Blood Plasma, Fibrinogen or Fibrin Biomaterial for the Manufacturing of Skin Tissue-Engineered Products and Other Dermatological Treatments: A Systematic Review Sierra Sánchez, Álvaro Sanabria de la Torre, Raquel Ubago Rodríguez, Ana Dolores Quiñones Vico, María Isabel Montero Vílchez, Trinidad Sánchez Díaz, Manuel Arias Santiago, Salvador Antonio Biomaterial Blood plasma Fibrin Fibrinogen Tissue-engineered skin substitute This review has been funded by the Instituto de Salud Carlos III through the project PI17/02083 (co-funded by the European Regional Development Fund “A way to make Europe”) and by the Regional Government of Andalusia (PIGE-0242-2019). The work of Álvaro Sierra-Sánchez was supported by a predoctoral fellowship (BOE 05/01/2018) funded by Instituto de Salud Carlos III (co-funded by European Social Fund “Investing in your future”) with the dossier number FI18/00269. This study is part of his doctoral research in the Biomedicine program of the University of Granada (Spain). Supplementary Materials. The following supporting information can be downloaded at: https://www.mdpi.com/article/10.3390/jfb16030079/s1 The use of blood plasma, fibrinogen or fibrin, a natural biomaterial, has been widely studied for the development of different skin tissue-engineered products and other dermatological treatments. This systematic review reports the preclinical and clinical studies which use it alone or combined with other biomaterials and/or cells for the treatment of several dermatological conditions. Following the PRISMA 2020 Guidelines, 147 preclinical studies have revealed that the use of this biomaterial as a wound dressing or as a monolayer (one cell type) skin substitute are the preferred strategies, mainly for the treatment of excisional or surgical wounds. Moreover, blood plasma is mainly used alone although its combination with other biomaterials such as agarose, polyethylene glycol or collagen has also been reported to increase its wound healing potential. However, most of the 17 clinical reviewed evaluated its use for the treatment of severely burned patients as a wound dressing or bilayer (two cell types) skin substitute. Although the number of preclinical studies evaluating the use of blood plasma as a dermatological treatment has increased during the last fifteen years, this has not been correlated with a wide variety of clinical studies. Its safety and wound healing potential have been proved; however, the lack of a standard model and the presence of several approaches have meant that its translation to a clinical environment is still limited. A higher number of clinical studies should be carried out in the coming years to set a standard wound healing strategy for each dermatological disease. 2025-03-14T13:31:07Z 2025-03-14T13:31:07Z 2025-02-22 journal article Sierra-Sánchez, Á.; Sanabria-de la Torre, R.; Ubago- Rodríguez, A.; Quiñones-Vico, M.I.; Montero-Vílchez, T.; Sánchez-Díaz, M.; Arias-Santiago, S. Blood Plasma, Fibrinogen or Fibrin Biomaterial for the Manufacturing of Skin Tissue- Engineered Products and Other Dermatological Treatments: A Systematic Review. J. Funct. Biomater. 2025, 16, 79. https:// doi.org/10.3390/jfb16030079 https://hdl.handle.net/10481/103093 10.3390/jfb16030079 eng http://creativecommons.org/licenses/by/4.0/ open access Atribución 4.0 Internacional MDPI