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Published on: August 21, 2021
MicroRNAs in diabetic wound healing: Pathophysiology and therapeutic opportunities
Denizhan Ozdemir1, Mark W Feinberg2
1Department of Internal Medicine, Yale New Haven Hospital, Yale School of Medicine, New Haven, CT, United States.
Abstract:
Diabetic wound healing is an incompletely understood pathophysiological state. It comprises a range of potentially devastating and common complications of diabetes mellitus (DM) leading to intractable infections, lower extremity amputations, and associated cardiovascular morbidity and mortality. MicroRNAs (miRNAs) have emerged as important regulators in various physiological processes in health and disease through their ability to fine-tune cellular responses. Herein, we summarize the versatile roles of miRNAs implicated in diabetic wound healing in key stages including inflammation, angiogenesis, re-epithelialization, and remodeling. Furthermore, we highlight current evidence through which miRNAs exert control of gene expression and signaling pathways in the reparative response that may provide opportunities for therapeutic intervention for this potentially devastating disease state.
Insights
MicroRNAs (miRNAs) are key regulators in diabetic wound healing. Understanding their roles in inflammation, angiogenesis, and remodeling offers therapeutic potential for diabetes mellitus complications.
Area of Science:
- Biomedical Science
- Molecular Biology
- Endocrinology
Background:
- Diabetic wound healing is a complex pathophysiological process with severe complications.
- Diabetes mellitus (DM) leads to impaired healing, infections, and amputations.
- MicroRNAs (miRNAs) are crucial regulators of cellular processes in health and disease.
Purpose of the Study:
- To summarize the roles of miRNAs in diabetic wound healing.
- To highlight miRNA regulation of gene expression and signaling pathways.
- To explore therapeutic opportunities for diabetic wound complications.
Main Methods:
- Literature review and synthesis of current evidence on miRNAs in diabetic wound healing.
- Analysis of miRNA involvement in key healing stages: inflammation, angiogenesis, re-epithelialization, and remodeling.
- Examination of miRNA-mediated control of gene expression and signaling pathways.
Main Results:
- miRNAs play versatile roles across all stages of diabetic wound healing.
- Specific miRNAs influence inflammation, blood vessel formation, and tissue repair.
- miRNAs fine-tune cellular responses critical for the healing cascade.
Conclusions:
- miRNAs are significant regulators in diabetic wound healing.
- Targeting miRNAs presents a promising therapeutic strategy for managing diabetic complications.
- Further research into miRNA mechanisms can lead to novel treatments for intractable diabetic wounds.
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