Microneedle arrays for the treatment of chronic wounds

被引:96
|
作者
Barnum, Lindsay [1 ]
Samandari, Mohamadmahdi [1 ]
Schmidt, Tannin A. [1 ]
Tamayol, Ali [1 ,2 ]
机构
[1] Univ Connecticut, Hlth Ctr, Dept Biomed Engn, Farmington, CT 06030 USA
[2] Univ Nebraska, Dept Mech & Mat Engn, Lincoln, NE USA
基金
美国国家卫生研究院;
关键词
Microneedle arrays; wound healing; intradermal drug delivery; microfabrication; ENDOTHELIAL-CELL APOPTOSIS; DRUG-DELIVERY; TRANSDERMAL DELIVERY; BED PREPARATION; GROWTH-FACTOR; FABRICATION; PATCH; CARE; PH; METALLOPROTEINASES;
D O I
10.1080/17425247.2020.1819787
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Introduction Chronic wounds are seen frequently in diabetic and bedbound patients. Such skin injuries, which do not heal in a timely fashion, can lead to life-threatening conditions. In an effort to resolve the burdens of chronic wounds, numerous investigations have explored the efficacy of various therapeutics on wound healing. Therapeutics can be topically delivered to cutaneous wounds to reduce the complications associated with systemic drug delivery because the compromised skin barrier is not expected to negatively affect drug distribution. However, researchers have recently demonstrated that the complex environment of chronic wounds could lower the localized availability of the applied therapeutics. Microneedle arrays (MNAs) can be exploited to enhance delivery efficiency and consequently improved healing. Areas covered In this review, we briefly describe the pathophysiology of chronic wounds and current treatment strategies. We further introduce methods and materials commonly used for the fabrication of MNAs. Subsequently, the studies demonstrating the benefits of MNAs in wound care are highlighted. Expert opinion Microneedles have great potential to treat the complicated pathophysiology of chronic wounds. Challenges that will need to be addressed include development of a robust chronic wound model and MNAs that combine complex functionality with simplicity of use.
引用
收藏
页码:1767 / 1780
页数:14
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