Silk Fibroin and Sericin: Multifunctional Biomaterial Formulations for Advanced Diabetic Wound Healing

 

Introduction

Silk fibroin and sericin are natural proteins obtained from silkworm cocoons and have gained significant attention in biomedical research due to their exceptional biocompatibility and functional versatility. In the context of diabetic wound healing, these proteins address critical challenges such as delayed tissue regeneration, infection susceptibility, and impaired angiogenesis. Their integration into advanced wound formulations represents a promising strategy for improving outcomes in chronic wound management.

 Biochemical Properties of Silk Fibroin and Sericin

Silk fibroin provides strong mechanical stability and controlled biodegradability, while sericin exhibits antioxidant, anti-inflammatory, and antimicrobial properties. Together, they create a synergistic biomaterial system that supports cell adhesion, proliferation, and extracellular matrix formation, which are essential for effective wound healing in diabetic conditions.

Multifunctional Formulation Strategies

Recent research focuses on developing silk-based hydrogels, nanofibrous scaffolds, sponges, and composite dressings that enable sustained drug release, moisture balance, and infection control. These multifunctional formulations enhance healing efficiency by combining physical support with biological activity tailored to chronic diabetic wounds.

Mechanisms in Diabetic Wound Healing

Silk fibroin and sericin actively modulate inflammatory responses, promote angiogenesis, and accelerate re-epithelialization. Their ability to regulate oxidative stress and improve cellular signaling pathways directly addresses the impaired healing mechanisms commonly observed in diabetic patients.

Preclinical and Clinical Research Progress

Preclinical studies and emerging clinical evaluations demonstrate that silk-based wound dressings significantly improve healing rates, collagen deposition, and tissue remodeling. These findings position silk fibroin and sericin as viable alternatives to conventional synthetic wound care materials in diabetic wound management.

Future Research Directions and Clinical Translation

Future research aims to integrate silk proteins with nanotechnology, growth factors, and stem-cell-based therapies to create smart wound dressings. Advancing scalable manufacturing, regulatory approval, and clinical translation will be crucial for establishing silk-based biomaterials as standard solutions in diabetic wound care

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