首页|糖尿病足溃疡的治疗与相关信号通路的研究进展

糖尿病足溃疡的治疗与相关信号通路的研究进展

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糖尿病足溃疡(DFU)是糖尿病最具威胁性的慢性并发症之一,严重损害了患者的生活质量及生命健康,是临床工作中亟待解决的重要问题.伤口愈合包括四个阶段的动态过程:止血、炎症、增殖和重塑,而在DFU的情况下,所有这些过程都受到干扰,导致愈合延迟,甚至下肢截肢.以往的研究主要在糖尿病周边动脉阻塞性疾病、神经病变和伤口感染三方面.而近年来,与糖尿病足溃疡创面愈合机制相关的信号通路已成为研究热点,目前已有研究显示部分药物或治疗方法通过不同的信号通路在伤口愈合中发挥作用.由于DFU治疗失败的发生率较高,且DFU的潜在分子机制仍不完全清楚,因此仍迫切需要去寻求治疗DFU的有效方法.该文主要针对DFU治疗相关的不同信号通路进行综述,包括PI3K/Akt通路、NF-κB通路、Nrf2 通路以及其他相关信号通路,分别从炎症、增殖、免疫等方面进行介绍,从而阐明这些通路在糖尿病伤口愈合机制中的重要性,同时为糖尿病足溃疡创面的治疗提供新思路.
Research progress on the treatment of diabetic foot ulcer and related signal pathway
Diabetic foot ulcer(DFU)is one of the most threatening chronic complications of diabetes,which seriously damages the quality of life and health of patients,and is an important problem to be solved in clinical work.Wound healing consists of four dy-namic processes:hemostasis,inflammation,proliferation,and remodeling,all of which are disrupted in the case of DFU,leading to delayed healing and even lower limb amputation.Previous studies mainly focused on diabetes peripheral arterial occlusive disease,neu-ropathy and wound infection.In recent years,the signal pathways related to the wound healing mechanism of diabetes foot ulcers has become a research hotspot.At present,some studies have shown that some drugs or treatment methods play a role in wound healing through different signal pathways.Due to the high incidence of treatment failure in DFU and the incomplete understanding of its poten-tial molecular mechanisms,there is still an urgent need to seek effective methods to treat DFU.This article mainly reviews different signaling pathways related to DFU treatment,including PI3K/Akt pathway,NF-κB pathway,Nrf2 pathway and other related signaling pathways,and they are introduced from the aspects of inflammation,proliferation,immunity,etc,so as to clarify the importance of these pathways in the mechanism of diabetic wound healing and provide new ideas for the treatment of diabetic foot ulcers.

diabetic foot ulcer(DFU)signal pathwaywound healinginflammation

余明珠、周昕睿、李亚

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西安医学院第一附属医院内分泌科,陕西西安 710077

西安医学院研工部,陕西西安 710068

糖尿病足溃疡 信号通路 伤口愈合 炎症

陕西省重点研发计划

2022SF-162

2024

右江医学
右江民族医学院附属医院

右江医学

影响因子:0.779
ISSN:1003-1383
年,卷(期):2024.52(3)
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