Clinical application of growth factors and cytokines in wound healing.

Stephan Barrientos, Harold Brem, Olivera Stojadinovic, Marjana Tomic-Canic
Author Information
  1. Stephan Barrientos: Division of Wound Healing and Regenerative Medicine, Department of Surgery, Winthrop University Hospital/Stony Brook University School of Medicine, Mineola, New York.

Abstract

Wound healing is a complex and dynamic biological process that involves the coordinated efforts of multiple cell types and is executed and regulated by numerous growth factors and cytokines. There has been a drive in the past two decades to study the therapeutic effects of various growth factors in the clinical management of nonhealing wounds (e.g., pressure ulcers, chronic venous ulcers, diabetic foot ulcers). For this review, we conducted an online search of Medline/PubMed and critically analyzed the literature regarding the role of growth factors and cytokines in the management of these wounds. We focused on currently approved therapies, emerging therapies, and future research possibilities. In this review, we discuss four growth factors and cytokines currently being used on and off label for the healing of wounds. These include granulocyte-macrophage colony-stimulating factor, platelet-derived growth factor, vascular endothelial growth factor, and basic fibroblast growth factor. While the clinical results of using growth factors and cytokines are encouraging, many studies involved a small sample size and are disparate in measured endpoints. Therefore, further research is required to provide definitive evidence of efficacy.

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Grants

  1. K24 DK090135/NIDDK NIH HHS
  2. R01 NR013881/NINR NIH HHS
  3. R01NR013881/NINR NIH HHS
  4. K24DK90135/NIDDK NIH HHS

MeSH Term

Diabetic Foot
Fibroblast Growth Factor 2
Granulocyte-Macrophage Colony-Stimulating Factor
Humans
Platelet-Derived Growth Factor
Pressure Ulcer
Varicose Ulcer
Vascular Endothelial Growth Factor A
Wound Healing

Chemicals

Platelet-Derived Growth Factor
Vascular Endothelial Growth Factor A
Fibroblast Growth Factor 2
Granulocyte-Macrophage Colony-Stimulating Factor