Open research questions in Wound Healing and Treatments
214 unresolved questions extracted from the limitations and future-work sections of 729 Wound Healing and Treatments papers in our library. Each links back to the study that raised it.
What the literature leaves open
Further development of purpose-designed lactic acid-optimized hydrogel systems is suggested, - Refinement of pH stabilization precision, lactate diffusion control, mucoadhesive retention, and targeted release kinetics may be explored, - Continued development of hydrogel-based platforms specifically engineered for postpartum perineal repair is supported
Lactic Acid-Loaded Hydrogels for Post-Episiotomy Wound Healing: Microenvironment Engineering and Regenerative Strategies—A Narrative Review · 2026 · DOIInvestigate the effects of scutellarein on primary dermal fibroblasts, - Examine the chronic hyperglycemic milieu of diabetic wounds, - Study the role of scutellarein in other types of wounds or diseases
Scutellarein promotes diabetic wound repair and preserves fibroblast calcium-mitochondrial homeostasis · 2026 · DOIThe lack of understanding of the mechanisms underlying diabetic wound repair. The need for therapeutic agents that can promote wound healing and preserve fibroblast function. The gap in current research on the effects of scutellarein on diabetic wound repair and fibroblast calcium-mitochondrial homeostasis.
Scutellarein promotes diabetic wound repair and preserves fibroblast calcium-mitochondrial homeostasis · 2026 · DOIInvestigate the effects of crude LSE on wound healing in vivo. Compare the effects of crude LSE with other wound healing agents. Evaluate the long-term effects of crude LSE on wound healing.
In vitro assessment of cell proliferation and migration induced by crude lychee seed extract in human gingival fibroblast cells (HGF-1) · 2026 · DOIThe lack of understanding of the effect of crude lychee seed extract on human gingival fibroblast cells. The need to characterize the phenolic and flavonoid composition of crude lychee seed extract. The need to evaluate the cytotoxicity and efficacy of crude lychee seed extract on human gingival fibroblast cells.
In vitro assessment of cell proliferation and migration induced by crude lychee seed extract in human gingival fibroblast cells (HGF-1) · 2026 · DOIfurther studies are needed to confirm the efficacy of BTM, - studies should investigate the cost-effectiveness of BTM, - research should focus on optimizing BTM treatment protocols
Accelerated Wound Healing with a Bilayer Biodegradable Synthetic Matrix in Post-Surgical Diabetes-Related Foot Wounds: A Randomised Controlled Trial · 2026 · DOIThere is a lack of clinical trials concerning the treatment of severe acute post-surgical diabetes-related foot wounds. Most published clinical trials concern the treatment of chronic diabetes-related foot wounds.
Accelerated Wound Healing with a Bilayer Biodegradable Synthetic Matrix in Post-Surgical Diabetes-Related Foot Wounds: A Randomised Controlled Trial · 2026 · DOIThe heterogeneity in reporting and definition of complications makes it difficult to perform a meta-analysis. The lack of standardized reporting on complications and mortality associated with CEAs is a challenge. The availability of data on treatment-related complications is limited.
Forty Years Later—Complications and Mortality Associated with Cultured Epithelial Autografts in Burn Patients: A Systematic Review · 2026 · DOIThere is a lack of standardized reporting on the complications and mortality associated with CEAs. There is a need for prospective long-term follow-up to better define the safety and effectiveness of CEAs. The available evidence is largely derived from retrospective case series and heterogeneous study populations.
Forty Years Later—Complications and Mortality Associated with Cultured Epithelial Autografts in Burn Patients: A Systematic Review · 2026 · DOIThe need for consistent quality and scale in the production of green-synthesized silver nanoparticle hydrogels. The requirement for rigorous clinical trials to evaluate the efficacy and safety of AgNP hydrogels. The challenge of translating laboratory performance into reliable clinical outcomes.
Green-synthesized silver nanoparticle hydrogels for biofilm-infected wounds: Bridging sustainability and clinical translation · 2025 · DOISubstantial heterogeneity across trials indicates the need for more rigorous, head-to-head comparisons with current best practices - The limitations of comparator choice and sample size highlight the necessity of larger RCTs across diverse chronic wounds complicated by biofilm - Consistency across batches, validated Ag + release kinetics, and transparent manufacturing protocols will determine whether these formulations can move beyond research
Green-synthesized silver nanoparticle hydrogels for biofilm-infected wounds: Bridging sustainability and clinical translation · 2025 · DOIexploring therapeutic strategies employed in the reduction and prevention of scarring conditions, - investigating the role of TGF-β3 in scar treatment
The underlying mechanisms of skin scarring are not well understood. The current treatments for scarring are limited, and more effective therapies are needed. The role of fibroblast heterogeneity in scar formation is not fully elucidated.
further clinical trials are needed, - the absence of a basement membrane in synthetic substitutes is a notable drawback, - the study is based on existing research and does not present new experimental data
further clinical trials to allow the use of skin substitutes in the personalized treatment of chronic wounds, - development of new skin substitutes with improved properties, - investigation of the immune reaction to skin substitutes, - exploration of the use of 3D bio-printing and electrospinning in skin substitute production
The lack of studies on the effects of tomato-derived nanovesicles on wound healing. The need for sustainable and natural products for wound healing applications.
Solanum lycopersicum (Tomato)-Derived Nanovesicles Accelerate Wound Healing by Eliciting the Migration of Keratinocytes and Fibroblasts · 2024 · DOIWhilst the function of these distinct factors has previously been studied individually, how they operate together, synergistically or not, is not fully characterized.
Distinct regulation of collagen biosynthesis by hypoxia and vitamin C uncovers an essential role for CXCL12-CXCR4 signaling · 2026 · DOIEvidence on bromelain-based enzymatic debridement involving treatment areas greater than 15% total body surface area (TBSA) remains scarce.
Sequential Bromelain-Based Enzymatic Debridement in a Near-Total (97%) TBSA Burn: A Case Report · 2026 · DOIHowever, approaches for delivering mitochondria to achieve optimized wound repair remain lacking.
Inhibition and Rescue of Hyperglycemia‐Induced Cellular Senescence by Mitochondrial Transfer from Enucleated Mesenchymal Stem Cell‐Derived Microvesicles for Chronic Wound Healing · 2025 · DOIThe development of reactive oxygen species (ROS)-based antibacterial strategies that overcome ROS's ultrashort diffusion distance and disrupt bacterial electron transfer represents a promising yet underexplored avenue for nonantibiotic therapies.
Bimetallic Metal–Organic Framework Microneedle Array for Wound Healing through Targeted Reactive Oxygen Species Generation and Electron Transfer Disruption · 2025 · DOIFor example, the composition and function of skin microbiota are affected by many factors, and there are relatively few studies on other microorganisms such as fungi and viruses.
The main components of topical radiation protection preparations currently available on the market are antioxidants, such as SOD, which are limited by their unstable activity and short duration of action, making it difficult to achieve the effects of radiation protection and skin radiation damage treatment.
Oncostatin M (OSM) has various biological activities through OSM receptor β (OSMRβ) in many conditions such as inflammation and tissue regeneration, but it remains elusive on its precise roles in skin wound healing.
OSMRβ-mediated signals on resident fibroblasts restore healing in diabetic skin wounds through promoting angiogenesis and granulation tissue formation · 2025 · DOIThe small GTPase RhoA is key for cell migration, but the molecular mechanisms controlling Rho proteins in keratinocytes remain incompletely characterized.
Keratinocyte-derived VEGF-A is an essential pro-migratory autocrine mediator, acting through the KDR/GEF-H1/RhoA pathway · 2025 · DOIWe have shown that the expression of the antimicrobial protein, perforin-2 (P-2) in skin GDTs is decreased in DFUs, but the specific roles of GDTs in the DFU microenvironment remain unclear.
Most-cited papers in Wound Healing and Treatments
- Wound repair and regeneration · Nature · 2008 · 5,932 citations
- Cutaneous Wound Healing · New England Journal of Medicine · 1999 · 4,940 citations
- pH/Glucose Dual Responsive Metformin Release Hydrogel Dressings with Adhesion and Self-Healing via Dual-Dynamic Bonding for Athletic Diabetic Foot Wound Healing · ACS Nano · 2022 · 856 citations
- Wound Dressing: From Nanomaterials to Diagnostic Dressings and Healing Evaluations · ACS Nano · 2022 · 510 citations
- Recent progress of collagen, chitosan, alginate and other hydrogels in skin repair and wound dressing applications · International Journal of Biological Macromolecules · 2022 · 399 citations
- Chronic wounds: Treatment consensus · Wound Repair and Regeneration · 2022 · 380 citations
- A stretchable wireless wearable bioelectronic system for multiplexed monitoring and combination treatment of infected chronic wounds · Science Advances · 2023 · 376 citations
- The application of mesenchymal stromal cells (MSCs) and their derivative exosome in skin wound healing: a comprehensive review · Stem Cell Research & Therapy · 2022 · 348 citations
- A Whole‐Course‐Repair System Based on Neurogenesis‐Angiogenesis Crosstalk and Macrophage Reprogramming Promotes Diabetic Wound Healing · Advanced Materials · 2023 · 345 citations
- Nitric oxide: a newly discovered function on wound healing · Acta Pharmacologica Sinica · 2005 · 343 citations
Most recent work
- The self-assembling amphibian-derived peptide (RADA)4-FZ1 pioneers a novel therapeutic platform for diabetic skin wound management · Chemical Engineering Journal · 2026
- Fibroblasts of disparate developmental origins harbor anatomically variant scarring potential · Cell · 2026
- Application and development of stimulus-responsive hydrogel biomaterials for diabetic wound healing: a literature review · Frontiers in Medicine · 2026
- Curcumin-loaded copper/iron bimetallic nanoparticle-incorporated hydrogel scaffold: a sequential microenvironment reprogramming platform for accelerated chronic wound healing · Journal of Nanobiotechnology · 2026
- Hyaluronic acid and tissue mechanics orchestrate mammalian digit tip regeneration · Science · 2026
- Metabolism, senescence, and natural products: new perspectives on wound healing in diabetes · Frontiers in Nutrition · 2026
- Wound care—Part II: Tissue-engineered skin substitutes and other advanced wound therapies · Journal of the American Academy of Dermatology · 2026
- pH-responsive and dual-dynamically crosslinked metal-phenolic hydrogel for synergistic macrophage and Th17/Treg reprogramming in diabetic wounds · Journal of Nanobiotechnology · 2026
- An antioxidant and injectable hydrogel dressing for repairing MRSA biofilm–infected diabetic wounds · Journal of Nanobiotechnology · 2026
- Electrospun dressing promotes diabetic-infected wound healing via rapid and sustained antibacterial, ROS scavenging, and immune modulation ability · Journal of Nanobiotechnology · 2026
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