Natural Products for Improving Soft Tissue Healing: Mechanisms, Innovations, and Clinical Potential

Scar development is a notable clinical and aesthetic issue in soft tissue healing, frequently compromising functionality and quality of life. Conventional treatments demonstrate limited efficacy in avoiding fibrosis and facilitating regenerative repair. Nevertheless, natural compounds have surfaced...

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Main Authors: Adina Alberts, Ioana Alexandra Lungescu, Adelina-Gabriela Niculescu, Alexandru Mihai Grumezescu
Format: Article
Language:English
Published: MDPI AG 2025-06-01
Series:Pharmaceutics
Subjects:
Online Access:https://www.mdpi.com/1999-4923/17/6/758
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author Adina Alberts
Ioana Alexandra Lungescu
Adelina-Gabriela Niculescu
Alexandru Mihai Grumezescu
author_facet Adina Alberts
Ioana Alexandra Lungescu
Adelina-Gabriela Niculescu
Alexandru Mihai Grumezescu
author_sort Adina Alberts
collection DOAJ
description Scar development is a notable clinical and aesthetic issue in soft tissue healing, frequently compromising functionality and quality of life. Conventional treatments demonstrate limited efficacy in avoiding fibrosis and facilitating regenerative repair. Nevertheless, natural compounds have surfaced as viable alternatives owing to their biocompatibility, multitarget bioactivity, and historical application in traditional medicine. This review examines the therapeutic potential of plant-derived substances, marine agents, and microbial metabolites in influencing critical stages of wound healing, including inflammation, oxidative stress, fibroblast activation, and extracellular matrix remodeling. While these agents have demonstrated beneficial effects in preclinical models, their direct impact on functional or aesthetic clinical outcomes remains under investigation. We propose a hierarchical framework linking molecular mechanisms to clinical endpoints, suggesting that improvements at the cellular and molecular level may eventually support better healing quality. Natural bioactives, especially when integrated into advanced delivery systems such as hydrogels and nanocarriers, show promise for enhancing the regenerative microenvironment. By contextualizing these mechanisms within real-world therapeutic goals, this review highlights both the potential and limitations of natural products in the pursuit of improved soft tissue healing. Further translational research is needed to determine how modulation of these processes may reduce scarring and approach clinically meaningful outcomes.
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spelling doaj-art-1be84eaecc104191bdace8b0fbe2d1b62025-08-20T03:27:39ZengMDPI AGPharmaceutics1999-49232025-06-0117675810.3390/pharmaceutics17060758Natural Products for Improving Soft Tissue Healing: Mechanisms, Innovations, and Clinical PotentialAdina Alberts0Ioana Alexandra Lungescu1Adelina-Gabriela Niculescu2Alexandru Mihai Grumezescu3Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, RomaniaNational University of Science and Technology Politehnica Bucharest, 011061 Bucharest, RomaniaNational University of Science and Technology Politehnica Bucharest, 011061 Bucharest, RomaniaNational University of Science and Technology Politehnica Bucharest, 011061 Bucharest, RomaniaScar development is a notable clinical and aesthetic issue in soft tissue healing, frequently compromising functionality and quality of life. Conventional treatments demonstrate limited efficacy in avoiding fibrosis and facilitating regenerative repair. Nevertheless, natural compounds have surfaced as viable alternatives owing to their biocompatibility, multitarget bioactivity, and historical application in traditional medicine. This review examines the therapeutic potential of plant-derived substances, marine agents, and microbial metabolites in influencing critical stages of wound healing, including inflammation, oxidative stress, fibroblast activation, and extracellular matrix remodeling. While these agents have demonstrated beneficial effects in preclinical models, their direct impact on functional or aesthetic clinical outcomes remains under investigation. We propose a hierarchical framework linking molecular mechanisms to clinical endpoints, suggesting that improvements at the cellular and molecular level may eventually support better healing quality. Natural bioactives, especially when integrated into advanced delivery systems such as hydrogels and nanocarriers, show promise for enhancing the regenerative microenvironment. By contextualizing these mechanisms within real-world therapeutic goals, this review highlights both the potential and limitations of natural products in the pursuit of improved soft tissue healing. Further translational research is needed to determine how modulation of these processes may reduce scarring and approach clinically meaningful outcomes.https://www.mdpi.com/1999-4923/17/6/758natural productsscar-free healingwound healinganti-inflammatoryantioxidantfibrosis inhibition
spellingShingle Adina Alberts
Ioana Alexandra Lungescu
Adelina-Gabriela Niculescu
Alexandru Mihai Grumezescu
Natural Products for Improving Soft Tissue Healing: Mechanisms, Innovations, and Clinical Potential
Pharmaceutics
natural products
scar-free healing
wound healing
anti-inflammatory
antioxidant
fibrosis inhibition
title Natural Products for Improving Soft Tissue Healing: Mechanisms, Innovations, and Clinical Potential
title_full Natural Products for Improving Soft Tissue Healing: Mechanisms, Innovations, and Clinical Potential
title_fullStr Natural Products for Improving Soft Tissue Healing: Mechanisms, Innovations, and Clinical Potential
title_full_unstemmed Natural Products for Improving Soft Tissue Healing: Mechanisms, Innovations, and Clinical Potential
title_short Natural Products for Improving Soft Tissue Healing: Mechanisms, Innovations, and Clinical Potential
title_sort natural products for improving soft tissue healing mechanisms innovations and clinical potential
topic natural products
scar-free healing
wound healing
anti-inflammatory
antioxidant
fibrosis inhibition
url https://www.mdpi.com/1999-4923/17/6/758
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