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      Development and Characterization of Xanthan Gum and Alginate Based Bioadhesive Film for Pycnogenol Topical Use in Wound Treatment

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          Abstract

          Pycnogenol (PYC) is a concentrate of phenolic compounds derived from French maritime pine; its biological activity as antioxidant, anti-inflammatory and antibacterial suggests its use in the treatment of open wounds. A bioadhesive film, loaded with PYC, was prepared by casting, starting with a combination of two biopolymer acqueous solutions: xanthan gum (1% wt/wt) and sodium alginate (1.5% wt/wt), in a 2.5/7.5 (wt/wt) ratio. In both solutions, glycerol (10% wt/wt) was added as plasticizing agent. The film resulted in an adhesive capable to absorb a simulated wound fluid (~ 65% wt/wt within 1 h), therefore suitable for exuding wounds. The mechanical characterization showed that the film is deformable (elastic modulus E = 3.070 ± 0.044 MPa), suggesting adaptability to any type of surface and resistance to mechanical solicitations. PYC is released within 24 h by a sustained mechanism, achieving a maximum concentration of ~0.2 mg/mL, that is safe for keratinocytes, as shown by cytotoxicity studies. A concentration of 0.015 mg/mL is reached in the first 5 min after application, at which point PYC stimulates keratinocyte growth. These preliminary results suggest the use of PYC in formulations designed for topical use.

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          Chronic wound infections: the role of Pseudomonas aeruginosa and Staphylococcus aureus.

          Chronic leg ulcers affect 1-2% of the general population and are related to increased morbidity and health costs. Staphylococcus aureus and Pseudomonas aeruginosa are the most common bacteria isolated from chronic wounds. They can express virulence factors and surface proteins affecting wound healing. The co-infection of S. aureus and P. aeruginosa is more virulent than single infection. In particular, S. aureus and P. aeruginosa have both intrinsic and acquired antibiotic resistance, making clinical management of infection a real challenge, particularly in patients with comorbidity. Therefore, a correct and prompt diagnosis of chronic wound infection requires a detailed knowledge of skin bacterial flora. This is a necessary prerequisite for tailored pharmacological treatment, improving symptoms, and reducing side effects and antibiotic resistance.
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            A review of the scientific evidence for biofilms in wounds.

            Both chronic and acute dermal wounds are susceptible to infection due to sterile loss of the innate barrier function of the skin and dermal appendages, facilitating the development of microbial communities, referred to as biofilms, within the wound environment. Microbial biofilms are implicated in both the infection of wounds and failure of those wounds to heal. The aim of this review is to provide a summary of published papers detailing biofilms in wounds, the effect they have on infection and wound healing, and detailing methods employed for their detection. The studies highlighted within this paper provide evidence that biofilms reside within the chronic wound and represent an important mechanism underlying the observed, delayed healing and infection. The reasons for this include both protease activity and immunological suppression. Furthermore, a lack of responsiveness to an array of antimicrobial agents has been due to the biofilms' ability to inherently resist antimicrobial agents. It is imperative that effective strategies are developed, tested prospectively, and employed in chronic wounds to support the healing process and to reduce infection rates. It is increasingly apparent that adoption of a biofilm-based management approach to wound care, utilizing the "antibiofilm tool box" of therapies, to kill and prevent reattachment of microorganisms in the biofilm is producing the most positive clinical outcomes and prevention of infection. © 2012 by the Wound Healing Society.
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              Main Benefits and Applicability of Plant Extracts in Skin Care Products

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                Author and article information

                Contributors
                Role: Academic Editor
                Journal
                Pharmaceutics
                Pharmaceutics
                pharmaceutics
                Pharmaceutics
                MDPI
                1999-4923
                03 March 2021
                March 2021
                : 13
                : 3
                : 324
                Affiliations
                [1 ]Department of Pharmaceutical Sciences, University of Perugia, 06123 Perugia, Italy; mariarachele.ceccarini@ 123456unipg.it (M.R.C.); tommaso.beccari@ 123456unipg.it (T.B.); maurizio.ricci@ 123456unipg.it (M.R.)
                [2 ]Civil and Environmental Engineering Department, University of Perugia, 05100 Terni, Italy; debora.puglia@ 123456unipg.it (D.P.); francesca.luzi@ 123456unipg.it (F.L.)
                [3 ]Department of Physics and Geology, University of Perugia, 06123 Perugia, Italy; alessandro.dimichele@ 123456collaboratori.unipg.it
                [4 ]Istituto Zooprofilattico dell’Umbria e delle Marche, 06126 Perugia, Italy; s.scuota@ 123456izsum.it (S.S.); s.primavilla@ 123456izsum.it (S.P.)
                [5 ]Department of Pharmacy and Pharmaceutical Technology, Faculty of Pharmacy, University of Granada, Campus of Cartuja, 18071 Granada, Spain; cviseras@ 123456ugr.es
                [6 ]Department of Chemistry, College of Science and Technology, Temple University, Philadelphia, PA 19122, USA; daniele.ramella@ 123456temple.edu
                Author notes
                Author information
                https://orcid.org/0000-0003-0827-9299
                https://orcid.org/0000-0001-8515-7813
                https://orcid.org/0000-0001-8785-5033
                https://orcid.org/0000-0002-0357-2608
                https://orcid.org/0000-0001-9911-0397
                https://orcid.org/0000-0002-5711-3685
                https://orcid.org/0000-0002-5344-4890
                https://orcid.org/0000-0001-9637-6579
                https://orcid.org/0000-0002-2219-3566
                https://orcid.org/0000-0002-3373-9771
                https://orcid.org/0000-0003-3890-3283
                Article
                pharmaceutics-13-00324
                10.3390/pharmaceutics13030324
                8002000
                83102b3b-57b3-4234-82ba-cb8262f68686
                © 2021 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 27 January 2021
                : 25 February 2021
                Categories
                Article

                pycnogenol,xanthan gum,sodium alginate,hydrogel film,bioadhesion,wounds

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