Steinstraesser Lars, Koehler Till, Jacobsen Frank, Daigeler Adrien, Goertz Ole, Langer Stefan, Kesting Marco, Steinau Hans, Eriksson Elof, Hirsch Tobias
Plastic Surgery, Ruhr University Bochum, Germany.
Mol Med. 2008 Jul-Aug;14(7-8):528-37. doi: 10.2119/2008-00002.Steinstraesser.
Host defense peptides are effector molecules of the innate immune system. They show broad antimicrobial action against gram-positive and -negative bacteria, and they likely play a key role in activating and mediating the innate as well as adaptive immune response in infection and inflammation. These features make them of high interest for wound healing research. Non-healing and infected wounds are a major problem in patient care and health care spending. Increasing infection rates, growing bacterial resistance to common antibiotics, and the lack of effective therapeutic options for the treatment of problematic wounds emphasize the need for new approaches in therapy and pathophysiologic understanding. This review focuses on the current knowledge of host defense peptides affecting wound healing and infection. We discuss the current data and highlight the potential future developments in this field of research.
宿主防御肽是先天免疫系统的效应分子。它们对革兰氏阳性菌和阴性菌具有广泛的抗菌作用,并且可能在感染和炎症过程中激活和介导先天免疫及适应性免疫反应方面发挥关键作用。这些特性使得它们在伤口愈合研究中备受关注。难愈合和感染性伤口是患者护理和医疗保健支出中的一个主要问题。不断上升的感染率、细菌对常用抗生素的耐药性增加,以及缺乏针对有问题伤口的有效治疗选择,凸显了在治疗和病理生理学理解方面采用新方法的必要性。本综述聚焦于影响伤口愈合和感染的宿主防御肽的当前知识。我们讨论了当前的数据,并突出了该研究领域未来可能的发展。