Complement Activation and Inhibition in Wound Healing

Complement activation is needed to restore tissue injury; however, inappropriate activation of complement, as seen in chronic wounds can cause cell death and enhance inflammation, thus contributing to further injury and impaired wound healing. Therefore, attenuation of complement activation by speci...

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Main Authors: Gwendolyn Cazander, Gerrolt N. Jukema, Peter H. Nibbering
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Clinical and Developmental Immunology
Online Access:http://dx.doi.org/10.1155/2012/534291
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author Gwendolyn Cazander
Gerrolt N. Jukema
Peter H. Nibbering
author_facet Gwendolyn Cazander
Gerrolt N. Jukema
Peter H. Nibbering
author_sort Gwendolyn Cazander
collection DOAJ
description Complement activation is needed to restore tissue injury; however, inappropriate activation of complement, as seen in chronic wounds can cause cell death and enhance inflammation, thus contributing to further injury and impaired wound healing. Therefore, attenuation of complement activation by specific inhibitors is considered as an innovative wound care strategy. Currently, the effects of several complement inhibitors, for example, the C3 inhibitor compstatin and several C1 and C5 inhibitors, are under investigation in patients with complement-mediated diseases. Although (pre)clinical research into the effects of these complement inhibitors on wound healing is limited, available data indicate that reduction of complement activation can improve wound healing. Moreover, medicine may take advantage of safe and effective agents that are produced by various microorganisms, symbionts, for example, medicinal maggots, and plants to attenuate complement activation. To conclude, for the development of new wound care strategies, (pre)clinical studies into the roles of complement and the effects of application of complement inhibitors in wound healing are required.
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spelling doaj-art-90b977b184114d6ab9ea1ead6d7e4c692025-02-03T01:07:26ZengWileyClinical and Developmental Immunology1740-25221740-25302012-01-01201210.1155/2012/534291534291Complement Activation and Inhibition in Wound HealingGwendolyn Cazander0Gerrolt N. Jukema1Peter H. Nibbering2Department of Surgery, Leiden University Medical Center, Albinusdreef 2, 2333 ZA Leiden, The NetherlandsDepartment of Trauma Surgery, University Hospital Zurich, Rämistrasse 100, 8006 Zürich, SwitzerlandDepartment of Infectious Diseases, Leiden University Medical Center, Albinusdreef 2, 2333 ZA Leiden, The NetherlandsComplement activation is needed to restore tissue injury; however, inappropriate activation of complement, as seen in chronic wounds can cause cell death and enhance inflammation, thus contributing to further injury and impaired wound healing. Therefore, attenuation of complement activation by specific inhibitors is considered as an innovative wound care strategy. Currently, the effects of several complement inhibitors, for example, the C3 inhibitor compstatin and several C1 and C5 inhibitors, are under investigation in patients with complement-mediated diseases. Although (pre)clinical research into the effects of these complement inhibitors on wound healing is limited, available data indicate that reduction of complement activation can improve wound healing. Moreover, medicine may take advantage of safe and effective agents that are produced by various microorganisms, symbionts, for example, medicinal maggots, and plants to attenuate complement activation. To conclude, for the development of new wound care strategies, (pre)clinical studies into the roles of complement and the effects of application of complement inhibitors in wound healing are required.http://dx.doi.org/10.1155/2012/534291
spellingShingle Gwendolyn Cazander
Gerrolt N. Jukema
Peter H. Nibbering
Complement Activation and Inhibition in Wound Healing
Clinical and Developmental Immunology
title Complement Activation and Inhibition in Wound Healing
title_full Complement Activation and Inhibition in Wound Healing
title_fullStr Complement Activation and Inhibition in Wound Healing
title_full_unstemmed Complement Activation and Inhibition in Wound Healing
title_short Complement Activation and Inhibition in Wound Healing
title_sort complement activation and inhibition in wound healing
url http://dx.doi.org/10.1155/2012/534291
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AT gerroltnjukema complementactivationandinhibitioninwoundhealing
AT peterhnibbering complementactivationandinhibitioninwoundhealing