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Doxycycline Loaded Collagen-Chitosan Composite Scaffold for the Accelerated Healing of Diabetic Wounds
Published on: August 21, 2021
Mechanistic insight into diabetic wounds: Pathogenesis, molecular targets and treatment strategies to pace wound
Satish Patel1, Shikha Srivastava1, Manju Rawat Singh1
1University Institute of Pharmacy, Pt. Ravishankar Shukla University, 492010, Raipur, C.G., India.
Abstract:
Wound management in diabetic patient is of an extreme clinical and social concern. The delayed and impaired healing makes it more critical for research focus. The research on impaired healing process is proceeding hastily evident by new therapeutic approaches other than conventional such as single growth factor, dual growth factor, skin substitutes, cytokine stimulators, cytokine inhibitors, matrix metalloproteinase inhibitors, gene and stem cell therapy, extracellular matrix and angiogenesis stimulators. Although numerous studies are available that support delayed wound healing in diabetes but detailed mechanistic insight including factors involved and their role still needs to be revealed. This review mainly focuses on the molecular cascades of cytokines (with growth factors) and erstwhile factors responsible for delayed wound healing, molecular targets and recent advancements in complete healing and its cure. Present article briefed recent pioneering information on possible molecular targets and treatment strategies including clinical trials to clinicians and researchers working in similar area.
Insights
Diabetic wound healing is impaired due to molecular factors. This review explores cytokines, growth factors, and novel therapies to improve healing in diabetic patients.
Area of Science:
- Biomedical Science
- Wound Healing Research
- Diabetic Complications
Background:
- Diabetic patients experience significantly delayed and impaired wound healing, posing a major clinical challenge.
- Existing research highlights numerous factors contributing to poor healing, yet a comprehensive understanding of the underlying molecular mechanisms remains incomplete.
- The critical need for effective interventions drives rapid advancements in therapeutic strategies beyond conventional treatments.
Purpose of the Study:
- To review the molecular cascades, including cytokines and growth factors, responsible for delayed wound healing in diabetes.
- To identify key molecular targets and recent therapeutic advancements for complete wound healing.
- To provide clinicians and researchers with pioneering information on potential treatments and clinical trials.
Main Methods:
- Literature review focusing on molecular mechanisms of impaired wound healing in diabetes.
- Analysis of cytokines, growth factors, and other contributing factors.
- Examination of novel therapeutic approaches and clinical trial data.
Main Results:
- Identified key molecular pathways and factors, such as cytokines and growth factors, that impede diabetic wound healing.
- Cataloged a range of innovative therapeutic strategies, including stem cell therapy, gene therapy, and angiogenesis stimulators.
- Highlighted recent advancements and ongoing clinical trials aimed at improving healing outcomes.
Conclusions:
- Understanding the intricate molecular mechanisms is crucial for developing effective treatments for diabetic wound healing.
- Novel therapeutic strategies show promise in addressing the complexities of impaired healing in diabetic patients.
- Continued research and clinical trials are essential to translate these advancements into clinical practice for better patient outcomes.
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