A potential role of nanophytocompounds in diabetic foot ulcers

Komal Thapa, Neha Kanojia, Nitin Verma

Article ID: 4186
Vol 8, Issue 2, 2024

VIEWS - 180 (Abstract) 89 (PDF)

Abstract


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 healing

Full Text:

PDF


References


1. 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

2. 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

3. 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

4. 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

5. 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

6. 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

7. 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

8. 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

9. 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

10. 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

11. 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

12. 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

13. 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

14. 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

15. 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.

16. 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

17. 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

18. 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

19. 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

20. 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

21. 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

22. 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.

23. 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

24. 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

25. 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

26. 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

27. 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

28. 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

29. 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

30. 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

31. 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

32. 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

33. 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

34. 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

35. 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

36. 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

37. 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

38. 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.

39. 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

40. 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

41. 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

42. 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

43. 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

44. 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

45. 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

46. 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

47. 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

48. 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

49. 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

50. 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

51. 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

52. 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

53. 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

54. 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

55. 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

56. 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

57. 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

58. 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.

59. 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.

60. 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

61. 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

62. 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

63. 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

64. 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

65. 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

66. 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

67. 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

68. 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

69. 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

70. 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

71. 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

72. 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

73. 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

74. 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

75. 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

76. 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

77. 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

78. 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

79. 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

80. 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

81. 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

82. 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

83. 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




DOI: https://doi.org/10.24294/ti.v8.i2.4186

Refbacks

  • There are currently no refbacks.


Copyright (c) 2024 Komal Thapa, Neha Kanojia, Nitin Verma

License URL: https://creativecommons.org/licenses/by/4.0/

This site is licensed under a Creative Commons Attribution 4.0 International License.