Lin Z H, Wang J, Liang Z H, Pan Y C
Department of Burn and Skin Repair, Hainan General Hospital, Hainan Affiliated Hospital of Hainan Medical University, Haikou 570311, China.
Zhonghua Shao Shang Yu Chuang Mian Xiu Fu Za Zhi. 2022 Mar 20;38(3):281-286. doi: 10.3760/cma.j.cn501120-20210828-00292.
Diabetic foot wound repair is a challenging issue in clinical practice. Due to the influence of multiple factors including the damage and regeneration failure of local tissue, the impaired pathways of wound repairing through blood vessels and nerve nutrition, and disorders of a variety of cellular factors, traditional treatment methods are often difficult to achieve good therapeutic effects. Stem cells are a type of cells with potentials of multidirectional differentiation, which also possess functions such as regulating immunity and paracrine to facilitate the comprehensive wound repair, so they have promising application prospect at present for the treatment of diabetic foot wounds. Because the relevant parameters of stem cell treatment are in the exploratory phase, there were no standardized data. This paper reviews the application of stem cells in the research of diabetic foot wound treatment over the past 6 years, analyzing and summarizing the contents in focused aspects including the types and sources of stem cells, effects of donor age and gender on stem cells, mode of administration, transplantation survival rate and safety, which may provide a reference for further application of stem cells in the clinical treatment of diabetic foot wound.
糖尿病足伤口修复是临床实践中的一个具有挑战性的问题。由于多种因素的影响,包括局部组织的损伤和再生失败、伤口通过血管和神经营养进行修复的途径受损以及多种细胞因子紊乱,传统治疗方法往往难以取得良好的治疗效果。干细胞是一类具有多向分化潜能的细胞,还具有调节免疫和旁分泌等功能,以促进伤口的全面修复,因此目前在糖尿病足伤口治疗方面具有广阔的应用前景。由于干细胞治疗的相关参数尚处于探索阶段,尚无标准化数据。本文综述了过去6年干细胞在糖尿病足伤口治疗研究中的应用,分析和总结了干细胞的类型和来源、供体年龄和性别对干细胞的影响、给药方式、移植存活率和安全性等重点方面的内容,可为干细胞在糖尿病足伤口临床治疗中的进一步应用提供参考。