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      Promotive effects of four herbal medicine ARCC on wound healing in mice and human

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          Abstract

          Background

          Traditional Chinese medicine (TCM) had been extensively used in China for wound management and had shown great potential in wound treatment while its mechanism is still needed to be addressed.

          Objective

          The present study sought to investigate the therapuetic effect of the TCM ARCC on acute and chronic wounds.

          Methods

          Here, using the ultra‐low temperature preparation method, the mixed ultramicro powder prepared with Angelica (A), Angelica (R), Calcined Gypsum (C) and Caleramide (C) named as ARCC. The effects of ARCC on wound healing in adult and aged mice were comparatively evaluated through a full‐thickness skin defect model. In addition, we randomly selected 10 patients aged 55 to 70 years from a cohort of 500 patients with diabetic feet to assess their prognosis.

          Results

          As the results showed that the healing rate had delayed in aged mice compared to adult mice, while ARCC prominently augmented the healing process in aged mice. Moreover, ARCC treatment wounds in aged mice showed accelerated re‐epithelization, enhanced granulation tissue formation, and increased vascularization, which was similar to that of adult mice. Furthermore, ARCC also achieved therapeutic effects in diabetic foot patients, accelerating wound healing. The results found that foot ulcers improved significantly 7 days after the ARCC administration, and 80% of patients were healed within 1 month.

          Discussion

          In the present study, ARCC was found to have therapeutic effects on both acute and chronic wounds in animal models. ARCC also demonstrated therapeutic effects in diabetic feet, which promoted wound healing, prevented wound infection, and avoided the risk of further surgery or amputation. All these evidences suggested ARCC was a promising approach for wound treatment.

          Conclusions

          ARCC might be recommended as a promising therapeutic medication in diabetic and chronic refractory wounds.

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          Most cited references65

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          The neurobiology of zinc in health and disease.

          The use of zinc in medicinal skin cream was mentioned in Egyptian papyri from 2000 BC (for example, the Smith Papyrus), and zinc has apparently been used fairly steadily throughout Roman and modern times (for example, as the American lotion named for its zinc ore, 'Calamine'). It is, therefore, somewhat ironic that zinc is a relatively late addition to the pantheon of signal ions in biology and medicine. However, the number of biological functions, health implications and pharmacological targets that are emerging for zinc indicate that it might turn out to be 'the calcium of the twenty-first century'.
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            Biofilms in Chronic Wounds: Pathogenesis and Diagnosis

            Chronic non-healing wounds have become a major worldwide healthcare burden. The impact of biofilms on chronic wound infection is well established. Despite increasing understanding of the underlying mechanism of biofilm formation in chronic wounds, current strategies for biofilm diagnosis in chronic wounds are still far from ideal. In this review, we briefly summarize the mechanism of biofilm formation and focus on current diagnostic approaches of chronic wound biofilms based on morphology, microbiology, and molecular assays. Innovative biotechnological approaches, such as wound blotting and transcriptomic analysis, may further shed light on this unmet clinical need. The continuous development of these sophisticated diagnostic approaches can markedly contribute to the future implementation of point-of-care biofilm detection in chronic wound care.
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              A novel “hot spring”-mimetic hydrogel with excellent angiogenic properties for chronic wound healing

              The treatment of chronic wounds is a major challenge in regenerative medicine, and angiogenesis is known to be critical for chronic wound healing. Hot springs with temperature in the range of 30-45 °C can promote blood circulation, and some hot spring elements including iron and silicon are also known to be active in promoting angiogenesis. Inspired by the hot spring function, we designed a novel bioactive photothermal hydrogel with "hot spring effect" based on fayalite (FA) and N, O-carboxymethyl chitosan (NOCS), which releases bioactive ions and has heating function to create hot ion environment in wound area. The hot spring-mimetic hydrogel showed significant enhancement of angiogenesis and chronic wound healing in vivo due to the in situ heating through photothermal effect combined with the bioactive ions (Fe2+ and SiO44-) released from the hydrogel. It is further confirmed that the synergetic effect of the mild heating and bioactive ions on angiogenesis was mainly because of the activation of different angiogenic factors and signaling pathways. Our study suggests that the hot spring-mimetic approach may be an effective strategy to design bioactive materials for promoting angiogenesis and tissue regeneration.
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                Author and article information

                Contributors
                meirong811225@126.com
                fuxiaobing@vip.sina.com
                Journal
                Health Sci Rep
                Health Sci Rep
                10.1002/(ISSN)2398-8835
                HSR2
                Health Science Reports
                John Wiley and Sons Inc. (Hoboken )
                2398-8835
                20 April 2022
                May 2022
                : 5
                : 3 ( doiID: 10.1002/hsr2.v5.3 )
                : e494
                Affiliations
                [ 1 ] Department of Tissue Repair and Regeneration The First Medical Center, Chinese PLA General Hospital Beijing China
                [ 2 ] Research Center for Tissue Repair and Regeneration affiliated to the Medical Innovation Research Division and 4th Medical Center PLA General Hospital and PLA Medical College Beijing China
                [ 3 ] Department of Endocrinology First Teaching Hospital of Tianjin University of Traditional Chinese Medicine Tianjin China
                [ 4 ] National Clinical Research Center for Chinese Meicine Acupuncture and Moxibustion Tianjin China
                [ 5 ] Central Laboratory, Trauma Treatment Center, Central Laboratory Chinese PLA General Hospital Hainan Hospital Sanya China
                [ 6 ] PLA Key Laboratory of Tissue Repair and Regenerative Medicine and Beijing Key Research Laboratory of Skin Injury, Repair and Regeneration Beijing China
                [ 7 ] Research Unit of Trauma Care, Tissue Repair and Regeneration Chinese Academy of Medical Sciences 2019RU051 Beijing China
                Author notes
                [*] [* ] Correspondence

                Meirong Li and Xiaobing Fu, Research Center for Tissue Repair and Regeneration affiliated to the Medical Innovation Research Division and 4th Medical Center, PLA General Hospital and PLA Medical College, Beijing, China.

                Email: meirong811225@ 123456126.com (M. L.) and Email: fuxiaobing@ 123456vip.sina.com (X. F.)

                Author information
                https://orcid.org/0000-0001-9085-5659
                Article
                HSR2494
                10.1002/hsr2.494
                9059203
                35509387
                1b724e01-ccdc-4e3f-9b19-d3e173f297e0
                © 2022 The Authors. Health Science Reports published by Wiley Periodicals LLC.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.

                History
                : 25 November 2021
                : 29 July 2021
                : 30 November 2021
                Page count
                Figures: 5, Tables: 1, Pages: 11, Words: 7065
                Funding
                Funded by: the CAMS Innovation Fund for Medical Sciences CIFMS
                Award ID: 2019‐I2M‐5‐059
                Funded by: the General Hospital of PLA Medical Big Data R&D Project
                Award ID: MBD2018030
                Funded by: the Military Medical Research and Development Projects AWS17J005, 2019‐126
                Funded by: the National Key Research and Development Plan , doi 10.13039/501100012166;
                Award ID: 2017YFC1104701
                Award ID: 2017YFC1103304
                Award ID: 2018YFC2000400
                Funded by: the National Nature Science Foundation of China
                Award ID: 81901973
                Award ID: 81830064
                Award ID: 81721092
                Award ID: 81971841
                Award ID: 81941020
                Funded by: the National S&T Resource Sharing service platform Project of China
                Award ID: YCZYPT[2018]07
                Categories
                Global Health
                Complementary and Alternative Medicine
                Endocrinology and Metabolic Disorders
                Research Article
                Research Articles
                Custom metadata
                2.0
                May 2022
                Converter:WILEY_ML3GV2_TO_JATSPMC version:6.1.4 mode:remove_FC converted:21.04.2022

                angiogenesis,diabetic foot,epithelization,traditional chinese medicine,wound healing

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