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基于临床研究:基质金属蛋白酶(MMP)抑制剂促进糖尿病伤口愈合

Based on Clinical Research Matrix Metalloprotease (MMP) Inhibitors to Promote Diabetic Wound Healing.

作者信息

Yadav Jagat Pal

机构信息

Faculty of Pharmaceutical Sciences, Rama University, Kanpur, India.

出版信息

Horm Metab Res. 2023 Nov;55(11):752-757. doi: 10.1055/a-2171-5879. Epub 2023 Oct 5.

Abstract

Chronic inflammation is a common factor in obesity, diabetes mellitus, and the complications of diabetes, including diabetic wounds. These ulcers are characterized by persistent lesions that are challenging to heal, significantly decreasing patients' quality of life and imposing a substantial financial burden on society. MMP are zinc endopeptidases that play a role in wound healing in response to various stimuli, including diabetes mellitus. MMP levels fluctuate throughout the wound healing process in diabetic patients' serum, skin tissues, and wound fluid, indicating their potential as biomarkers for diabetic foot ulcers. Targeting MMP has emerged as a promising strategy for treating diabetic wounds, as these enzymes are involved in critical biological processes related to wound healing, including extracellular matrix secretion, angiogenesis, granulation tissue formation, collagen growth, re-epithelization, inflammatory response, and oxidative stress.

摘要

慢性炎症是肥胖、糖尿病及其并发症(包括糖尿病伤口)中的一个常见因素。这些溃疡的特征是持续性损伤,愈合具有挑战性,显著降低了患者的生活质量,并给社会带来了沉重的经济负担。基质金属蛋白酶(MMP)是锌内肽酶,在响应包括糖尿病在内的各种刺激的伤口愈合中发挥作用。在糖尿病患者的血清、皮肤组织和伤口液中,MMP水平在整个伤口愈合过程中波动,表明它们作为糖尿病足溃疡生物标志物的潜力。靶向MMP已成为治疗糖尿病伤口的一种有前景的策略,因为这些酶参与了与伤口愈合相关的关键生物学过程,包括细胞外基质分泌、血管生成、肉芽组织形成、胶原蛋白生长、再上皮化、炎症反应和氧化应激。

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