Understanding molecular mechanism of diabetic wound healing: addressing recent advancements in therapeutic managements.

IF 1.6 Q4 ENDOCRINOLOGY & METABOLISM
Journal of Diabetes and Metabolic Disorders Pub Date : 2025-03-06 eCollection Date: 2025-06-01 DOI:10.1007/s40200-025-01588-7
Pratyush Porel, Manpreet Kaur, Vipul Sharma, Khadga Raj Aran
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Abstract

Diabetes mellitus (DM) is a common but complicated metabolic disease that causes hyperglycemia for a long time. It may cause serious health problems, such as poor wound healing. The complex biology of diabetic wound healing is reviewed here, with particular attention paid to the interactions between neuropathy, inadequate angiogenesis, metabolic dysfunctions, and chronic inflammation. Diabetes affects approximately 537 million individuals globally, and as the disease becomes more common, new treatment methods for chronic wounds are required. Reduced blood flow, sensory loss, and an insufficient inflammatory response are some of the variables that combine to cause persistent diabetes ulcers and often impede the healing process. There is major health issues associated with these ulcers, such as infections, gangrene formations, and even limb loss. Recent developments in the molecular processes of diabetic wound healing have provided important new information on the function of metabolic imbalances, the dysregulation of inflammatory pathways, and polymicrobial infections in tissue repair. This article discusses contemporary therapy strategies, which range from traditional wound care procedures to cutting-edge interventions including growth factor therapies and bioengineered skin replacements. To improve wound healing in diabetes patients, we want to provide researchers and physicians with useful information on possible intervention targets and future approaches by combining the most recent research results. Finally, a better comprehension of these intricate relationships might result in improved patient outcomes and a higher standard of living for those with diabetic wounds.

了解糖尿病伤口愈合的分子机制:解决治疗管理的最新进展。
糖尿病(DM)是一种常见而复杂的代谢性疾病,可长期引起高血糖。它可能会导致严重的健康问题,比如伤口愈合不良。本文回顾了糖尿病伤口愈合的复杂生物学,特别关注神经病变、血管生成不足、代谢功能障碍和慢性炎症之间的相互作用。糖尿病影响全球约5.37亿人,随着糖尿病变得越来越普遍,需要新的慢性伤口治疗方法。血流量减少、感觉丧失和炎症反应不足是导致持续性糖尿病溃疡并经常阻碍愈合过程的一些变量。这些溃疡会带来严重的健康问题,如感染、坏疽形成,甚至肢体丧失。糖尿病伤口愈合分子过程的最新进展为组织修复中代谢失衡、炎症通路失调和多微生物感染的功能提供了重要的新信息。本文讨论了当代的治疗策略,从传统的伤口护理程序到尖端的干预措施,包括生长因子疗法和生物工程皮肤替代物。为了改善糖尿病患者的伤口愈合,我们希望通过结合最新的研究结果,为研究人员和医生提供有关可能的干预目标和未来方法的有用信息。最后,更好地理解这些复杂的关系可能会改善患者的预后,并提高糖尿病伤口患者的生活水平。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Diabetes and Metabolic Disorders
Journal of Diabetes and Metabolic Disorders Medicine-Internal Medicine
CiteScore
4.80
自引率
3.60%
发文量
210
期刊介绍: Journal of Diabetes & Metabolic Disorders is a peer reviewed journal which publishes original clinical and translational articles and reviews in the field of endocrinology and provides a forum of debate of the highest quality on these issues. Topics of interest include, but are not limited to, diabetes, lipid disorders, metabolic disorders, osteoporosis, interdisciplinary practices in endocrinology, cardiovascular and metabolic risk, aging research, obesity, traditional medicine, pychosomatic research, behavioral medicine, ethics and evidence-based practices.As of Jan 2018 the journal is published by Springer as a hybrid journal with no article processing charges. All articles published before 2018 are available free of charge on springerlink.Unofficial 2017 2-year Impact Factor: 1.816.
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