on the combination of smart-responsive hydrogels and artificial intelligence to give scientific direction for creating and using hydrogel dressings that respond to stimuli in the clinic.
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Affiliation(s)
- Yinuo Fan
- Marine College, Shandong University, Weihai 264209, China; (Y.F.); (H.W.); (C.W.); (Y.X.); (S.L.); (L.F.); (X.Z.)
| | - Han Wang
- Marine College, Shandong University, Weihai 264209, China; (Y.F.); (H.W.); (C.W.); (Y.X.); (S.L.); (L.F.); (X.Z.)
| | - Chunxiao Wang
- Marine College, Shandong University, Weihai 264209, China; (Y.F.); (H.W.); (C.W.); (Y.X.); (S.L.); (L.F.); (X.Z.)
| | - Yuanhao Xing
- Marine College, Shandong University, Weihai 264209, China; (Y.F.); (H.W.); (C.W.); (Y.X.); (S.L.); (L.F.); (X.Z.)
| | - Shuying Liu
- Marine College, Shandong University, Weihai 264209, China; (Y.F.); (H.W.); (C.W.); (Y.X.); (S.L.); (L.F.); (X.Z.)
| | - Linhan Feng
- Marine College, Shandong University, Weihai 264209, China; (Y.F.); (H.W.); (C.W.); (Y.X.); (S.L.); (L.F.); (X.Z.)
| | - Xinyu Zhang
- Marine College, Shandong University, Weihai 264209, China; (Y.F.); (H.W.); (C.W.); (Y.X.); (S.L.); (L.F.); (X.Z.)
| | - Jingdi Chen
- Marine College, Shandong University, Weihai 264209, China; (Y.F.); (H.W.); (C.W.); (Y.X.); (S.L.); (L.F.); (X.Z.)
- State Key Laboratory of Mineral Processing, Beijing 100160, China
- Shandong Laboratory of Advanced Materials and Green Manufacturing, Yantai 265599, China
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Yang J, Wang Z, Liang X, Wang W, Wang S. Multifunctional polypeptide-based hydrogel bio-adhesives with pro-healing activities and their working principles. Adv Colloid Interface Sci 2024; 327:103155. [PMID: 38631096 DOI: 10.1016/j.cis.2024.103155] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2023] [Revised: 03/08/2024] [Accepted: 04/08/2024] [Indexed: 04/19/2024]
Abstract
Wound healing is a complex physiological process involving hemostasis, inflammation, proliferation, and tissue remodeling. Therefore, there is an urgent need for suitable wound dressings for effective and systematical wound management. Polypeptide-based hydrogel bio-adhesives offer unique advantages and are ideal candidates. However, comprehensive reviews on polypeptide-based hydrogel bio-adhesives for wound healing are still lacking. In this review, the physiological mechanisms and evaluation parameters of wound healing were first described in detail. Then, the working principles of hydrogel bio-adhesives were summarized. Recent advances made in multifunctional polypeptide-based hydrogel bio-adhesives involving gelatin, silk fibroin, fibrin, keratin, poly-γ-glutamic acid, ɛ-poly-lysine, serum albumin, and elastin with pro-healing activities in wound healing and tissue repair were reviewed. Finally, the current status, challenges, developments, and future trends of polypeptide-based hydrogel bio-adhesives were discussed, hoping that further developments would be stimulated to meet the growing needs of their clinical applications.
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Affiliation(s)
- Jiahao Yang
- School of Materials and Chemistry, University of Shanghai for Science and Technology, No. 516 Jungong Road, Shanghai 200093, P. R. China
| | - Zhengyue Wang
- Department of Applied Biology and Chemical Technology, The Hong Kong Polytechnic University, Hong Kong, SAR 999077, P. R. China
| | - Xiaoben Liang
- Department of Otorhinolaryngology Head and Neck Surgery, Shanghai Children's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200062, P. R. China
| | - Wenyi Wang
- Department of Applied Biology and Chemical Technology, The Hong Kong Polytechnic University, Hong Kong, SAR 999077, P. R. China.
| | - Shige Wang
- School of Materials and Chemistry, University of Shanghai for Science and Technology, No. 516 Jungong Road, Shanghai 200093, P. R. China.
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