Evaluation of the efficacy of polydeoxyribonucleotides in the healing process of autologous skin graft donor sites: a pilot study
Abstract
Objective The article presents the results of a pilot study performed to evaluate the efficacy of polydeoxyribonucleotides (PDRNs) in shortening the healing times of autologous skin graft donor sites. RESEARCH DESIGN, METHODS: Two groups of patients were studied, the PDRN group (n = 20) and a control group (n = 20). In the control group dressings were performed with non-adherent gauzes and bulky gauzes with cloramine solution, whereas in the PDRN group a PDRN ointment was spread under the same medication as the controls. Results In the PDRN group, dressing procedures were not painful (whereas in the controls they often were), re-epithelialisation occurred earlier (12.5 vs 24.45 days) and there were no infections (9 in the controls). Conclusions Results are encouraging for the use of PDRNs in shortening the healing times of autologous skin graft donor sites, although further studies are necessary to obtain clinically relevant results.
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In Valdatta et al. 2004, PDRN accelerated healing.
“PDRN accelerated healing, enhanced re-epithelialization, and reduced infection rates”
In Valdatta et al. 2004, PDRN enhanced re-epithelialization.
“PDRN accelerated healing, enhanced re-epithelialization, and reduced infection rates”
In Valdatta et al. 2004, PDRN reduced infection rates.
“PDRN accelerated healing, enhanced re-epithelialization, and reduced infection rates”
No adverse reactions to the PDRN ointment or its excipients were reported.
“No adverse reactions to the PDRN ointment or its excipients were reported.”
No infections were recorded in the PDRN ointment group, whereas nine infections occurred in the control group, representing a 45% infection rate.
“no infections were recorded in the PDRN group throughout the study period, whereas nine infections occurred in the control group, representing a 45% infection rate.”
Complete re-epithelialization occurred at a mean of 12.5 days (range 9-20) in the PDRN ointment group compared with 24.45 days (range 17-41) in the control group, representing an approximate 50% reduction in healing time.
“Complete re-epithelialization occurred at a mean of 12.5 days (range: 9-20) in the PDRN group compared with 24.45 days (range: 17-41) in the control group, representing an approximate 50% reduction in healing time.”
At day 15, mean re-epithelialization reached 98.5% (range 80-100%) in the PDRN ointment group compared with 53.5% (range 0-95%) in the control group (p<0.01).
“At day 15, the mean re-epithelialization reached 98.5% (range: 80-100%) in the PDRN group compared with 53.5% (range: 0-95%) in the control group (p<0.01).”
Valdatta et al. [9] was judged to have a high overall risk of bias due to absence of blinding, potential bias in outcome measurement, and manufacturer sponsorship.
“Valdatta et al. [9] was judged to have a high overall risk of bias due to the absence of blinding, potential bias in outcome measurement, and manufacturer sponsorship.”
At day 7, mean re-epithelialization was 46.75% (range 0-90%) in the PDRN ointment group compared with 19.25% (range 0-55%) in the control group (p<0.01).
“At day 7, the mean percentage of re-epithelialization was 46.75% (range: 0-90%) in the PDRN group compared with 19.25% (range: 0-55%) in the control group (p<0.01).”
PDRN-treated patients were nearly completely asymptomatic, with only four cases of moderate symptoms, while the control group included four cases of serious symptoms and nine cases of marked symptoms.
“Subjective symptom assessment demonstrated that PDRN-treated patients were nearly completely asymptomatic, with only four cases of moderate symptoms reported, while the control group included four cases of serious symptoms and nine cases of marked symptoms”
Cites
Rubegni, P., De Aloe, G., Mazzatenta, C., Cattarini, L., & Fimiani, M. (2001) · Current Medical Research and Opinion · doi:10.1185/0300799039117047 · Cited by 56
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Polydeoxyribonucleotide: A Promising Biological Platform to Accelerate Impaired Skin Wound Healing
Galeano, M., Pallio, G., Irrera, N., Mannino, F., Bitto, A., Altavilla, D., Vaccaro, M., Squadrito, G., Arcoraci, V., Colonna, M. R., et al. (2021) · Pharmaceuticals · doi:10.3390/ph14111103 · Cited by 79 · see citing works
Colangelo, M. T., Galli, C., & Guizzardi, S. (2020) · Regenerative Medicine · doi:10.2217/rme-2019-0118 · Cited by 59 · see citing works
Alhussain, A. M., Turki M. Albusayys, S., Alfhadi, M. A., Bu Mozah, S. A., AlShammari, S. S. S., Alanazi, H. A. M., Adil Alqazanli, S., Nouruldeen Alabdullah, A., M. ALrashidi, N., Almazrou, A. A., et al. (2026) · Cureus · doi:10.7759/cureus.112403 · Cited by 1 · see citing works
- Authors
- Valdatta, L., Thione, A., Mortarino, C., Buoro, M., & Tuinder, S.
- Affiliations
- University of Insubria (IT)
- Corresponding author
- Valdatta, Luigi
- Venue
- Current Medical Research and Opinion
- Publisher
- Informa Healthcare
- Published
- 2004-01-22
- Volume
- 20
- Issue
- 3
- Pages
- 403-408
- ISSN
- 0300-7995 (ISSN-L)
- 1473-4877
- OpenAlex
- W2115902703
- Cited by
- 53
- References
- 1
- Citations by year
- 2026: 8 · 2025: 5 · 2024: 5 · 2023: 3 · 2022: 2 · 2021: 3 · 2020: 4 · 2019: 1 · 2018: 3 · 2017: 5 · 2016: 1 · 2015: 2 · 2014: 2 · 2013: 1 · 2012: 1
- FWCI
- 0.34
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Current Medical Research and Opinion (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Rehabilitation › Wound Healing and Treatments
- Health Sciences › Medicine › Dermatology › Dermatologic Treatments and Research
- Health Sciences › Medicine › Surgery › Surgical Sutures and Adhesives
- Keywords
- polydeoxyribonucleotide, wound healing, re-epithelialization, wound dressings, donor site pain, wound infection
- MeSH terms
- Adult, Aged, Aged, 80 and over, Dermatologic Agents, Female, Humans, Male, Middle Aged, Pilot Projects, Polydeoxyribonucleotides, Time Factors, Tissue Donors, Wound Healing, Wounds and Injuries, Skin Transplantation, Treatment Outcome
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