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Updated: May 2, 2026

Author Spotlight: Studying Host-Microbe Interactions in Wound Biofilm Formation
Published on: June 16, 2023
The effects of pH on wound healing, biofilms, and antimicrobial efficacy
Steven L Percival1, Sara McCarty, John A Hunt
1Research & Development, Scapa Healthcare, Greater Manchester, United Kingdom; Surface Science Research Centre, University of Liverpool, Liverpool, United Kingdom; Clinical Engineering, United Kingdom Centre for Tissue Engineering, Institute of Ageing and Chronic Disease, University of Liverpool, Liverpool, United Kingdom.
Abstract:
It is known that pH has a role to play in wound healing. In particular, pH has been shown to affect matrix metalloproteinase activity, tissue inhibitors of matrix metalloproteinases activity, fibroblast activity, keratinocyte proliferation, microbial proliferation, and also immunological responses in a wound; the patient's defense mechanisms change the local pH of a wound to effect microorganism invasion and proliferation; this pH change has been found to affect the performance of antimicrobials, and therefore the efficacy in biological environments directly relevant to wound healing. Based on the available body of scientific evidence to date, it is clear that pH has a role to play in both the healing of and treatment of chronic and acute wounds. It is the purpose of this review to evaluate the published knowledge base that concerns the effect of pH changes, the role it plays in wound healing and biofilm formation, and how it can affect treatment efficacy and wound management strategies.
Insights
Wound healing is significantly impacted by pH levels, affecting everything from cell activity to antimicrobial effectiveness. Understanding these pH effects is crucial for effective wound treatment and management strategies.
Area of Science:
- Biochemistry
- Wound Healing Research
- Microbiology
Background:
- pH influences critical cellular processes in wounds, including fibroblast and keratinocyte activity.
- Local pH shifts in wounds affect immune responses and microbial proliferation, impacting healing.
- Matrix metalloproteinase (MMP) and tissue inhibitor of matrix metalloproteinase (TIMP) activities are modulated by wound pH.
Purpose of the Study:
- To review the scientific literature on the impact of pH on wound healing.
- To evaluate the role of pH in biofilm formation within wounds.
- To assess how pH variations affect antimicrobial efficacy and wound management.
Main Methods:
- Literature review of published studies on wound pH.
- Analysis of research concerning pH effects on cellular and microbial activity.
- Evaluation of data on antimicrobial performance at different pH levels.
Main Results:
- pH is a critical factor influencing fibroblast proliferation and keratinocyte activity.
- Altered wound pH impacts the proliferation of microorganisms and biofilm formation.
- The efficacy of antimicrobial treatments is directly correlated with the local wound pH.
Conclusions:
- pH plays a significant role in both the pathophysiology and treatment of acute and chronic wounds.
- Wound management strategies should consider the local pH environment for optimal outcomes.
- Further research into pH-mediated wound healing mechanisms can improve therapeutic approaches.
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