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Eschar proteins are the primary structural and biological components of an eschar, which is the necrotic, devitalized tissue that forms over wounds, particularly in severe burns and chronic ulcers [1, 6]. These proteins predominantly include fibrous proteins such as collagen, fibrin, and elastin, as well as other components like fibronectin and hemoglobin, which often become denatured or cross-linked within the necrotic matrix [1, 17]. In clinical practice, eschar proteins serve as the therapeutic target for enzymatic debridement agents, which aim to liquefy and remove the necrotic tissue to facilitate wound healing and prevent infection [6, 24]. Drugs such as collagenase, bromelain-derived enzymes, and various microbial proteases interact with these proteins by catalyzing their breakdown, thereby cleaning the wound bed and allowing for subsequent tissue regeneration or grafting [19, 23]. Notable safety concerns include the potential for proteolytic damage to healthy surrounding tissue and localized pain or irritation during the debridement process [16, 24].
Enzymatic proteolysis and digestion of necrotic tissue proteins to facilitate debridement and wound healing.
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