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Review | Open Access

Hypoxic environment of wounds and photosynthesis-based oxygen therapy

Shuning Tian1,†, Shenyu Tan1,†, Mingjie Fan1, Wenlin Gong1, Tianchang Yang1, Fangwen Jiao2( ), Hongzhi Qiao1 ( )
Jiangsu Engineering Research Center for Efficient Delivery System of TCM, School of Pharmacy, Nanjing University of Chinese Medicine, 138 Xianlin Avenue, Qixia District, Nanjing 210023, China
Department of Pathogen Biology, School of Medicine and Holistic Integrative Medicine, Nanjing University of Chinese Medicine, 138 Xianlin Avenue, Qixia District, Nanjing 210023, China

†Shuning Tian and Shenyu Tan contributed equally to this work.

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Highlights

• The characteristics of chronic wounds and their relationship with hypoxic environments are reviewed and the current oxygen supply treatment methods used for wound treatment are summarized.

• The photosynthetic oxygen production system has good biological safety and can continuously supply oxygen to improve the hypoxic microenvironment. It provides an effective approach for the treatment of chronic wounds.

• The current research cases of a photosynthetic oxygen production system promoting chronic wound healing are summarized, and the advantages, limitations and prospects are discussed. It is hoped to provide ideas and methods for developing oxygen generation systems and promoting clinical transformation.

Abstract

The hypoxic environment is among the most important factors that complicates the healing of chronic wounds, such as venous leg ulcers, pressure injuries and diabetic foot ulcers, which seriously affects the quality of life of patients. Various oxygen supply treatments are used in clinical practice to improve the hypoxic environment at the wound site. However, problems still occur, such as insufficient oxygen supply, short oxygen infusion time and potential biosafety risks. In recent years, artificial photosynthetic systems have become a research hotspot in the fields of materials and energy. Photosynthesis is expected to improve the oxygen level at wound sites and promote wound healing because the method provides a continuous oxygen supply and has good biosafety. In this paper, oxygen treatment methods for wounds are reviewed, and the oxygen supply principle and construction of artificial photosynthesis systems are described. Finally, research progress on the photosynthetic oxygen production system to promote wound healing is summarized.

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Burns & Trauma
Article number: tkae012

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Cite this article:
Tian S, Tan S, Fan M, et al. Hypoxic environment of wounds and photosynthesis-based oxygen therapy. Burns & Trauma, 2024, 12: tkae012. https://doi.org/10.1093/burnst/tkae012

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Received: 23 October 2023
Revised: 04 March 2024
Accepted: 13 March 2024
Published: 10 October 2026
© The Author(s) 2024. Published by Oxford University Press.

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permitsunrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.