糖尿病足的生物标志物。

IF 0.7
Clinics in podiatric medicine and surgery Pub Date : 2026-04-01 Epub Date: 2026-01-14 DOI:10.1016/j.cpm.2025.12.007
Hojin Lee, Alexandra Brown, Garneisha M Torrence, Gary M Rothenberg, Christopher Girgis, Noreen Anwar, Crystal M Holmes, Brian M Schmidt
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引用次数: 0

摘要

糖尿病影响全球近6亿成年人,并经常导致并发症,如糖尿病足溃疡(DFU),由神经病变、缺血、感染和伤口愈合受损引起。生物标志物已成为改善早期诊断、风险分层和管理的重要工具。炎症标志物如CRP、IL-6和TNF-α,以及氧化应激指标如MDA和8-OHdG,在未愈合的伤口中突出慢性炎症和细胞损伤。创面面积趋势和代谢指标(包括HbA1c、空腹血糖和CGM指标)进一步指导预后。整合这些生物标志物可以实现个性化干预,降低dfu相关的发病率和截肢风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Biomarkers in Diabetic Foot.

Diabetes mellitus affects nearly 600 million adults worldwide and frequently leads to complications such as diabetic foot ulcers (DFU), driven by neuropathy, ischemia, infection, and impaired wound healing. Biomarkers have emerged as essential tools to improve early diagnosis, risk stratification, and management. Inflammatory markers like CRP, IL-6, and TNF-α, along with oxidative stress indicators such as MDA and 8-OHdG, highlight chronic inflammation and cellular damage in nonhealing wounds. Wound surface area trends and metabolic markers-including HbA1c, fasting glucose, and CGM metrics-further guide prognosis.Integrating these biomarkers may enable personalized interventions and reduce DFU-related morbidity and amputation risk.

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