Inflammatory and Angiogenic Abnormalities in Diabetic Wound Healing: Role of Neuropeptides and Therapeutic Perspectives

A. Tellechea, E. Leal, A. Veves, E. Carvalho
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引用次数: 43

Abstract

Diabetic foot ulceration (DFU) is one of the most costly and debilitating complications of diabetes and is the leading cause of non-traumatic amputations, affecting 15% of the diabetic population. Impaired wound healing in diabetic patients without large-vessel disease has been attributed to microvascular dysfunction, neuropathy, and abnormal cellular and inflammatory responses. These abnormalities have been examined mainly in animal models although a few studies have been undertaken in diabetic patients. This review provides an overview of the inflammatory and vascular abnormali- ties in DFU and emphasises the role of angiogenic growth factors, endothelial progenitor cells (EPCs), and neuropeptides as mediators of wound healing and potential therapeutic agents for these chronic, non-healing ulcers.
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糖尿病伤口愈合中的炎症和血管生成异常:神经肽的作用和治疗前景
糖尿病足溃疡(DFU)是糖尿病最昂贵和最令人衰弱的并发症之一,是导致非创伤性截肢的主要原因,影响了15%的糖尿病患者。无大血管病变的糖尿病患者伤口愈合受损可归因于微血管功能障碍、神经病变以及异常的细胞和炎症反应。这些异常主要在动物模型中进行了检查,尽管在糖尿病患者中进行了一些研究。本文综述了DFU的炎症和血管异常,并强调了血管生成生长因子、内皮祖细胞(EPCs)和神经肽作为伤口愈合介质的作用,以及这些慢性、非愈合性溃疡的潜在治疗剂。
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