Institute of Burn Research, Southwest Hospital, State Key Laboratory of Trauma, Burn and Combined Injury, Chongqing Key Laboratory for Disease Proteomics, Army Medical University, Chongqing, China.
Department of Burns and Plastic Surgery, the 910th Hospital of Joint Logistic Force of Chinese People's Liberation Army, Quanzhou, Fujian, China.
Clin Transl Med. 2022 Nov;12(11):e1094. doi: 10.1002/ctm2.1094.
Hydrogels are promising and widely utilized in the biomedical field. In recent years, the anti-inflammatory function of hydrogel dressings has been significantly improved, addressing many clinical challenges presented in ongoing endeavours to promote wound healing. Wound healing is a cascaded and highly complex process, especially in chronic wounds, such as diabetic and severe burn wounds, in which adverse endogenous or exogenous factors can interfere with inflammatory regulation, leading to the disruption of the healing process. Although insufficient wound inflammation is uncommon, excessive inflammatory infiltration is an almost universal feature of chronic wounds, which impedes a histological repair of the wound in a predictable biological step and chronological order. Therefore, resolving excessive inflammation in wound healing is essential. In the past 5 years, extensive research has been conducted on hydrogel dressings to address excessive inflammation in wound healing, specifically by efficiently scavenging excessive free radicals, sequestering chemokines and promoting M -to-M polarization of macrophages, thereby regulating inflammation and promoting wound healing. In this study, we introduced novel anti-inflammatory hydrogel dressings and demonstrated innovative methods for their preparation and application to achieve enhanced healing. In addition, we summarize the most important properties required for wound healing and discuss our analysis of potential challenges yet to be addressed.
水凝胶在生物医药领域具有广阔的应用前景和潜力。近年来,水凝胶敷料的抗炎功能得到了显著改善,解决了许多在促进伤口愈合的持续努力中面临的临床挑战。伤口愈合是一个级联的、高度复杂的过程,特别是在慢性伤口中,如糖尿病和严重烧伤伤口,其中不利的内源性或外源性因素会干扰炎症调节,导致愈合过程中断。尽管伤口炎症不足并不常见,但过度的炎症浸润几乎是慢性伤口的共同特征,这会阻碍伤口的组织学修复,使其无法按照可预测的生物学步骤和时间顺序进行。因此,解决伤口愈合中的过度炎症是至关重要的。在过去的 5 年中,人们对水凝胶敷料进行了广泛的研究,以解决伤口愈合中的过度炎症问题,具体方法是有效地清除过多的自由基、螯合趋化因子和促进巨噬细胞 M 到 M 的极化,从而调节炎症,促进伤口愈合。在本研究中,我们介绍了新型的抗炎水凝胶敷料,并展示了其制备和应用的创新方法,以实现更好的愈合效果。此外,我们总结了伤口愈合所需的最重要的性质,并讨论了我们对尚未解决的潜在挑战的分析。