Growth factors are endogenous signaling molecules that regulate cellular responses required for wound healing processes such as migration, proliferation, and differentiation. However, exogenous application of growth factors has limited effectiveness in clinical settings due to their low in vivo stability, restricted absorption through skin around wound lesions, elimination by exudation prior to reaching the wound area, and other unwanted side effects. Sophisticated systems to control the spatio-temporal delivery of growth factors are required for the effective and safe use of growth factors as regenerative treatments in clinical practice, such as biomaterial-based drug delivery systems (DDSs). The current review describes the roles of growth factors in wound healing, their clinical applications for the treatment of chronic wounds, and advances in growth factor-loaded DDSs for enhanced wound healing, focusing on micro- and nano-particulate systems, scaffolds, hydrogels, and other miscellaneous systems.
We present a highly conformable, stretchable, and transparent electrode for application in epidermal electronics based on polydimethylsiloxane (PDMS) and Ag nanowire (AgNW) networks. With the addition of a small amount of a commercially available nonionic surfactant, Triton X, PDMS became highly adhesive and mechanically compliant, key factors for the development of conformable and stretchable substrates. The polar functional groups present in Triton X interacted with the Pt catalyst present in the PDMS curing agent, thereby hindering the cross-linking reaction of PDMS and modulating the mechanical properties of the polymer. Due to the strong interactions that occur between the polar functional groups of Triton X and AgNWs, AgNWs were effectively embedded in the adhesive PDMS (a-PDMS) matrix, and the highly enhanced conformability, mechanical stretchability, and transparency of the a-PDMS matrix were maintained in the resulting AgNW-embedded a-PDMS matrix. Finally, wearable strain and electrocardiogram (ECG) sensors were fabricated from the AgNW-embedded a-PDMS. The a-PDMS-based strain and ECG sensors exhibited significantly improved sensing performances compared with those of the bare PDMS-based sensors because of the better stretchability and conformability to the skin of the former sensors.
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