Kupczyk Daria, Bilski Rafał, Studziñska Renata, Woźniak Alina
Department of Medical Biology and Biochemistry Ludwik Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Poland.
Department of Organic Chemistry Ludwik Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Poland.
Postepy Dermatol Alergol. 2022 Feb;39(1):59-65. doi: 10.5114/ada.2020.100737. Epub 2020 Nov 13.
INTRODUCTION: Impaired chronic wound healing is a great challenge for modern medicine. This process causes ulceration especially in the course of diseases such as type II diabetes mellitus. AIM: This study assesses the concentration of selected matrix metalloproteinases in the example of metalloproteinase 2, 3, 9, 13 in patients with impaired healing of chronic wounds as a complication of type 2 diabetes. MATERIAL AND METHODS: Nineteen people took part in the assessment of wound healing in patients with type 2 diabetes. The control group consisted of 21 healthy people. In the blood serum the concentration of MMP-2, MMP-3, MMP-9 and MMP-13 was determined. RESULTS: The concentrations of MMP-2 and MMP-3 in the group of patients with ulcers were significantly higher (61% and 84% accordingly) compared to those in the control group without chronic wounds. No statistically significant differences in MMP-9 and MMP-13 concentrations were observed between the study and control groups. CONCLUSIONS: The increase in MMP-2 concentration, which is particularly active in the degradation of type IV collagen, which is the main component of the basal membranes, in patients with type 2 diabetes may impede and delay the healing of chronic wounds and thus contribute to the intensification of vascular complications. In turn, the increase in MMP-3 concentration, which plays a significant role in vascular diseases, in patients with type 2 diabetes may lead to intensification of atherosclerotic changes involving the arteries of the lower extremities and ulceration.
引言:慢性伤口愈合受损是现代医学面临的巨大挑战。这一过程会导致溃疡,尤其是在II型糖尿病等疾病过程中。 目的:本研究以金属蛋白酶2、3、9、13为例,评估2型糖尿病并发症慢性伤口愈合受损患者中所选基质金属蛋白酶的浓度。 材料与方法:19人参与了2型糖尿病患者伤口愈合情况的评估。对照组由21名健康人组成。测定血清中MMP - 2、MMP - 3、MMP - 9和MMP - 13的浓度。 结果:溃疡患者组中MMP - 2和MMP - 3的浓度显著高于无慢性伤口的对照组(分别为61%和84%)。研究组与对照组在MMP - 9和MMP - 13浓度上未观察到统计学显著差异。 结论:2型糖尿病患者中MMP - 2浓度升高,MMP - 2在基底膜主要成分IV型胶原的降解中特别活跃,可能会阻碍和延迟慢性伤口的愈合,从而导致血管并发症加剧。而2型糖尿病患者中MMP - 3浓度升高,MMP - 3在血管疾病中起重要作用,可能会导致涉及下肢动脉的动脉粥样硬化改变加剧和溃疡形成。
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