Frontiers in Public Health,
Journal Year:
2023,
Volume and Issue:
11
Published: Dec. 11, 2023
Objectives
The
choice
of
the
debridement
method
is
very
important
for
healing
diabetic
foot
ulcers
(DFUs),
but
relative
effectiveness
different
methods
in
DFUs
remains
unclear.
This
study
conducted
a
network
meta-analysis
patients
with
DFUs.
Methods
We
performed
literature
search
PubMed,
Embase,
and
Cochrane
Library
from
database
inception
up
to
30
June
2023
screening
randomized
controlled
trials
on
Outcome
measures
included
ulcer
rate
area
reduction
rate.
Risk
Bias
Tool,
version
2.0,
was
used
assess
risk
bias
trials.
R
software
performing
statistical
analysis
GraphPad
Prism
image
plotting.
Results
A
total
19
were
included,
900
assessed
this
analysis.
proteolytic
fraction
latex
Vasconcellea
cundinamarcensis
(P1G10)
enzymatic
showed
best
(SURCA
=
0.919)
when
compared
standard
care
(SOC)
group,
mean
difference
(MD)
95%
confidence
interval
(CI)
1.40
(0.57,
2.36).
Kiwifruit
extract
demonstrated
effect
0.931),
that
SOC
an
MD
CI
0.47
(0.27,
0.66).
Conclusion
Enzymatic
superior
other
terms
However,
as
quality
low,
can
be
candidate
addition
sharp-based
clinical
practice.
Systematic
review
registration
https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42023441715
.
Advanced Materials,
Journal Year:
2023,
Volume and Issue:
35(48)
Published: Oct. 7, 2023
Abstract
Current
therapeutic
protocols
for
diabetic
foot
ulcers
(DFUs),
a
severe
and
rapidly
growing
chronic
complication
in
patients,
remain
nonspecific.
Hyperglycemia‐caused
inflammation
excessive
reactive
oxygen
species
(ROS)
are
common
obstacles
encountered
DFU
wound
healing,
often
leading
to
impaired
recovery.
These
two
effects
reinforce
each
other,
forming
an
endless
loop.
However,
adequate
inclusive
methods
still
lacking
target
these
aspects
break
the
vicious
cycle.
This
study
proposes
novel
approach
treating
wounds,
utilizing
immunomodulatory
hydrogel
achieve
self‐cascade
glucose
depletion
ROS
scavenging
regulate
microenvironment.
Specifically,
AuPt@melanin‐incorporated
(GHM3)
dressing
is
developed
facilitate
efficient
hyperthermia‐enhanced
local
scavenging.
Mechanistically,
vitro/vivo
experiments
RNA
sequencing
analysis
demonstrate
that
GHM3
disrupts
ROS‐inflammation
cascade
cycle
downregulates
ratio
of
M1/M2
macrophages,
consequently
improving
outcomes
dorsal
skin
wounds
rats.
In
conclusion,
this
proposed
offers
facile,
safe,
highly
treatment
modality
DFUs.
Cureus,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Feb. 28, 2024
Wound
healing
is
an
evolving
and
intricate
technique
that
vital
to
the
restoration
of
tissue
integrity
function.
Over
past
few
decades,
chitosan
a
biopolymer
derived
from
chitin,
became
known
as
emerging
biomaterial
in
field
wounds
due
its
distinctive
characteristics
including
biocompatibility,
biodegradability,
affinity
biomolecules,
wound-healing
activity.
This
natural
polymer
exhibits
excellent
capabilities
by
accelerating
development
new
skin
cells,
reducing
inflammation,
preventing
infections.
Due
distinct
biochemical
innate
antibacterial
activity,
has
been
extensively
researched
wound
dressing.
Chronic
wounds,
such
diabetic
ulcers
liver
disease,
are
growing
medical
problem.
Chitosan-based
biomaterials
promising
solution
domain
care.
The
article
analyzes
depth
chitosan-based
their
impact
on
also
methods
enhance
advantages
incorporating
bioactive
compounds.
literature
review
aimed
improve
understanding
knowledge
about
use
healing.
Journal of Macromolecular Science Part A,
Journal Year:
2024,
Volume and Issue:
61(5), P. 265 - 288
Published: March 19, 2024
Hydrogels
comprise
of
a
group
crosslinked
hydrophilic
polymeric
materials
which
are
capable
absorbing
and
holding
large
quantities
water
in
their
three-dimensional
network
structure
without
undergoing
dissolution.
More
importantly,
the
ability
'smart'
hydrogels
to
respond
certain
environmental
changes
e.g.
pH,
heat,
light,
magnetic
field,
biomolecules
have
set
them
apart
as
unique
class
materials.
A
combination
several
such
useful
properties
resulted
tremendous
progress
toward
development
advanced
hydrogel-based
materials,
is
evident
from
an
explosive
amount
research
publications
available
this
area
over
last
few
decades.
Owing
particularly
biocompatibility
biodegradability,
become
material
prime
importance
context
wide
range
applications
starting
simple
contact
lenses
more
complex
ones
tissue
repair,
drug
delivery,
sensors,
3D
bioprinting,
soft
robotics
agriculture.
This
review
includes
i)
overview
its
classifications
based
on
source,
structure,
crosslinking
mechanism
stimuli
responsiveness,
ii)
detailed
discussion
some
most
works
being
carried
out
field
years
smart
that
need
hour,
domain
biomedical
applications.
Abstract
With
the
aging
and
obesity
era,
increasing
incidence
of
diabetes
diabetic
complications,
especially
non‐healing
wounds,
imposes
a
serious
economic
burden
on
both
patients
society.
The
complex
microenvironments,
including
hyperglycemia,
bacterial
infection,
ischemia,
nerve
damage,
lead
to
prolonged
inflammation
proliferation
phase
wounds.
Mesenchymal
stem
cell‐derived
small
extracellular
vesicles
(MSC‐sEVs),
which
contain
rich
variety
therapeutic
molecules,
have
been
chased
for
decades
because
their
potential
roles
in
cellular
communication,
tissue
regeneration,
drug
delivery.
As
powerful
tools
controlled‐sustained
release
sEVs,
biocompatible
hydrogels
applied
wide
range
biomedical
applications.
Herein,
we
first
summarize
pathological
features
such
as
angiopathy,
neuropathy,
immune
cell
dysfunction.
Then,
discuss
biological
properties,
performance,
stability
pure
MSC‐sEVs.
After
that,
components,
application
patterns,
responsiveness
hydrogels.
Next,
loading
avenues
MSC‐sEVs
into
hydrogel,
behaviors
sEVs
from
hydrogels,
influence
crosslinking
method
hydrogel‐sEV
composites.
Finally,
provide
an
overview
current
applications
loaded
with
novel
cell‐free
engineering
system
managing
wounds
propose
critical
unsolved
issues.
This
review
is
expected
meaningful
guidance
developing
wound
management.
Advanced Healthcare Materials,
Journal Year:
2024,
Volume and Issue:
13(20)
Published: April 24, 2024
Developing
hybrid
hydrogel
dressings
with
anti-inflammatory,
antioxidant,
angiogenetic,
and
antibiofilm
activities
higher
bone
tissue
penetrability
to
accelerate
diabetic
wound
healing
prevent
foot
osteomyelitis
(DFO)
is
highly
desirable
in
managing
wounds.
Herein,
the
glycopeptide
teicoplanin
used
for
first
time
as
a
green
reductant
chemically
reduce
graphene
oxide
(GO).
The
resulting
teicoplanin-decorated
reduced
(rGO)
incorporated
into
mixture
of
silk
proteins
(SP)
crosslinked
genipin
yield
physicochemically
rGO-SP
hydrogel.
This
exhibits
high
porosity,
self-healing,
shear-induced
thinning,
increased
cell
proliferation
migration,
mechanical
properties
suitable
engineering.
Moreover,
eradicates
bacterial
biofilms
index
agar
hydroxyapatite
disks
covered
biofilms,
mimicking
tissue.
In
vivo,
accelerates
noninfected
wounds
rat
infected
mouse
by
upregulating
anti-inflammatory
cytokines
downregulating
matrix
metalloproteinase-9,
promoting
M2
macrophage
polarization
angiogenesis.
implantation
site
tibia
improves
regeneration.
Hence,
can
be
promising
dressing
treating
infectious
wounds,
providing
further
advantage
preventing
DFO.
Gels,
Journal Year:
2023,
Volume and Issue:
9(11), P. 867 - 867
Published: Oct. 30, 2023
Diabetes
is
a
condition
correlated
with
high
number
of
diagnosed
chronic
wounds
as
result
complex
pathophysiological
mechanism.
Diabetic
are
characterized
by
disorganized
and
longer
stages,
compared
to
normal
wound
healing.
Natural
polymer
hydrogels
can
act
good
dressings
due
their
versatile
physicochemical
properties,
represented
mainly
water
content
biocompatibility.
bioactive
polymers
loaded
compounds
providing
antibacterial
antioxidant
modulation
inflammation
adherence
wounded
tissue,
traditional
dressings,
which
enables
promising
future
applications
for
diabetic
compounds,
such
polyphenols,
polysaccharides
proteins
have
great
advantages
in
promoting
healing
diabetes
antioxidant,
anti-inflammatory,
antimicrobial,
anti-allergic
properties.
The
present
paper
aims
review
the
mechanisms
underlining
main
issues
those
specifically
occurring
diabetes.
Also,
highlights
recent
state
art
related
effect
enriched
natural
developed
biocompatible
functional
materials
improving
diabetic-related
novel
therapeutic
strategies
that
could
prevent
limb
amputation
increase
quality
life
patients.