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Histology image of the healed wound with severe dermal fibrosis (F and large arrows) and interstitial lymphocytic infiltration (small arrows in the box) (Control group) 

Histology image of the healed wound with severe dermal fibrosis (F and large arrows) and interstitial lymphocytic infiltration (small arrows in the box) (Control group) 

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Background Honey, alone or in combination, has been used for wound healing since ancient times and has reemerged as a topic of interest in the last decade. Pectin has recently been investigated for its use in various biomedical applications such as drug delivery, skin protection, and scaffolding for cells. The aim of the present study was to develo...

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... Additionally, honey has anti-inflammatory properties as it obliterates the deleterious and inhibits scarring [9]. Honey contains high levels of glycine, methionine, arginine, and proline, which are essential for collagen formation and fibroblast deposition, thereby beneficial for wound repair [10]. It also promotes wound healing by stimulating tissue regeneration [9]. ...
... These phenolic compounds could function as hydrogen donors, directly combine with oxygen free radicals, scavenge oxygen free radicals, and inhibit the activity of some enzymes, thereby inhibiting the activity of oxygen free radicals. What is more, the proline, flavonoids and superoxide dismutase in honey accounts for the antioxidation of honey [9,10,12]. In the process of skin wound repair, the antioxidant activity of sericin-honey hydrogel advanced cell proliferation by reducing the oxidative stress of fibroblasts, thereby promoting the healing process. ...
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Wound healing in diabetics is often impaired or delayed due to the presence of high reactive oxygen species and low antioxidant levels. Here, a sericin-honey semi-interpenetrating network hydrogel with excellent antioxidant activity was prepared. Besides, the sericin-honey hydrogel is transparent, injectable, sticky, highly porous, and has good swelling properties, antibacterial activity, and cell compatibility. Based on its good performance in vitro, sericin-honey hydrogel achieved effective in vivo treatment on a mouse diabetic wound model, significantly accelerating the wound healing process. Furthermore, the combined effect of feeding sericin solution played a positive role in strengthening the effect of diabetic wound repair.
... Their natural origin, biocompatibility, and ability to create a moist wound environment make them promising materials for promoting tissue repair and accelerating wound healing. Researchers have been exploring various formulations and applications of pectin hydrogels to enhance their effectiveness in wound management (Giusto et al., 2017). ...
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Pectin hydrogels have emerged as a highly promising medium for the controlled release of pharmaceuticals in the dynamic field of drug delivery. The present review sheds light on the broad range of applications and potential of pectin-based hydrogels in pharmaceutical formulations. Pectin, as a biopolymer, is a versatile candidate for various drug delivery systems because of its wide range of properties and characteristics. The information provided on formulation strategies and crosslinking techniques provides researchers with tools to improve drug entrapment and controlled release. Furthermore, this review provides a more in-depth understanding of the complex factors influencing drug release from pectin hydrogels, such as the impact of environmental conditions and drug-specific characteristics. Pectin hydrogels demonstrate adaptability across diverse domains, ranging from applications in oral and transdermal drug delivery to contributions in wound healing, tissue engineering, and ongoing clinical trials. While standardization and regulatory compliance remain significant challenges, the future of pectin hydrogels appears to be bright, opening up new possibilities for advanced drug delivery systems.
... Hydrogels cross-linked with PVP/PEG/honey have been shown to significantly accelerate dermal repair and increase re-epithelialization when used as a burn wound dressing [23]. Pectin-honey hydrogels significantly increased angiogenesis, matrix formation, granulation tissue formation, and re-epithelialization [37]. It seems that previous research supports the findings of our study. ...
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The 3D polymeric network structure of hydrogels imitates the extracellular matrix, thereby facilitating cell growth and differentiation. In the current study, chitosan/hyaluronic acid/honey coacervate hydrogels were produced without any chemicals or crosslinking agents and investigated for their wound-healing abilities. Chitosan/hyaluronic acid/honey hydrogels were characterized by FTIR, SEM, and rheology analysis. Moreover, their water content, water uptake capacities, and porosity were investigated. In FT-IR spectra, it was discovered that the characteristic band placement of chitosan with hyaluronic acid changed upon interacting with honey. The porosity of the honey-containing hydrogels (12%) decreased compared to those without honey (17%). Additionally, the water-uptake capacity of honey-containing hydrogels slightly decreased. Also, it was observed that hydrogels’ viscosity increased with the increased hyaluronic acid amount and decreased with the amount of honey. The adhesion and proliferation of fibroblast cells on the surface of hydrogel formulations were highest in honey-containing hydrogels (144%). In in vivo studies, wound healing was accelerated by honey addition. It has been demonstrated for the first time that honey-loaded chitosan-hyaluronic acid hydrogels, prepared without the use of toxic covalent crosslinkers, have potential for use in wound healing applications.
... Furthermore, the increase in antibiotic-resistant microorganisms has led to a revaluation of the therapeutic use of ancient remedies, such as honey. Previous studies have evaluated the in vitro and in vivo efficacy of Pectin-Honey Hydrogels (PHH) [20][21][22]. Honey is a component used since ancient times for its antibacterial and anti-inflammatory characteristics. Pectin has been widely used as a scaffold for wound dressing in tissue engineering to improve wound healing, and it is biocompatible, biodegradable and nontoxic [20]. ...
... Honey is a component used since ancient times for its antibacterial and anti-inflammatory characteristics. Pectin has been widely used as a scaffold for wound dressing in tissue engineering to improve wound healing, and it is biocompatible, biodegradable and nontoxic [20]. PHHs are equally effective in promoting wound healing and reducing the onset of peritoneal adhesions [23]. ...
... The PHHs were prepared following the previously described method [20]. Briefly, an initial solution consisting of manuka honey (Manuka health NZ Ltd. 66 Weona Court, Te Awamutu 3800, New Zealand) and sterile deionized water in a 1:1 v/v ratio was prepared. ...
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... 30 Furthermore, an in vivo full-thickness excisional lesion model treated with pectin hydrogels has shown the ability of this plant-based material to speed up the healing process. 33 The complex tissue healing process requires the interplay of a variety of bioactive molecules and cellular cohorts to be as much effective as possible. 36,37 Among the bioactive factors, ascorbic acid, more commonly known as vitamin C (VitC)� an acidic, water-soluble antioxidant�is a co-factor of several enzymes which humans are unable to synthesize. ...
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... The wound of specific size (~2 × 2 cm) was created on the dorsal side of the rat using surgical scissors. The wound was cleaned with cotton swab soaked in 70 % alcohol [37]. Thereafter, the wound infection was produced by using E. coli bacteria. ...
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... Una estrategia para la obtención de estos materiales es la formación de matrices de redes poliméricas semi-interpenetradas (semi-IPN) a base de polímeros naturales y sintéticos 9 . Los polímeros naturales como el colágeno y los polisacáridos como la pectina permiten mantener y regular la biocompatibilidad de los hidrogeles 10,11 . Mientras que los polímeros sintéticos como el poliuretano adaptan la respuesta mecánica, regulan la degradación y la capacidad de liberación de fármaco 12,13 . ...
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... Una estrategia para la obtención de estos materiales es la formación de matrices de redes poliméricas semi-interpenetradas (semi-IPN) a base de polímeros naturales y sintéticos 9 . Los polímeros naturales como el colágeno y los polisacáridos como la pectina permiten mantener y regular la biocompatibilidad de los hidrogeles 10,11 . Mientras que los polímeros sintéticos como el poliuretano adaptan la respuesta mecánica, regulan la degradación y la capacidad de liberación de fármaco 12,13 . ...
Article
En la presente investigación se diseñaron hidrogeles a base de redes poliméricas semi-interpenetradas (semi-IPN) de colágeno-poliuretano-pectina, con diferente concentración de pectina (10-40 %m) y se evaluó su efecto en la biocompatibilidad in vitro. La pectina utilizada en este trabajo fue extraída enzimáticamente a partir de cáscaras de naranja. Los parámetros peso equivalente, acidez libre, porcentaje de metoxilo, grado de esterificación y porcentaje de ácido anhídrido galacturónico (AAG) de la pectina fueron determinados de acuerdo con la metodología propuesta por Owens1. Los hidrogeles fueron caracterizados por FTIR y SEM. Además, se evaluó el grado de entrecruzamiento, hinchamiento y módulo de almacenamiento de los hidrogeles. La biocompatibilidad de los hidrogeles se evaluó a través de ensayos de viabilidad celular con monocitos y fibroblastos. Además, se evaluó la actividad hemolítica de los hidrogeles. Altas concentraciones de pectina disminuyen la capacidad de hinchamiento significativamente, y promueven una ligera mejora de la reticulación y un incremento significativo del módulo de almacenamiento de la matriz semi-IPN. La caracterización por FTIR y SEM confirmó la formación de redes semi-interpenetradas de colágeno-poliuretano-pectina. Los hidrogeles formulados no poseen carácter citotóxico. El porcentaje de viabilidad de fibroblastos alcanzó el 75% mientras que la viabilidad de monocitos alcanzó el 105% hasta por 48 h de incubación. Las formulaciones que contienen 10 y 20 %m de pectina mostraron mejor biocompatibilidad in vitro, ya que la presencia de altas regiones granulares semi-interpenetradas en la matriz colágeno-poliuretano muestran impactar en el metabolismo celular.
... Researchers have also widely used several other biomaterials, such as chitosan [366], pullulan [367], dextran [368], pectin [369], and polyaniline [370], etc., to prepare wound dressing systems. But several issues reported when converted to its nanoparticulate form, including particle aggregation [371], premature drug release [372], polymeric binding capacity [373], polymeric stability [18,374], etc., remain a concern for developing successful polymeric NPs via several technologies for sustained effect. ...
Article
Wound healing is a complex physiological procedure that includes diverse stages, comprising hemo-stasis, inflammation, proliferation, and remodeling to reconstruct the skin and subcutaneous tissue's integrity. As reported, various coexisting diseases (diabetes, vascular diseases, etc.) substantially impact wound healing. Factors like recurring injury, age, or hypertrophic scarring also affect wound healing. The management of wound care depends primarily on the advancement of novel and efficient wound dressing substances, and it persists to be a vivid research area in chronic wound healing. Over the past years, the investigation and advancement of wound dressing biomaterials have registered a new standard level, and superior knowledge based on chronic wound pathogenesis has been achieved. Recently, nanotechnology has presented an excellent method to accelerate acute and chronic wound healing via stimulating appropriate movement through the diverse healing stages. Among various nanomaterials, nanoparticles (NPs) have been spotlighted as an efficient treatment strategy for wound healing due to their ability to act as both a therapeutic and carrier system. Their small size and high surface area to volume ratio enhance the probability of bio-interaction and penetration at the wound area aiding cell ecell interactions, the proliferation of cells, cell signaling, and vascularization. This review endeavored to throw light on different aspects of wounds and the latest advances in nanoparticle-based biomaterials for effective wound healing. Further, challenges and future potentialities have been addressed.
... Pectin has been exploited for its anticancer, antimicrobial, wound healing, drug carrier, anti-oxidant, and anti-inflammatory actions [51]. Giusto et al., formulated an economically advantageous pectin-honey hydrogel that showed accelerated wound healing in rat models in vivo [52]. ...
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Regenerative medicine is an active research sphere that focuses on the repair, regeneration, and replacement of damaged tissues and organs. A plethora of innovative wound dressings and skin substitutes have been developed to treat cutaneous wounds and are aimed at reducing the length or need for a hospital stay. The inception of biomaterials with the ability to interact with cells and direct them toward desired lineages has brought about innovative designs in wound healing and tissue engineering. This cellular engagement is achieved by cell cues that can be biochemical or biophysical in nature. In effect, these cues seep into innate repair pathways, cause downstream cell behaviours and, ultimately, lead to advantageous healing. This review will focus on biomolecules with encoded biomimetic, instructive prompts that elicit desired cellular domino effects to achieve advanced wound repair. The wound healing dressings covered in this review are based on functionalized biopolymeric materials. While both biophysical and biochemical cues are vital for advanced wound healing applications, focus will be placed on biochemical cues and in vivo or clinical trial applications. The biochemical cues aforementioned will include peptide therapy, collagen matrices, cell-based therapy, decellularized matrices, platelet-rich plasma, and biometals.