The effects of polydeoxyribonucleotide on wound healing and tissue regeneration: a systematic review of the literature
Abstract
Aim: The present study evaluated the effects of polydeoxyribonucleotide (PDRN) on tissue regeneration, paying special attention to the molecular mechanisms that underlie its tissue remodeling actions to better identify its effective therapeutic potential in wound healing. Materials & methods: Strategic searches were conducted through MEDLINE/PubMed, Google Scholar, Scopus, Web of Science and the Cochrane Central Register of Controlled Trials, from their earliest available dates to March 2020. The studies were included with the following eligibility criteria: studies evaluating tissue regeneration, and being an in vitro , in vivo and clinical study. Results: Out of more than 90 articles, 34 fulfilled the eligibility criteria. All data obtained proved the ability of PDRN in promoting a physiological tissue repair through salvage pathway and adenosine A2A receptor activation. Conclusion: Up to date PDRN has proved promising results in term of wound regeneration, healing time and absence of side effects.
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Nucleotide-derived therapies may enhance angiogenesis, fibroblast proliferation, extracellular matrix remodeling, and collagen deposition during tissue repair.
“These findings are consistent with previous evidence indicating that nucleotide-derived therapies may enhance angiogenesis, fibroblast proliferation, extracellular matrix remodeling, and collagen deposition during tissue repair [15].”
PDRN's effects are primarily mediated through upregulation of VEGF and IL-10, and downregulation of TNF-α, IL-6, HMGB1, and IL-1β.
“These effects are primarily mediated through upregulation of vascular endothelial growth factor (VEGF) and interleukin (IL)-10, and downregulation of proinflammatory cytokines, including tumor necrosis factor-alpha (TNF-α), IL-6, high mobility group box-1 (HMGB1), and IL-1β [71,72].”
From Comparison of Polynucleotide and Polydeoxyribonucleotide in Dermatology: Molecular Mechanisms and Clinical Perspectives (2025) · cites this paper as [71]
Evidence supports the efficacy of PDRN in promoting wound closure and tissue regeneration.
“A comprehensive review of in vitro and animal model studies and clinical trials shows evidence supporting the efficacy of PDRN in promoting wound closure and tissue regeneration [71,114].”
From Comparison of Polynucleotide and Polydeoxyribonucleotide in Dermatology: Molecular Mechanisms and Clinical Perspectives (2025) · cites this paper as [71]
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- Authors
- Colangelo, M. T., Galli, C., & Guizzardi, S.
- Affiliations
- University of Parma (IT)
- Venue
- Regenerative Medicine
- Publisher
- Informa UK Limited
- Published
- 2020-06
- Volume
- 15
- Issue
- 6
- Pages
- 1801-1821
- ISSN
- 1746-0751 (ISSN-L)
- 1746-076X
- OpenAlex
- W3048084631
- Cited by
- 59
- References
- 179
- Citations by year
- 2026: 16 · 2025: 21 · 2024: 6 · 2023: 12 · 2022: 1 · 2021: 3
- FWCI
- 0.49
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Regenerative Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Rehabilitation › Wound Healing and Treatments
- Health Sciences › Medicine › Urology › Periodontal Regeneration and Treatments
- Health Sciences › Medicine › Surgery › Tissue Engineering and Regenerative Medicine
- Keywords
- polydeoxyribonucleotide, wound healing, tissue regeneration, tissue remodeling, salvage pathway, adenosine A2A receptor, molecular mechanisms
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