Polytechnic University of Madrid, Spain.
Radiological Clinic, Rheinische Friedrich-Wilhelms-Universität Bonn, Bonn, Germany; Breast Cancer Research Centre, Rheinische Friedrich-Wilhelms-Universität Bonn, Bonn, Germany; Centre for Integrated Oncology, Cologne-Bonn, Rheinische Friedrich-Wilhelms-Universität Bonn, Bonn, Germany.
J Proteomics. 2018 Sep 30;188:71-84. doi: 10.1016/j.jprot.2017.07.017. Epub 2017 Jul 28.
Wound healing is a highly complex life-important repair process triggered by plenty of local and/or systemic organ and tissue damaging events, such as an acute surgical invasion, accidental organ and tissue damages, acute and chronic diseases, aggressive local and systemic therapeutic approaches (e.g. irradiation and systemic chemotherapy). Individual health condition determines over the quality of wound healing. Impaired wound healing, in turn, may lead, for example, to post-surgical complications frequently observed in elderly, chronic ulcers in diabetic patients, hindered and ineffective pain management, etc. However, these well-acknowledged examples are just the tip of the iceberg. The entire spectrum of potential consequences is much broader. Therefore, all the aspects of wound healing need to receive a dedicated attention of many specialised medical fields and healthcare as a whole. In contrast, there is still strongly limited knowledge collected regarding the molecular and cellular mechanisms underlying the physiological versus impaired wound healing. The contents of this article might be of great importance for multi-professional considerations as well as for the experts working in specific fields such as clinical proteomics, general practice, laboratory medicine, surgery including plastic surgery and aesthetic medicine, gerontology, psychology, diabetology, endocrinology, oncology, cardiovascular disease, radiology, and healthcare economy.
The contents of this article are strongly motivated by the particular value of wound healing quality for medical care and might be of great importance for multi-professional considerations and experts working in specialised fields: predictive and preventive medicine, general practitioners, laboratory medicine, surgery including plastic surgery and aesthetic medicine, gerontology, psychology, diabetology, endocrinology, oncology, cardiovascular disease, radiology, and healthcare economy. The article is aiming at both educational and scientific purposes: on one side it summarises comprehensive information available regarding wound healing mechanisms and molecular pathways involved. On the other side the article provides highly innovative hypotheses for multi-professional considerations relevant for several research fields which may potentially advance medical services in the close future such as clinical proteomics and multi-omics.
伤口愈合是一个高度复杂的生命修复过程,由大量的局部和/或全身器官和组织损伤事件引发,如急性外科入侵、意外的器官和组织损伤、急性和慢性疾病、侵袭性局部和全身治疗方法(如放疗和全身化疗)。个体健康状况决定了伤口愈合的质量。伤口愈合受损反过来可能导致,例如,在老年人中经常观察到的手术后并发症、糖尿病患者的慢性溃疡、疼痛管理受阻和无效等。然而,这些众所周知的例子只是冰山一角。潜在后果的整个范围要广泛得多。因此,伤口愈合的所有方面都需要得到许多专业医学领域和整个医疗保健系统的专门关注。相比之下,对于生理与受损伤口愈合的分子和细胞机制,我们的了解仍然非常有限。本文的内容对于多专业的考虑以及在临床蛋白质组学、全科医学、实验室医学、包括整形和美容医学在内的外科手术、老年医学、心理学、糖尿病学、内分泌学、肿瘤学、心血管疾病、放射学和医疗保健经济学等特定领域工作的专家都具有重要意义。
本文内容强烈受到伤口愈合质量对医疗保健的特殊价值的驱动,对于多专业的考虑以及在专门领域工作的专家(预测和预防医学、全科医生、实验室医学、包括整形和美容医学在内的外科手术、老年医学、心理学、糖尿病学、内分泌学、肿瘤学、心血管疾病、放射学和医疗保健经济学)具有重要意义。本文旨在达到教育和科学的双重目的:一方面,它总结了有关伤口愈合机制和涉及的分子途径的综合信息。另一方面,本文为多专业考虑提供了高度创新的假说,这些假说与几个研究领域相关,可能会在不久的将来促进医疗服务的发展,如临床蛋白质组学和多组学。