Therapeutic effects of electrospun chitosan nanofibers on animal skin wounds: A systematic review and meta-analysis

Electrospun chitosan nanofibers (QSNFs) enhance the healing process by mimicking skin structure and function. The aim of this study was to analyze the therapeutic effects of QSNFs application on animal skin wounds to identify a potential direction for translational research in dermatology. The PRISM...

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Main Authors: Dalia Isabel Sánchez-Machado, Anahí Maldonado-Cabrera, Jaime López-Cervantes, Blayra Maldonado-Cabrera, Andrés Francisco Chávez-Almanza
Format: Article
Language:English
Published: Elsevier 2023-12-01
Series:International Journal of Pharmaceutics: X
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2590156723000191
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author Dalia Isabel Sánchez-Machado
Anahí Maldonado-Cabrera
Jaime López-Cervantes
Blayra Maldonado-Cabrera
Andrés Francisco Chávez-Almanza
author_facet Dalia Isabel Sánchez-Machado
Anahí Maldonado-Cabrera
Jaime López-Cervantes
Blayra Maldonado-Cabrera
Andrés Francisco Chávez-Almanza
author_sort Dalia Isabel Sánchez-Machado
collection DOAJ
description Electrospun chitosan nanofibers (QSNFs) enhance the healing process by mimicking skin structure and function. The aim of this study was to analyze the therapeutic effects of QSNFs application on animal skin wounds to identify a potential direction for translational research in dermatology. The PRISMA methodology and the PICO scheme were used. A random effects model and mean difference analysis were applied for the meta-analysis. A meta-regression model was constructed, risk of bias was determined, and methodological quality assessment was performed. Of the 2370 articles collected, 54 studies were selected based on the inclusion and exclusion criteria. The wound healing area was used for building models on the 3rd, 7th, and 14th days of follow-up; the results were − 10.4% (95% CI, −18.2% to −2.6%, p = 0.001), −21.0% (95% CI, −27.3% to −14.7%, p = 0.001), and − 14.0% (95% CI, −19.1 to −8.8%, p = 0.001), respectively. Antioxidants and synthetic polymers combined with QSNFs further reduced skin wound areas (p < 0.05). The results show a more efficient reduction in wound area percentages in experimental groups than in control groups, so QSNFs could potentially be applied in translational human medicine research.
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spelling doaj.art-e4bb7c4431ac4938bae70ffad610c5e32023-06-21T06:59:14ZengElsevierInternational Journal of Pharmaceutics: X2590-15672023-12-015100175Therapeutic effects of electrospun chitosan nanofibers on animal skin wounds: A systematic review and meta-analysisDalia Isabel Sánchez-Machado0Anahí Maldonado-Cabrera1Jaime López-Cervantes2Blayra Maldonado-Cabrera3Andrés Francisco Chávez-Almanza4Technologic Institute of Sonora (ITSON), Ciudad Obregon MX-85000, Sonora, MexicoTechnologic Institute of Sonora (ITSON), Ciudad Obregon MX-85000, Sonora, Mexico; Mexican Social Security Institute (IMSS), Hermosillo MX-83000, Sonora, MexicoTechnologic Institute of Sonora (ITSON), Ciudad Obregon MX-85000, Sonora, Mexico; Corresponding author.Technologic Institute of Sonora (ITSON), Ciudad Obregon MX-85000, Sonora, MexicoTechnologic Institute of Sonora (ITSON), Ciudad Obregon MX-85000, Sonora, MexicoElectrospun chitosan nanofibers (QSNFs) enhance the healing process by mimicking skin structure and function. The aim of this study was to analyze the therapeutic effects of QSNFs application on animal skin wounds to identify a potential direction for translational research in dermatology. The PRISMA methodology and the PICO scheme were used. A random effects model and mean difference analysis were applied for the meta-analysis. A meta-regression model was constructed, risk of bias was determined, and methodological quality assessment was performed. Of the 2370 articles collected, 54 studies were selected based on the inclusion and exclusion criteria. The wound healing area was used for building models on the 3rd, 7th, and 14th days of follow-up; the results were − 10.4% (95% CI, −18.2% to −2.6%, p = 0.001), −21.0% (95% CI, −27.3% to −14.7%, p = 0.001), and − 14.0% (95% CI, −19.1 to −8.8%, p = 0.001), respectively. Antioxidants and synthetic polymers combined with QSNFs further reduced skin wound areas (p < 0.05). The results show a more efficient reduction in wound area percentages in experimental groups than in control groups, so QSNFs could potentially be applied in translational human medicine research.http://www.sciencedirect.com/science/article/pii/S2590156723000191AnimalNanofibersChitosanFull-thickness skin woundHealing
spellingShingle Dalia Isabel Sánchez-Machado
Anahí Maldonado-Cabrera
Jaime López-Cervantes
Blayra Maldonado-Cabrera
Andrés Francisco Chávez-Almanza
Therapeutic effects of electrospun chitosan nanofibers on animal skin wounds: A systematic review and meta-analysis
International Journal of Pharmaceutics: X
Animal
Nanofibers
Chitosan
Full-thickness skin wound
Healing
title Therapeutic effects of electrospun chitosan nanofibers on animal skin wounds: A systematic review and meta-analysis
title_full Therapeutic effects of electrospun chitosan nanofibers on animal skin wounds: A systematic review and meta-analysis
title_fullStr Therapeutic effects of electrospun chitosan nanofibers on animal skin wounds: A systematic review and meta-analysis
title_full_unstemmed Therapeutic effects of electrospun chitosan nanofibers on animal skin wounds: A systematic review and meta-analysis
title_short Therapeutic effects of electrospun chitosan nanofibers on animal skin wounds: A systematic review and meta-analysis
title_sort therapeutic effects of electrospun chitosan nanofibers on animal skin wounds a systematic review and meta analysis
topic Animal
Nanofibers
Chitosan
Full-thickness skin wound
Healing
url http://www.sciencedirect.com/science/article/pii/S2590156723000191
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