变革糖尿病足溃疡护理:衰老疗法途径

Revolutionizing Diabetic Foot Ulcer Care: The Senotherapeutic Approach.

作者信息

Zhang Guiqin, Samarawickrama Priyadarshani Nadeeshika, Gui Li, Ma Yuan, Cao Mei, Zhu Hong, Li Wei, Yang Honglin, Li Kecheng, Yang Yang, Zhu Enfang, Li Wen, He Yonghan

机构信息

Department of Endocrinology, the Second Affiliated Hospital of Dali University (the Third People's Hospital of Yunnan Province), Kunming, Yunnan 650011, China.

Key Laboratory of Genetic Evolution & Animal Models, Kunming Institute of Zoology, Chinese Academy of Sciences, Kunming, Yunnan 650201, China.

出版信息

Aging Dis. 2024 Apr 16;16(2):946-970. doi: 10.14336/AD.2024.0065.

Abstract

Diabetic foot ulcers (DFUs) are a prevalent and profoundly debilitating complication that afflicts individuals with diabetes mellitus (DM). These ulcers are associated with substantial morbidity, recurrence rates, disability, and mortality, imposing substantial economic, psychological, and medical burdens. Timely detection and intervention can mitigate the morbidity and disparities linked to DFU. Nevertheless, current therapeutic approaches for DFU continue to grapple with multifaceted limitations. A growing body of evidence emphasizes the crucial role of cellular senescence in the pathogenesis of chronic wounds. Interventions that try to delay cellular senescence, eliminate senescent cells (SnCs), or suppress the senescence-associated secretory phenotype (SASP) have shown promise for helping chronic wounds to heal. In this context, targeting cellular senescence emerges as a novel therapeutic strategy for DFU. In this comprehensive review, we look at the pathology and treatment of DFU in a systematic way. We also explain the growing importance of investigating SnCs in DFU and highlight the great potential of senotherapeutics that target SnCs in DFU treatment. The development of efficacious and safe senotherapeutics represents a pioneering therapeutic approach aimed at enhancing the quality of life for individuals affected by DFU.

摘要

糖尿病足溃疡(DFU)是一种常见且严重致残的并发症,折磨着糖尿病(DM)患者。这些溃疡与高发病率、复发率、残疾和死亡率相关,带来了巨大的经济、心理和医疗负担。及时检测和干预可减轻与DFU相关的发病率和差异。然而,目前DFU的治疗方法仍面临多方面的限制。越来越多的证据强调细胞衰老在慢性伤口发病机制中的关键作用。试图延缓细胞衰老、清除衰老细胞(SnC)或抑制衰老相关分泌表型(SASP)的干预措施已显示出有助于慢性伤口愈合的前景。在此背景下,针对细胞衰老成为DFU的一种新型治疗策略。在这篇全面综述中,我们系统地研究了DFU的病理学和治疗方法。我们还解释了在DFU中研究SnC的重要性日益增加,并强调了针对SnC的衰老疗法在DFU治疗中的巨大潜力。开发有效且安全的衰老疗法代表了一种开创性的治疗方法,旨在提高受DFU影响个体的生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5ab/11964433/7d576c25b1eb/AD-16-2-946-g1.jpg

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