Review
A potential role of nanophytocompounds in diabetic foot ulcers
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Diabetes mellitus (DM) is characterized by hyperglycemia, which is a common endocrine disease. DM and its complications may lead to diabetic foot ulcers (DFU). DFU is associated with reduced wound healing because of altered cellular and cytokine responses, inadequate vascularization, infection, and neuropathy. One novel and promising approach to treating diabetic wound healing is the administration of compounds based on nanotherapeutics, such as nanoparticles and nanoscaffolds. Plant extracts can be administered more successfully by using nanoscale delivery methods. Plant extracts and their related phytocompounds can be nanostructured to enhance their bioavailability, regulate their release via extended delivery techniques to the wound site, and increase their penetration to the deeper layers of the skin. All these benefits are critical for the healing process. This brief overview covers the most recent methods to develop phytomedicine nanotherapeutics for the treatment of diabetic wounds.
Keywords:
diabetic mellitus drug delivery system foot ulcer nanoformulation phytocompounds wound healingReferences
- AlHarbi M, Othman A, Nahari AA, et al. Burden of Illness of Type 2 Diabetes Mellitus in the Kingdom of Saudi Arabia: A Five-Year Longitudinal Study. Advances in Therapy. 2024; 41(3): 1120-1150. doi: 10.1007/s12325-023-02772-y
- Basu S, Maheshwari V, Gokalani R, et al. Prevalence and predictors of gestational diabetes mellitus and overt diabetes in pregnancy: A secondary analysis of nationwide data from India. Preventive Medicine: Research & Reviews. 2024; 1(1): 52-58. doi: 10.4103/PMRR.PMRR_11_23
- Kumar A, Gangwar R, Ahmad Zargar A, et al. Prevalence of Diabetes in India: A Review of IDF Diabetes Atlas 10th Edition. Current Diabetes Reviews. 2024; 20(1). doi: 10.2174/1573399819666230413094200
- Tan MHP, Ong SC, Bujang MA, et al. Evaluation of the health-related quality of life of patients with type 2 diabetes in relation to macrovascular and microvascular complications. Acta Diabetologica. 2023; 60(12): 1735-1747. doi: 10.1007/s00592-023-02164-2
- Meir J, Huang L, Mahmood S, et al. The vascular complications of diabetes: a review of their management, pathogenesis, and prevention. Expert Review of Endocrinology & Metabolism. 2023; 19(1): 11-20. doi: 10.1080/17446651.2023.2279533
- Kong M, Xie K, Lv M, et al. Anti-inflammatory phytochemicals for the treatment of diabetes and its complications: Lessons learned and future promise. Biomedicine & Pharmacotherapy. 2021; 133: 110975. doi: 10.1016/j.biopha.2020.110975
- Sharma A, Dheer D, Singh I, et al. Phytoconstituent-Loaded Nanofibrous Meshes as Wound Dressings: A Concise Review. Pharmaceutics. 2023; 15(4): 1058. doi: 10.3390/pharmaceutics15041058
- Vitale S, Colanero S, Placidi M, et al. Phytochemistry and Biological Activity of Medicinal Plants in Wound Healing: An Overview of Current Research. Molecules. 2022; 27(11): 3566. doi: 10.3390/molecules27113566
- Nirenjen S, Narayanan J, Tamilanban T, et al. Exploring the contribution of pro-inflammatory cytokines to impaired wound healing in diabetes. Frontiers in Immunology. 2023; 14. doi: 10.3389/fimmu.2023.1216321
- Li L, Zhou Y, Shi S. Identification and characterization of biomarkers associated with endoplasmic reticulum protein processing in cerebral ischemia-reperfusion injury. PeerJ. 2024; 12: e16707. doi: 10.7717/peerj.16707
- Monami M, Scatena A, Miranda C, et al. Development of the Italian clinical practice guidelines for the treatment of diabetic foot syndrome: design and methodological aspects. Acta Diabetologica. 2023; 60(11): 1449-1469. doi: 10.1007/s00592-023-02150-8
- Baig MS, Banu A, Zehravi M, et al. An Overview of Diabetic Foot Ulcers and Associated Problems with Special Emphasis on Treatments with Antimicrobials. Life. 2022; 12(7): 1054. doi: 10.3390/life12071054
- Chen ACY, Lu Y, Hsieh CY, et al. Advanced Biomaterials and Topical Medications for Treating Diabetic Foot Ulcers: A Systematic Review and Network Meta-Analysis. Advances in Wound Care. 2024; 13(2): 97-113. doi: 10.1089/wound.2023.0024
- Geng K, Ma X, Jiang Z, et al. Innate Immunity in Diabetic Wound Healing: Focus on the Mastermind Hidden in Chronic Inflammatory. Frontiers in Pharmacology. 2021; 12. doi: 10.3389/fphar.2021.653940
- Bassetto F, Carlotta S.Scientific Principles and Clinical Application of Negative Pressure Wound Therapy (NPWT). In: Pearls and Pitfalls in Skin Ulcer Management. Springer International Publishing; 2024. pp. 141-148.
- Subbukutti V, Sailatha E, Gunasekaran S, et al. Evaluation of wound healing active principles in the transdermal patch formulated with crude bio wastes and plant extracts against GSK-3 beta - an in silico study. Journal of Biomolecular Structure and Dynamics. 2023; 42(2): 559-570. doi: 10.1080/07391102.2023.2194424
- Wang Y, Luo M, Li T, et al. Multi-layer-structured bioactive glass nanopowder for multistage-stimulated hemostasis and wound repair. Bioactive Materials. 2023; 25: 319-332. doi: 10.1016/j.bioactmat.2023.01.019
- Di Vincenzo F, Del Gaudio A, Petito V, et al. Gut microbiota, intestinal permeability, and systemic inflammation: a narrative review. Internal and Emergency Medicine. 2023. doi: 10.1007/s11739-023-03374-w
- Hawker P, Zhang L, Liu L. Mas‐related G protein‐coupled receptors in gastrointestinal dysfunction and inflammatory bowel disease: A review. British Journal of Pharmacology. 2023. doi: 10.1111/bph.16059
- Larouche J, Sheoran S, Maruyama K, et al. Immune Regulation of Skin Wound Healing: Mechanisms and Novel Therapeutic Targets. Advances in Wound Care. 2018; 7(7): 209-231. doi: 10.1089/wound.2017.0761
- Adib Y, Bensussan A, Michel L. Cutaneous Wound Healing: A Review about Innate Immune Response and Current Therapeutic Applications. Mediators of Inflammation. 2022; 2022: 1-16. doi: 10.1155/2022/5344085
- Hamra NF, Putra A, Tjipta A, et al. Hypoxia Mesenchymal Stem Cells Accelerate Wound Closure Improvement by Controlling α-smooth Muscle actin Expression in the Full-thickness Animal Model. Open Access Macedonian Journal of Medical Sciences. 2021; 9(A): 35-41. doi: 10.3889/oamjms.2021.553723.
- Jian X, Wang H, Jian X, et al. A flexible adhesive hydrogel dressing of embedded structure with pro-angiogenesis activity for wound repair at moving parts inspired by commercial adhesive bandages. Materials Today Advances. 2024; 21: 100452. doi: 10.1016/j.mtadv.2023.100452
- Li X, Qu S, Ouyang Q, et al. A multifunctional composite nanoparticle with antibacterial activities, anti-inflammatory, and angiogenesis for diabetic wound healing. International Journal of Biological Macromolecules. 2024; 260: 129531. doi: 10.1016/j.ijbiomac.2024.129531
- Amutha Gokul T, Ramesh Kumar K, Venkatachalam K, et al. Plant-Based nanostructure for wound healing – An emerging paradigm for effective therapy. Inorganic Chemistry Communications. 2024; 162: 112162. doi: 10.1016/j.inoche.2024.112162
- Nguyen NHA, Falagan-Lotsch P. Mechanistic Insights into the Biological Effects of Engineered Nanomaterials: A Focus on Gold Nanoparticles. International Journal of Molecular Sciences. 2023; 24(4): 4109. doi: 10.3390/ijms24044109
- Ansari L, Mashayekhi‐Sardoo H, Baradaran Rahimi V, et al. Curcumin‐based nanoformulations alleviate wounds and related disorders: A comprehensive review. BioFactors. 2023; 49(4): 736-781. doi: 10.1002/biof.1945
- Sadiq IZ. Free Radicals and Oxidative Stress: Signaling Mechanisms, Redox Basis for Human Diseases, and Cell Cycle Regulation. Current Molecular Medicine. 2023; 23(1): 13-35. doi: 10.2174/1566524022666211222161637
- Skłodowski K, Chmielewska-Deptuła SJ, Piktel E, et al. Metallic Nanosystems in the Development of Antimicrobial Strategies with High Antimicrobial Activity and High Biocompatibility. International Journal of Molecular Sciences. 2023; 24(3): 2104. doi: 10.3390/ijms24032104
- Husain S, Nandi A, Simnani FZ, et al. Emerging Trends in Advanced Translational Applications of Silver Nanoparticles: A Progressing Dawn of Nanotechnology. Journal of Functional Biomaterials. 2023; 14(1): 47. doi: 10.3390/jfb14010047
- Dutt Y, Pandey RP, Dutt M, et al. Silver Nanoparticles Phytofabricated through Azadirachta indica: Anticancer, Apoptotic, and Wound-Healing Properties. Antibiotics. 2023; 12(1): 121. doi: 10.3390/antibiotics12010121
- Anjum S, Hashim M, Malik SA, et al. Recent Advances in Zinc Oxide Nanoparticles (ZnO NPs) for Cancer Diagnosis, Target Drug Delivery, and Treatment. Cancers. 2021; 13(18): 4570. doi: 10.3390/cancers13184570
- Chowdhury MA, Iqbal MZ, Rana MM, et al. Green synthesis of novel green ceramic-based nanoparticles prepared by sol-gel technique for diverse industrial application. Results in Surfaces and Interfaces. 2024; 14: 100178. doi: 10.1016/j.rsurfi.2023.100178
- Farasati Far B, Naimi-Jamal MR, Sedaghat M, et al. Combinational System of Lipid-Based Nanocarriers and Biodegradable Polymers for Wound Healing: An Updated Review. Journal of Functional Biomaterials. 2023; 14(2): 115. doi: 10.3390/jfb14020115
- Shetta A, Ali IH, Sharaf NS, et al. Review of strategic methods for encapsulating essential oils into chitosan nanosystems and their applications. International Journal of Biological Macromolecules. 2024; 259: 129212. doi: 10.1016/j.ijbiomac.2024.129212
- Rezagholizade-shirvan A, Masrournia M, Fathi Najafi M, et al. Synthesis and characterization of nanoparticles based on chitosan-biopolymers systems as nanocarrier agents for curcumin: study on pharmaceutical and environmental applications. Polymer Bulletin. 2022; 80(2): 1495-1517. doi: 10.1007/s00289-022-04095-4
- Sunazuka Y, Ueda K, Higashi K, et al. Mechanistic Analysis of Temperature-Dependent Curcumin Release from Poly(lactic-co-glycolic acid)/Poly(lactic acid) Polymer Nanoparticles. Molecular Pharmaceutics. 2024; 21(3): 1424-1435. doi: 10.1021/acs.molpharmaceut.3c01066
- Lestari D, Nizardo NM, Mulia K, et al.Effect of carboxymethyl chitosan on poly (lactic-co-glycolic acid) nanoparticles encapsulating diclofenac sodium: Characterization and in vitro release study 2024 February.In: AIP Conference Proceedings. AIP Publishing; 2024.
- Kumari A, Raina N, Wahi A, et al. Wound-Healing Effects of Curcumin and Its Nanoformulations: A Comprehensive Review. Pharmaceutics. 2022; 14(11): 2288. doi: 10.3390/pharmaceutics14112288
- Dai X, Liu J, Zheng H, et al. Nano-formulated curcumin accelerates acute wound healing through Dkk-1-mediated fibroblast mobilization and MCP-1-mediated anti-inflammation. NPG Asia Materials. 2017; 9(3): e368-e368. doi: 10.1038/am.2017.31
- Liu M, Wei X, Zheng Z, et al. Recent Advances in Nano-Drug Delivery Systems for the Treatment of Diabetic Wound Healing. International Journal of Nanomedicine. 2023; 18: 1537-1560. doi: 10.2147/ijn.s395438
- Hu B, Gao M, Boakye-Yiadom KO, et al. An intrinsically bioactive hydrogel with on-demand drug release behaviors for diabetic wound healing. Bioactive Materials. 2021; 6(12): 4592-4606. doi: 10.1016/j.bioactmat.2021.04.040
- Cam ME, Ertas B, Alenezi H, et al. Accelerated diabetic wound healing by topical application of combination oral antidiabetic agents-loaded nanofibrous scaffolds: An in vitro and in vivo evaluation study. Materials Science and Engineering: C. 2021; 119: 111586. doi: 10.1016/j.msec.2020.111586
- Cam ME, Yildiz S, Alenezi H, et al. Evaluation of burst release and sustained release of pioglitazone-loaded fibrous mats on diabetic wound healing: an in vitro and in vivo comparison study. Journal of The Royal Society Interface. 2020; 17(162): 20190712. doi: 10.1098/rsif.2019.0712
- Edmonds M, Manu C, Vas P. The current burden of diabetic foot disease. Journal of Clinical Orthopaedics and Trauma. 2021; 17: 88-93. doi: 10.1016/j.jcot.2021.01.017
- Li X, Peng X, Zoulikha M, et al. Multifunctional nanoparticle-mediated combining therapy for human diseases. Signal Transduction and Targeted Therapy. 2024; 9(1). doi: 10.1038/s41392-023-01668-1
- Zhu D, Wei W, Zhang J, et al. Mechanism of damage of HIF-1 signaling in chronic diabetic foot ulcers and its related therapeutic perspectives. Heliyon. 2024; 10(3): e24656. doi: 10.1016/j.heliyon.2024.e24656
- Singla R, Soni S, Kulurkar PM, et al. In situ functionalized nanobiocomposites dressings of bamboo cellulose nanocrystals and silver nanoparticles for accelerated wound healing. Carbohydrate Polymers. 2017; 155: 152-162. doi: 10.1016/j.carbpol.2016.08.065
- Sharma A, Puri V, Kumar P, et al. Rifampicin-Loaded Alginate-Gelatin Fibers Incorporated within Transdermal Films as a Fiber-in-Film System for Wound Healing Applications. Membranes. 2020; 11(1): 7. doi: 10.3390/membranes11010007
- Shanmugapriya K, Kim H, Kang HW. A new alternative insight of nanoemulsion conjugated with κ-carrageenan for wound healing study in diabetic mice: In vitro and in vivo evaluation. European Journal of Pharmaceutical Sciences. 2019; 133: 236-250. doi: 10.1016/j.ejps.2019.04.006
- Chakraborty T, Gupta S, Nair A, et al. Wound healing potential of insulin-loaded nanoemulsion with Aloe vera gel in diabetic rats. Journal of Drug Delivery Science and Technology. 2021; 64: 102601. doi: 10.1016/j.jddst.2021.102601
- Yeo E, Yew Chieng CJ, Choudhury H, et al. Tocotrienols-rich naringenin nanoemulgel for the management of diabetic wound: Fabrication, characterization and comparative in vitro evaluations. Current Research in Pharmacology and Drug Discovery. 2021; 2: 100019. doi: 10.1016/j.crphar.2021.100019
- Javadi S, Kazemi NM, Halabian R. Preparation of O/W nano-emulsion containing nettle and fenugreek extract and cumin essential oil for evaluating antidiabetic properties. AAPS Open. 2021; 7(1). doi: 10.1186/s41120-021-00046-x
- Mahadev M, Nandini HS, Ramu R, et al. Fabrication and Evaluation of Quercetin Nanoemulsion: A Delivery System with Improved Bioavailability and Therapeutic Efficacy in Diabetes Mellitus. Pharmaceuticals. 2022; 15(1): 70. doi: 10.3390/ph15010070
- Chitrikha Suresh T, Poonguzhali TV, Anuradha V, et al. Aqueous extract of Turbinariaconoides (J.Agardh) Kützing mediated fabrication of silver nanoparticles used against bacteria associated with diabetic foot ulcer. Materials Today: Proceedings. 2021; 43: 3038-3043. doi: 10.1016/j.matpr.2021.01.376
- El-Saadony MT, Yang T, Korma SA, et al. Impacts of turmeric and its principal bioactive curcumin on human health: Pharmaceutical, medicinal, and food applications: A comprehensive review. Frontiers in Nutrition. 2023; 9. doi: 10.3389/fnut.2022.1040259
- Dai C, Lin J, Li H, et al. The Natural Product Curcumin as an Antibacterial Agent: Current Achievements and Problems. Antioxidants. 2022; 11(3): 459. doi: 10.3390/antiox11030459
- Ravishankar PL.Comparison of Curcumin and Amoxicillin trihydrate Incorporated onto Guided Tissue Regeneration Membrane against Porphyromonasgingivalis: An In vitro Study. Boletin de Literatura Oral-The Literary Journal. 2024; 11(1): 1-7.
- Jyothi S, Rao S, Eshwar PA.Comparative Evaluation of Antimicrobial and Five Physical Properties of Irreversible Hydrocolloid Incorporated with Silver Nanoparticles and Curcumin: An In-Vitro Study. International Medicine. 2024;10(1): 2667-7008.
- Liu J, Chen Z, Wang J, et al. Encapsulation of Curcumin Nanoparticles with MMP9-Responsive and Thermos-Sensitive Hydrogel Improves Diabetic Wound Healing. ACS Applied Materials & Interfaces. 2018; 10(19): 16315-16326. doi: 10.1021/acsami.8b03868
- Agarwal Y, Rajinikanth PS, Ranjan S, et al. Curcumin loaded polycaprolactone-/polyvinyl alcohol-silk fibroin based electrospun nanofibrous mat for rapid healing of diabetic wound: An in-vitro and in-vivo studies. International Journal of Biological Macromolecules. 2021; 176: 376-386. doi: 10.1016/j.ijbiomac.2021.02.025
- Zhang H, Zhang M, Wang X, et al. Electrospun multifunctional nanofibrous mats loaded with bioactive anemoside B4 for accelerated wound healing in diabetic mice. Drug Delivery. 2022; 29(1): 174-185. doi: 10.1080/10717544.2021.2021319
- Pandey S, Shamim A, Shaif M, et al. Development and evaluation of Resveratrol-loaded liposomes in hydrogel-based wound dressing for diabetic foot ulcer. Naunyn-Schmiedeberg’s Archives of Pharmacology. 2023; 396(8): 1811-1825. doi: 10.1007/s00210-023-02441-5
- Ghaisas MM, Kshirsagar SB, Sahane RS. Evaluation of wound healing activity of ferulic acid in diabetic rats. International Wound Journal. 2012; 11(5): 523-532. doi: 10.1111/j.1742-481x.2012.01119.x
- Emad NA, Gupta P, Ahmad S, et al. Polyphenols-loaded beeswax-based lipid nanoconstructs for diabetic foot ulcer: Optimization, characterization, in vitro and ex vivo evaluation. Journal of Drug Delivery Science and Technology. 2023; 88: 104983. doi: 10.1016/j.jddst.2023.104983
- Pakpahan FD, Rahmiyani I, P. Sukmawan Y. Wound Healing Activity of the Clitoriaternatea L. flower Ethanolic extract gel preparation in Diabetic Animal Model. Research Journal of Pharmacy and Technology. 2023: 140-144. doi: 10.52711/0974-360x.2023.00026
- T A, Prabhu A, Baliga V, et al. Transforming Wound Management: Nanomaterials and Their Clinical Impact. Pharmaceutics. 2023; 15(5): 1560. doi: 10.3390/pharmaceutics15051560
- Monika P, Chandraprabha MN, Rangarajan A, et al. Challenges in Healing Wound: Role of Complementary and Alternative Medicine. Frontiers in Nutrition. 2022; 8. doi: 10.3389/fnut.2021.791899
- Zheng SY, Wan XX, Kambey PA, et al. Therapeutic role of growth factors in treating diabetic wound. World Journal of Diabetes. 2023; 14(4): 364-395. doi: 10.4239/wjd.v14.i4.364
- Shi GJ, Shi GR, Zhou J yin, et al. Involvement of growth factors in diabetes mellitus and its complications: A general review. Biomedicine & Pharmacotherapy. 2018; 101: 510-527. doi: 10.1016/j.biopha.2018.02.105
- Zulkefli N, Che Zahari CNM, Sayuti NH, et al. Flavonoids as Potential Wound-Healing Molecules: Emphasis on Pathways Perspective. International Journal of Molecular Sciences. 2023; 24(5): 4607. doi: 10.3390/ijms24054607
- Pattnaik S, Mohanty S, Sahoo SK, et al. A mechanistic perspective on the role of phytoconstituents-based pharmacotherapeutics and their topical formulations in chronic wound management. Journal of Drug Delivery Science and Technology. 2023; 84: 104546. doi: 10.1016/j.jddst.2023.104546
- Karamanlioglu M, Yesilkir-Baydar S. Characterization of gelatin-based wound dressing biomaterials containing increasing coconut oil concentrations. Journal of Biomaterials Science, Polymer Edition. 2023; 35(1): 16-44. doi: 10.1080/09205063.2023.2265624
- Yu YQ, Yang X, Wu XF, et al. Enhancing Permeation of Drug Molecules Across the Skin via Delivery in Nanocarriers: Novel Strategies for Effective Transdermal Applications. Frontiers in Bioengineering and Biotechnology. 2021; 9. doi: 10.3389/fbioe.2021.646554
- Zaid Alkilani A, Hamed R, Musleh B, et al. Breaking boundaries: the advancements in transdermal delivery of antibiotics. Drug Delivery. 2024; 31(1). doi: 10.1080/10717544.2024.2304251
- Verma D, Okhawilai M, Nangan S, et al. A sustainable and green approach towards the utilization of biopolymers for effective wound dressing applications: A detailed review. Nano-Structures & Nano-Objects. 2024; 37: 101086. doi: 10.1016/j.nanoso.2023.101086
- Fan X, Huang J, Zhang W, et al. A Multifunctional, Tough, Stretchable, and Transparent Curcumin Hydrogel with Potent Antimicrobial, Antioxidative, Anti-inflammatory, and Angiogenesis Capabilities for Diabetic Wound Healing. ACS Applied Materials & Interfaces. 2024; 16(8): 9749-9767. doi: 10.1021/acsami.3c16837
- Mahamuni-Badiger P, Dhanavade MJ. Challenges and toxicity assessment of inorganic nanomaterials in biomedical applications: Current status and future roadmaps. Journal of Drug Delivery Science and Technology. 2023; 87: 104806. doi: 10.1016/j.jddst.2023.104806
- Jackman MJ, Li W, Smith A, et al. Impact of the physical-chemical properties of poly(lactic acid)–poly(ethylene glycol) polymeric nanoparticles on biodistribution. Journal of Controlled Release. 2024; 365: 491-506. doi: 10.1016/j.jconrel.2023.11.043
- Jantawong C, Priprem A, Intuyod K, et al. Curcumin-loaded nanocomplexes: Acute and chronic toxicity studies in mice and hamsters. Toxicology Reports. 2021; 8: 1346-1357. doi: 10.1016/j.toxrep.2021.06.021
- Zheng Y, Jia R, Li J, et al. Curcumin- and resveratrol-co-loaded nanoparticles in synergistic treatment of hepatocellular carcinoma. Journal of Nanobiotechnology. 2022; 20(1). doi: 10.1186/s12951-022-01554-y
- Karimi A, Pourreza S, Vajdi M, et al. Evaluating the effects of curcumin nanomicelles on clinical outcome and cellular immune responses in critically ill sepsis patients: A randomized, double-blind, and placebo-controlled trial. Frontiers in Nutrition. 2022; 9. doi: 10.3389/fnut.2022.1037861
- Abbasi R, Shineh G, Mobaraki M, et al. Structural parameters of nanoparticles affecting their toxicity for biomedical applications: a review. Journal of Nanoparticle Research. 2023; 25(3). doi: 10.1007/s11051-023-05690-w