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Challenges and opportunities of pH in chronic wounds.

Authors
  • Wallace, Laura A1
  • Gwynne, Lauren1
  • Jenkins, Tobias1
  • 1 Department of Chemistry, University of Bath, Bath, BA2 7AY, UK.
Type
Published Article
Journal
Therapeutic Delivery
Publisher
"Future Science, LTD"
Publication Date
Nov 01, 2019
Volume
10
Issue
11
Pages
719–735
Identifiers
DOI: 10.4155/tde-2019-0066
PMID: 31789109
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Regarded as a silent epidemic, chronic wounds are a global public health issue. Wound healing is a complex, synchronized cascade of physiological processes restoring the anatomic and functional integrity of the skin; however, chronic wounds fail to proceed through the wound healing cascade. Wound pH oscillates during wound healing, usually traversing from a neutral pH to an acidic pH, while chronic wounds perpetuate in an elevated alkaline milieu. Although a neglected clinical parameter, pH has implications for relatively all pathologies of wound healing affecting oxygen release, angiogenesis, protease activity, bacterial toxicity and antimicrobial activity. Despite the array of wound healing products currently marketed, understanding the implications of pH on arresting wound healing can stimulate innovation within this vast market.

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