Exploring Hyaluronic Acid as a Potential Standard Dressing for Burn Wound

Main Article Content

Agustini Song
Ahmad Fawzy

Abstract

A massive loss of dermis layer such as in deep burn wounds brings several important consequences and complications which contribute to major problems, personally and economically, for the burn patients and their families. Ideal burn wound treatment should not focus merely on removing devitalized tissue, controlling bacterial growth, and promoting healing, but also on accelerating the healing process and preventing scar-related complications. The evolution of biomaterial science for burn wounds has provided physicians with novel dressing materials based on natural and also synthetic polymers, and the latest development introduces the use of hyaluronic acid (HA) as a potential burn wound dressing. HA has been studied to have involvement in many phases of the wound healing process, such as inflammation, granulation, and re-epithelialization. Dealing with the unfavorable physical properties of the native polymer such as solubility and rapid degradation, modification and improvement are designed to produce insoluble molecules to facilitate hyaluronic acid-based (HA-based) wound dressing products as a valuable option for the treatment of deep burns. Our literature review shares the development and the outcome of the use of these products in burns. The currently available clinical experience suggests that these HA-based wound dressing products provide a safe therapeutic method useful for the treatment of acute burns and minimize scar-related complications, although further improvements are still required to make an ideal HA-based wound dressing product for standard burn wound treatment.

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How to Cite
Song, A., & Fawzy, A. (2022). Exploring Hyaluronic Acid as a Potential Standard Dressing for Burn Wound. International Journal of Medical Science and Clinical Research Studies, 2(08), 787–793. https://doi.org/10.47191/ijmscrs/v2-i8-13
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References

I. Peck M, Molnar J, Swart D. A global plan for burn prevention and care. Bulletin of the World Health Organization. 2009;87:802–3.

II. DeSanti L. Pathophysiology and Current Management of Burn Injury. ADV SKIN WOUND CARE. 2005;18:323–32.

III. Wasiak J, Cleland H, Campbell F, Spinks A. Dressings for superficial and partial thickness burns. Cochrane Wounds Group, editor. Cochrane Database of Systematic Reviews [Internet]. 2013 [cited 2021 Aug 26]; Available from: https://doi.wiley.com/10.1002/14651858.CD002106.pub4

IV. Necas J, Bartosikova L, Brauner P, Kolar J. Hyaluronic acid (hyaluronan): a review. Veterinarni Medicina. 2008;53:397–411.

V. Aya KL, Stern R. Hyaluronan in wound healing: Rediscovering a major player. Wound Repair Regen. 2014;22:579–93.

VI. Longinotti C. The use of hyaluronic acid based dressings to treat burns: A review. Burn Trauma. 2014;2:162.

VII. Lee H-Y, Hwang C-H, Kim H-E, Jeong S-H. Enhancement of bio-stability and mechanical properties of hyaluronic acid hydrogels by tannic acid treatment. Carbohydrate Polymers. 2018;186:290–8.

VIII. Han S-K. Innovations and Advances in Wound Healing. 2nd ed. Springer-Verlag Berlin Heidelberg; 2016. 74 p.

IX. Rowan MP, Cancio LC, Elster EA, Burmeister DM, Rose LF, Natesan S, et al. Burn wound healing and treatment: review and advancements. Crit Care. 2015; 19:243.

X. Gupta RC, Lall R, Srivastava A, Sinha A. Hyaluronic Acid: Molecular Mechanisms and Therapeutic Trajectory. Front Vet Sci. 2019; 6:192.

XI. HYALURONIC ACID: Overview, Uses, Side Effects, Precautions, Interactions, Dosing and Reviews [Internet]. [Cited 2021 Aug 26]. Available from: https://www.webmd.com/vitamins/ai/ingredientmono-1062/hyaluronic-acid

XII. Erbatur S, Coban YK, Ayd EN. Comparision of clinical and histopathological results of hyalomatrix usage in adult patients. Int J Burns Trauma. 2012; 2:118–25.

XIII. Merone A, Severino G, Capone C, Saggiomo G. The Treatment of Face Burns with Jaloskin. Ann Burns Fire Disasters. 2001; XIV: 178–80.

XIV. Yildirim R, Guner A, Cekic AB, Usta MA, Ulusahin M, Turkyilmaz S. Outcomes of the Use of Hyaluronic Acid-Based Wound Dressings for the Treatment of Partial-Thickness Facial Burns. Journal of Burn Care & Research [Internet]. 2019 [cited 2021 Aug 26]; Available from: https://academic.oup.com/jbcr/advance-article/doi/10.1093/jbcr/irz004/5306021

XV. Schwacha MG, Thobe BM, Daniel T, Hubbard WJ. Impact of Thermal Injury on Wound Infiltration and the Dermal Inflammatory Response. J Surg Res. 2010; 158:112.

XVI. Friedrich EE, Azofiefa A, Fisch E, Washburn NR. Local Delivery of Antitumor Necrosis Factor-α Through Conjugation to Hyaluronic Acid: Dosing Strategies and Early Healing Effects in a Rat Burn Model. Journal of Burn Care & Research. 2015; 36:e90–101.

XVII. Friedrich EE, Sun LT, Natesan S, Zamora DO, Christy RJ, Washburn NR. Effects of hyaluronic acid conjugation on anti-TNF-α inhibition of inflammation in burns: Effects of Ha Conjugation On Anti-TNF-α Inhibition of Inflammation in Burns. J Biomed Mater Res. 2014; 102:1527–36.

XVIII. Salbach J, Rachner TD, Rauner M, Hempel U, Anderegg U, Franz S, et al. Regenerative potential of glycosaminoglycans for skin and bone. J Mol Med. 2012; 90:625–35.

XIX. Friedrich EE, Washburn NR. Transport patterns of anti-TNF-α in burn wounds: Therapeutic implications of hyaluronic acid conjugation. Biomaterials. 2017; 114:10–22.

XX. Koller J. Topical treatment of partial thickness burns by silver sulfadiazine plus hyaluronic acid compared to silver sulfadiazine alone: a double-blind, clinical study. Drugs Exp Clin Res. 2004; 30:183–90.

XXI. Costagliola M, Agrosì M. Second-degree burns: a comparative, multicenter, randomized trial of hyaluronic acid plus silver sulfadiazine vs. silver sulfadiazine alone. Current Medical Research and Opinion. 2005; 21:1235–40.

XXII. Shpichka A, Butnaru D, Bezrukov EA, Sukhanov RB, Atala A, Burdukovskii V, et al. Skin tissue regeneration for burn injury. Stem Cell Res Ther. 2019; 10:94.

XXIII. Sandri G, Rossi S, Bonferoni MC, Miele D, Faccendini A, Del Favero E, et al. Chitosan/glycosaminoglycan scaffolds for skin reparation. Carbohydrate Polymers. 2019; 220:219–27.

XXIV. A V T, Mohanty S, Dinda AK, Koul V. Fabrication and evaluation of gelatin/hyaluronic acid/chondroitin sulfate/asiatic acid based biopolymeric scaffold for the treatment of second-degree burn wounds – Wistar rat model study. Biomed Mater. 2020; 15:055016.

XXV. A.V. T, Dinda AK, Koul V. Evaluation of nano hydrogel composite based on gelatin/HA/CS suffused with Asiatic acid/ZnO and CuO nanoparticles for second degree burns. Materials Science and Engineering: C. 2018; 89:378–86.

XXVI. Iacob A-T, Drăgan M, Ghețu N, Pieptu D, Vasile C, Buron F, et al. Preparation, Characterization and Wound Healing Effects of New Membranes Based on Chitosan, Hyaluronic Acid and Arginine Derivatives. Polymers. 2018; 10:607.

XXVII. Zhu Q, Jiang M, Liu Q, Yan S, Feng L, Lan Y, et al. Enhanced Healing Activity of Burn Wound Infection by Dextran-HA Hydrogel Enriched with Sanguinarine. Biomater Sci. 2018;6:2472–86.

XXVIII. Zhu J, Marchant RE. Design properties of hydrogel tissue-engineering scaffolds. Expert Review of Medical Devices. 2011;8:607–26.

XXIX. Li Z, Zhou F, Li Z, Lin S, Chen L, Liu L, et al. Hydrogel Cross-Linked with Dynamic Covalent Bonding and Micellization for Promoting Burn Wound Healing. ACS Appl Mater Interfaces. 2018;10:25194–202.

XXX. Soriano-Ruiz JL, Calpena-Campmany AC, Silva-Abreu M, Halbout-Bellowa L, Bozal-de Febrer N, Rodríguez-Lagunas MJ, et al. Design and evaluation of a multifunctional thermosensitive poloxamer-chitosan-hyaluronic acid gel for the treatment of skin burns. International Journal of Biological Macromolecules. 2020;142:412–22.

XXXI. Dong Y, Cui M, Qu J, Wang X, Kwon SH, Barrera J, et al. Conformable hyaluronic acid hydrogel delivers adipose-derived stem cells and promotes regeneration of burn injury. Acta Biomaterialia. 2020;108:56–66.

XXXII. Juhász I, Zoltán P, Erdei I. Treatment of Partial Thickness Burns with Zn-Hyaluronan: Lessons of A Clinical Pilot Study. Ann Burns Fire Disasters. 2012;25:82–5.

XXXIII. Guo X, Huang S, Sun J, Wang F. Comparison of the Cytotoxicities and Wound Healing Effects of Hyaluronan, Carbomer, and Alginate on Skin Cells In Vitro. Advances in Skin & Wound Care. 2015;28:410–4.

XXXIV. Campanati A, De Blasio S, Giuliano A, Ganzetti G, Giuliodori K, Pecora T, et al. Topical ozonated oil versus hyaluronic gel for the treatment of partial- to full-thickness second-degree burns: A prospective, comparative, single-blind, non-randomised, controlled clinical trial. Burns.

XXXV. Dalmedico MM, Meier MJ, Felix JVC, Pott FS, Petz F de FC, Santos MC. Hyaluronic acid covers in burn treatment: a systematic review. Rev esc enferm USP. 2016;50:522–8.

XXXVI. Voigt J, Driver VR. Hyaluronic acid derivatives and their healing effect on burns, epithelial surgical wounds, and chronic wounds: A systematic review and meta-analysis of randomized controlled trials: Hyaluronic acid and wound healing. Wound Repair Regen. 2012;20:317–31.

XXXVII. Gravante G, Sorge R, Merone A, Tamisani AM, Lonardo AD, Scalise A, et al. Hyalomatrix PA in Burn Care Practice: Results From a National Retrospective Survey, 2005 to 2006. Annals of Plastic Surgery. 2010;64:69–79.

XXXVIII. King IC, Sorooshian P. Hyaluronan in skin wound healing: therapeutic applications. J Wound Care. 2020;29:782–7.

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