4.7 Review

Growth factors, as biological macromolecules in bioactivity enhancing of electrospun wound dressings for diabetic wound healing: A review

Journal

INTERNATIONAL JOURNAL OF BIOLOGICAL MACROMOLECULES
Volume 193, Issue -, Pages 205-218

Publisher

ELSEVIER
DOI: 10.1016/j.ijbiomac.2021.09.210

Keywords

Diabetic wound; Growth factors; Electrospinning

Funding

  1. Key research and development project of Sichuan Provincial Science and Technology Department in 2021: X.Nurse-AI nursing housekeeper around disabled elderly [2021YFS0152]

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Impaired wound healing is a prominent characteristic of diabetes, with various factors contributing to slow healing. Recent studies have explored the use of growth factors in wound management, with electrospun fibers showing promise as a delivery platform due to their structural resemblance to native tissues and high surface-to-volume ratio. Integrating current research on growth factor delivery via electrospun fibers in diabetic wound healing not only provides insights into current updates, but also highlights future perspectives and challenges.
Impaired wound healing is of the most conspicuous characteristics of diabetic mellitus. Reduced blood flow, chronic inflammatory reactions, infection, endothelial dysfunction, elevated levels of reactive oxygen species, and metabolic disorders cause wounds to heal more slowly in these patients. Previous studies have reported useful impacts of growth factors in management of such wounds. However, due to their short half-life and low stability, a suitable delivery platform with sustained release profile may boost their healing potential. Controlled and localized delivery of growth factors via electrospun fibers have been extensively explored in previous studies. The electrospinning method; although not new, has turned out to be extremely effective for the preparation of delivery carriers for growth factors. Due to their structural resemblance to native tissues' extracellular matrix, high encapsulation efficacy, tunability, and high surface to volume ratio, electrospun scaffolds have gained significant attention in drug delivery and tissue engineering. In the current review, careful integration of current research regarding the applications of growth factors' delivery through electrospun fibers in diabetic wounds healing has been done. This review will not only give an insight into the current updates, but will also highlights the future perspectives and challenges.

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