摘要
千百年来大自然形成了许许多多的药物。如今,人们越来越相信自然,因为许多有效的药物都是天然形成的。在过去的几十年中,植物作为伤口愈合剂的潜力一直在调查中。伤口和溃疡影响患者的生活质量,且往往会导致截肢。全世界大约有4300万名病人患有糖尿病引起的足部溃疡。随着人口老龄化以及糖尿病和肥胖病例增加等数字不断的增长,每年全球要花费250亿美元用于治疗慢性损伤。因此,及时、有序、有效的损伤管理和治疗是至关重要的。 本文旨在系统性的回顾天然产品,主要是有确切科学记录具有愈合伤口活性的植物,专注于那些在世界范围内进行的基于动物和临床研究的文章,及相关批准的药用产品。此外,为了更好的理解,也对伤口愈合机制作了简要说明。虽然过多的天然产品是通过在体外和体内两方面来评价愈合伤口的活性,只有少数经过临床试验,甚至更少作为批准的药物上市。他们大多依靠传统医学,说明传统药物是一种药物开发的成功策略。因为只有6%的植物作了系统性的药理学研究,对于开发新的药物来说,我们需要进一步加大努力和取得更多新兴的进展。本文的目的是提供一个可靠的数据库和素材便于进一步深入的调查并发现愈合伤口的药剂。
关键词: Cicatrization
Current Medicinal Chemistry
Title:Naturally Occurring Wound Healing Agents: An Evidence-Based Review
Volume: 23 Issue: 29
Author(s): E. G. Karapanagioti, A. N. Assimopoulou
Affiliation:
关键词: Cicatrization
摘要: Nature constitutes a pool of medicines for thousands of years. Nowadays, trust in nature is increasingly growing, as many effective medicines are naturally derived. Over the last decades, the potential of plants as wound healing agents is being investigated. Wounds and ulcers affect the patients’ life quality and often lead to amputations. Approximately 43,000,000 patients suffer from diabetic foot ulcers worldwide. Annually, $25 billion are expended for the treatment of chronic wounds, with the number growing due to aging population and increased incidents of diabetes and obesity. Therefore a timely, orderly and effective wound management and treatment is crucial.
This paper aims to systematically review natural products, mainly plants, with scientifically well documented wound healing activity, focusing on articles based on animal and clinical studies performed worldwide and approved medicinal products. Moreover, a brief description of the wound healing mechanism is presented, to provide a better understanding. Although a plethora of natural products are in vitro and in vivo evaluated for wound healing activity, only a few go through clinical trials and even fewer launch the market as approved medicines. Most of them rely on traditional medicine, indicating that ethnopharmacology is a successful strategy for drug development. Since only 6% of plants have been systematically investigated pharmacologically, more intensified efforts and emerging advancements are needed to exploit the potentials of nature for the development of novel medicines. This paper aims to provide a reliable database and matrix for thorough further investigation towards the discovery of wound healing agents.
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Cite this article as:
E. G. Karapanagioti, A. N. Assimopoulou , Naturally Occurring Wound Healing Agents: An Evidence-Based Review, Current Medicinal Chemistry 2016; 23 (29) . https://dx.doi.org/10.2174/0929867323666160517120338
DOI https://dx.doi.org/10.2174/0929867323666160517120338 |
Print ISSN 0929-8673 |
Publisher Name Bentham Science Publisher |
Online ISSN 1875-533X |
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