Effects of chitosan on the healing process of wounds and burns

Authors

Keywords:

chitosan, healing, wounds, burns

Abstract

Introduction: Wound healing is a complex and constantly evolving technique, vital for tissue restoration and function. To reduce the impact of wounds and their care, an understanding of the healing mechanism is necessary. The use of natural polymers for biomedical applications is highly beneficial due to their high biocompatibility, biodegradation kinetics, and easy manipulation of chemical properties, among which is chitosan.

Objective: To delve deeper into the effects of chitosan on wound and burn healing.

Methods: A documentary review was carried out that included articles from journals indexed in PubMed/Medline, SciElo, Scopus databases and the Google Scholar search engine, in the period from March to December 2024, related to the effects of chitosan on wound and burn healing. 40 original articles were reviewed in the period 2018-2024, in Spanish and English, and 30 were referenced. The search terms included biomaterials, properties and effects of chitosan on wound and burn healing.

Development: Chitosan, a biopolymer derived from chitin, is an emerging biomaterial in wound and burn healing due to its biocompatibility, biodegradability, affinity with biomolecules, and healing activity. It exhibits healing capacity by accelerating the development of new skin cells, reducing inflammation, and preventing infections.

Conclusions: Chitosan is an effective biomaterial for healing and repairing tissue in wounds and burns.

Author Biographies

Rilder Acosta Vaillant, Hospital Dr.Luis Díaz Soto

Servicio de Caumatología. Profesor asistente

Liuba Luisa Arteche Hidalgo, Universidad de Ciencias Médicas de las FAR

Jefe Departamento de Formación Académica. Dr. Ciencias Médicas, profesor Titular e Investigador Titularf

References

REFERENCIAS BIBLIOGRÁFICAS

Sanabria Romero F. Desarrollo de membranas de quitosano-Aloe vera y quitosano-triticum vulgare con posibles aplicaciones biomédicas [Tesis de Grado]. México: Universidad autónoma de Querétaro;2022 [acceso: 12/01/2025]. Disponible en: https://ri-ng.uaq.mx/bitstream/1234567 89/3779/1/RI006802.pdf

Khan F, Tanaka M. Designing smart biomaterials for tissue engineering. Int J Mol Sci. [Internet]. 2018 [citado: 02/01/2025];19(1):1– 14.Disponible en: https://kyushu-u.elsevierpure.com/en/publications/designing-smart-biomaterials-for-tissue-engineering

Ratner BD, Zhang G. A History of Biomaterials [Internet]. Fourth Edi. Biomaterials Science. Elsevier [Internet] .2020[citado:12/01/2025];21-34. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/B9780 128161371000027

Todros S, Todesco M, Bagno A. "Biomaterials and Their Biomedical Applications: From Replacement to Regeneration" Processes [Internet].2021 [citado:12/01/2025]; 9(11): 1949. Disponible en: https://www.mdpi.com/2227-9717/9/11/1949

Simões D, Miguel SP, Ribeiro MP, Coutinho P, Mendonça AG, Correia IJ. Recent advances on antimicrobial wound dressing: A review. Eur J Pharm Biopharm [Internet]. 2018 [citado:02/01/2025]; 127:130–41. Disponible en: https://core.ac.uk/reader/160 251177?utm_source=linkout

Rajinikanth B S, Rajkumar DSR, Keerthika K, Vijayaragavan V. Chitosan-Based Biomaterial in Wound Healing: A Review. Cureus [Internet].2024 [citado:02/01/2025];16(2):e55193. Disponible en: https://pmc.ncbi.nlm.nih.gov /articles/PMC10983058/pdf/cureus-0016-00000055193. pdf

Fen P, Luo Y, Ke C, Qiu H, Wang W, Zhu1 Y, et al. Chitosan-Based functional materials for skin wound repair:Mechanisms ans application. Frontiers in bioengineering and biotechnology [Internet].2021[citado:12/01/2025]; 9:650598:1-15. Disponible en: https://www.frontiersin.org/journals/bioenginee ring-and-biotechnology/articles/10.3389/fbioe.2021.650598/ full

El-Sayed Ahmed MAE, Zhong LL, Shen C, Yang Y, Doi Y, Tian GB. Colistin and its role in the Era of antibiotic resistance: an extended review (2000-2019). Emerg Microbes Infect [Internet]. 2020[citado:12/01/2025];9(1):868-885. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC7241451/

Miguel SP, Sequeira RS, Moreira AF, Cabral CSD, Mendonça AG, Ferreira P, et al. An overview of electrospun membranes loaded with bioactive molecules for improving the wound healing process. Eur J Pharm Biopharm [Internet]. 2019[citado:13/01/2025];139:1–22.Disponible en: https://www.sciencedirect.com /science/article/abs/pii/S0939641119300530?via%3Dihub

Hu B, Guo Y, Li H, Liu X, Fu Y, Ding F. Recent advances in chitosan-based layer-by-layer biomaterials and their biomedical Applications. Carbohydrate Polymers [Internet].2021[citado:13/01/2025];271(1):118427. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0144861721008146?via%3Dihub

Abourehab MAS, Pramanik S, Abdelgawad MA, Abualsoud BM, Kadi A, Ansari MJ, Deepak A. Recent Advances of Chitosan Formulations in Biomedical Applications. International Journal of Molecular Sciences [Internet] .2022[citado:13/01/2025]; 23(18): 10975. Disponible en: https://pmc.ncbi.nlm .nih.gov/articles/PMC9504745/

Wang C-H, Cherng J-H, Liu C-C, Fang T-J, Hong Z-J, Chang S-J, Fan G-Y, Hsu S-D. Procoagulant and Antimicrobial Effects of Chitosan in Wound Healing. International Journal of Molecular Sciences [Internet]. 2021 [citado:13/01/2025]; 22(13):7067. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC8269297/

Buzlama A, Doba S, Slivkin A, Daghir S. Pharmacological and biological effects of chitosan. Research Journal of Pharmacy and Technology [Internet] .2020[citado:13/01/2025];13(Issue:2):1043-49. Disponible en: https://rjptonline .org/HTMLPaper.aspx?Journal=Research+Journal+of+Pharmacy+and+Technology%3bPID%3d2020-13-2-96

Suyeon K. Competitive Biological Activities of Chitosan and Its Derivatives: Antimicrobial, Antioxidant, Anticancer, and Anti-Inflammatory Activities. International Journal of Polymer Science[Internet] 2018. [citado:13/01/2025];

Article ID 1708172: 1-13. Disponible en: https://onlinelibrary.wiley.com/doi/epdf /10.1155/2018/1708172

Cañedo Dorantes L, Cañedo Ayala M. Skin Acute Wound Healing: A Comprehensive Review. International Journal of Inflammation [Internet] 2019. [citado:13/01/2025]; Article ID 3706315: 1-15. Disponible en: https://onlinelibrary. wiley.com/doi/epdf/10.1155 /2019/3706315

Zhang MX, Zhao WY, Fang QQ, et al. Effects of chitosan-collagen dressing on wound healing in vitro and in vivo assays. Journal of Applied Biomaterials & Functional Materials [Internet] 2021[citado:13/01/2025];19 :2280800021989698 Disponible en: https://journals.sagepub.com/doi/epub/10.1177/228080002 1989698

Zhang M, An H, Zhang F, Jiang H, Wan T, Wen Y, Han N, Zhang P. Prospects of Using Chitosan-Based Biopolymers in the Treatment of Peripheral Nerve Injuries. International Journal of Molecular Sciences [Internet]. 2023 [citado:13/01/2025]; 24(16):12956. Disponible en: https://www.mdpi.com/1422-0067/24/16/12956

Guzmán E,Ortega F, Rubio RG. "Chitosan: A Promising Multifunctional Cosmetic Ingredient for Skin and Hair Care" Cosmetics [Internet]. 2022 [citado:13/01/2025];9(5):99. Disponible en: https://www.mdpi.com/2079-9284/9/5/99

Munirah M AR , M Masudul H, Ziad M, Rami JO, Nahid Hasan S , Manfred H W, et al. Advancement of chitin and chitosan as promising biomaterials. Journal of Saudi Chemical Society[Internet]. 2022 [citado:13/01/2025]; 26(Issue6):101561. Disponible en: https://www.sciencedirect.com/science /article/pii/S1319610322001430?via%3 Dihub

Sánchez Machado DI, López Cervantes J, Martínez Ibarra DM, Escárcega Galaz AA, Vega Cázares CA. The use of chitosan as a skin-regeneration agent in burns injuries: A review ePolymers[Internet].2022[citado:13/01/2025];22(1):75-86.Disponible en:https://www.degruyter.com/document/doi/10.1515/epoly-2022-0011/html

Que B, Caiyun Z, Wenting C, Na S, Qian G, Jinxi L, et all. Current challenges and future applications of antibacterial nanomaterials and chitosan hydrogel in burn wound healing.Mater Adv. [Internet]. 2022[citado:13/01/2025];3 (Issue 17):6707-27.Disponible en: https://pubs.rsc.org/en/content/articlepdf/2022/ma/ d2ma00695b

Pereira Malacara KD, Ortíz Urenda MA, Arenas Arrocena MC. Efectividad antimicrobiana del quitosano como recubrimiento de suturas en cirugía oral y maxilofacial: una revisión sistemática. Odontoestomatología [Internet]. 2022 [citado:13/01/2025];24(40):e317. Disponible en: http://www.scielo.edu.uy/pdf /ode/v24n40/en_1688-9339-ode-24-40-e317.pdf

Fakhri E, Eslami H, Maroufi P, Pakdel F, Taghizadeh S, Ganbarov K, Yousefi M, Tanomand A, Yousefi B, Mahmoudi S, Kafil HS. Chitosan biomaterials application in dentistry. Review. Int J Biol Macromol [Internet]. 2020 [citado:13/01/2025]; 1(162):956-974. Disponible en: https://www.sciencedirect. com/science/article/abs/pii/S0141813020336667?via%3Dihub

Frank LA, Onzi GR, Morawski AS, Pohlmann AR, Guterres SS, Contri RV. Chitosan as a coating material for nanoparticles intended for biomedical applications. Reactive and Functional Polymers [Internet]. 2020 [citado:13/01/2025]; (147):104459. Disponible en: https://www.sciencedirect .com/science/article/abs/pii/S1381514819311393

Vázquez Ayala L. Evaluación de matrices poliméricas estructuradas a base de quitosano/metformina para la regeneración de tejidos. [Tesis Maestría]. México: Universidad Autónoma de San Luis Potosí. Facultad de Ciencias Químicas;2022[acceso:14/01/2025]. Disponible en: https://repositorio institucional.uaslp.mx/xmlui/bitstream/handle/i/7945/TesisM.FCQ.2022.Evaluaci%C3%B3n.V%C3%A1zquez.PDF%28Versi%C3%B3n%20p%C3%BAblica%29.pdf?sequence=1&isAllowed=y

Beato Canfux A, Pedroso Garriga T, González Planas G, González-Quevedo Rodríguez M. Tratamiento de las quemaduras de espesor parcial con quitina en polvo. Rev Cub Med Mil [Internet].1996 [citado: 08/01/2025]; 25( 1 ): [aprox.9p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid =S0138-65571996000100003&lng=es.

Ardean C, Davidescu CM, Neme NS, Negrea A, Ciopec M, Duteanu N, et al. Factors Influencing the Antibacterial Activity of Chitosan andChitosan Modified by Functionalization. International Journal of Molecular Sciences [Internet] . 2021 [citado: 08/01/2025]; 22(14): 7449. Disponible en: https://pmc.ncbi.bnlm.nih.gov /articles/PMC8303267/

Peipei F, Yang L, Wang W, Zhu Y, Hou R, Xu L,et all. Chitosan-Based Functional Materials for Skin Wound Repair: Mechanisms and Applications. Frontiers in bioenginnering and biotechnology [Internet].2021 [citado: 08/01/2025]; 9: 650598. Disponible en: https://pmc.ncbi.nlm.nih.gov/ articles/PMC7931995/

Hemmingsen LM, ? kalko-Basnet N, Jøraholmen MW. The Expanded Role of Chitosan in Localized Antimicrobial Therapy. Mar Drugs [Internet]. 2021 [citado: 08/01/2025]; 19(12): 697. Dispnible en: https://pmc.ncbi.nlm.nih.gov /articles/PMC8704789/

Malavé Castellano IG, Colina Rincón MC, Zerpa Caldera YF, Lobo de Márquez RA. Estudio sobre la aplicación de quitosano para la cura de lesiones y heridas de la piel. Revista BASES DE LA CIENCIA Publicación Cuatrimestral [Internet].2021[citado: 08/01/2025];6(2):95-112. Disponible en: https://revistas. utm.edu.ec/index.php/Basedelaciencia/article/view/3120/3812

Published

2025-02-03

How to Cite

1.
Acosta Vaillant R, Arteche Hidalgo LL. Effects of chitosan on the healing process of wounds and burns. Invest Medicoquir [Internet]. 2025 Feb. 3 [cited 2026 Feb. 5];17(1):e925. Available from: https://revcimeq.sld.cu/index.php/imq/article/view/925

Issue

Section

Review article