AUTHOR=Budhiraja Anuj , Mehta Alisha , Ghebrehiwet-Kuflom Johanna , Patel Janmesh D. , How-Volkman Christiane , Ali Lara , Dahle Sara , Isseroff Roslyn Rivkah 

TITLE=Serotonin-modulating therapies for the management of chronic wounds

JOURNAL=Frontiers in Pharmacology

VOLUME=Volume 16 - 2025

YEAR=2025

URL=https://www.frontiersin.org/journals/pharmacology/articles/10.3389/fphar.2025.1656302

DOI=10.3389/fphar.2025.1656302

ISSN=1663-9812

ABSTRACT=IntroductionChronic wounds are a significant source of patient morbidity, and ineffective treatment can lead to complications that are difficult and costly to manage. Given the limitations of current therapies, repurposing medications with well-studied safety and accessibility profiles offers a promising strategy for advancing wound care.MethodsA comprehensive review of the existing literature was conducted to evaluate the role of serotonin-modulating pharmacotherapy in wound healing.ResultsSerotonergic signaling plays a multifaceted role in wound healing and evidence increasingly supports serotonin-modulating pharmacotherapy as having favorable angio-regulatory, immunomodulatory, and antimicrobial wound healing effects. Preclinical and clinical studies have demonstrated that topical administration of serotonin-modulating pharmacotherapy may improve wound healing outcomes.Discussionfindings of this study provide support for the use of serotonin-modulating pharmacotherapy, with a special focus on topical application, as an adjunctive treatment for chronic, non-healing wounds and highlight the need for further translational clinical investigation.