In a new report in Science Advances, Benjamin Freedman and a team of researchers in the School of Engineering, the Wyss Institute for Biologically Inspired Engineering, and the Brigham Women's Hospital, Harvard, summarized advances in the development of new drugs, biomaterial therapies and biological products suited for wound healing. They classified the products as marketed therapies and agents for clinical trials to explore their successful and accelerated translation for wound healing.

The dynamics of chronic wound healing mechanisms

The timeframe of wound healing can vary and affect the process of patient recovery. Most wounds are classified as acute or chronic situations according to their clinical presentations. Untreated wounds can undergo cell death and necrosis, and represent ischemia relative to inadequate circulation due to microvascular damage and vasoconstriction. The nutritional status, fibroblast cell and progenitor health, as well as infectious bioburden, can contribute to disease progression.

Normal healing is associated with a series of events, including inflammation, remodeling and repair. Wounds that do not proceed through normal phases remain in a dysregulated inflammatory state with several delineating nuances.

For example, pressure ulcers result from an increasing depth of tissue necrosis and pain from microvascular injury causing ulceration and skin degradation to reach underlying fat or deeper structures. The resulting wounds require specialty care. Bioengineers and materials scientists in medical research have formed extensive libraries of wound care technologies to facilitate progressive healing.