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Tiny tots for a big-league in wound repair: Tools for tissue regeneration by nanotechniques of today

期刊

JOURNAL OF CONTROLLED RELEASE
卷 349, 期 -, 页码 443-459

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ELSEVIER
DOI: 10.1016/j.jconrel.2022.07.005

关键词

Nano techniques; Nano dressings; Nano carriers; Nanozymes; Nano devices; Nano gene-therapy; Wound healing

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Chronic injuries pose a significant burden and traditional wound healing treatments often fail to offer satisfactory results. Improved wound closure therapy and the use of nanofibrous layers as a skin substitute can help restore skin function. However, the development of microbial biofilms can lead to stubborn wounds that are difficult to heal.
Overall, chronic injuries place considerable burden on patients and health systems. The skin injuries are exposed to inflammatory bacteria and hinder the healing process. The skin being the biggest tissue of the whole body ensures protection against microbial invasion, dehydration, and against chemical, thermal, bright radiations and mechanical agents. When injured, the skin loses its defensive purpose and the attack of bacterial types arises with the loss of protein, water, and electrolytes. Improved wound closure therapy helps to restore normal skin function by managing wounds with the help of a suitable skin replacement. According to the type of wound and its healing ability, an appropriate skin replacement system must be identified. Nanofibrous layers because of their permeable structure, their large superficial reach and their similarity with the local extracellular network serve as cutaneous substitution for dealing with deep and superficial injuries. By a diminished microbial load without infestation, scab formation and infiltration of defense cells in the initial phase, acute injuries are usually characterized. Here recovery is related with epithelialization, angiogenesis and relocation of fibroblasts. The wound becomes obstinate when microbial biofilms are developed while the immune system does not manage to eliminate the infection. Increased inflammatory process, lower deep tissue oxygenation, fibrin cuffs, fibroblastic senescence, altered angiogenesis, stalled re-epithelialization and chronic infection have been visualized. Con-ventional wound mending treatments for the most part falling flat to supply a great clinical result, either basi-cally like wound epithelialization and regulation of fluid loss or practically like histological highlights that decide versatility, strength, affectability, etc. Conventional wound therapies commonly fail to offer a better medical output, like wound epithelialization and regulation of fluid reduction or physiologically like cellular features that determine durability, sensitivity, elasticity, etc. Nanotechnology may be a dependable investigation space for wound-healing treatments through their versatile physicochemical properties. Advancing nano platforms with novel solutions for curing chronicdiabetic wounds are discussed in detail that can guide further research in this sector.

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