Stem cells and growth factors-based delivery approaches for chronic wound repair and regeneration: A promise to heal from within

Life Sci. 2021 Mar 1:268:118932. doi: 10.1016/j.lfs.2020.118932. Epub 2021 Jan 2.

Abstract

The sophisticated chain of cellular and molecular episodes during wound healing includes cell migration, cell proliferation, deposition of extracellular matrix, and remodelling and are onerous to replicate. Encapsulation of growth factors (GFs) and Stem cell-based (SCs) has been proclaimed to accelerate healing by transforming every phase associated with wound healing to enhance skin regeneration. Therapeutic application of mesenchymal stem cells (MSCs), embryonic stem cells (ESCs) and induced pluripotent stem cells (PSCs) provides aid in wound fixing, tissue integrity restoration and function of impaired tissue. Several scientific studies have established the essential role GFs in wound healing and their reduced degree in the chronic wound. The overall limitation includes half-life, unfriendly microhabitat abundant with protease, and inadequate delivery approaches results in decreased delivery of effective amounts in a suitable time-based fashion. Advancements in the area of reformative medicine as well as tissue engineering have offered techniques competent of dispensing SCs and GFs in site-oriented manner. The progress in nanotechnology-based approaches attracts researcher to study and evaluate the potential of this SCs and GFs based therapy in chronic wounds. These techniques embrace the polymeric regime viz., nano-formulations, hydrogels, liposomes, scaffolds, nanofibers, metallic nanoparticles, lipid-based nanoparticles and dendrimers that have established better retort through targeting tissues when GFs and SCs are transported via these humans made devices. Assumed the current problems, improvements in delivery approaches and difficulties offered by chronic wounds, we hope to show that encapsulation of SCs and GFs loaded nanoformulations therapies is the rational next step in improving wound care.

Keywords: Chronic wound; Growth factors; Nanotechnology; Stem cells; Wound healing.

Publication types

  • Review

MeSH terms

  • Animals
  • Cell Differentiation
  • Collagen / metabolism
  • Drug Delivery Systems / methods
  • Extracellular Matrix / physiology
  • Humans
  • Intercellular Signaling Peptides and Proteins / administration & dosage
  • Intercellular Signaling Peptides and Proteins / pharmacology*
  • Neovascularization, Physiologic
  • Regenerative Medicine / methods*
  • Stem Cell Transplantation / methods*
  • Stem Cells*
  • Tissue Engineering / methods*
  • Wound Healing / drug effects
  • Wound Healing / physiology*

Substances

  • Intercellular Signaling Peptides and Proteins
  • Collagen