微针贴片在糖尿病伤口愈合中的应用进展

Yong-Nian Zeng, Yin-Li Jin, Wei Li
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引用次数: 0

摘要

伤口愈合是一个错综复杂、有条不紊的过程,它是对外部创伤做出反应,从而实现组织修复和重建的过程。这一过程通常包括炎症、血管生成和细胞外基质重塑三个阶段,任何对这一过程的破坏都可能延迟伤口的愈合。尤其是与糖尿病相关的慢性伤口,由于难以及时有序地处理而臭名昭著。在治疗过程中,由于皮肤屏障的作用,药物通常会积聚在角质层,导致药物的生物利用度降低。令人鼓舞的是,在各种治疗策略中,微针(MNs)是一种新型、无痛的给药方法,它能使药物有效到达真皮层,从而促进糖尿病患者的伤口愈合。在这篇综述中,通过对设计和策略进行分类,总结了 MNs 在治疗糖尿病伤口愈合方面的最新进展。最后,我们对基于 MN 的糖尿病伤口愈合疗法的前景和挑战进行了展望。
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Advances of Microneedle Patch in Diabetic Wound Healing
Wound healing is an intricate and orderly process of events that occur in response to external trauma, resulting in tissue repair and reconstruction. This process typically involves three phases, including inflammation, angiogenesis, and extracellular matrix remodeling, and any disruption to this process may delay the healing of the wound. Chronic wounds associated with diabetes, in particular, are notorious because they are difficult to handle in a timely and orderly manner. During the treatment of the disease, drugs usually accumulate in the stratum corneum due to the skin barrier, leading to a reduction of the drug's bioavailability. Encouragingly, among the treatment strategies, microneedles (MNs) represent a novel and painless drug delivery method that promotes wound healing in diabetic patients by enabling the drug to reach the dermal layer efficiently. In this review, recent advances of MNs in the treatment of diabetic wound healing are summarized by categorizing the designs and strategies. We finally provide an outlook on the prospects and challenges of MN-based therapies for diabetic wound healing in the future.
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