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Updated: Apr 28, 2026

Murine Excisional Wound Healing Model and Histological Morphometric Wound Analysis
Published on: August 21, 2020
Clinical application of growth factors and cytokines in wound healing
Stephan Barrientos1, Harold Brem, Olivera Stojadinovic
1Division of Wound Healing and Regenerative Medicine, Department of Surgery, Winthrop University Hospital/Stony Brook University School of Medicine, Mineola, New York.
Abstract:
Wound healing is a complex and dynamic biological process that involves the coordinated efforts of multiple cell types and is executed and regulated by numerous growth factors and cytokines. There has been a drive in the past two decades to study the therapeutic effects of various growth factors in the clinical management of nonhealing wounds (e.g., pressure ulcers, chronic venous ulcers, diabetic foot ulcers). For this review, we conducted an online search of Medline/PubMed and critically analyzed the literature regarding the role of growth factors and cytokines in the management of these wounds. We focused on currently approved therapies, emerging therapies, and future research possibilities. In this review, we discuss four growth factors and cytokines currently being used on and off label for the healing of wounds. These include granulocyte-macrophage colony-stimulating factor, platelet-derived growth factor, vascular endothelial growth factor, and basic fibroblast growth factor. While the clinical results of using growth factors and cytokines are encouraging, many studies involved a small sample size and are disparate in measured endpoints. Therefore, further research is required to provide definitive evidence of efficacy.
Insights
Growth factors and cytokines are key to wound healing. While therapies show promise for chronic wounds like diabetic foot ulcers, more research is needed to confirm their effectiveness.
Area of Science:
- Regenerative Medicine
- Dermatology
- Biotechnology
Background:
- Wound healing is a complex biological process involving cells, growth factors, and cytokines.
- Nonhealing wounds (e.g., diabetic foot ulcers, pressure ulcers) present a significant clinical challenge.
- Therapeutic applications of growth factors for wound management have been investigated for two decades.
Purpose of the Study:
- To review the role of growth factors and cytokines in managing nonhealing wounds.
- To analyze currently approved and emerging therapies.
- To identify future research directions in wound healing.
Main Methods:
- Conducted a literature search of Medline/PubMed.
- Critically analyzed studies on growth factors and cytokines in wound management.
- Focused on therapies for pressure ulcers, chronic venous ulcers, and diabetic foot ulcers.
Main Results:
- Discussed four key growth factors/cytokines: granulocyte-macrophage colony-stimulating factor, platelet-derived growth factor, vascular endothelial growth factor, and basic fibroblast growth factor.
- Noted encouraging but preliminary clinical results for growth factor therapies.
- Identified limitations including small sample sizes and disparate endpoints in existing studies.
Conclusions:
- Growth factors and cytokines show therapeutic potential for chronic wound healing.
- Current evidence is limited by study design and data variability.
- Further rigorous research is necessary to establish definitive efficacy and optimize treatment protocols.
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