Clinical Translational Potential in Skin Wound Regeneration for Adipose-Derived, Blood-Derived, and Cellulose Materials: Cells, Exosomes, and Hydrogels

Biomolecules. 2020 Sep 27;10(10):1373. doi: 10.3390/biom10101373.

Abstract

Acute and chronic skin wounds due to burns, pressure injuries, and trauma represent a substantial challenge to healthcare delivery with particular impacts on geriatric, paraplegic, and quadriplegic demographics worldwide. Nevertheless, the current standard of care relies extensively on preventive measures to mitigate pressure injury, surgical debridement, skin flap procedures, and negative pressure wound vacuum measures. This article highlights the potential of adipose-, blood-, and cellulose-derived products (cells, decellularized matrices and scaffolds, and exosome and secretome factors) as a means to address this unmet medical need. The current status of this research area is evaluated and discussed in the context of promising avenues for future discovery.

Keywords: adipose-derived stromal/stem cells (ASC); blood; burns; cellulose; exosome; platelets; pressure injury; pressure ulcer; secretome.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Burns / pathology
  • Burns / therapy*
  • Cell- and Tissue-Based Therapy / trends
  • Cellulose / therapeutic use
  • Exosomes / genetics
  • Exosomes / transplantation*
  • Humans
  • Hydrogels / chemistry
  • Hydrogels / therapeutic use*
  • Mesenchymal Stem Cell Transplantation / trends
  • Mesenchymal Stem Cells / cytology
  • Skin / growth & development
  • Skin / injuries
  • Skin / metabolism
  • Wound Healing / genetics*

Substances

  • Hydrogels
  • Cellulose