Abstract:
:Chronic, non-healing wounds place a significant burden on patients and healthcare systems, resulting in impaired mobility, limb amputation, or even death. Chronic wounds result from a disruption in the highly orchestrated cascade of events involved in wound closure. Significant advances in our understanding of the pathophysiology of chronic wounds have resulted in the development of drugs designed to target different aspects of the impaired processes. However, the hostility of the wound environment rich in degradative enzymes and its elevated pH, combined with differences in the time scales of different physiological processes involved in tissue regeneration require the use of effective drug delivery systems. In this review, we will first discuss the pathophysiology of chronic wounds and then the materials used for engineering drug delivery systems. Different passive and active drug delivery systems used in wound care will be reviewed. In addition, the architecture of the delivery platform and its ability to modulate drug delivery are discussed. Emerging technologies and the opportunities for engineering more effective wound care devices are also highlighted.
journal_name
Adv Drug Deliv Revjournal_title
Advanced drug delivery reviewsauthors
Saghazadeh S,Rinoldi C,Schot M,Kashaf SS,Sharifi F,Jalilian E,Nuutila K,Giatsidis G,Mostafalu P,Derakhshandeh H,Yue K,Swieszkowski W,Memic A,Tamayol A,Khademhosseini Adoi
10.1016/j.addr.2018.04.008subject
Has Abstractpub_date
2018-03-01 00:00:00pages
138-166eissn
0169-409Xissn
1872-8294pii
S0169-409X(18)30060-7journal_volume
127pub_type
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