RT Journal Article T1 Advances in spray products for skin regeneration. A1 Pleguezuelos-Beltran, Paula A1 Galvez-Martin, Patricia A1 Nieto-Garcia, Daniel A1 Marchal, Juan Antonio A1 Lopez-Ruiz, Elena K1 ATMP, advanced therapy medicinal product K1 BLA, Biologic License Application K1 CAT, Committee for Advances Therapies K1 CEA, cultured epithelial autograft K1 CFR, Code of Federal Regulations K1 CHMP, Committee for Medicinal Product for Human Use K1 CTD, Common Technical Document K1 DMEM, Dulbecco's Modified Eagle's medium K1 ECM, extracellular matrix K1 EMA, European Medicines Agency K1 EU, European Union K1 FDA, Food and Drug Administration K1 Fibrin K1 GAGs, glycosaminoglycans K1 GLP, Good Laboratory Practice K1 GMP, Good Manufacturing Practice K1 HA, hyaluronic acid K1 HCT/Ps, human cells, tissues, and cellular and tissue-based products K1 Hydrogel K1 ISO, International Organization for Standardization K1 MA, marketing authorization K1 NP, Notified body K1 OTAT, Office of Tissues and Advanced Therapies K1 PCL, polycaprolactone K1 PEG, polyethylene glycol K1 PHSA, Public Health Service Act K1 PMA, Premarket Approval K1 PRF, platelet rich fibrin K1 PRP, platelet rich plasma K1 PU, polyurethane K1 QMS, Quality Management System K1 Skin K1 Spray K1 TE, tissue engineering K1 Tissue engineering K1 USA, United States of America AB To date, skin wounds are still an issue for healthcare professionals. Although numerous approaches have been developed over the years for skin regeneration, recent advances in regenerative medicine offer very promising strategies for the fabrication of artificial skin substitutes, including 3D bioprinting, electrospinning or spraying, among others. In particular, skin sprays are an innovative technique still under clinical evaluation that show great potential for the delivery of cells and hydrogels to treat acute and chronic wounds. Skin sprays present significant advantages compared to conventional treatments for wound healing, such as the facility of application, the possibility to treat large wound areas, or the homogeneous distribution of the sprayed material. In this article, we review the latest advances in this technology, giving a detailed description of investigational and currently commercially available acellular and cellular skin spray products, used for a variety of diseases and applying different experimental materials. Moreover, as skin sprays products are subjected to different classifications, we also explain the regulatory pathways for their commercialization and include the main clinical trials for different skin diseases and their treatment conditions. Finally, we argue and suggest possible future trends for the biotechnology of skin sprays for a better use in clinical dermatology. PB KeAi Publishing Communications Ltd YR 2022 FD 2022-02-18 LK http://hdl.handle.net/10668/22032 UL http://hdl.handle.net/10668/22032 LA en NO Pleguezuelos-Beltrán P, Gálvez-Martín P, Nieto-García D, Marchal JA, López-Ruiz E. Advances in spray products for skin regeneration. Bioact Mater. 2022 Mar 8;16:187-203. DS RISalud RD Apr 6, 2025