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Updated: Jun 24, 2025

Protocol to Create Chronic Wounds in Diabetic Mice
Published on: September 25, 2019
From Time to Timer in Wound Healing Through the Regeneration
Francesco De Francesco1, Rei Ogawa2
1Department of Reconstructive Surgery and Hand Surgery, Azienda Ospedaliera Universitaria delle Marche, Ancona, Italy. francesco.defrancesco@ospedaliriuniti.marche.it.
Hard-to-heal wounds affect 1-2% of the global population, impacting quality of life. Regenerative therapies offer promising solutions for faster healing and reduced complications.
Area of Science:
- Wound Healing Research
- Regenerative Medicine
- Public Health
Background:
- Hard-to-heal wounds pose a significant global health challenge, affecting 1-2% of the population and leading to severe complications.
- These wounds often result from trauma, infections, or chronic conditions like diabetes, impacting patient mobility and quality of life.
- Current management strategies emphasize wound bed preparation, with the TIME (Tissue, Infection/Inflammation, Moisture, Edge) model providing a systematic approach.
Purpose of the Study:
- To introduce and elaborate on the TIMER model, an expansion of the TIME model, focusing on regenerative processes for improved wound healing.
- To highlight the critical role of "Regeneration" as the key element in the TIMER model for promoting complete and lasting wound healing.
- To discuss the potential of various regenerative therapies in accelerating wound closure and preventing complications.
Main Methods:
- Systematic assessment and management of hard-to-heal wounds using the TIME and TIMER models.
- Review of current and emerging regenerative therapies, including cellular therapies, growth factors, and stem cell treatments.
- Focus on strategies to promote tissue regeneration, reduce inflammation, and improve vascularization.
Main Results:
- The TIMER model enhances wound management by incorporating "Regeneration" to actively support tissue repair.
- Regenerative therapies demonstrate potential in promoting new tissue formation, reducing inflammation, and enhancing vascularization.
- These advanced therapies aim to accelerate wound healing and minimize long-term complications.
Conclusions:
- The TIMER model offers a comprehensive framework for managing hard-to-heal wounds by integrating regenerative principles.
- Regenerative therapies represent a promising frontier in wound care, offering innovative solutions for patients.
- Continued research and development in regenerative medicine are crucial for improving outcomes for individuals with difficult-to-heal wounds.
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