利用重组人表皮生长因子加速复杂溃疡愈合的有效方法(病灶内应用):综述

IF 4.7 2区 医学 Q1 CHEMISTRY, MEDICINAL
Drug Design, Development and Therapy Pub Date : 2025-07-01 eCollection Date: 2025-01-01 DOI:10.2147/DDDT.S517489
Maria Teresa Cacua Sánchez, Carlos Alberto Carillo Bravo
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引用次数: 0

摘要

下肢慢性和复杂溃疡是一种常见的、持续的、临床显著的并发症,特别是在糖尿病、周围血管疾病和其他皮肤病患者中。这些病变的特点是愈合受损,复发率高,感染、截肢和功能下降的风险很大,因此给患者和医疗保健系统带来了相当大的负担。为了应对这一尚未解决的临床需求,重组人表皮生长因子(rhEGF)已成为一种创新而有效的治疗策略。通过刺激细胞增殖、血管生成和组织再生,rhEGF重新激活在此类病变中通常受损的基本生物过程,从而促进加速和功能性伤口愈合。此外,它的抗炎和抗氧化特性有助于减少相关并发症,如感染。近年来积累的科学证据加强了对其临床应用的支持,包括对照试验、回顾性分析和系统评价在内的多项研究表明,在不同的临床环境中结果一致。在实践中,rhEGF已被确立为一种安全有效的治疗工具,有可能改变慢性和复杂溃疡的传统治疗方式,改善临床结果,提高患者的生活质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
"An Effective Solution to Accelerate the Healing of Complex Ulcers Using Recombinant Human Epidermal Growth Factor (Intralesional Application): A Review".

Chronic and complex ulcers of the lower limbs constitute a common, persistent, and clinically significant complication, particularly in patients with diabetes, peripheral vascular disease, and other dermatological conditions. These lesions are characterized by impaired healing, high recurrence rates, and a substantial risk of infection, amputation, and functional decline, thereby posing a considerable burden on both patients and healthcare systems. In response to this unresolved clinical need, recombinant human epidermal growth factor (rhEGF) has emerged as an innovative and effective therapeutic strategy. By stimulating cell proliferation, angiogenesis, and tissue regeneration, rhEGF reactivates essential biological processes that are typically impaired in such lesions, thereby promoting accelerated and functional wound healing. Additionally, its anti-inflammatory and antioxidant properties contribute to reducing associated complications, such as infection. Accumulated scientific evidence over recent years has strengthened the support for its clinical use, with multiple studies-including controlled trials, retrospective analyses, and systematic reviews-demonstrating consistent outcomes across various clinical settings. In practice, rhEGF has been established as a safe and effective therapeutic tool with the potential to transform the conventional management of chronic and complex ulcers, improving clinical outcomes and enhancing patients' quality of life.

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来源期刊
Drug Design, Development and Therapy
Drug Design, Development and Therapy CHEMISTRY, MEDICINAL-PHARMACOLOGY & PHARMACY
CiteScore
9.00
自引率
0.00%
发文量
382
审稿时长
>12 weeks
期刊介绍: Drug Design, Development and Therapy is an international, peer-reviewed, open access journal that spans the spectrum of drug design, discovery and development through to clinical applications. The journal is characterized by the rapid reporting of high-quality original research, reviews, expert opinions, commentary and clinical studies in all therapeutic areas. Specific topics covered by the journal include: Drug target identification and validation Phenotypic screening and target deconvolution Biochemical analyses of drug targets and their pathways New methods or relevant applications in molecular/drug design and computer-aided drug discovery* Design, synthesis, and biological evaluation of novel biologically active compounds (including diagnostics or chemical probes) Structural or molecular biological studies elucidating molecular recognition processes Fragment-based drug discovery Pharmaceutical/red biotechnology Isolation, structural characterization, (bio)synthesis, bioengineering and pharmacological evaluation of natural products** Distribution, pharmacokinetics and metabolic transformations of drugs or biologically active compounds in drug development Drug delivery and formulation (design and characterization of dosage forms, release mechanisms and in vivo testing) Preclinical development studies Translational animal models Mechanisms of action and signalling pathways Toxicology Gene therapy, cell therapy and immunotherapy Personalized medicine and pharmacogenomics Clinical drug evaluation Patient safety and sustained use of medicines.
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