Wound healing and stress

C. G. Engeland, P. T. Marucha

Research output: Chapter in Book/Report/Conference proceedingChapter

9 Scopus citations


In both animals and humans it is well accepted that chronic stress delays dermal wound healing. This occurs through activation of both the HPA and SNS pathways. It is mediated by the release of cortisol and norepinephrine into the periphery. Through these pathways stress dysregulates the early wound repair process, prolonging the inflammatory phase of healing. A prolonged inflammatory phase results in higher bacterial counts and an increased incidence of infection, which in itself delays wound closure and worsens healing outcomes (e.g., scarring). Negative effects on wound healing caused by other factors (e.g., aging, diabetes) are exacerbated by stress.

Original languageEnglish (US)
Title of host publicationNeuroimmunology of the Skin
Subtitle of host publicationBasic Science to Clinical Practice
PublisherSpringer Berlin Heidelberg
Number of pages15
ISBN (Print)9783540359869
StatePublished - 2009

All Science Journal Classification (ASJC) codes

  • General Medicine


Dive into the research topics of 'Wound healing and stress'. Together they form a unique fingerprint.

Cite this