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. 2022 Feb 9;9(10):2105152. doi: 10.1002/advs.202105152

Table 1.

Mechanisms of different biomaterials regulating cutaneous wound healing in different stages (Abbreviations: 3D, three‐dimensional; A‐MSC, adipose‐derived mesenchymal stem cell; Ag NP, silver nanoparticle; APC, antigen‐presenting cell; Au NP, gold nanoparticle; bFGF, basic fibroblast growth factor; BG, bioglass; BM‐MSC, bone marrow‐derived mesenchymal stem cell; CM, conditioned medium; Col, collagen; CPO, calcium peroxide; CSF1R, colony‐stimulating factor‐1 receptor; D‐MSC, dermal‐derived mesenchymal stem cell; DNA, deoxyribonucleic acid; EMT, epithelial‐mesenchymal transition; EndMT, endothelial‐mesenchymal transition; GAG, glycosaminoglycan; GF, growth factor; IL, interleukin; MA, methacryloyloxy; MB, microbubble; MRGPRX2, Mas‐related G‐protein coupled receptor member X2; MMP, matrix metalloproteinase; MNGC, multinucleated giant cell; NB, norbornenes; NOCS, N,O‐carboxymethyl chitosan; PAR‐1, protease‐activated receptors‐1; PCL, poly(ε‐caprolactone); PCN, polyethylenimine functionalized ceria nanocluster; PDGF, platelet‐derived growth factor; PDMS, polydimethylsiloxane; PEG, poly(ethylene glycol); PFD, pirfenidone; PLGA, poly(lactic‐co‐glycolic acid); PNIPAM, poly (N‐isopropyl acrylamide); PUAO, polyurethane; PVA, poly(vinyl alcohol); PVC, poly(vinyl chloride); ROS, reactive oxygen species; SA, sodium alginate; sHA3, high‐sulfated hyaluronic acid; TGF, transforming growth factor; TiO2 NP, titanium oxide nanoparticle; TLR, toll‐like receptor; TNF, tumor necrosis factor; TRAP‐6, thrombin receptor agonist peptide‐6; VEGF, vascular endothelial growth factor; ZnO NP, zinc oxide nanoparticle)

Stage Bioactive materials Type of cell or protein Mechanism Wound model Refs.
Hemostasis Photopolymerized PVA−NB hydrogel particle with TRAP6 Platelets TRAP6 could activate platelets and aggregation via PAR‐1 Coagulation model [ 30c ]
Interpenetrating polymer network dry cryogel Blood cells/platelets Catechol group and dopamine could reinforce blood cell/platelet adhesion and activation Liver trauma, liver incision, and liver cross incision models [ 35 ]
Quaternized carboxymethyl chitosan and organic rectorite nanocomposite Blood cells The positive charge on the chitosan surface could aggregate blood cells Skin trauma model [ 38 ]
Anti‐inflammation Modular hydrogel consisted of GAG heparin derivatives and star‐shaped PEG Neutrophils The hydrogel could eliminate inflammatory chemokines Chronic venous leg ulcer model [ 47 ]
Multilayer coating of heparin−chitosan Neutrophils It could downregulate the expression of β2 integrin and reduce neutrophil recruiting [ 49 ]
β‐sheet Q11 peptide grafted with glucomannan Macrophages Activate the mannose receptor to promote its polarization toward the M2 phenotype Skin trauma model [ 55 ]
Negatively charged carboxylic acid‐terminated nanorod Macrophages Negative electricity could transform macrophages into an anti‐inflammatory M2 phenotype [ 56 ]
Stiff natural biopolymer matrices composed of Col I and GAGs Macrophages Macrophages demonstrated M2 phenotype on it [ 58 ]
sHA3 covalent binding to Col fibril Macrophages It reduced macrophage M1 response and did not induce MNGC formation Skin trauma model [ 59 ]
3D Col I fibronectin network Macrophages It could induce macrophage tolerance [ 60 ]
Cationic gelatin, cationic dextran, polyethyleneimine, and polylysine T cells Cationic polymers could induce potent Th1 responses via IL‐12 secretion mediated by TLR‐4 [ 64 ]
PLGA nanoparticle T cells The PLGA nanoparticle act as APCs to promote the proliferation of T cells Melanoma model [ 65 ]
Self‐assembling peptide (RADA)4 bound with PAMP‐12 motif Mast cells PAMP‐12 could activate mast cells via the MRGPRX2 receptor [ 67 ]
PVC surface modified with CD47 Neutrophils CD47 could reduce neutrophil recruitment and adhesion [ 74 ]
Tissue regeneration and Col deposition OxOBand encapsulated with A‐MSC‐derived exosomes Keratinocytes Exosomes accelerate the migration rate of keratinocytes Diabetic ulcer model [ 86 ]
Engineered human A‐MSC‐derived exosomes Fibroblasts miR‐21‐5p could promote reepithelialization through the Wnt/β‐catenin pathway Diabetic ulcer model [ 90 ]
Electrospinning nanofiber scaffold containing Nagelschmidtite Epithelial cells Nagelschmidtite could activate both the EMT and EndMT pathways Diabetic ulcer model [ 92 ]
PCL/Col nanofibrous matrix coated with Col gel Keratinocytes It could affect the migration of keratinocytes, enhance the expression of MMP‐2 and ‐9, promote the deposition of laminin‐332, and activate integrin β1 [ 93 ]
Human recombinant Col VII Keratinocytes Col VII could mediate adhesion between epidermis and dermis in human skin Recessive dystrophic epidermolysis bullosa model [ 94 ]
Microstructured Col membrane Keratinocytes The differentiation of keratinocytes was enhanced under the mimic natural 3D structure [ 95 ]
Tetrahedral DNA nanostructure Endothelial cells The nanomaterial could enhance angiogenesis by upregulating Notch signals [ 102 ]
Bioactive material loaded with VEGF, PDGF, bFGF, and TGF Endothelial cells Different GFs could regulate endothelial cells for angiogenesis [ 104 , 105 , 106 , 107 ]
Borosilicate cross‐linked with SF via MA group loaded with Cu2+ Endothelial cells The HIF‐1α pathway was restored by interaction with Cu2+ Diabetic ulcer model [ 112 ]
Multireactive injectable catechol–Fe3+ coordinated hydrogel Endothelial cells It could eliminate ROS, thus promoting neovascularization Burn wound model [ 115 ]
PUAO−CPO cryogel Endothelial cells It displayed an excess ROS and reduction of angiogenesis Ischemic flap model [ 116 ]
ZnO NP, TiO2 NP, Ag NP, Au NP lanthanide metallide NP, graphene oxide, and carbon nanotube Endothelial cells NPs could induce the formation of ROS and boost endothelial cell migration and incipient tube formation. [ 117 , 118 , 119 , 120 , 121 , 122 , 123 ]
Bioglass and mesoporous silica nanosphere fabricated on nanofibrous membrane Endothelial cells It could release silicon ions and upregulate the expression of genes associated with angiogenesis and new tissue formation [ 100 ]
Hydrogel based on fayalite and NOCS Endothelial cells It could stimulate the GF secretion to promote angiogenesis Diabetic ulcer model [ 124 ]
PCN‐miR/COL hydrogel Endothelial cells It could reduce ROS and generate functional neovascularization Diabetic ulcer model [ 125 ]
PNIPAM fiber in PDMS mold Endothelial cells 3D network could form vascular perfusion throughout the hydrogel implant Ischemic hindlimb and skin trauma models [ 126 ]
Copper‐containing mesoporous glass NP Endothelial cells It could promote endothelial cell proliferation and angiogenesis Infected skin model [ 128 ]
MB with hydrogel Endothelial cells It could promote O2 diffusion and accelerate wound healing [ 129 ]
Dual drug‐loaded bilayer nanofibrous sponge‐like 3D scaffold Fibroblasts It could promote fibroblast migration and potentiate Col synthesis Silicone splint model [ 130 ]
Nonmulberry silk fibroin Keratinocytes and fibroblasts RGD peptide on it could increase recruitment and adhesion of keratinocytes and fibroblasts, which accelerate the granulation formation Skin trauma model [ 131 ]
Matrix remodeling starPEG–heparin hydrogel introducing RGD peptide Fibroblasts It could achieve sustained release of TGF‐β to induce fibroblasts into myofibroblasts [ 133 ]
SF hydrogel Fibroblasts It could induce the expression of TNF‐α and CD163 Burn wound model [ 134 ]
Sulfated GAGs MMP It could inhibit the MMP‐1 and ‐2 [ 140 ]
Silk‐fibroin/gelatin electrospun nanofibrous dressing with astragaloside IV Myofibroblasts and inflammatory cells It could reduce TGF‐β1 secretion and Col I/III ratios Burn wound model [ 141 ]
PLA electrospun with IL‐10‐HA‐sol inside and IL‐10 outside Fibroblasts and macrophages Released IL‐10 and promoted macrophage polarization toward the M2c phenotype Skin trauma model [ 144 ]
SA/BG‐SACM‐PLGAPFD Fibroblasts and immune cells The system could regulate the inflammatory response, promote the formation of vascularized granulation tissue, and prevent fibrosis and scarring of regenerative skin Diabetic ulcer model [ 147 ]
Bioactive material implantation and inhibiting CSF1R Macrophages Inhibition of CSF1R could inhibit fibrosis and improve biocompatibility [ 150 ]
Integra loaded with A‐MSCs and D‐MSCs Macrophages Hydrogel combined with stem cells could modulate macrophage polarization. Skin trauma model [ 152 ]