文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

探索胰高血糖素样肽-1(GLP-1)类似物在糖尿病足溃疡管理中的作用:一项叙述性和系统性综述

Exploring the Role of GLP-1 Agents in Managing Diabetic Foot Ulcers: A Narrative and Systematic Review.

作者信息

Gruzmark Fiona S, Beraja Gabriela E, Jozic Ivan, Lev-Tov Hadar A

机构信息

Dr. Phillip Frost Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA.

出版信息

Wound Repair Regen. 2025 Sep-Oct;33(5):e70085. doi: 10.1111/wrr.70085.


DOI:10.1111/wrr.70085
PMID:40888511
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12400791/
Abstract

Globally, there are 537 million people with diabetes, with an estimated 19%-344% of these people developing a diabetic foot ulcer, and 10% dying within a year of being diagnosed with a diabetic foot ulcer. Risk factors for developing a diabetic foot ulcer include age, sex, ethnicity, chronically elevated HbA, smoking history, cardiovascular disease, end-stage renal disease, and retinopathy. Diabetic foot ulcer recurrence rates are as high as 20%, and they have vast complications, including lower-extremity amputations. More recently, there has been a surge in the use of glucagon-like peptide 1 receptor agonists in managing diabetes and weight loss. The use of glucagon-like peptide 1 receptor agonists in treating diabetic foot ulcers in humans has not been extensively studied, but there are reports of using glucagon-like peptide 1 receptor agonists in other dermatologic diseases with positive outcomes, including androgenetic alopecia and hidradenitis suppurativa. This review aims to explore the potential of using systemic glucagon-like peptide 1 receptor agonists in managing diabetic foot ulcers, describing their effects on modulating wound repair, microvascular function, neuropathic symptoms, apoptosis, weight loss, oxidative stress, and inflammation. Additionally, a systematic review, following PRISMA guidelines, was conducted assessing the rate of diabetic foot complications in patients using glucagon-like peptide 1 receptor agonists when compared to a control group, with the results suggesting their potentially protective role. By managing multiple facets of diabetic foot ulcer pathophysiology, the use of glucagon-like peptide 1 receptor agonists may aid in their management and thus prevent recurrence.

摘要

全球范围内,有5.37亿糖尿病患者,其中估计有19% - 344%的人会发生糖尿病足溃疡,10%的人在被诊断为糖尿病足溃疡后的一年内死亡。发生糖尿病足溃疡的风险因素包括年龄、性别、种族、长期升高的糖化血红蛋白、吸烟史、心血管疾病、终末期肾病和视网膜病变。糖尿病足溃疡的复发率高达20%,并且会引发大量并发症,包括下肢截肢。最近,胰高血糖素样肽1受体激动剂在糖尿病管理和减肥方面的使用激增。胰高血糖素样肽1受体激动剂在治疗人类糖尿病足溃疡方面尚未得到广泛研究,但有报道称在其他皮肤病中使用该激动剂取得了积极成果,包括雄激素性脱发和化脓性汗腺炎。本综述旨在探讨全身性使用胰高血糖素样肽1受体激动剂在管理糖尿病足溃疡方面的潜力,描述其对调节伤口修复、微血管功能、神经病变症状、细胞凋亡、体重减轻、氧化应激和炎症的影响。此外,按照PRISMA指南进行了一项系统评价,评估了使用胰高血糖素样肽1受体激动剂的患者与对照组相比糖尿病足并发症的发生率,结果表明其可能具有保护作用。通过管理糖尿病足溃疡病理生理学的多个方面,使用胰高血糖素样肽1受体激动剂可能有助于其管理,从而预防复发。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63de/12400791/8fa09a1c61cc/WRR-33-0-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63de/12400791/b4904fef8f60/WRR-33-0-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63de/12400791/8fa09a1c61cc/WRR-33-0-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63de/12400791/b4904fef8f60/WRR-33-0-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63de/12400791/8fa09a1c61cc/WRR-33-0-g002.jpg

相似文献

[1]
Exploring the Role of GLP-1 Agents in Managing Diabetic Foot Ulcers: A Narrative and Systematic Review.

Wound Repair Regen. 2025

[2]
Prescription of Controlled Substances: Benefits and Risks

2025-1

[3]
Topical antimicrobial agents for treating foot ulcers in people with diabetes.

Cochrane Database Syst Rev. 2017-6-14

[4]
The quantity, quality and findings of network meta-analyses evaluating the effectiveness of GLP-1 RAs for weight loss: a scoping review.

Health Technol Assess. 2025-6-25

[5]
The impact of semaglutide on wound healing in diabetes related foot ulcer patients: A TriNetX database study.

Diab Vasc Dis Res. 2025

[6]
Growth factors for treating diabetic foot ulcers.

Cochrane Database Syst Rev. 2015-10-28

[7]
Psychological interventions for treating foot ulcers, and preventing their recurrence, in people with diabetes.

Cochrane Database Syst Rev. 2021-2-8

[8]
Glucagon-like peptide 1 (GLP-1) receptor agonists for people with chronic kidney disease and diabetes.

Cochrane Database Syst Rev. 2025-2-18

[9]
Phototherapy for treating foot ulcers in people with diabetes.

Cochrane Database Syst Rev. 2017-6-28

[10]
Dipeptidyl peptidase-4 inhibitors, glucagon-like peptide 1 receptor agonists and sodium-glucose co-transporter-2 inhibitors for people with cardiovascular disease: a network meta-analysis.

Cochrane Database Syst Rev. 2021-10-25

本文引用的文献

[1]
High Transepidermal Water Loss at the Site of Wound Closure Is Associated With Increased Recurrence of Diabetic Foot Ulcers: The NIDDK Diabetic Foot Consortium TEWL Study.

Diabetes Care. 2025-7-1

[2]
Glucagon-Like Peptide-1 Receptor Agonists: Friend or Foe of Aesthetic Medicine?

Aesthet Surg J Open Forum. 2025-4-11

[3]
The impact of semaglutide on wound healing in diabetes related foot ulcer patients: A TriNetX database study.

Diab Vasc Dis Res. 2025

[4]
A System-Based Review on Effects of Glucagon-Like Peptide-1 Receptor Agonists: Benefits vs Risks.

Cureus. 2025-2-5

[5]
Mapping the effectiveness and risks of GLP-1 receptor agonists.

Nat Med. 2025-3

[6]
Pathological insights into cell death pathways in diabetic wound healing.

Pathol Res Pract. 2024-12

[7]
Characterizing body composition modifying effects of a glucagon-like peptide 1 receptor-based agonist: A meta-analysis.

Diabetes Obes Metab. 2025-1

[8]
Liraglutide Promotes Diabetic Wound Healing via Myo1c/Dock5.

Adv Sci (Weinh). 2024-10

[9]
Treatment of insulin resistance with tirzepatide leading to improvement of hair loss.

JAAD Case Rep. 2024-6-11

[10]
Semaglutide vs Tirzepatide for Weight Loss in Adults With Overweight or Obesity.

JAMA Intern Med. 2024-9-1

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索