DEVICES AND METHODS FOR THE DIAGNOSIS AND TREATMENT OF WOUNDS USING BIOMARKERS
The present invention provides for devices and methods for determining the healing phase of a wound. In some aspects, the present invention provides a wound diagnosis device comprising a surface and at least one agent that is specific to a desired biomarker. In another aspect, the present invention provides a method of determining the phase of wound healing. In still other aspects, the present invention provides methods of determining the phase of wound healing using the disclosed devices.
1 . A wound diagnosis device comprising a first agent that is specific to a first biomarker and a second agent that is specific to a second biomarker, wherein the first biomarker is a neutrophil-secreted factor and the second biomarker is a fibroblast-secreted factor or the first and second biomarkers are secreted from M1 or M2 macrophages.
2 - 15 . (canceled)
16 . A method of determining the phase of wound healing comprising:
a) detecting the amount of a first biomarker and the amount of a second biomarker in a sample from a wound; and
b) comparing the amount of the first biomarker and the amount of the second biomarker,
wherein the first biomarker is a neutrophil-secreted factor and the second biomarker is a fibroblast-secreted factor or the first and second biomarkers are secreted from M1 or M2 macrophages and the relation between the amount of the first biomarker to the amount of the second biomarker indicates the phase of wound healing.
17 . The method of claim 16 , wherein the sample is wound fluid.
18 . The method of claim 16 , wherein the first biomarker has been secreted from neutrophil cells and the second biomarker has been secreted from fibroblast cells.
19 . The method of claim 16 , wherein if the amount of the first biomarker is greater than the amount of the second biomarker, the inflammatory phase of wound healing is indicated.
20 . The method of claim 16 , wherein if the amount of the first biomarker is less than the amount of the second biomarker, the proliferative phase of wound healing is indicated.
21 . The method of claim 16 , wherein the first biomarker is MPO and the second biomarker is FGF-2.
22 . The method of claim 21 , wherein if the amount of MPO is at least twice greater than the amount of FGF-2, then the inflammatory phase of wound healing is indicated.
23 . The method of claim 21 , wherein if the amount of MPO is half as much or less than the amount of FGF-2, then the proliferative stage of wound healing is indicated.
24 . The method of claim 16 , wherein the first biomarker is nElastase and the second biomarker is Fibroblast Growth Factor-10 (FGF-10).
25 . The method of claim 16 , wherein the first biomarker has been secreted from M1 macrophage cells and the second biomarker has been secreted from M2 macrophage cells.
26 . The method of claim 25 , wherein a larger amount of the first biomarker and a smaller amount of the second biomarker indicates the inflammatory phase of wound healing.
27 . The method of claim 25 , wherein a smaller amount of the first biomarker and a larger amount of the second biomarker indicates the proliferative phase of wound healing.
28 . The method of claim 16 , wherein the first biomarker is calgranulin A/B, TNF-α, MPO, or MMP and the second biomarker is CD204 or CD206.
29 . The method of claim 28 , wherein if the amount of CD204 or CD206 is less than twice the amount of calgranulin A/B, TNF-α, MPO, or MMP, then the wound is in the inflammatory phase of wound healing.
30 . The method of claim 28 , wherein if the amount of CD204 or CD206 is equal to or greater than twice the amount of calgranulin A/B, TNF-α, MPO, or MMP, then the wound is in the proliferative stage of wound healing.
31 . The method of claim 16 , wherein the first biomarker is pro-collagen or collagen and the second biomarker is fibronectin.
32 . The method of claim 31 , wherein if the amount of the first biomarker is greater than the amount of the second biomarker, the inflammatory phase of wound healing is indicated.
33 . The method of claim 31 , wherein if the amount of the first biomarker is less than the amount of the second biomarker, the proliferative phase of wound healing is indicated.
34 .- 49 . (canceled)
50 . A method of determining the phase of wound healing comprising:
a) detecting the amount of a first biomarker and the amount of a second biomarker in a sample from a wound; and
b) comparing the amount of the first biomarker and the amount of the second biomarker,
wherein the relative amount of the first biomarker to the second biomarker indicates the phase of wound healing.
51 .- 73 . (canceled)