Porel Pratyush, Kaur Manpreet, Sharma Vipul, Aran Khadga Raj
Department of Pharmacology, ISF College of Pharmacy, Moga, Punjab 142001 India.
J Diabetes Metab Disord. 2025 Mar 6;24(1):76. doi: 10.1007/s40200-025-01588-7. eCollection 2025 Jun.
Diabetes mellitus (DM) is a common but complicated metabolic disease that causes hyperglycemia for a long time. It may cause serious health problems, such as poor wound healing. The complex biology of diabetic wound healing is reviewed here, with particular attention paid to the interactions between neuropathy, inadequate angiogenesis, metabolic dysfunctions, and chronic inflammation. Diabetes affects approximately 537 million individuals globally, and as the disease becomes more common, new treatment methods for chronic wounds are required. Reduced blood flow, sensory loss, and an insufficient inflammatory response are some of the variables that combine to cause persistent diabetes ulcers and often impede the healing process. There is major health issues associated with these ulcers, such as infections, gangrene formations, and even limb loss. Recent developments in the molecular processes of diabetic wound healing have provided important new information on the function of metabolic imbalances, the dysregulation of inflammatory pathways, and polymicrobial infections in tissue repair. This article discusses contemporary therapy strategies, which range from traditional wound care procedures to cutting-edge interventions including growth factor therapies and bioengineered skin replacements. To improve wound healing in diabetes patients, we want to provide researchers and physicians with useful information on possible intervention targets and future approaches by combining the most recent research results. Finally, a better comprehension of these intricate relationships might result in improved patient outcomes and a higher standard of living for those with diabetic wounds.
糖尿病(DM)是一种常见但复杂的代谢性疾病,可导致长期高血糖。它可能会引发严重的健康问题,如伤口愈合不良。本文综述了糖尿病伤口愈合的复杂生物学机制,特别关注神经病变、血管生成不足、代谢功能障碍和慢性炎症之间的相互作用。全球约有5.37亿人受糖尿病影响,随着该疾病日益普遍,需要新的慢性伤口治疗方法。血流减少、感觉丧失和炎症反应不足等多种因素共同导致糖尿病溃疡持续存在,并常常阻碍愈合过程。这些溃疡会引发严重的健康问题,如感染、坏疽形成,甚至肢体丧失。糖尿病伤口愈合分子过程的最新进展为代谢失衡、炎症途径失调和组织修复中的多微生物感染的作用提供了重要的新信息。本文讨论了当代治疗策略,从传统的伤口护理程序到前沿干预措施,包括生长因子疗法和生物工程皮肤替代物。为改善糖尿病患者的伤口愈合情况,我们希望通过结合最新研究成果,为研究人员和医生提供有关可能的干预靶点和未来方法的有用信息。最后,更好地理解这些复杂关系可能会改善患者预后,提高糖尿病伤口患者的生活水平。