干细胞在治疗糖尿病足溃疡中的作用。
The role of stem cells in the treatment of diabetic foot ulcers.
机构信息
New York University School of Medicine, Department of Surgery, Division of Wound Healing & Regenerative Medicine, New York, NY 10016, United States.
出版信息
Diabetes Res Clin Pract. 2012 Apr;96(1):1-9. doi: 10.1016/j.diabres.2011.10.032. Epub 2011 Dec 3.
Diabetic foot ulcers (DFUs) are a significant and rapidly growing complication of diabetes and its effects on wound healing. Over half of diabetic patients who develop a single ulcer will subsequently develop another ulcer of which the majority will become chronic non-healing ulcers. One-third will progress to lower extremity amputation. Over the past decade, the outcomes for patients with DFUs ulcers have not improved, despite advances in wound care. Successful treatment of diabetic foot ulcers is hindered by the lack of targeted therapy that hones in on the healing processes dysregulated by diabetes. Stem cells are a promising treatment for DFUs as they are capable of targeting, as well as bypassing, the underlying abnormal healing mechanisms and deranged cell signaling in diabetic wounds and promote healing. This review will focus on existing stem cell technologies and their application in the treatment of DFUs.
糖尿病足溃疡(DFUs)是糖尿病及其对伤口愈合影响的一个严重且迅速增长的并发症。超过一半的发生单个溃疡的糖尿病患者随后会发生另一个溃疡,其中大多数将成为慢性不愈合的溃疡。三分之一的患者会进展为下肢截肢。尽管在伤口护理方面取得了进展,但过去十年中,DFUs 溃疡患者的预后并未改善。由于缺乏针对糖尿病失调愈合过程的靶向治疗,糖尿病足溃疡的成功治疗受到阻碍。干细胞是治疗 DFUs 的一种有前途的方法,因为它们能够针对糖尿病伤口中异常的愈合机制和细胞信号传导,并绕过这些机制和信号传导,从而促进愈合。本文将重点介绍现有的干细胞技术及其在 DFUs 治疗中的应用。