Why wavy wounds heal faster than straight wounds

Why wavy wounds heal faster than straight wounds

Wavy wounds heal faster than straight wounds because shapes influence cell movements, a team of researchers has found.

Scientists observed the motion of cells and found that those near wavy shaped wounds moved in a swirling manner while cells near straight wounds moved in straight lines, traveling parallel to the edges.

The team concluded that the swirling or vortex-like movement is crucial to gap bridging, in which cells build bridges to heal damaged tissues, and which accelerates the wound healing process in wavy wounds.

This is the first time that the relationship between gap bridging, and the speed of wound healing has been determined. The scientists said their findings open the door to the development of more effective strategies to speed up wound healing, for better wound management, tissue repair, and plastic surgery.

An essential component of wound healing is re-epithelialization, a process in which the epithelial cell—a type of cell found on the skin—moves to form a bridge between the wound and the skin, closing its gap.

While previous studies have found that zig zag wounds healed faster than straight wounds, little is known about how different wound curvatures (shape) and wound sizes influence healing efficiency, nor about the mechanism of re-epithelialization.

To investigate, the  scientists prepared synthetic wounds with a range of widths (30 micrometers to 100 micrometers) and curvatures (radius of curvature: 30 micrometers, 75 micrometers, 150 micrometers and straight line) to learn how cells moved to close wound gaps in different circumstances.

Using particle image velocimetry—an optical measurement technique for fluid flow—researchers found that wavy wounds induced more complex collective cell movements, such as a swirly, vortex-like motion. By contrast in a straight wound, cells moved parallel to the wound front, moving in straight lines like a marching band.

Wavy wounds heal nearly five times faster

Time-lapse phase-contrast images showing different wound-healing stages of the engineered synthetic wounds with a width of 30 micrometres. Cells around wavy gaps formed bridges (highlighted in bright red) to close the gap quickly by the 42nd hour, compared to cells in the straight wound where healing has just begun. Credit: Nanyang Technological University

The  team also observed the healing progress of the synthetic wounds over a period of 64 hours and found that the healing efficiency of wavy gaps—measured by the percentage area covered by the cells over time—is nearly five times faster than straight gaps.

 Hongmei Xu et al, Geometry-mediated bridging drives nonadhesive stripe wound healing, Proceedings of the National Academy of Sciences (2023). DOI: 10.1073/pnas.2221040120