Examining the association of immunosuppressants and wound healing: a narrative review.

Objective To review how different classes of immunosuppressants affect wound healing. Data Sources A literature search was conducted in PubMed, Google Scholar, and the University of Calgary Health Sciences Library. Study Selection The researchers initially screened article titles using key words suc...

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Publicado en:World Council of Enterostomal Therapists Journal Vol. 44; no. 3; pp. 12 - 20
Autores principales: Appoo, Aria, Christensen, Brandon L., Somayaji, Ranjani
Formato: review tables/charts Journal Article
Publicado: Cambridge Publishing Sep2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2024
      vid: 44
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      pub: Cambridge Publishing
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        10.33235/wcet.44.3.12-19
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        atl: Examining the association of immunosuppressants and wound healing: a narrative review.
      aug:
        au:
          Appoo, Aria
          Christensen, Brandon L.
          Somayaji, Ranjani
        affil: Medical Student, University of Oxford, Oxford, United Kingdom
      sug:
        subj:
          Wound Healing Drug Effects
          Immunosuppressive Agents Therapeutic Use
          Immunosuppressive Agents Classification
          Immunosuppressive Agents Pharmacodynamics
          Immunosuppression
          Hydrolases
          Antibodies, Monoclonal
          Antimetabolites
          Adrenal Cortex Hormones
          Fibroblasts Drug Effects
          Immunosuppressive Agents Administration and Dosage
          Dose-Response Relationship, Drug
          MTOR Inhibitors Drug Effects
          Cell Proliferation Drug Effects
          Kidney Transplantation
          Autoimmune Diseases Drug Therapy
      ab: Objective To review how different classes of immunosuppressants affect wound healing. Data Sources A literature search was conducted in PubMed, Google Scholar, and the University of Calgary Health Sciences Library. Study Selection The researchers initially screened article titles using key words such as "immunosuppressive medication," "wound healing," and "immunosuppression." Articles in which the title and/or abstract contained these key words, that addressed wound healing related to immunosuppressant medications, and were published after 2000 were included in the review. When human data were not available for an immunosuppressant (class), animal studies were included. Data Extraction The 61 included articles underwent full text review and summarization. Data Synthesis: All included studies were summarized descriptively including immunosuppressive mechanism of action, study participants or subjects, and evidence of effects on wound healing. Conclusions Corticosteroids and mechanistic target of rapamycin inhibitors most consistently demonstrate detrimental effects on wound healing. For other classes of immunosuppressants, evidence is limited with varying effects on wound healing described. Larger, high-quality studies are required to better understand the effects of immunosuppressants, including those with new mechanisms of action, to identify those with the most impact on wound healing.
      pubtype: Academic Journal
      doctype:
        review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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