Abstract
The skin, as the body's main protection barrier from the environment, has an intrinsic self-repairable nature. However, proper wound healing only occurs under appropriate conditions. Skin wounds represent an economic burden on healthcare systems worldwide. Recent research has focused on developing new therapies, especially for chronic wounds. Among them, spray-applied therapies have emerged as a promising strategy for allowing deeper penetration of the products, better conformability, easiness of application, lower discomfort for the patient, and lower risk of contamination during application. Specifically, sprayable wound dressings have been getting attention for enabling the treatment of severe cases or hard-to-heal wounds by incorporating different bioactive agents. Organic and inorganic compounds, natural extracts, signaling compounds, and live human cells have been investigated. In this context, this review summarizes the main findings of recently developed spray-applied bioactive wound dressings.
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References
C.K. Sen, Human wounds and its burden: an updated compendium of estimates. Adv. Wound Care 8, 39–48 (2019). https://doi.org/10.1089/wound.2019.0946
E. Rezvani Ghomi, S. Khalili, S. Nouri Khorasani, R. Esmaeely Neisiany et al., Wound dressings: current advances and future directions. J. Appl. Polym. Sci. 136, 1–12 (2019). https://doi.org/10.1002/app.47738
M.H. Kathawala, W.L. Ng, D. Liu, M.W. Naing et al., Healing of chronic wounds: an update of recent developments and future possibilities. Tissue Eng. B 25, 429–444 (2019). https://doi.org/10.1089/ten.teb.2019.0019
D. Doughty, Dressings and more: guidelines for topical wound management. Nurs. Clin. 40, 217–231 (2005). https://doi.org/10.1016/J.CNUR.2004.09.012
S. Guo, L.A. DiPietro, Factors affecting wound healing. J. Dent. Res. 89, 219–229 (2010). https://doi.org/10.1177/0022034509359125
K. Kathe, H. Kathpalia, Film forming systems for topical and transdermal drug delivery. Asian J. Pharm. Sci. 12, 487–497 (2017)
P. Arenberger, F. Elg, J. Petyt, K. Cutting, Expected outcomes from topical haemoglobin spray in non-healing and worsening venous leg ulcers. J. Wound Care 24, 228–236 (2015). https://doi.org/10.12968/jowc.2015.24.5.228
K. Düregger, A. Gäble, M. Eblenkamp, Development and evaluation of a spray applicator for platelet-rich plasma. Colloids Surf. B 171, 214–223 (2018). https://doi.org/10.1016/j.colsurfb.2018.07.018
K.J.B. Kus, E.S. Ruiz, Wound dressings—a practical review. Curr. Dermatol. Rep. 9, 298–308 (2020). https://doi.org/10.1007/s13671-020-00319-w
J.C. Gerlach, C. Johnen, E. McCoy, K. Bräutigam et al., Autologous skin cell spray-transplantation for a deep dermal burn patient in an ambulant treatment room setting. Burns 37, e19–e23 (2011). https://doi.org/10.1016/j.burns.2011.01.022
N. Tayyib, Use of topical haemoglobin spray in hard-to-heal wound management: a systematic review. J. Wound Care 31, 520–531 (2022). https://doi.org/10.12968/JOWC.2022.31.6.520
C. Loh, Q.Y. Tan, D.L.K. Eng, S.R. Walsh et al., Granulox—the use of topical hemoglobin to aid wound healing: a literature review and case series from Singapore. Int. J. Low Extreme Wounds 20, 88–97 (2021). https://doi.org/10.1177/1534734620910318
J.J. He, C. McCarthy, G. Camci-Unal, Development of hydrogel-based sprayable wound dressings for second- and third-degree burns. Adv. Nanobiomed. Res. 1, 2100004 (2021). https://doi.org/10.1002/ANBR.202100004
Y. Liao, L. Xie, J. Ye, T. Chen et al., Sprayable hydrogel for biomedical applications. Biomater. Sci. 10, 2759–2771 (2022). https://doi.org/10.1039/D2BM00338D
S. Motamedi, A. Esfandpour, A. Babajani, E. Jamshidi et al., The current challenges on spray-based cell delivery to the skin wounds. Tissue Eng. C 27, 543–558 (2021). https://doi.org/10.1089/ten.tec.2021.0158
P. Pleguezuelos-Beltrán, P. Gálvez-Martín, D. Nieto-García, J.A. Marchal et al., Advances in spray products for skin regeneration. Bioact. Mater. 16, 187–203 (2022). https://doi.org/10.1016/j.bioactmat.2022.02.023
B. Balakrishnan, M. Mohanty, P.R. Umashankar, A. Jayakrishnan, Evaluation of an in situ forming hydrogel wound dressing based on oxidized alginate and gelatin. Biomaterials 26, 6335–6342 (2005). https://doi.org/10.1016/j.biomaterials.2005.04.012
J. Grip, R.E. Engstad, I. Skjæveland, N. Škalko-Basnet et al., Sprayable Carbopol hydrogel with soluble beta-1,3/1,6-glucan as an active ingredient for wound healing—development and in vivo evaluation. Eur. J. Pharm. Sci. 107, 24–31 (2017). https://doi.org/10.1016/j.ejps.2017.06.029
S. Tavakoli, A.S. Klar, Advanced hydrogels as wound dressings. Biomolecules 10, 1169 (2020). https://doi.org/10.3390/biom10081169
Y. Liang, J. He, B. Guo, Functional hydrogels as wound dressing to enhance wound healing. ACS Nano 15, 12687–12722 (2021). https://doi.org/10.1021/acsnano.1c04206
B. Chu, C. Wu, S. Tang, M. Tu, Sprayable agarose-derived dopamine-grafted microgels for promoting tissue adhesion in skin regeneration. React. Funct. Polym. 154, 104665 (2020). https://doi.org/10.1016/j.reactfunctpolym.2020.104665
B. ter Horst, R.J.A. Moakes, G. Chouhan, R.L. Williams et al., A gellan-based fluid gel carrier to enhance topical spray delivery. Acta Biomater. 89, 166–179 (2019). https://doi.org/10.1016/j.actbio.2019.03.036
O. Catanzano, M.C. Straccia, A. Miro, F. Ungaro et al., Spray-by-spray in situ cross-linking alginate hydrogels delivering a tea tree oil microemulsion. Eur. J. Pharm. Sci. 66, 20–28 (2015). https://doi.org/10.1016/j.ejps.2014.09.018
W. Ma, H. Ma, P. Qiu, H. Zhang et al., Sprayable β-FeSi2 composite hydrogel for portable skin tumor treatment and wound healing. Biomaterials 279, 121225 (2021). https://doi.org/10.1016/J.BIOMATERIALS.2021.121225
C. Cai, T. Wang, X. Han, S. Yang et al., In situ wound sprayable double-network hydrogel: preparation and characterization. Chin. Chem. Lett. 33, 1963–1969 (2022). https://doi.org/10.1016/J.CCLET.2021.11.047
A. Kumar, M. Jaiswal, Design and in vitro investigation of nanocomposite hydrogel based in situ spray dressing for chronic wounds and synthesis of silver nanoparticles using green chemistry. J. Appl. Polym. Sci. 133, 43260 (2016). https://doi.org/10.1002/app.43260
A. Kumar, H. Kaur, Sprayed in situ synthesis of polyvinyl alcohol/chitosan loaded silver nanocomposite hydrogel for improved antibacterial effects. Int. J. Biol. Macromol. 145, 950–964 (2020). https://doi.org/10.1016/j.ijbiomac.2019.09.186
Y. Du, L. Li, H. Peng, H. Zheng et al., A spray-filming self-healing hydrogel fabricated from modified sodium alginate and gelatin as a bacterial barrier. Macromol. Biosci. 20, 1900303 (2020). https://doi.org/10.1002/mabi.201900303
D.S. Yoon, Y. Lee, H.A. Ryu, Y. Jang et al., Cell recruiting chemokine-loaded sprayable gelatin hydrogel dressings for diabetic wound healing. Acta Biomater. 38, 59–68 (2016). https://doi.org/10.1016/j.actbio.2016.04.030
Y. Lee, K.H. Choi, K.M. Park, J.M. Lee et al., In situ forming and H2O2-releasing hydrogels for treatment of drug-resistant bacterial infections. ACS Appl. Mater. Interfaces 9, 16890–16899 (2017). https://doi.org/10.1021/acsami.7b03870
V. Falanga, S. Iwamoto, M. Chartier, T. Yufit et al., Autologous bone marrow-derived cultured mesenchymal stem cells delivered in a fibrin spray accelerate healing in murine and human cutaneous wounds. Tissue Eng. 13, 1299–1312 (2007). https://doi.org/10.1089/ten.2006.0278
R.S. Kirsner, W.A. Marston, R.J. Snyder, T.D. Lee et al., Durability of healing from spray-applied cell therapy with human allogeneic fibroblasts and keratinocytes for the treatment of chronic venous leg ulcers: a 6-month follow-up. Wound Repair Regen. 21, 682–687 (2013). https://doi.org/10.1111/wrr.12076
W.D. Spotnitz, Fibrin sealant: the only approved hemostat, sealant, and adhesive—a laboratory and clinical perspective. ISRN Surg. 2014, 1–28 (2014). https://doi.org/10.1155/2014/203943
V. Bhagat, M.L. Becker, Degradable adhesives for surgery and tissue engineering. Biomacromolecules 18, 3009–3039 (2017). https://doi.org/10.1021/acs.biomac.7b00969
A. Andreone, D. Den Hollander, F. Moreno, A retrospective study on the use of dermis micrografts in platelet-rich fibrin for the resurfacing of massive and chronic full-thickness burns. Stem Cells Int. 2019, 8636079/1-8636079/9 (2019). https://doi.org/10.1155/2019/8636079
Y. Hou, N. Jiang, D. Sun, Y. Wang et al., A fast UV-curable PU–PAAm hydrogel with mechanical flexibility and self-adhesion for wound healing. RSC Adv. 10, 4907–4915 (2020). https://doi.org/10.1039/c9ra10666a
H. Cheng, Z. Shi, K. Yue, X. Huang et al., Sprayable hydrogel dressing accelerates wound healing with combined reactive oxygen species-scavenging and antibacterial abilities. Acta Biomater. 124, 219–232 (2021). https://doi.org/10.1016/j.actbio.2021.02.002
N. Annabi, D. Rana, E. Shirzaei Sani, R. Portillo-Lara et al., Engineering a sprayable and elastic hydrogel adhesive with antimicrobial properties for wound healing. Biomaterials 139, 229–243 (2017). https://doi.org/10.1016/j.biomaterials.2017.05.011
S. Tavakoli, H. Mokhtari, M. Kharaziha, A. Kermanpur et al., A multifunctional nanocomposite spray dressing of Kappa-carrageenan-polydopamine modified ZnO/l-glutamic acid for diabetic wounds. Mater. Sci. Eng. C 111, 110837 (2020). https://doi.org/10.1016/j.msec.2020.110837
S. Tavakoli, M. Kharaziha, A. Kermanpur, H. Mokhtari, Sprayable and injectable visible-light Kappa-carrageenan hydrogel for in situ soft tissue engineering. Int. J. Biol. Macromol. 138, 590–601 (2019). https://doi.org/10.1016/j.ijbiomac.2019.07.126
K. Zhang, K. Xue, X.J. Loh, Thermo-responsive hydrogels: from recent progress to biomedical applications. Gels 7, 77 (2021). https://doi.org/10.3390/GELS7030077
X. Yan, W.W. Fang, J. Xue, T.C. Sun et al., Thermoresponsive in situ forming hydrogel with sol–gel irreversibility for effective methicillin-resistant Staphylococcus aureus infected wound healing. ACS Nano 13, 10074–10084 (2019). https://doi.org/10.1021/acsnano.9b02845
S.L. Banerjee, S. Das, K. Bhattacharya, M. Kundu et al., Ag NPs incorporated self-healable thermoresponsive hydrogel using precise structural “Interlocking” complex of polyelectrolyte BCPs: a potential new wound healing material. Chem. Eng. J. 405, 126436 (2021). https://doi.org/10.1016/J.CEJ.2020.126436
P. Wang, L. Peng, J. Lin, Y. Li et al., Enzyme hybrid virus-like hollow mesoporous CuO adhesive hydrogel spray through glucose-activated cascade reaction to efficiently promote diabetic wound healing. Chem. Eng. J. 415, 128901 (2021). https://doi.org/10.1016/J.CEJ.2021.128901
J. Grip, E. Steene, R.E. Engstad, J. Hart et al., Development of a novel beta-glucan supplemented hydrogel spray formulation and wound healing efficacy in a db/db diabetic mouse model. Eur. J. Pharm. Biopharm. 169, 280–291 (2021). https://doi.org/10.1016/J.EJPB.2021.10.013
A.V.P. Silvestrini, A.L. Caron, J. Viegas, F.G. Praça et al., Advances in lyotropic liquid crystal systems for skin drug delivery. Expert Opin. Drug Deliv. 17, 1781–1805 (2020). https://doi.org/10.1080/17425247.2020.1819979
M. Chountoulesi, S. Pispas, I.K. Tseti, C. Demetzos, Lyotropic liquid crystalline nanostructures as drug delivery systems and vaccine platforms. Pharmaceuticals 15, 429 (2022). https://doi.org/10.3390/ph15040429
X. Yue, X. Zhang, C. Wang, Y. Huang et al., A bacteria-resistant and self-healing spray dressing based on lyotropic liquid crystals to treat infected post-operative wounds. J. Mater. Chem. B 9, 8121–8137 (2021). https://doi.org/10.1039/D1TB01201K
J. Chen, H. Wang, L. Mei, B. Wang et al., A pirfenidone loaded spray dressing based on lyotropic liquid crystals for deep partial thickness burn treatment: healing promotion and scar prophylaxis. J. Mater. Chem. B 8, 2573–2588 (2020). https://doi.org/10.1039/c9tb02929j
C. Wang, J. Chen, X. Yue, X. Xia et al., Improving water-absorption and mechanical strength: lyotropic liquid crystalline-based spray dressings as a candidate wound management system. AAPS PharmSciTech 23(2), 1–10 (2022). https://doi.org/10.1208/S12249-021-02205-5
N. Boonmak, J. Niyompanich, P. Chuysinuan, P. Niamlang et al., Preparation of mangosteen extract-loaded poly(vinyl acetate) for use as an antibacterial spray-on dressing. J. Drug Deliv. Sci. Technol. 46, 322–329 (2018). https://doi.org/10.1016/j.jddst.2018.05.033
R. Sritharadol, T. Nakpheng, P. Wan Sia Heng, T. Srichana, Development of a topical mupirocin spray for antibacterial and wound-healing applications. Drug Dev. Ind. Pharm. 43, 1715–1728 (2017). https://doi.org/10.1080/03639045.2017.1339077
D. Bakkiyaraj, R. Sritharadol, A.R. Padmavathi, T. Nakpheng et al., Anti-biofilm properties of a mupirocin spray formulation against Escherichia coli wound infections. Biofouling 33, 591–600 (2017). https://doi.org/10.1080/08927014.2017.1337100
E. Šnejdrová, J. Martiška, J. Loskot, G. Paraskevopoulos et al., PLGA based film forming systems for superficial fungal infections treatment. Eur. J. Pharm. Sci. 163, 105855 (2021). https://doi.org/10.1016/J.EJPS.2021.105855
J.L. Daristotle, L.W. Lau, M. Erdi, J. Hunter et al., Sprayable and biodegradable, intrinsically adhesive wound dressing with antimicrobial properties. Bioeng. Transl. Med. 5, e10149 (2020). https://doi.org/10.1002/btm2.10149
A. Amirsadeghi, A. Jafari, S.S. Hashemi, A. Kazemi et al., Sprayable antibacterial Persian gum-silver nanoparticle dressing for wound healing acceleration. Mater. Today Commun. 27, 102225 (2021). https://doi.org/10.1016/J.MTCOMM.2021.102225
A.K. Umar, S. Sriwidodo, I.P. Maksum, N. Wathoni, Film-forming spray of water-soluble chitosan containing liposome-coated human epidermal growth factor for wound healing. Molecules 26, 5326 (2021). https://doi.org/10.3390/MOLECULES26175326
A.K. Umar, M. Butarbutar, S. Sriwidodo, N. Wathoni, Film-forming sprays for topical drug delivery. Drug Des. Dev. Ther. 14, 2909–2925 (2020). https://doi.org/10.2147/DDDT.S256666
D. Liu, Y. Liao, E.J. Cornel, M. Lv et al., Polymersome wound dressing spray capable of bacterial inhibition and H2S generation for complete diabetic wound healing. Chem. Mater. 33, 7972–7985 (2021). https://doi.org/10.1021/acs.chemmater.1c01872
Y. Li, Q. Leng, X. Pang, H. Shi et al., Therapeutic effects of EGF-modified curcumin/chitosan nano-spray on wound healing. Regen. Biomater. 8, rbab009 (2021). https://doi.org/10.1093/RB/RBAB009
S.J. Gwak, S.S. Kim, K. Sung, J. Han et al., Synergistic effect of keratinocyte transplantation and epidermal growth factor delivery on epidermal regeneration. Cell Transplant. 14, 809–817 (2005). https://doi.org/10.3727/000000005783982521
C. Fredriksson, G. Kratz, F. Huss, Transplantation of cultured human keratinocytes in single cell suspension: a comparative in vitro study of different application techniques. Burns 34, 212–219 (2008). https://doi.org/10.1016/j.burns.2007.03.008
F.A. Navarro, M.L. Stoner, C.S. Park, J.C. Huertas et al., Sprayed keratinocyte suspensions in a porcine microwound model. J. Burn Care Rehabil. 21, 513–518 (2000)
P.K. Deb, S.N. Abed, H. Maher, A. Al-Aboudi et al., Aerosols in pharmaceutical product development. Drug Deliv. Syst. (2020). https://doi.org/10.1016/B978-0-12-814487-9.00011-9
R.W. Abdo, N. Saadi, N.I. Hijazi, Y.A. Suleiman, Quality control and testing evaluation of pharmaceutical aerosols. Drug Deliv. Syst. (2020). https://doi.org/10.1016/B978-0-12-814487-9.00012-0
W.H. Finlay, Pharmaceutical aerosol sprays for drug delivery to the lungs, in Handbook of Atomization and Sprays. ed. by N. Ashgriz (Springer, Boston, 2011), pp.899–907
M. Chang, J. Liu, B. Guo, X. Fang et al., Auto micro atomization delivery of human epidermal organoids improves therapeutic effects for skin wound healing. Front. Bioeng. Biotechnol. 8, 110 (2020). https://doi.org/10.3389/fbioe.2020.00110
L. Zhang, X. Yan, L. An, M. Wang et al., Novel pneumatically assisted atomization device for living cell delivery: application of sprayed mesenchymal stem cells for skin regeneration. Biodes. Manuf. 5, 220–232 (2021). https://doi.org/10.1007/s42242-021-00144-5
X. Cui, Y. Lü, C. Yue, Development and research progress of anti-drug resistant bacteria drugs. Infect. Drug Resist. 14, 5575–5593 (2021). https://doi.org/10.2147/IDR.S338987
C.J. Murray, K.S. Ikuta, F. Sharara, L. Swetschinski et al., Global burden of bacterial antimicrobial resistance in 2019: a systematic analysis. Lancet 399, 629–655 (2022). https://doi.org/10.1016/S0140-6736(21)02724-0
S. Nadar, T. Khan, S.G. Patching, A. Omri, Development of antibiofilm therapeutics strategies to overcome antimicrobial drug resistance. Microorganisms 10, 1–28 (2022). https://doi.org/10.3390/microorganisms10020303
M. Falcone, B. De Angelis, F. Pea, A. Scalise et al., Challenges in the management of chronic wound infections. J. Glob. Antimicrob. Resist. 26, 140–147 (2021). https://doi.org/10.1016/J.JGAR.2021.05.010
H.C. Lau, A. Kim, Pharmaceutical perspectives of impaired wound healing in diabetic foot ulcer. J. Pharm. Investig. 46, 403–423 (2016). https://doi.org/10.1007/S40005-016-0268-6
S. McLaughlin, M. Ahumada, W. Franco, T.-F. Mah et al., Sprayable peptide-modified silver nanoparticles as a barrier against bacterial colonization. Nanoscale 8, 19200–19203 (2016). https://doi.org/10.1039/c6nr07976h
K. Vaghasiya, A. Sharma, K. Kumar, E. Ray et al., Heparin-encapsulated metered-dose topical “Nano-Spray Gel” liposomal formulation ensures rapid on-site management of frostbite injury by inflammatory cytokines scavenging. ACS Biomater. Sci. Eng. 5, 6617–6631 (2019). https://doi.org/10.1021/acsbiomaterials.9b01486
Y.-S. Tzeng, S.-C. Deng, C.-H. Wang, J.-C. Tsai et al., Treatment of nonhealing diabetic lower extremity ulcers with skin graft and autologous platelet gel: a case series. BioMed. Res. Int. 2013, 837620 (2013). https://doi.org/10.1155/2013/837620
B. Hersant, M. SidAhmed-Mezi, R. Bosc, J.-P. Meningaud, Autologous platelet-rich plasma/thrombin gel combined with split-thickness skin graft to manage postinfectious skin defects. Adv. Skin Wound Care 30, 502–508 (2017). https://doi.org/10.1097/01.ASW.0000524399.74460.87
Y.L. Wong, M. Pandey, H. Choudhury, W.M. Lim et al., Development of in situ spray for local delivery of antibacterial drug for Hidradenitis Suppurativa: investigation of alternative formulation. Polymers (Basel) 13, 2770 (2021). https://doi.org/10.3390/polym13162770
M. Mahlapuu, J. Håkansson, L. Ringstad, C. Björn, Antimicrobial peptides: an emerging category of therapeutic agents. Front. Cell Infect. Microbiol. 6, 194 (2016). https://doi.org/10.3389/fcimb.2016.00194
M.D. Falciglia, R. Palladino, B. Maglione, G. Schiavo, In vitro antimicrobial activity evaluation of a novel Fitostimoline® plus spray formulation. Int. J. Microbiol. 2021, 1114853 (2021). https://doi.org/10.1155/2021/1114853
D. Chicharro-Alcántara, M. Rubio-Zaragoza, E. Damiá-Giménez, J.M. Carrillo-Poveda et al., Platelet rich plasma: new insights for cutaneous wound healing management. J. Funct. Biomater. 9, 10 (2018). https://doi.org/10.3390/JFB9010010
S. Sriram, R. Sankaralingam, M. Mani, T.N. Tamilselvam, Autologous platelet rich plasma in the management of non-healing vasculitic ulcers. Int. J. Rheum. Dis. 19, 1331–1336 (2016). https://doi.org/10.1111/1756-185X.12914
C.Y. Yeung, P.S. Hsieh, L.G. Wei, L.C. Hsia et al., Efficacy of lyophilised platelet-rich plasma powder on healing rate in patients with deep second degree burn injury: a prospective double-blind randomized clinical trial. Ann. Plast. Surg. 80, S66–S69 (2018). https://doi.org/10.1097/SAP.0000000000001328
K.H. Park, S.H. Han, J.P. Hong, S.K. Han et al., Topical epidermal growth factor spray for the treatment of chronic diabetic foot ulcers: a phase III multicenter, double-blind, randomized, placebo-controlled trial. Diabetes Res. Clin. Pract. 142, 335–344 (2018). https://doi.org/10.1016/j.diabres.2018.06.002
A. Bahoric, A.R. Harrop, H.M. Clarke, R.M. Zuker, Aerosol vehicle for delivery of epidermal cells—an in vitro study. Plast. Surg. 5, 153–156 (1997). https://doi.org/10.4172/plastic-surgery.1000168
F.O. Fraulin, A. Bahoric, A.R. Harrop, T. Hiruki et al., Autotransplantation of epithelial cells in the pig via an aerosol vehicle. J. Burn Care Rehabil. 19, 337–345 (1998)
A. Roberts, B.E. Wyslouzil, L. Bonassar, Aerosol delivery of mammalian cells for tissue engineering. Biotechnol. Bioeng. 91, 801–807 (2005). https://doi.org/10.1002/bit.20549
B. ter Horst, G. Chouhan, N.S. Moiemen, L.M. Grover, Advances in keratinocyte delivery in burn wound care. Adv. Drug Deliv. Rev. 123, 18–32 (2018). https://doi.org/10.1016/j.addr.2017.06.012
B. De Angelis, A. Migner, L. Lucarini, A. Agovino et al., The use of a non cultured autologous cell suspension to repair chronic ulcers. Int. Wound J. 12, 32–39 (2015). https://doi.org/10.1111/iwj.12047
R. Sood, D.E. Roggy, M.J. Zieger, M. Nazim et al., A comparative study of spray keratinocytes and autologous meshed split-thickness skin graft in the treatment of acute burn injuries. Wounds 27, 31–40 (2015)
Z.-C. Hu, D. Chen, D. Guo, Y.-Y. Liang et al., Randomized clinical trial of autologous skin cell suspension combined with skin grafting for chronic wounds. Br. J. Surg. 102, e117–e123 (2015). https://doi.org/10.1002/bjs.9688
D. Hammer, J.L. Rendon, J. Sabino, K. Latham et al., Restoring full-thickness defects with spray skin in conjunction with dermal regenerate template and split-thickness skin grafting: a pilot study. J. Tissue Eng. Regen. Med. 11, 3523–3529 (2017). https://doi.org/10.1002/term.2264
J.H. Holmes, J.A. Molnar, J.W. Shupp, W.L. Hickerson et al., Demonstration of the safety and effectiveness of the RECELL® System combined with split-thickness meshed autografts for the reduction of donor skin to treat mixed-depth burn injuries. Burns 45, 772–782 (2019). https://doi.org/10.1016/j.burns.2018.11.002
J. Ren, J. Liu, N. Yu, W. Zhang et al., The use of noncultured regenerative epithelial suspension for improving skin color and scars: a report of 8 cases and review of the literature. J. Cosmet. Dermatol. 18, 1487–1494 (2019). https://doi.org/10.1111/jocd.13071
P.D. Hayes, K.G. Harding, S.M. Johnson, C. Mccollum et al., A pilot multi-centre prospective randomised controlled trial of RECELL for the treatment of venous leg ulcers. Int. Wound J. 17, 742–752 (2020). https://doi.org/10.1111/iwj.13293
Q. Chen, N. Yu, Z. Liu, W. Zhang et al., The clinical efficacy of RECELL® autologous cell regeneration techniques combined with dermabrasion treatment in acne scars. Aesthet. Plast. Surg. 44, 535–542 (2020). https://doi.org/10.1007/s00266-019-01481-8
L. Manning, I.B. Ferreira, P. Gittings, J. Hiew et al., Wound healing with “spray-on” autologous skin grafting (RECELL) compared with standard care in patients with large diabetes-related foot wounds: an open-label randomised controlled trial. Int. Wound J. 19, 470–481 (2022). https://doi.org/10.1111/iwj.13646
R.S. Kirsner, W.A. Marston, R.J. Snyder, T.D. Lee et al., Spray-applied cell therapy with human allogeneic fibroblasts and keratinocytes for the treatment of chronic venous leg ulcers: a phase 2, multicentre, double-blind, randomised, placebo-controlled trial. Lancet 380, 977–985 (2012). https://doi.org/10.1016/S0140-6736(12)60644-8
S. Huang, Z. Hu, P. Wang, Y. Zhang et al., Rat epidermal stem cells promote the angiogenesis of full-thickness wounds. Stem Cell Res. Ther. 11, 344 (2020). https://doi.org/10.1186/s13287-020-01844-y
P. Wang, Z. Hu, X. Cao, S. Huang et al., Fibronectin precoating wound bed enhances the therapeutic effects of autologous epidermal basal cell suspension for full-thickness wounds by improving epidermal stem cells’ utilization. Stem Cell Res. Ther. 10, 154 (2019). https://doi.org/10.1186/s13287-019-1236-7
P. Foubert, A.D. Gonzalez, S. Teodosescu, F. Berard et al., Adipose-derived regenerative cell therapy for burn wound healing: a comparison of two delivery methods. Adv. Wound Care 5, 288–298 (2016). https://doi.org/10.1089/wound.2015.0672
P. Foubert, D. Zafra, M. Liu, R. Rajoria et al., Autologous adipose-derived regenerative cell therapy modulates development of hypertrophic scarring in a red Duroc porcine model. Stem Cell Res. Ther. 8, 261 (2017). https://doi.org/10.1186/s13287-017-0704-1
L. Zimmerlin, J.P. Rubin, M.E. Pfeifer, L.R. Moore et al., Human adipose stromal vascular cell delivery in a fibrin spray. Cytotherapy 15, 102–108 (2013). https://doi.org/10.1016/j.jcyt.2012.10.009
U. Hopfner, M.M. Aitzetmueller, P. Neßbach, M.S. Hu et al., Fibrin glue enhances adipose-derived stromal cell cytokine secretion and survival conferring accelerated diabetic wound healing. Stem Cells Int. 2018, 1353085 (2018). https://doi.org/10.1155/2018/1353085
M.A. Nilforoushzadeh, H. Afzali, A. Raoofi et al., Topical spray of Wharton’s jelly mesenchymal stem cells derived from umbilical cord accelerates diabetic wound healing. J. Cosmet. Dermatol. (2022). https://doi.org/10.1111/jocd.15022
A. Kaminski, C. Klopsch, P. Mark, C. Yerebakan et al., Autologous valve replacement—CD133+ stem cell-plus-fibrin composite-based sprayed cell seeding for intraoperative heart valve tissue engineering. Tissue Eng. C 17, 299–309 (2011). https://doi.org/10.1089/ten.tec.2010.0051
D. Mori, S. Miyagawa, S. Yajima, S. Saito et al., Cell Spray transplantation of adipose-derived mesenchymal stem cell recovers ischemic cardiomyopathy in a porcine model. Transplantation 102, 2012–2024 (2018). https://doi.org/10.1097/TP.0000000000002385
A.L. Thiebes, S. Albers, C. Klopsch, S. Jockenhoevel et al., Spraying respiratory epithelial cells to coat tissue-engineered constructs. BioRes. Open Access 4(1), 278–287 (2015). https://doi.org/10.1089/biores.2015.0015
S.Y. Kim, J.K. Burgess, Y. Wang, E.P.W. Kable et al., Atomized human amniotic mesenchymal stromal cells for direct delivery to the airway for treatment of lung injury. J. Aerosol Med. Pulm. Drug Deliv. 29, 514–524 (2016). https://doi.org/10.1089/jamp.2016.1289
M. Bieber, A.L. Thiebes, C.G. Cornelissen, S. Jockenhoevel et al., Experimental investigation of endoscopic cell spray. At. Sprays 27, 847–858 (2017). https://doi.org/10.1615/AtomizSpr.2017020134
D.M. Schwartz, M.O. Pehlivaner Kara, A.M. Goldstein, H.C. Ott et al., Spray delivery of intestinal organoids to reconstitute epithelium on decellularized native extracellular matrix. Tissue Eng. C 23, 565–573 (2017). https://doi.org/10.1089/ten.tec.2017.0269
J. Tritz, R. Rahouadj, N. De Isla, N. Charif et al., Designing a three-dimensional alginate hydrogel by spraying method for cartilage tissue engineering. Soft Matter 6, 5165–5174 (2010). https://doi.org/10.1039/c000790k
T.S. De Windt, L.A. Vonk, J.K. Buskermolen, J. Visser et al., Arthroscopic airbrush assisted cell implantation for cartilage repair in the knee: a controlled laboratory and human cadaveric study. Osteoarthr. Cartil. 23, 143–150 (2015). https://doi.org/10.1016/j.joca.2014.09.016
K. Dijkstra, J. Hendriks, M. Karperien, L.A. Vonk et al., Arthroscopic airbrush-assisted cell spraying for cartilage repair: design, development, and characterization of custom-made arthroscopic spray nozzles. Tissue Eng. C 23, 505–515 (2017). https://doi.org/10.1089/ten.tec.2017.0228
C.O. Duncan, R.M. Shelton, H. Navsaria, D.S. Balderson et al., In vitro transfer of keratinocytes: comparison of transfer from fibrin membrane and delivery by aerosol spray. J. Biomed. Mater. Res. B 73B, 221–228 (2005). https://doi.org/10.1002/jbm.b.30198
H. Lee, Outcomes of sprayed cultured epithelial autografts for full-thickness wounds: a single-centre experience. Burns 38, 931–936 (2012). https://doi.org/10.1016/j.burns.2012.01.014
H. Yim, H.T. Yang, Y.S. Cho, C.H. Seo et al., Clinical study of cultured epithelial autografts in liquid suspension in severe burn patients. Burns 37, 1067–1071 (2011). https://doi.org/10.1016/j.burns.2011.03.018
Avita Medical, Instructions for Use—RECELL Autologous Cell Harvesting Device (Avita Medical, Cambridge, 2018), pp.1–37
G. Gravante, M.C. Di Fede, A. Araco, M. Grimaldi et al., A randomized trial comparing RECELL® system of epidermal cells delivery versus classic skin grafts for the treatment of deep partial thickness burns. Burns 33, 966–972 (2007). https://doi.org/10.1016/j.burns.2007.04.011
F. Wood, L. Martin, D. Lewis, J. Rawlins et al., A prospective randomised clinical pilot study to compare the effectiveness of Biobrane® synthetic wound dressing, with or without autologous cell suspension, to the local standard treatment regimen in paediatric scald injuries. Burns 38, 830–839 (2012). https://doi.org/10.1016/j.burns.2011.12.020
L. Manning, E.J. Hamilton, E. Raby, P.E. Norman et al., Spray on skin for diabetic foot ulcers: an open label randomised controlled trial. J. Foot Ankle Res. 12, 52 (2019). https://doi.org/10.1186/s13047-019-0362-x
S.V. Mulekar, B. Ghwish, A. AlIssa, A. Al Eisa, Treatment of vitiligo lesions by RECELL® vs. conventional melanocyte–keratinocyte transplantation: a pilot study. Br. J. Dermatol. 158, 45–49 (2007). https://doi.org/10.1111/j.1365-2133.2007.08216.x
V. Cervelli, B. De Angelis, D. Spallone, L. Lucarini et al., Use of a novel autologous cell-harvesting device to promote epithelialization and enhance appropriate pigmentation in scar reconstruction. Clin. Exp. Dermatol. 35, 776–780 (2010). https://doi.org/10.1111/j.1365-2230.2009.03728.x
A. Klama-Baryła, D. Kitala, W. Łabuś, M. Kraut et al., Autologous and allogeneic skin cell grafts in the treatment of severely burned patients: retrospective clinical study. Transplant. Proc. 50, 2179–2187 (2018). https://doi.org/10.1016/j.transproceed.2017.11.079
A.P. Domaszewska-Szostek, M.O. Krzyżanowska, A.M. Czarnecka, M. Siemionow, Local treatment of burns with cell-based therapies tested in clinical studies. J. Clin. Med. 10, 396 (2021). https://doi.org/10.3390/jcm10030396
Y.G. Hwang, J.W. Lee, K.H. Park, S.H. Han, Allogeneic keratinocyte for intractable chronic diabetic foot ulcers: a prospective observational study. Int. Wound J. 16, 486–491 (2019). https://doi.org/10.1111/iwj.13061
G.C. Gurtner, A.D. Garcia, K. Bakewell, J.B. Alarcon, A retrospective matched-cohort study of 3994 lower extremity wounds of multiple etiologies across 644 institutions comparing a bioactive human skin allograft, TheraSkin, plus standard of care, to standard of care alone. Int. Wound J. 17, 55–64 (2020). https://doi.org/10.1111/iwj.13231
S.S. Venugopal, W. Yan, J.W. Frew, H.I. Cohn et al., A phase II randomized vehicle-controlled trial of intradermal allogeneic fibroblasts for recessive dystrophic epidermolysis bullosa. J. Am. Acad. Dermatol. 69, 898-908.e7 (2013). https://doi.org/10.1016/j.jaad.2013.08.014
H.-J. You, S.-K. Han, Cell therapy for wound healing. J. Korean Med. Sci. 29, 311–319 (2014). https://doi.org/10.3346/jkms.2014.29.3.311
C. Yoon, J. Lee, H. Jeong, S. Lee et al., Rapid preparation of a noncultured skin cell suspension that promotes wound healing. Cell Tissue Bank 18, 131–141 (2017). https://doi.org/10.1007/s10561-017-9615-8
H. Yim, H.T. Yang, Y.S. Cho, D. Kim et al., A clinical trial designed to evaluate the safety and effectiveness of a thermosensitive hydrogel-type cultured epidermal allograft for deep second-degree burns. Burns 40, 1642–1649 (2014). https://doi.org/10.1016/j.burns.2014.02.002
Á. Sierra-Sánchez, T. Montero-Vilchez, M.I. Quiñones-Vico, M. Sanchez-Diaz et al., Current advanced therapies based on human mesenchymal stem cells for skin diseases. Front. Cell Dev. Biol. 9, 643125 (2021). https://doi.org/10.3389/fcell.2021.643125
A. Nourian Dehkordi, F. Mirahmadi Babaheydari, M. Chehelgerdi, S. Raeisi Dehkordi, Skin tissue engineering: wound healing based on stem-cell-based therapeutic strategies. Stem Cell Res. Ther. 10, 111 (2019). https://doi.org/10.1186/s13287-019-1212-2
B.F. Seo, S.-N. Jung, The immunomodulatory effects of mesenchymal stem cells in prevention or treatment of excessive scars. Stem Cells Int. 2016, 6937976 (2016). https://doi.org/10.1155/2016/6937976
S. Kanji, H. Das, Advances of stem cell therapeutics in cutaneous wound healing and regeneration. Mediat. Inflamm. 2017, 5217967 (2017). https://doi.org/10.1155/2017/5217967
A. Nuschke, Activity of mesenchymal stem cells in therapies for chronic skin wound healing. Organogenesis 10, 29–37 (2014). https://doi.org/10.4161/org.27405
M.R. Pourfath, A. Behzad-Behbahani, S.S. Hashemi, A. Derakhsahnfar et al., Monitoring wound healing of burn in rat model using human Wharton’s jelly mesenchymal stem cells containing cGFP integrated by lentiviral vectors. Iran. J. Basic Med. Sci. 21, 70–76 (2018). https://doi.org/10.22038/ijbms.2017.19783.5212
J. Hendriks, C. Willem Visser, S. Henke, J. Leijten et al., Optimizing cell viability in droplet-based cell deposition. Sci. Rep. 5, 11304 (2015). https://doi.org/10.1038/srep11304
R. Esteban-Vives, M.T. Young, T. Zhu, J. Beiriger et al., Calculations for reproducible autologous skin cell-spray grafting. Burns 42, 1756–1765 (2016). https://doi.org/10.1016/j.burns.2016.06.013
J. Hua, L.E. Erickson, T.Y. Yiin, L.A. Glasgow, A review of the effects of shear and interfacial phenomena on cell viability. Crit. Rev. Biotechnol. 13, 305–328 (1993). https://doi.org/10.3109/07388559309075700
N. Salehi-Nik, G. Amoabediny, B. Pouran, H. Tabesh et al., Engineering parameters in bioreactor’s design: a critical aspect in tissue engineering. BioMed. Res. Int. 2013, 762132 (2013). https://doi.org/10.1155/2013/762132
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We acknowledge the support from the National Council for Scientific and Technological Development (CNPq, Brazil, Process #314724/2021-4), the Coordination for the Improvement of Higher Education Personnel (CAPES, Brazil, Finance Code 001) and the São Paulo Research Foundation (FAPESP, Brazil, Process #21/00781-9).
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Nozaki, A.P.M., de Melo Lima, M.H. & Moraes, Â.M. Sprayable Bioactive Dressings for Skin Wounds: Recent Developments and Future Prospects. Biomedical Materials & Devices 1, 569–586 (2023). https://doi.org/10.1007/s44174-022-00047-8
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DOI: https://doi.org/10.1007/s44174-022-00047-8