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Health and Skin Nutrition
Nanoskin Family now proudly prsents: NANOSKIN®PLUS
FOR COLONIZED/INFECTED LESION TREATMENT
Nowadays there are many medicated bandages and dressings are readily available for
Wound Infection; using a few antibacterial agents like: Silver, PHMB, nanoparticle, ions
etc, for the management of the "Wound Environment". However, such techniques imply
‘Antimicrobial’ as means of the biocide action!
Example: Products incorporating:
1-silver,
2- polyhexamethylene biguanide (PHMB)
Silver dressings
Antimicrobial modes of action of silver lead to bacterial cell death and breakdown.
These are summarized as:
• Interference with bacterial electron transport
• Binding to bacterial DNA, thereby impairing cell replication
• Binding to the cell membrane, causing structural and receptor function damage
• Forming insoluble, metabolically ineffective cell compounds.
In addition, question marks have been raised over the long-term use of these dressings,
especially in infants.34 In recent times, there have been concerns about silver toxicity
and the systemic uptake and deposition of silver in organs such as the liver and kidney
has been noted.
-Silver dressings represent one in seven of all wound dressing prescriptions with a high
cost implications.
Ref:
1- White, R.J. The use of topical antimicrobials in wound bioburden control. Br J Com Nurs 2002; 7: 12,
(Suppl 3), 20-26.
2- Thurman, R.B., Gerba, C.P., Bitton, G. The molecular mechanisms of copper and silver ion disinfection
of bacteria and viruses. Critical Reviews in Environmental
Control 1989; 18: 4, 295-315.
3- Russell, A.D., Hugo, W.B. Antimicrobial activity and action of silver. Prog Med Chem 1994; 31: 351-70
4- Parsons, D., Bowler, P.G., Myles, V., Jones, S. Silver antimicrobial dressings in wound management: a
comparison of antibacterial, physical, and chemical characteristics. Wounds 2005; 17: 8, 222–232.
5- Burd, A., Kwok, C.H., Hung, S.C. et al. A comparative study of the cytotoxicity of silver-based
dressings in monolayer cell, tissue explant and animal models. Wound
Repair Regen 2007; 15: 1, 94–104.
6- Wan, A.T., Conyers, R.A., Coombs, C.J.,
Masterton, J.P. Determination of silver in blood, urine and tissues of volunteers and burn patients. Clin
Chem 1991; 37: (10), 1683-1687.
7- Wang, X-Q., Kempf, M., Mott, J. et al. Silver absorption on burns after the application of Acticoat: data
from pediatric patients and a porcine burn model. J Burn Care Res
2009; 30: 2, 341-348.
8- Percival, S.L., Bowler, P.G., Russell, D. Bacterial resistance to silver in wound care. J Hosp Infect
2005; 60: 1, 1–7.
9- Loh, J.V., Percival, S.L., Woods, E.J. et al. Silver resistance in MRSA isolated from wound and nasal
sources in humans and animals. Int Wound J 2009; 6: 1, 32-38.
10- Bergin, S.M., Wraight, P. Silver based wound dressings and topical agents for treating diabetic foot
ulcers. Cochrane Database of Systematic Reviews 2006; 1: CD005082.
11- Michaels, J.A., Campbell, W.B, King, B.M. et al. Randomised controlled trial and cost-effectiveness
analysis of silver donating antimicrobial dressings for venous leg ulcers (VULCAN trial). Br J Surg 2009;
96: 10, 1147–1156.
12- Chaby, G., Senet, P., Vaneau, M. et al.Dressings for acute and chronic wounds: a systematic review.
Arch Dermatol 2007; 143: 10, 1297–1304.
13- Iheanacho, I. Silver dressings – do theywork? Drug Therapeutics Bulletin 2010;
48: 4, 38–42.

PHMB
PHMB is a synthetic polymer
- PHMB can enter bacterial cell membranes and kill bacteria.
- PHMB is thought to adhere to and disrupt target cell membranes, causing them to leak
potassium ions and other cytosolic components, resulting in bacterial cell death.
- PHMB binds to bacterial DNA and other nucleic acids, damaging or inactivating them.
PHMB therefore disrupts the bacteria, causing their death, and results in the release of
cell content and debris into the wound.
Silver
Bacterial
cell wall
Bacterial
function

Overall
effect

PHMB

NANOSKIN®PLUS

Chemical binding,
causing structural
& receptor damage
Chemical binding
disrupts
DNA
replication

Disrupts cell wall

No disruption of cell wall

Disrupts membranes,
interfering with
metabolism,
and
targeting cytoplasmic
components causing
cell death
Bacteriocidal with Bacteriocidal
with
debris
left
in debris left in wound
wound

Reduces cell proliferation
without causing cell death

Bacteriostatic with removal
of bacteria at dressing
change. No cell debris

REF:
1- Moore, K., Gray, D. Using PHMB antimicrobial to prevent wound infection.
Wounds UK 2007; 3: 2, 96–102.
2- Davies, A., Bentley, M., Field, B.S. Comparison of the action of vantocil, cetrimide
and chlorhexidine on Escherichia coli and its spheroplasts and the protoplasts of Grampositive bacteria. J Appl Bacteriol 1968; 31: 4, 448–461.
3- Davies, A., Field, B.S. Action of biguanides, phenols and detergents on Escherichia
coli and its sphereoplasts. J Appl Bacteriol 1969; 32: 2, 233–243.
4-Broxton, P., Woodcock, P.M., Heatley, F., Gilbert, P. Interaction of some
polyhexamethylene biguanides and membrane phospholipids in Escherichia coli. J Appl
Bacteriol 1984; 57: 1, 115–124.
5- Yasuda, K., Ohmizo, C., Katsu, T. Potassium and tetraphenylphosphonium ionselective electrodes for monitoring changes in the permeability of bacterial outer and
cytoplasmic membranes. J Microbiol Methods 2003; 54: 1, 111–115.
6- Allen, M.J., Morby, A.P., White, G.F. Cooperativity in the binding of the cationic
biocide polyhexamethylene biguanide to nucleic acids. Biochem Biophys Res Commun
2004; 318: 2, 397–404.

NANOSKIN®PLUS FOR COLONIZED/INFECTED LESION TREATMENT
Objective
- Preventing or managing infection is to ensure the host’s defenses are able to
outcompete microbial pathogens, leaving microbes unable to thrive and proliferate.
- Prevention and management of infection benefit is that there is no risk of toxicity to
healthy tissue or systemic absorption

NANOSKIN®PLUS is fiberpolysaccharides can significantly promote DNA synthesis
and increase cell division, thus delaying the aging body. These fibers are of high
concentration of flavonoid compounds, diterpene, triterpene, lignans, phenylpropanoids
and prenylated acetophenones to strengthen our immunity cells and improve our
immune system

NANOSKIN®PLUS moreover, contain substances such as β-glucan polysaccharide
and significant amount of glucuronic acid, which acts physiologically in the body as an
effective detoxifying agent.

NANOSKIN®PLUS beneficial for those suffering from exposure syndrome, radiation
burns, or Diabetic, infected wound, leishmaniasis, cancer, chronic fatigue.

NANOSKIN®PLUS is considered to be a modifier of biological response due to its
immunomodulator potential. When it is recognized by specific cellular receptors, have
the ability to enhance the host’s immune response. Other beneficial effects such as
anticarcinogenic, antimutagenic, hypocholesterolemic and blood sugar reduction .
Wound care has seen much progress in recent decades, especially new approaches
and materials. NANOSKIN®PLUS application , which yielded extremely
encouraging results and led to its recommendation as a treatment of infected wounds.
There are a number of polypeptides, called growth factors, some of which act on many
cell types and others on restricted cellular targets. In addition to stimulating cell
proliferation, growth factors can have an effect on locomotion, contractility, cell
differentiation and angiogenesis, additional activities that can be as important as the
effects on the promotion
n of growth.

NANOSKIN®PLUS Advantages:
























Provides conditions favorable to the healing process, demonstrated reduction in
healing time;
Allows for better control of odors;
Does not cause pain during application and/or removal;
Significantly reduces signs of inflammation and/or infection/ colonization;
Does not cause skin irratibility, supresses the formation of allergies;
It is especially indicated for the treatment of chronic and difficult to heal wounds;
Stimulates cell proliferation;
Prevents damage to keratinocytes;
Reduces the number of viable bacteria;
It is a powerful antimicrobial agent that has low cytotoxicity and high tissue
tolerance;
Improves overall skin aging;
Ensures the healing process and wound healing;;
Removes damaged epidermal cells;
Stimulates cell proliferation in skin;
Repairs and prevents wrinkles while minimizing scarring on the skin;
Revitalizes and nourishes epidermal cells and the scalp.
NANOSKIN PLUS reacts as a powerful antimicrobial anti-inflammatory, antiulcer, anti-cancer and has an immunomodulatory action of phenolic compounds
from green tea with the stem cells produced by applying plant cell culture
techniques .
The stem cells extract in the culture of green tea was used to increase the
availability of blood stem cells to reverse the signs of senescence in human
fibroblast cells.
The technique of plants tissue culture is based on plant stem cells propagation to
produce either a complete or only the plant tissue or just a single cell in culture
for harvesting metabolites from the plants.
The tissue culture plants can be started from almost all plant tissues. The fabric
material is obtained from plant cultivation is called an explant. As a kind of
reaction from the wound, new cells are formed at the cut surfaces of the
explants. The cells divide slowly to form a less colorful cell mass which is called
"callus" . These cells are the differentiated cells that do not possess the
distinguishing features of normal plant cells. The "callus" cells are comparable to
the meristematic regions stem cells. A high production of callus cells can be
cultured as single cells or small groups of cells in liquid culture.

Green tea is a plant that has been used for obtaining explant tissue in order to start a
culture of plant cells.




An extract of these cells was incorporated into the Nanoskin culture;
producing the 100 % natural vegetable membrane called Nanoskin PLUS. The
membrane was tested in a series of studies on the efficacy of chronic wounds
such as diabetic feet, pressure ulcer and trauma.
The results obtained using membrane with plant stem cell show rapid healing
quality at low cost.

NANOSKIN®PLUS: controlling or preventing infection and optimizing the potential for
healing by maintaining an ideal wound environment and managing significant overall
cost savings.

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Nanoskin®plus

  • 1. Where life continues Health and Skin Nutrition Nanoskin Family now proudly prsents: NANOSKIN®PLUS FOR COLONIZED/INFECTED LESION TREATMENT Nowadays there are many medicated bandages and dressings are readily available for Wound Infection; using a few antibacterial agents like: Silver, PHMB, nanoparticle, ions etc, for the management of the "Wound Environment". However, such techniques imply ‘Antimicrobial’ as means of the biocide action! Example: Products incorporating: 1-silver, 2- polyhexamethylene biguanide (PHMB) Silver dressings Antimicrobial modes of action of silver lead to bacterial cell death and breakdown. These are summarized as: • Interference with bacterial electron transport • Binding to bacterial DNA, thereby impairing cell replication • Binding to the cell membrane, causing structural and receptor function damage • Forming insoluble, metabolically ineffective cell compounds. In addition, question marks have been raised over the long-term use of these dressings, especially in infants.34 In recent times, there have been concerns about silver toxicity and the systemic uptake and deposition of silver in organs such as the liver and kidney has been noted. -Silver dressings represent one in seven of all wound dressing prescriptions with a high cost implications. Ref: 1- White, R.J. The use of topical antimicrobials in wound bioburden control. Br J Com Nurs 2002; 7: 12, (Suppl 3), 20-26. 2- Thurman, R.B., Gerba, C.P., Bitton, G. The molecular mechanisms of copper and silver ion disinfection of bacteria and viruses. Critical Reviews in Environmental Control 1989; 18: 4, 295-315. 3- Russell, A.D., Hugo, W.B. Antimicrobial activity and action of silver. Prog Med Chem 1994; 31: 351-70 4- Parsons, D., Bowler, P.G., Myles, V., Jones, S. Silver antimicrobial dressings in wound management: a comparison of antibacterial, physical, and chemical characteristics. Wounds 2005; 17: 8, 222–232. 5- Burd, A., Kwok, C.H., Hung, S.C. et al. A comparative study of the cytotoxicity of silver-based dressings in monolayer cell, tissue explant and animal models. Wound
  • 2. Repair Regen 2007; 15: 1, 94–104. 6- Wan, A.T., Conyers, R.A., Coombs, C.J., Masterton, J.P. Determination of silver in blood, urine and tissues of volunteers and burn patients. Clin Chem 1991; 37: (10), 1683-1687. 7- Wang, X-Q., Kempf, M., Mott, J. et al. Silver absorption on burns after the application of Acticoat: data from pediatric patients and a porcine burn model. J Burn Care Res 2009; 30: 2, 341-348. 8- Percival, S.L., Bowler, P.G., Russell, D. Bacterial resistance to silver in wound care. J Hosp Infect 2005; 60: 1, 1–7. 9- Loh, J.V., Percival, S.L., Woods, E.J. et al. Silver resistance in MRSA isolated from wound and nasal sources in humans and animals. Int Wound J 2009; 6: 1, 32-38. 10- Bergin, S.M., Wraight, P. Silver based wound dressings and topical agents for treating diabetic foot ulcers. Cochrane Database of Systematic Reviews 2006; 1: CD005082. 11- Michaels, J.A., Campbell, W.B, King, B.M. et al. Randomised controlled trial and cost-effectiveness analysis of silver donating antimicrobial dressings for venous leg ulcers (VULCAN trial). Br J Surg 2009; 96: 10, 1147–1156. 12- Chaby, G., Senet, P., Vaneau, M. et al.Dressings for acute and chronic wounds: a systematic review. Arch Dermatol 2007; 143: 10, 1297–1304. 13- Iheanacho, I. Silver dressings – do theywork? Drug Therapeutics Bulletin 2010; 48: 4, 38–42. PHMB PHMB is a synthetic polymer - PHMB can enter bacterial cell membranes and kill bacteria. - PHMB is thought to adhere to and disrupt target cell membranes, causing them to leak potassium ions and other cytosolic components, resulting in bacterial cell death. - PHMB binds to bacterial DNA and other nucleic acids, damaging or inactivating them. PHMB therefore disrupts the bacteria, causing their death, and results in the release of cell content and debris into the wound. Silver Bacterial cell wall Bacterial function Overall effect PHMB NANOSKIN®PLUS Chemical binding, causing structural & receptor damage Chemical binding disrupts DNA replication Disrupts cell wall No disruption of cell wall Disrupts membranes, interfering with metabolism, and targeting cytoplasmic components causing cell death Bacteriocidal with Bacteriocidal with debris left in debris left in wound wound Reduces cell proliferation without causing cell death Bacteriostatic with removal of bacteria at dressing change. No cell debris REF: 1- Moore, K., Gray, D. Using PHMB antimicrobial to prevent wound infection. Wounds UK 2007; 3: 2, 96–102. 2- Davies, A., Bentley, M., Field, B.S. Comparison of the action of vantocil, cetrimide and chlorhexidine on Escherichia coli and its spheroplasts and the protoplasts of Grampositive bacteria. J Appl Bacteriol 1968; 31: 4, 448–461.
  • 3. 3- Davies, A., Field, B.S. Action of biguanides, phenols and detergents on Escherichia coli and its sphereoplasts. J Appl Bacteriol 1969; 32: 2, 233–243. 4-Broxton, P., Woodcock, P.M., Heatley, F., Gilbert, P. Interaction of some polyhexamethylene biguanides and membrane phospholipids in Escherichia coli. J Appl Bacteriol 1984; 57: 1, 115–124. 5- Yasuda, K., Ohmizo, C., Katsu, T. Potassium and tetraphenylphosphonium ionselective electrodes for monitoring changes in the permeability of bacterial outer and cytoplasmic membranes. J Microbiol Methods 2003; 54: 1, 111–115. 6- Allen, M.J., Morby, A.P., White, G.F. Cooperativity in the binding of the cationic biocide polyhexamethylene biguanide to nucleic acids. Biochem Biophys Res Commun 2004; 318: 2, 397–404. NANOSKIN®PLUS FOR COLONIZED/INFECTED LESION TREATMENT Objective - Preventing or managing infection is to ensure the host’s defenses are able to outcompete microbial pathogens, leaving microbes unable to thrive and proliferate. - Prevention and management of infection benefit is that there is no risk of toxicity to healthy tissue or systemic absorption NANOSKIN®PLUS is fiberpolysaccharides can significantly promote DNA synthesis and increase cell division, thus delaying the aging body. These fibers are of high concentration of flavonoid compounds, diterpene, triterpene, lignans, phenylpropanoids and prenylated acetophenones to strengthen our immunity cells and improve our immune system NANOSKIN®PLUS moreover, contain substances such as β-glucan polysaccharide and significant amount of glucuronic acid, which acts physiologically in the body as an effective detoxifying agent. NANOSKIN®PLUS beneficial for those suffering from exposure syndrome, radiation burns, or Diabetic, infected wound, leishmaniasis, cancer, chronic fatigue. NANOSKIN®PLUS is considered to be a modifier of biological response due to its immunomodulator potential. When it is recognized by specific cellular receptors, have the ability to enhance the host’s immune response. Other beneficial effects such as anticarcinogenic, antimutagenic, hypocholesterolemic and blood sugar reduction . Wound care has seen much progress in recent decades, especially new approaches and materials. NANOSKIN®PLUS application , which yielded extremely encouraging results and led to its recommendation as a treatment of infected wounds. There are a number of polypeptides, called growth factors, some of which act on many cell types and others on restricted cellular targets. In addition to stimulating cell proliferation, growth factors can have an effect on locomotion, contractility, cell
  • 4. differentiation and angiogenesis, additional activities that can be as important as the effects on the promotion n of growth. NANOSKIN®PLUS Advantages:                     Provides conditions favorable to the healing process, demonstrated reduction in healing time; Allows for better control of odors; Does not cause pain during application and/or removal; Significantly reduces signs of inflammation and/or infection/ colonization; Does not cause skin irratibility, supresses the formation of allergies; It is especially indicated for the treatment of chronic and difficult to heal wounds; Stimulates cell proliferation; Prevents damage to keratinocytes; Reduces the number of viable bacteria; It is a powerful antimicrobial agent that has low cytotoxicity and high tissue tolerance; Improves overall skin aging; Ensures the healing process and wound healing;; Removes damaged epidermal cells; Stimulates cell proliferation in skin; Repairs and prevents wrinkles while minimizing scarring on the skin; Revitalizes and nourishes epidermal cells and the scalp. NANOSKIN PLUS reacts as a powerful antimicrobial anti-inflammatory, antiulcer, anti-cancer and has an immunomodulatory action of phenolic compounds from green tea with the stem cells produced by applying plant cell culture techniques . The stem cells extract in the culture of green tea was used to increase the availability of blood stem cells to reverse the signs of senescence in human fibroblast cells. The technique of plants tissue culture is based on plant stem cells propagation to produce either a complete or only the plant tissue or just a single cell in culture for harvesting metabolites from the plants. The tissue culture plants can be started from almost all plant tissues. The fabric material is obtained from plant cultivation is called an explant. As a kind of reaction from the wound, new cells are formed at the cut surfaces of the explants. The cells divide slowly to form a less colorful cell mass which is called "callus" . These cells are the differentiated cells that do not possess the distinguishing features of normal plant cells. The "callus" cells are comparable to the meristematic regions stem cells. A high production of callus cells can be cultured as single cells or small groups of cells in liquid culture. Green tea is a plant that has been used for obtaining explant tissue in order to start a culture of plant cells.
  • 5.   An extract of these cells was incorporated into the Nanoskin culture; producing the 100 % natural vegetable membrane called Nanoskin PLUS. The membrane was tested in a series of studies on the efficacy of chronic wounds such as diabetic feet, pressure ulcer and trauma. The results obtained using membrane with plant stem cell show rapid healing quality at low cost. NANOSKIN®PLUS: controlling or preventing infection and optimizing the potential for healing by maintaining an ideal wound environment and managing significant overall cost savings.