3D Bioprinting of Functional Skin Substitutes for Chronic Wound Treatment: From Current Achievements to Future Goals

2020 ◽  
Author(s):  
Paula Gabriela Maniţă ◽  
Itxaso García-Orue ◽  
Edorta Santos-Vizcaíno ◽  
Rosa María Hernández ◽  
Manoli Igartua
Cells ◽  
2020 ◽  
Vol 9 (7) ◽  
pp. 1622 ◽  
Author(s):  
Agata Przekora

Chronic wounds occur as a consequence of a prolonged inflammatory phase during the healing process, which precludes skin regeneration. Typical treatment for chronic wounds includes application of autografts, allografts collected from cadaver, and topical delivery of antioxidant, anti-inflammatory, and antibacterial agents. Nevertheless, the mentioned therapies are not sufficient for extensive or deep wounds. Moreover, application of allogeneic skin grafts carries high risk of rejection and treatment failure. Advanced therapies for chronic wounds involve application of bioengineered artificial skin substitutes to overcome graft rejection as well as topical delivery of mesenchymal stem cells to reduce inflammation and accelerate the healing process. This review focuses on the concept of skin tissue engineering, which is a modern approach to chronic wound treatment. The aim of the article is to summarize common therapies for chronic wounds and recent achievements in the development of bioengineered artificial skin constructs, including analysis of biomaterials and cells widely used for skin graft production. This review also presents attempts to reconstruct nerves, pigmentation, and skin appendages (hair follicles, sweat glands) using artificial skin grafts as well as recent trends in the engineering of biomaterials, aiming to produce nanocomposite skin substitutes (nanofilled polymer composites) with controlled antibacterial activity. Finally, the article describes the composition, advantages, and limitations of both newly developed and commercially available bioengineered skin substitutes.


2021 ◽  
Vol 14 (4) ◽  
pp. 362
Author(s):  
Paula Gabriela Manita ◽  
Itxaso Garcia-Orue ◽  
Edorta Santos-Vizcaino ◽  
Rosa Maria Hernandez ◽  
Manoli Igartua

The aim of this review is to present 3D bioprinting of skin substitutes as an efficient approach of managing skin injuries. From a clinical point of view, classic treatments only provide physical protection from the environment, and existing engineered scaffolds, albeit acting as a physical support for cells, fail to overcome needs, such as neovascularisation. In the present work, the basic principles of bioprinting, together with the most popular approaches and choices of biomaterials for 3D-printed skin construct production, are explained, as well as the main advantages over other production methods. Moreover, the development of this technology is described in a chronological manner through examples of relevant experimental work in the last two decades: from the pioneers Lee et al. to the latest advances and different innovative strategies carried out lately to overcome the well-known challenges in tissue engineering of skin. In general, this technology has a huge potential to offer, although a multidisciplinary effort is required to optimise designs, biomaterials and production processes.


2020 ◽  
pp. 196-198
Author(s):  
H Parkar ◽  
AD Cromarty

Healthcare professionals in general practice are tasked with treatment and management of wounds on a daily basis. The prognoses of these wounds are directly affected by the ability of the clinician to assess these wounds according to several parameters, including the wound type and the features which determine whether a wound is acute or transforming to a chronic wound. This can be achieved by proper and continuous wound assessment, which should guide wound treatment strategies to ensure optimal wound healing and prevent progression to complicated wounds.


2020 ◽  
Vol 31 (6) ◽  
pp. 639-648 ◽  
Author(s):  
Christina Dai ◽  
Shawn Shih ◽  
Amor Khachemoune

2021 ◽  
Vol 35 (03) ◽  
pp. 171-180
Author(s):  
Caroline Bay ◽  
Zachary Chizmar ◽  
Edward M. Reece ◽  
Jessie Z. Yu ◽  
Julian Winocour ◽  
...  

AbstractChronic and acute wounds, such as diabetic foot ulcers and burns, respectively, can be difficult to treat, especially when autologous skin transplantations are unavailable. Skin substitutes can be used as a treatment alternative by providing the structural elements and growth factors necessary for reepithelialization and revascularization from a nonautologous source. As of 2020, there are 76 commercially available skin substitute products; this article provides a review of the relevant literature related to the major categories of skin substitutes available.


2020 ◽  
Vol Volume 7 ◽  
pp. 11-17
Author(s):  
Ehsan Nezakati ◽  
Mohammad Hossain Hasani ◽  
Pouneh Zolfaghari ◽  
Marjan Rashidan ◽  
Mohammad Bagher Sohrabi

2020 ◽  
Vol 59 (10) ◽  
pp. 4504-4514 ◽  
Author(s):  
A. Gala Morena ◽  
Ivaylo Stefanov ◽  
Kristina Ivanova ◽  
Sílvia Pérez-Rafael ◽  
Miguel Sánchez-Soto ◽  
...  

2019 ◽  
Vol 104 ◽  
pp. 109745 ◽  
Author(s):  
Sisi Cui ◽  
Xue Sun ◽  
Ke Li ◽  
Dongxia Gou ◽  
Yifa Zhou ◽  
...  

2010 ◽  
Vol 126 (4) ◽  
pp. 1253-1261 ◽  
Author(s):  
Bruce Lerman ◽  
Leslie Oldenbrook ◽  
Shaundra L. Eichstadt ◽  
Justin Ryu ◽  
Kenton D. Fong ◽  
...  

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