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Table 1 Pharmaceutical products for scar management

From: Biomaterials and tissue engineering for scar management in wound care

 

Materials

In vivo/in vitro

Function

Ref

Pharmaceutical products for scar management

Pycnogenol

In vivo

Decreasing oxidized ascorbate, providing inhibitory effect on matrix metalloproteinases, and supporting collagen matrix formation

[15]

Relaxin

In vivo

Enhancing the normal wound healing process by increasing angiogenesis, reducing scar formation and granulation tissue, and contributing to a well-organized collagen framework

[16]

Astragalus membranaceus (AR)

In vivo

Suppressing inflammation and promoting basal cell proliferation, angiogenesis, and linear alignment of the granulation tissue

[17]

Astragaloside IV

In vitro and in vivo

Inhibiting the transforming growth factor beta 1 (TGF-β1) secretion, regulating the ratio of collagen type I/type III in the remodeling stage to reduce scarring

[18]

Crocodile oil

In vivo

Decreasing the messenger ribonucleic acid (mRNA) expressions of TGF-β1and Smad3

[19]

Curcumin

In vivo

Suppressing TGF-β1/SMAD pathway and extra cellular matrix (ECM) production in primary keloid fibroblasts and reducing pro-inflammatory cytokines, interleukins (IL-1β, IL-6, and IL-8)

[20]

Honey

In vitro

Stimulating monocytes (MM6 cells) to secrete cytokines, tumor necrosis factor-alpha (TNF-α), IL-1 and IL-6, degrading collagen IV through stimulation of the matrix metalloproteinases 9 (MMP-9) during the reepithelialization process of wound repair

[21]

c-Ski

In vivo

Modulating wound healing and scar formation through modulating fibroblast functions, reducing scar formation by decreasing collagen production, and reducing the protuberant height and volume of scars and increasing collagen maturity in a hypertrophic scar model, effecting TGF-β1 signaling through both Smad2/3-dependent and Smad-independent pathways

[27, 28]

Jun amino-terminal kinases (JNK)

In vivo

Mediating connective tissue growth factor expression in corneal wound healing

[29]

Calpains

In vivo and in vitro

Playing a major role in granulation tissue formation

[30]

MG53

In vivo and in vitro

Facilitating injury repair and inhibiting myofibroblast differentiation and an effective means for promoting scarless wound healing

[31]

  1. AR astragalus membranaceus, TGF-β1 transforming growth factor beta 1, mRNA messenger ribonucleic acid, ECM extracellular matrix, IL interleukins, TNF-α tumor necrosis factor alpha, MMP-9 matrix metalloproteinases 9, JNK jun amino-terminal kinases