Tissue engineering of skin and regenerative medicine for wound care
Abstract ᅟ Engineering of biologic skin substitutes has progressed over time from individual applications of skin cells, or biopolymer scaffolds, to combinations of cells and scaffolds for treatment, healing, and closure of acute and chronic skin wounds. Skin substitutes may be categorized into thre...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Oxford University Press
2018-01-01
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| Series: | Burns & Trauma |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s41038-017-0103-y |
| _version_ | 1818043193052102656 |
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| author | Steven T. Boyce Andrea L. Lalley |
| author_facet | Steven T. Boyce Andrea L. Lalley |
| author_sort | Steven T. Boyce |
| collection | DOAJ |
| description | Abstract ᅟ Engineering of biologic skin substitutes has progressed over time from individual applications of skin cells, or biopolymer scaffolds, to combinations of cells and scaffolds for treatment, healing, and closure of acute and chronic skin wounds. Skin substitutes may be categorized into three groups: acellular scaffolds, temporary substitutes containing allogeneic skin cells, and permanent substitutes containing autologous skin cells. Combined use of acellular dermal substitutes with permanent skin substitutes containing autologous cells has been shown to provide definitive wound closure in burns involving greater than 90% of the total body surface area. These advances have contributed to reduced morbidity and mortality from both acute and chronic wounds but, to date, have failed to replace all of the structures and functions of the skin. Among the remaining deficiencies in cellular or biologic skin substitutes are hypopigmentation, absence of stable vascular and lymphatic networks, absence of hair follicles, sebaceous and sweat glands, and incomplete innervation. Correction of these deficiencies depends on regulation of biologic pathways of embryonic and fetal development to restore the full anatomy and physiology of uninjured skin. Elucidation and integration of developmental biology into future models of biologic skin substitutes promises to restore complete anatomy and physiology, and further reduce morbidity from skin wounds and scar. This article offers a review of recent advances in skin cell thrapies and discusses the future prospects in cutaneous regeneration. |
| first_indexed | 2024-12-10T08:58:19Z |
| format | Article |
| id | doaj.art-3fa58151bc474b88b4e83d75e9c3c6ce |
| institution | Directory Open Access Journal |
| issn | 2321-3876 |
| language | English |
| last_indexed | 2024-12-10T08:58:19Z |
| publishDate | 2018-01-01 |
| publisher | Oxford University Press |
| record_format | Article |
| series | Burns & Trauma |
| spelling | doaj.art-3fa58151bc474b88b4e83d75e9c3c6ce2022-12-22T01:55:21ZengOxford University PressBurns & Trauma2321-38762018-01-016111010.1186/s41038-017-0103-yTissue engineering of skin and regenerative medicine for wound careSteven T. Boyce0Andrea L. Lalley1Department of Surgery, University of CincinnatiResearch Department, Shriners Hospitals for ChildrenAbstract ᅟ Engineering of biologic skin substitutes has progressed over time from individual applications of skin cells, or biopolymer scaffolds, to combinations of cells and scaffolds for treatment, healing, and closure of acute and chronic skin wounds. Skin substitutes may be categorized into three groups: acellular scaffolds, temporary substitutes containing allogeneic skin cells, and permanent substitutes containing autologous skin cells. Combined use of acellular dermal substitutes with permanent skin substitutes containing autologous cells has been shown to provide definitive wound closure in burns involving greater than 90% of the total body surface area. These advances have contributed to reduced morbidity and mortality from both acute and chronic wounds but, to date, have failed to replace all of the structures and functions of the skin. Among the remaining deficiencies in cellular or biologic skin substitutes are hypopigmentation, absence of stable vascular and lymphatic networks, absence of hair follicles, sebaceous and sweat glands, and incomplete innervation. Correction of these deficiencies depends on regulation of biologic pathways of embryonic and fetal development to restore the full anatomy and physiology of uninjured skin. Elucidation and integration of developmental biology into future models of biologic skin substitutes promises to restore complete anatomy and physiology, and further reduce morbidity from skin wounds and scar. This article offers a review of recent advances in skin cell thrapies and discusses the future prospects in cutaneous regeneration.http://link.springer.com/article/10.1186/s41038-017-0103-yBurnsCell therapySkin substituteTissue engineeringWound closureScar |
| spellingShingle | Steven T. Boyce Andrea L. Lalley Tissue engineering of skin and regenerative medicine for wound care Burns & Trauma Burns Cell therapy Skin substitute Tissue engineering Wound closure Scar |
| title | Tissue engineering of skin and regenerative medicine for wound care |
| title_full | Tissue engineering of skin and regenerative medicine for wound care |
| title_fullStr | Tissue engineering of skin and regenerative medicine for wound care |
| title_full_unstemmed | Tissue engineering of skin and regenerative medicine for wound care |
| title_short | Tissue engineering of skin and regenerative medicine for wound care |
| title_sort | tissue engineering of skin and regenerative medicine for wound care |
| topic | Burns Cell therapy Skin substitute Tissue engineering Wound closure Scar |
| url | http://link.springer.com/article/10.1186/s41038-017-0103-y |
| work_keys_str_mv | AT steventboyce tissueengineeringofskinandregenerativemedicineforwoundcare AT andreallalley tissueengineeringofskinandregenerativemedicineforwoundcare |