甲状腺功能障碍对创伤愈合和皮肤修复过程中的血管生成的影响:系统性审查
Alexandra Quadrozzi1, Harvey N Mayrovitz2
1Osteopathic Medical School, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Fort Lauderdale, USA.
Cureus
|October 29, 2025
概括
甲状腺功能障碍通过改变血管形成影响伤口愈合. 甲状腺功能低下会减缓愈合,而甲状腺功能过高会加快愈合,提供新的治疗途径.
科学领域:
- 内分泌学和伤口愈合研究.
- 专注于甲状腺激素在皮肤修复中的作用.
背景情况:
- 甲状腺激素 (THs) 对细胞代谢和组织平衡至关重要.
- 血管新生,新血管的形成,对于有效的伤口愈合至关重要.
研究的目的:
- 系统地审查关于甲状腺功能障碍 (甲状腺功能低下和甲状腺功能过高) 如何影响皮肤伤口修复中的血管生成的证据.
- 探索潜在的治疗策略,以甲状腺激素调节为目标,以改善伤口愈合.
主要方法:
- 在PubMed,Web of Science和Scopus的综合文献搜索.
- 在皮肤伤口模型中包括26项高质量的甲状腺状况和血管生成原始研究.
主要成果:
- 甲状腺功能低下与降低血管性活性,延迟重新上皮化以及血管内皮生长因子 (VEGF) 和缺氧诱导因子-1α (HIF-1α) 的表达减少有关.
- 甲状腺功能障碍症表现出增强的新血管化,尽管有时有失调的重塑.
- 使用TH调节生物材料和外体的实验性疗法显示出血管性修复的希望.
结论:
- 甲状腺状况显著影响皮肤伤口愈合过程,特别是血管生成.
- 调节甲状腺激素是改善伤口修复和血管化的有希望的治疗点.
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