Key Laboratory of Medical Electrophysiology, Ministry of Education, Drug Discovery Research Center, Southwest Medical University, Luzhou, China.
Laboratory for Cardiovascular Pharmacology, Department of Pharmacology, School of Pharmacy, Southwest Medical University, Luzhou, Sichuan, China.
Theranostics. 2023 Jun 26;13(11):3655-3674. doi: 10.7150/thno.85823. eCollection 2023.
Diabetes is a group of chronic diseases with blood glucose imbalance, and long-term hyperglycaemia causes sustained damage to various organs of the body, resulting in vascular lesions, neuropathy and impaired wound healing. Diabetic wound formation involves a variety of complex mechanisms, and they are characterized by a persistent chronic inflammatory response, degradation of angiogenesis and imbalance of extracellular matrix regulation, all of which are related to oxidative stress. Additionally, repair and healing of diabetic wounds require the participation of a variety of cells, cytokines, genes, and other factors, which together constitute a complex biological regulatory network. Recent studies have shown that long noncoding RNAs (lncRNAs) can be involved in the regulation of several key biological pathways and cellular functions demonstrating their critical role in diabetic wound healing. LncRNAs are a major family of RNAs with limited or no protein-coding function. Numerous studies have recently reported a strong link between oxidative stress and lncRNAs. Given that both lncRNAs and oxidative stress have been identified as potential drivers of diabetic wound healing, their link in diabetic wound healing can be inferred. However, the specific mechanism of oxidative stress related to lncRNAs in diabetic wound healing is still unclear, and elucidating the functions of lncRNAs in these processes remains a major challenge. This article reviews the mechanisms of lncRNAs related to oxidative stress in several stages of diabetic wound healing and discusses diagnostic and treatment potential of lncRNAs to treat diabetic wounds by improving oxidative stress, as well as the challenges of using lncRNAs for this purpose. It is hoped that these results will provide new targets and strategies for the diagnosis and treatment of impaired wound healing in diabetic patients.
糖尿病是一组以血糖失衡为特征的慢性疾病,长期高血糖会导致身体各个器官持续受损,从而导致血管损伤、神经病变和伤口愈合受损。糖尿病创面的形成涉及多种复杂机制,其特征为持续的慢性炎症反应、血管生成的降解和细胞外基质调节失衡,所有这些都与氧化应激有关。此外,糖尿病创面的修复和愈合需要多种细胞、细胞因子、基因等因素的参与,这些因素共同构成了一个复杂的生物调控网络。最近的研究表明,长链非编码 RNA(lncRNA)可以参与几个关键的生物途径和细胞功能的调节,表明它们在糖尿病创面愈合中起着关键作用。lncRNA 是一类具有有限或无蛋白编码功能的主要 RNA 家族。最近有大量研究报道氧化应激与 lncRNA 之间存在很强的联系。鉴于 lncRNA 和氧化应激都被认为是糖尿病创面愈合的潜在驱动因素,可以推断它们在糖尿病创面愈合中的联系。然而,lncRNA 与氧化应激在糖尿病创面愈合中的具体机制尚不清楚,阐明 lncRNA 在这些过程中的功能仍然是一个主要挑战。本文综述了 lncRNA 与氧化应激在糖尿病创面愈合的几个阶段的相关机制,并讨论了通过改善氧化应激来治疗糖尿病创面的 lncRNA 的诊断和治疗潜力,以及使用 lncRNA 治疗糖尿病创面的挑战。希望这些结果能为糖尿病患者受损创面愈合的诊断和治疗提供新的靶点和策略。