Nutritional Support for Wound Healing
ABSTRACT Healing of wounds, whether from accidental injury or surgical intervention, involves the activity of an intricate network of blood cells, tissue types, cytokines, and growth factors. This results in increased cellular activity, which causes an intensified metabolic demand for nutrients. Nutritional deficiencies can impede wound healing, and several nutritional factors required for wound repair may improve healing time and wound outcome. Vitamin A is required for epithelial and bone formation, cellular differentiation, and immune function. Vitamin C is necessary for collagen formation, proper immune function, and as a tissue antioxidant. Vitamin E is the major lipid-soluble antioxidant in the skin; however, the effect of vitamin E on surgical wounds is inconclusive. Bromelain reduces edema, bruising, pain, and healing time following trauma and surgical procedures. Glucosamine appears to be the rate-limiting substrate for hyaluronic acid production in the wound. Adequate dietary protein is absolutely essential for proper wound healing, and tissue levels of the amino acids arginine and glutamine may influence wound repair and immune function. The botanical medicines Centella asiatica and Aloe vera have been used for decades, both topically and internally, to enhance wound repair, and scientific studies are now beginning to validate efficacy and explore mechanisms of action for these botanicals. To promote wound healing in the shortest time possible, with minimal pain, discomfort, and scarring to the patient, it is important to explore nutritional and botanical influences on wound outcome.
- SourceAvailable from: David Emery Tsala
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ABSTRACT: Growth factors (GFs) are naturally occurring proteins or steroid hormones which act as signaling molecules between cells that play a key role in the processes of proliferation, cell differentiation and maturation of a wide variety of cells and tissues. A recently purified synthetic basic b-FGF was assessed using a routine tissue culture assay via application of a wide range of doses ranged between 0.1 and 300 ng/mL of the basic fibroblast growth factor (b-FGF) in phosphate buffer saline (PBS) and 10% fetal calf serum (FCS) on the growth rate of Rama-27 mammary cell line. Applying SPSS “Student T-test” biostatistics the result showed significant increase (p ≤ 0.05), almost 7 folds in tissue proliferation at a low dose of 0.3 ng/mL FGF in comparison with control tissue (PBS) only. It is concluded that 0.3 ng/mL dose represents the lower optimal dose suggesting its possibility of an in vivo technique to test its potency in curing skin wounds in rats.12/2012; 6(1):28–33. DOI:10.1016/j.jtusci.2012.10.003