Dermatology and Venereology Division, Department of Medicine (Solna), Karolinska Institutet, Stockholm, Sweden.
Dermato-Venereology Clinic, Karolinska University Hospital, Stockholm, Sweden.
Commun Biol. 2024 Nov 19;7(1):1534. doi: 10.1038/s42003-024-07219-w.
Wound healing is a highly coordinated spatiotemporal sequence of events involving several cell types and tissues. The process of wound healing requires strict regulation, and its disruption can lead to the formation of chronic wounds, which can have a significant impact on an individual's health as well as on worldwide healthcare expenditure. One essential aspect within the cellular and molecular regulation of wound healing pathogenesis is that of reactive oxygen species (ROS) and oxidative stress. Wounding significantly elevates levels of ROS, and an array of various reactive species are involved in modulating the wound healing process, such as through antimicrobial activities and signal transduction. However, as in many pathologies, ROS play an antagonistic pleiotropic role in wound healing, and can be a pathogenic factor in the formation of chronic wounds. Whilst advances in targeting ROS and oxidative stress have led to the development of novel pre-clinical therapeutic methods, due to the complex nature of ROS in wound healing, gaps in knowledge remain concerning the specific cellular and molecular functions of ROS in wound healing. In this review, we highlight current knowledge of these functions, and discuss the potential future direction of new studies, and how these pathways may be targeted in future pre-clinical studies.
伤口愈合是一个涉及多种细胞类型和组织的高度协调的时空序列事件。伤口愈合的过程需要严格的调控,其失调会导致慢性伤口的形成,这会对个体的健康以及全球医疗保健支出产生重大影响。在伤口愈合发病机制的细胞和分子调控中,一个重要方面是活性氧(ROS)和氧化应激。创伤会显著增加 ROS 的水平,而各种活性物质参与调节伤口愈合过程,例如通过抗菌活性和信号转导。然而,就像许多病理学一样,ROS 在伤口愈合中起着拮抗的多效性作用,并且可能是慢性伤口形成的致病因素。尽管针对 ROS 和氧化应激的研究进展已经导致了新的临床前治疗方法的发展,但由于 ROS 在伤口愈合中的复杂性质,ROS 在伤口愈合中的特定细胞和分子功能仍然存在知识空白。在这篇综述中,我们强调了这些功能的现有知识,并讨论了未来新研究的潜在方向,以及这些途径如何在未来的临床前研究中得到靶向。
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