Generic placeholder image

Infectious Disorders - Drug Targets

Editor-in-Chief

ISSN (Print): 1871-5265
ISSN (Online): 2212-3989

Research Article

A Novel Potential Treatment for Diabetic Foot Ulcers and Non-Healing Ulcers - Case Series

Author(s): Sarabpreet Singh, Arun Kumar Aggarwal, Rajendra Gudisa, Priyam Batra, Nitesh Kumar Rathi, Vibha Madan, Vipul Thakur, Harish Sharma, Rajesh Kumar, Siddhant Khare, Lipika Singhal, Rama Chaudhry, Neeraj Arora, Hardeep Singh, Jasjeet Kaur, Ashish Sharma, Ganesh N. Dakhale, Vijay Sharma and Vikas Gautam*

Volume 24, Issue 4, 2024

Published on: 23 November, 2023

Article ID: e231123223731 Pages: 11

DOI: 10.2174/0118715265260305231115112728

Price: $65

conference banner
Abstract

Introduction: Appropriate care and treatment of a wound is the need of the hour whether it is an infected or a non-infected wound. If wound healing is delayed for some reason, it leads to serious complications and further increases the hospital stay and cost of treatment. Herein, we describe a novel antimicrobial wound dressing formulation (VG111), with an objective to generate the preliminary data showing the distinct advantages in various types of wounds.

Method: This case series involved the treatment of acute cases of wounds or chronic wounds that did not respond well to conventional wound healing treatments with VG111 in patients with different etiologies. Thirteen cases of patients that included patients with diabetes, pressure ulcers, burns, trauma, and others treated with VG111 showed rapid wound healing in all the cases, even obviating the need for a graft when complete skin regeneration occurred.

Result: This was illustrated by clearing of the wound infections, reduction/disappearance of the exudate, appearance of intense granulation, epithelialization, and anti-biofilm activity followed by complete wound closure. This VG111 precludes the need for systemic antimicrobial agents in localized infections and therefore, this single agent is an attempt to address the limitations and the drawbacks of the available products.

Conclusion: Despite patients belonging to the old age group and having comorbidities like diabetes, still VG111 showed effective rapid wound healing, and that too without any scar formation in hardto- heal, infected, and non-infected wounds.

Graphical Abstract

[1]
Bhattacharya S, Mishra RK. Pressure ulcers: Current understanding and newer modalities of treatment. Indian J Plast Surg 2015; 48(1): 004-16.
[http://dx.doi.org/10.4103/0970-0358.155260] [PMID: 25991879]
[2]
Dumville JC, Lipsky BA, Hoey C, Cruciani M, Fiscon M, Xia J. Topical antimicrobial agents for treating foot ulcers in people with diabetes Cochrane Database Syst Rev 2017; (6):
[http://dx.doi.org/10.1002/14651858.CD011038.pub2]
[3]
Okur ME, Karantas ID. Şenyiğit Z, Üstündağ Okur N, Siafaka PI Recent trends on wound management: New therapeutic choices based on polymeric carriers Asian Journal of Pharmaceutical Sciences 2020; 15(6): 661-84.
[http://dx.doi.org/10.1016/j.ajps.2019.11.008] [PMID: 33363624]
[4]
Yazarlu O, Iranshahi M, Kashani HRK, et al. Perspective on the application of medicinal plants and natural products in wound healing: A mechanistic review. Pharmacol Res 2021; 174: 105841.
[http://dx.doi.org/10.1016/j.phrs.2021.105841] [PMID: 34419563]
[5]
Diabetes Atlas IDF. 2021. Available from: https://diabetesatlas.org/atlas/tenth-edition/ (Accessed on 2022 Sep 28)
[6]
Rastogi A, Bhansali A. Diabetic foot infection: An indian scenario. J Foot Ankle Surg 3(2): 71-9.
[7]
Armstrong DG, Boulton AJM, Bus SA. Diabetic foot ulcers and their recurrence. N Engl J Med 2017; 376(24): 2367-75.
[http://dx.doi.org/10.1056/NEJMra1615439] [PMID: 28614678]
[8]
Everett E, Mathioudakis N. Update on management of diabetic foot ulcers. Ann N Y Acad Sci 2018; 153(1): 1411.
[http://dx.doi.org/10.1111/nyas.13569]
[9]
Walsh JW, Hoffstad OJ, Sullivan MO, Margolis DJ. Association of diabetic foot ulcer and death in a population-based cohort from the United Kingdom. Diabet Med 2016; 33(11): 1493-8.
[http://dx.doi.org/10.1111/dme.13054] [PMID: 26666583]
[10]
Prompers L, Schaper N, Apelqvist J, et al. Prediction of outcome in individuals with diabetic foot ulcers: Focus on the differences between individuals with and without peripheral arterial disease. The EURODIALE Study. Diabetologia 2008; 51(5): 747-55.
[http://dx.doi.org/10.1007/s00125-008-0940-0] [PMID: 18297261]
[11]
Zaidi SRH, Sharma S. Pressure Ulcer Integumentary. Phys Ther 2022; 61-84.https://www.ncbi.nlm.nih.gov/books/NBK553107/
[12]
Gosain A, DiPietro LA. Aging and wound healing. World J Surg 2004; 28(3): 321-6.
[http://dx.doi.org/10.1007/s00268-003-7397-6] [PMID: 14961191]
[13]
Anderson K, Hamm RL. Factors that impair wound healing. J Am Coll Clin Wound Spec 2012; 4(4): 84.
[14]
Hansson C. Interactive Wound Dressings Drugs & Aging 2012; 11(4): 271-84.https://link.springer.com/article/10.2165/00002512-199711040-00003
[15]
Yazdanpanah L, Nasiri M, Adarvishi S. Literature review on the management of diabetic foot ulcer. World J Diabetes 2015; 6(1): 37-53.
[http://dx.doi.org/10.4239/wjd.v6.i1.37] [PMID: 25685277]
[16]
Moura LIF, Dias AMA, Carvalho E, de Sousa HC. Recent advances on the development of wound dressings for diabetic foot ulcer treatment—A review. Acta Biomater 2013; 9(7): 7093-114.
[http://dx.doi.org/10.1016/j.actbio.2013.03.033] [PMID: 23542233]
[17]
Melamed E, Kiambi P, Okoth D, Honigber I, Tamir E, Borkow G. Healing of chronic wounds by copper oxide-impregnated wound dressings—case series. Medicina 2021; 57(3): 296.
[http://dx.doi.org/10.3390/medicina57030296] [PMID: 33809898]
[18]
Summa M, Russo D, Penna I, et al. A biocompatible sodium alginate/povidone iodine film enhances wound healing. Eur J Pharm Biopharm 2018; 122: 17-24.
[http://dx.doi.org/10.1016/j.ejpb.2017.10.004] [PMID: 29017952]
[19]
Qian LW, Fourcaudot AB, Leung KP. Silver sulfadiazine retards wound healing and increases hypertrophic scarring in a rabbit ear excisional wound model. J Burn Care Res 2017; 38(1): e418-22.
[http://dx.doi.org/10.1097/BCR.0000000000000406] [PMID: 28009700]
[20]
Gautam L, Malik YS, Panwar H, et al. Defying the odds: Natural product formulation leads to restoration of methicillin sensitivity in Methicillin-resistant S. aureus. Poster presented at the 2023 European Congress of Clinical Microbiology and Infectious Diseases (ECCMID). April 15-18, 2023; Copenhagen, Denmark. 2023.
[21]
Gautam L, Sningh KA, Kaushik S, et al. A Novel Formulation (VG111) Demonstrating Clinical Evidence of Anti-Pathogenic Activity and Accelerated Wound Healing in Humans and Companion Animals. Available at SSRN: https://ssrn.com/abstract=4251312
[http://dx.doi.org/10.2139/ssrn.4251312]
[22]
Darvishi S, Tavakoli S, Kharaziha M, Girault HH, Kaminski CF, Mela I. Advances in the sensing and treatment of wound biofilms. Angew Chem Int Ed 2022; 61(13): e202112218.
[http://dx.doi.org/10.1002/anie.202112218] [PMID: 34806284]
[23]
Gautam V. The antibiofilm effect of a natural product formulation on P. aeruginosa intact biofilm: Meeting the horizon of antibiofilm therapeutics. 2023 European Congress of Clinical Microbiology and Infectious Diseases (ECCMID). April 15-18, 2023; Copenhagen, Denmark.
[24]
Sutar NG, Sutar U, Sharma Y, Shaikh I, Kshirsagar S. Phytochemical investigation and pharmacological screening of leaves of Achyranthus aspera Linn. as analgesic and antipyretic. undefined 2016.
[25]
Leavitt T, Hu MS, Marshall CD, Barnes LA, Lorenz HP, Longaker MT. Scarless wound healing: Finding the right cells and signals. Cell Tissue Res 2016; 365(3): 483-93.
[http://dx.doi.org/10.1007/s00441-016-2424-8] [PMID: 27256396]
[26]
Best practice guidelines Wound management in diabetic foot ulcers - Wounds International. Available from: https://www. woundsinternational.com/resources/details/best-practice-guidelines-wound-management-diabetic-foot-ulcers (Accessed on 2022 Sep 28)
[27]
Lipsky BA, Berendt AR, Cornia PB, et al. infectious diseases society of America clinical practice guideline for the diagnosis and treatment of diabetic foot infections. Clinical Infect Dious Diseases 2012; 54(12)https://www.idsociety.org/practice-guideline/diabetic-foot-infections/
[28]
Ahmed AA, Mooar PA, Kleiner M, Torg JS, Miyamoto CT. Hypertensive patients show delayed wound healing following total hip arthroplasty. PLoS One 2011; 6(8): e23224.https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0023224
[http://dx.doi.org/10.1371/journal.pone.0023224] [PMID: 21853091]
[29]
Frykberg RG, Banks J. Challenges in the treatment of chronic wounds. Adv Wound Care 2015; 4(9): 560.
[http://dx.doi.org/10.1089/wound.2015.0635]
[30]
Gautam L. Natural product formulation leads to restoration of methicillin sensitivity in Methicillin-resistant S. aureus. 2023 European Congress of Clinical Microbiology and Infectious Diseases (ECCMID). Copenhagen, Denmark. April 15-18, 2023;
[31]
Depypere M, Morgenstern M, Kuehl R, et al. Pathogenesis and management of fracture-related infection Clin Microbiol Infect 2020; 26(5): 572-8.https://pubmed.ncbi.nlm.nih.gov/31446152/
[http://dx.doi.org/10.1016/j.cmi.2019.08.006] [PMID: 31446152]
[32]
Morgenstern M, Vallejo A, McNally MA, et al. The effect of local antibiotic prophylaxis when treating open limb fractures: A systematic review and meta-analysis. Bone Joint Res 2018; 7(7): 447.
[http://dx.doi.org/10.1302/2046-3758.77.BJR-2018-0043.R1]
[33]
Ibrahim N. Wound healing properties of selected natural products. Int J Environ Res Public Health 2018; 15(11)
[34]
Ning S, Zang J, Zhang B, Feng X, Qiu F. Botanical drugs in traditional chinese medicine with wound healing properties. Front Pharmacol 2022; 13.
[http://dx.doi.org/10.3389/fphar.2022.885484]

Rights & Permissions Print Cite
© 2024 Bentham Science Publishers | Privacy Policy