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皮肤伤口的激素干预 - 小型综述。

Hormonal interventions in skin wounds - a mini review.

机构信息

College of Bioengineering, Chongqing University, Chongqing, 400044, China.

Chongqing Yi-Cheng Biotechnology Co., LTD, Chongqing, 400004, China.

出版信息

Mol Med. 2024 Nov 14;30(1):217. doi: 10.1186/s10020-024-00978-6.

DOI:10.1186/s10020-024-00978-6
Abstract

The ability to heal from wounds is perhaps the most important biological function that ensures our survival and perpetuation. Cutaneous wound healing typically consists of four characteristic stages, namely hemostasis, inflammation, proliferation, and remodeling, which are carefully carried out by coordinated actions of various cells, cytokines, and hormones. Incoordination of these steps may impede complete and efficient reconstruction and functional recovery of wounds or even lead to worsened outcomes. Hormones, as powerful modulators of organ functions, participate in multiple steps of the wound healing process and play a pivotal role by choreographing the complex interplay of cellular and molecular events. Leveraging the regulatory effects of hormones to enhance the healing process, hormonal therapy has emerged as a promising approach in the clinical treatment of wounds. Current research has focused on determination of the optimal dosages, delivery methods, and combinations of hormonal therapies to maximize their therapeutic benefits while minimizing potential side effects. This review highlights the molecular mechanisms, clinical benefits and side effects of the most commonly used hormones in clinical treatment of wounds.

摘要

从伤口中愈合的能力也许是确保我们生存和延续的最重要的生物学功能。皮肤伤口愈合通常包括四个特征性阶段,即止血、炎症、增殖和重塑,这些阶段由各种细胞、细胞因子和激素的协调作用来仔细完成。这些步骤的不协调可能会阻碍伤口的完全和有效重建以及功能恢复,甚至导致结果恶化。激素作为器官功能的强大调节剂,参与伤口愈合过程的多个步骤,并通过协调细胞和分子事件的复杂相互作用发挥关键作用。利用激素的调节作用来增强愈合过程,激素治疗已成为治疗伤口的一种有前途的方法。目前的研究集中在确定激素治疗的最佳剂量、给药方法和组合,以最大限度地提高其治疗益处,同时最小化潜在的副作用。本综述强调了在临床治疗伤口中最常用的激素的分子机制、临床益处和副作用。

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本文引用的文献

1
The Role of Fibroblasts in Skin Homeostasis and Repair.成纤维细胞在皮肤稳态与修复中的作用
Biomedicines. 2024 Jul 17;12(7):1586. doi: 10.3390/biomedicines12071586.
2
OxInflammatory Responses in the Wound Healing Process: A Systematic Review.伤口愈合过程中的氧化应激炎症反应:一项系统综述。
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Recombinant human growth hormone promotes wound angiogenesis in burned mice through the ERK signaling pathway.重组人生长激素通过ERK信号通路促进烧伤小鼠伤口血管生成。
Cell Mol Biol (Noisy-le-grand). 2024 May 27;70(5):243-247. doi: 10.14715/cmb/2024.70.5.36.
4
Administration and effects of beta blockers and oxandrolone in severely burned adults: a analysis of the RE-ENERGIZE trial.β受体阻滞剂和氧雄龙在重度烧伤成人中的应用及效果:RE-ENERGIZE试验分析
Burns Trauma. 2024 Apr 21;12:tkad063. doi: 10.1093/burnst/tkad063. eCollection 2024.
5
Sexual dimorphism in skin immunity is mediated by an androgen-ILC2-dendritic cell axis.皮肤免疫中的性别二态性是由雄激素-ILC2-树突状细胞轴介导的。
Science. 2024 Apr 12;384(6692):eadk6200. doi: 10.1126/science.adk6200.
6
Assessment of the Significance and Clinical Implications of Stress Hormones in Acute Pressure Injuries Among Trauma Patients.创伤患者急性压力性损伤中应激激素的意义及临床影响评估
Altern Ther Health Med. 2025 Jan;31(1):128-133.
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Cellular and molecular mechanisms of skin wound healing.皮肤创伤愈合的细胞和分子机制。
Nat Rev Mol Cell Biol. 2024 Aug;25(8):599-616. doi: 10.1038/s41580-024-00715-1. Epub 2024 Mar 25.
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[Application effect of a dual release system of androgen and its antagonist in the repair of full-thickness burn wounds in mice].雄激素及其拮抗剂双重释放系统在小鼠全层烧伤创面修复中的应用效果
Zhonghua Shao Shang Yu Chuang Mian Xiu Fu Za Zhi. 2024 Feb 20;40(2):180-189. doi: 10.3760/cma.j.cn501225-20230802-00033.
9
Glucocorticoids regulate thrombopoiesis by remodeling the megakaryocyte transcriptome.糖皮质激素通过重塑巨核细胞转录组来调节血小板生成。
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10
Subvacuum environment-enhanced cell migration promotes wound healing without increasing hypertrophic scars caused by excessive cell proliferation.亚真空环境增强细胞迁移促进伤口愈合,而不会因过度细胞增殖导致增生性瘢痕。
Cell Prolif. 2023 Nov;56(11):e13493. doi: 10.1111/cpr.13493. Epub 2023 May 1.