Biological approaches for hypertrophic scars

Int Wound J. 2020 Apr;17(2):405-418. doi: 10.1111/iwj.13286. Epub 2019 Dec 20.

Abstract

Scar formation is usually the pathological consequence of skin trauma. And hypertrophic scars (HSs) frequently occur in people after being injured deeply. HSs are unusually considered as the result of tissue contraction and excessive extracellular matrix component deposition. Myofibroblasts, as the effector cells, mainly differentiated from fibroblasts, play the crucial role in the pathophysiology of HSs. A number of growth factors, inflammatory cytokines involved in the process of HS occurrence. Currently, with in-depth exploration and clinical research of HSs, various creative and effective treatments budded. In here, we summarize the progress in the molecular mechanism of HSs, and review the available biotherapeutic methods for their pathophysiological characteristics. Additionally, we further prospected that the comprehensive therapy may be more suitable for HS treatment.

Keywords: MSC; biological strategies; hypertrophic scar; prevention; wound healing.

Publication types

  • Review

MeSH terms

  • Cell Differentiation
  • Cicatrix, Hypertrophic / metabolism*
  • Cicatrix, Hypertrophic / pathology
  • Cytokines / metabolism*
  • Humans
  • Intercellular Signaling Peptides and Proteins / metabolism*
  • Myofibroblasts / metabolism
  • Myofibroblasts / pathology*
  • Skin / metabolism
  • Skin / pathology*
  • Wound Healing / physiology*

Substances

  • Cytokines
  • Intercellular Signaling Peptides and Proteins