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. 2021 Aug 13;10(11):596–622. doi: 10.1089/wound.2020.1183

Table 4.

Composite biomaterial delivery systems evaluated for cutaneous wound and scarring indications

Biomaterial(s) Fabrication Method(s) Treatment (s) Experimental Parameters Tested and Outcomes
Chitosan
 CMC-chitosan Hydrogel+NP EGF In vitro release+proteinases—within 48 h, induced fibroblast proliferation
STZ-induced diabetic rat full-thickness excisional wound model—treatment every 2 days led to faster healing relative to hydrogel and hydrogel+EGF controls124
 Cellulose+HA NP+composite GM-CSF In vitro release—within 48 h
Rat full-thickness excisional wound model—treatment every 2 days led to faster healing relative to NP+composite control123
 Gelatin/PVA+PCL Hydrogel+microsphere FGF-2 In vitro release—cumulative over 25 days, nontoxic for fibroblasts
Rat full-thickness excisional wound model—single treatment led to faster healing relative to hydrogel and dressed controls154
 Gelatin+diamond Hydrogel+NP VEGF-A In vitro release—within 3 days, induces endothelial cell attachment and proliferation128
Alginate
 CMC-chitosan Hydrogel EGF In vitro release—within 12 h, nontoxic to fibroblasts, induces RBC clotting
Rat partial-thickness scald burn model—daily treatment led to faster healing relative to hydrogel and EGF controls148
 CMC-chitosan+PVA Microsphere+hydrogel FGF-2 In vitro release—burst release within 48 h, cumulative over 12 days, induces fibroblast proliferation
Rat full-thickness thermal burn model—single treatment led to faster healing relative to hydrogel and hydrogel+FGF-2 controls134
HA
 Heparin+PEGDA Hydrogel FGF-2 In vitro release+hyaluronidase—cumulative over 35 days, increases fibroblast proliferation150
Collagen
 PCL+chitosan Hydrogel+NP G-CSF In vitro release—cumulative over 15 days, nontoxic for mesenchymal stem cells
Rat full-thickness excisional wound model—single treatment led to faster healing relative to nanofiber control125
Gelatin
 Gelatin Microsphere+sponge EGF Rat full-thickness excisional wound model—single treatment led to faster healing, with increased tensile strength relative to sponge control111
 Collagen Microsphere+hydrogel+matrix EGF In vitro release—cumulative over 14 days
In vitro culture—enhanced proliferation of keratinocytes relative to fibroblasts
Rat full-thickness excisional wound model—single treatment led to faster healing relative to matrix, and matrix+microsphere controls152
 EUP polysaccharide Sponge+EUP fibers PDGF-ββ In vitro release+collagenase—within 48 h, induced fibroblast proliferation
Mouse full-thickness excisional wound model—EUP fibers in sponge sequestered PDGF-ββ114
Fibrin
 HA+protein Hydrogel+NP VEGF-A Mouse splinted full-thickness excisional wound model—single treatment led to faster healing than hydrogel control122
 Fibrinogen+anti-VEGF aptamer Hydrogel+macromer VEGF-A In vitro release in serum—cumulative over 15 days, induces endothelial cell migration
In vitro culture—growth of keratinocytes, fibroblasts and enhanced that of endothelial cells
Mouse full-thickness excisional wound model—single treatment led to faster healing relative to hydrogel and hydrogel+VEGF-A controls153
Lipid
 Silk fiboid Liposome+SF core FGF-2 In vitro release+wound fluid—protection, supported fibroblast survival
Mouse partial-thickness thermal burn—treatment every 3 days led to faster healing relative to FGF-2 control120

CMC, carboxymethylcellulose; EUP, galacturonic acid-containing polysaccharide; NP, nanoparticle; PCL, polycaprolactone; PEGDA, poly(ethylene glycol) diacrylate; PVA, poly(vinyl alcohol); SF, silk fibroid.