Enhancing angiogenesis: Innovative drug delivery systems to facilitate diabetic wound healing

Biomed Pharmacother. 2024 Jan:170:116035. doi: 10.1016/j.biopha.2023.116035. Epub 2023 Dec 19.

Abstract

Diabetic wounds (DW) constitute a substantial burden on global healthcare owing to their widespread occurrence as a complication of diabetes. Angiogenesis, a crucial process, plays a pivotal role in tissue recovery by supplying essential oxygen and nutrients to the injury site. Unfortunately, in diabetes mellitus, various factors disrupt angiogenesis, hindering wound healing. While biomaterials designed to enhance angiogenesis hold promise for the treatment of DWs, there is an urgent need for more in-depth investigations to fully unlock their potential in clinical management. In this review, we explore the intricate mechanisms of angiogenesis that are crucial for DW recovery. We introduce a rational design for angiogenesis-enhancing drug delivery systems (DDS) and provide a comprehensive summary and discussion of diverse biomaterials that enhance angiogenesis for facilitating DW healing. Lastly, we address emerging challenges and prospects in angiogenesis-enhancing DDS for facilitating DW healing, aiming to offer a comprehensive understanding of this critical healthcare issue and potential solutions.

Keywords: Biomaterials; Design; Diabetic wound; Materials; Regeneration.

Publication types

  • Review

MeSH terms

  • Angiogenesis*
  • Biocompatible Materials
  • Diabetes Mellitus* / drug therapy
  • Drug Delivery Systems
  • Humans
  • Wound Healing

Substances

  • Biocompatible Materials