Jin J, Ma B, Xia Z F
Department of Burn Surgery, Institute of Burns, Changhai Hospital, the Second Military Medical University, Shanghai 200433, China.
Zhonghua Shao Shang Za Zhi. 2017 Mar 20;33(3):152-155. doi: 10.3760/cma.j.issn.1009-2587.2017.03.005.
Scar is the natural end of wound healing, but pathologic scar will form with the excessive hyperplasia. The problems which thus come not only include the physiological and psychological disorders caused by the change of appearance or dysfunction, but also include the economic burden for both families of the patients and society induced by the requirement of plastic or functional reconstruction. The formation of pathologic scars is affected by many factors involved in the process of wound healing, such as excessive inflammation, abnormal tissue repair, and lingering repair termination, which involve a lot of signaling pathways. Current studies show that these signaling pathways are potential sites for the prevention and treatment of pathologic scar. These signaling pathways are reviewed from the aspects of inflammation-related signaling pathways, tissue repair-related signaling pathways, and repair-termination-related signaling pathways.
瘢痕是伤口愈合的自然结局,但病理性瘢痕会因过度增生而形成。由此产生的问题不仅包括外观改变或功能障碍所导致的生理和心理紊乱,还包括患者家庭和社会因整形或功能重建需求而产生的经济负担。病理性瘢痕的形成受伤口愈合过程中许多因素的影响,如过度炎症、异常组织修复和修复终止延迟,这涉及许多信号通路。目前的研究表明,这些信号通路是病理性瘢痕防治的潜在靶点。本文从炎症相关信号通路、组织修复相关信号通路和修复终止相关信号通路等方面对这些信号通路进行综述。