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再生生物技术治疗糖尿病足溃疡的研究进展

游兴 孙广峰 魏在荣

游兴, 孙广峰, 魏在荣. 再生生物技术治疗糖尿病足溃疡的研究进展[J]. 中华烧伤与创面修复杂志, 2025, 41(12): 1206-1210. DOI: 10.3760/cma.j.cn501225-20241119-00454.
引用本文: 游兴, 孙广峰, 魏在荣. 再生生物技术治疗糖尿病足溃疡的研究进展[J]. 中华烧伤与创面修复杂志, 2025, 41(12): 1206-1210. DOI: 10.3760/cma.j.cn501225-20241119-00454.
You X,Sun GF,Wei ZR.Research advances on the treatment of diabetic foot ulcers with regenerative biotechnologies[J].Chin J Burns Wounds,2025,41(12):1206-1210.DOI: 10.3760/cma.j.cn501225-20241119-00454.
Citation: You X,Sun GF,Wei ZR.Research advances on the treatment of diabetic foot ulcers with regenerative biotechnologies[J].Chin J Burns Wounds,2025,41(12):1206-1210.DOI: 10.3760/cma.j.cn501225-20241119-00454.

再生生物技术治疗糖尿病足溃疡的研究进展

doi: 10.3760/cma.j.cn501225-20241119-00454
基金项目: 

国家自然科学基金地区科学基金项目 82360445

省部共建协同创新中心 2020-39

贵州省卫生健康委员会科学技术基金项目 gzwkj2021-226

详细信息
    通讯作者:

    魏在荣,Email:zairongwei@163.com

Research advances on the treatment of diabetic foot ulcers with regenerative biotechnologies

Funds: 

Regional Science Foundation Project of National Natural Science Foundation of China 82360445

Collaborative Innovation Center of Chinese Ministry of Education 2020-39

Science and Technology Foundation of Health Commission of Guizhou Province gzwkj2021-226

More Information
  • 摘要: 糖尿病足溃疡(DFU)作为糖尿病的严重并发症,因其愈合缓慢和高复发率而成为临床的一大挑战。近年来,随着再生医学的快速发展,DFU的治疗策略迎来了革新。该文系统综述了再生生物技术在DFU治疗中的应用现状,重点聚焦于干细胞疗法、生物材料工程及生长因子疗法等关键领域的最新研究进展,以期为未来的研究方向和临床应用提供科学依据。

     

  • 参考文献(47)

    [1] LazzariniPA,CrambSM,GolledgeJ,et al.Global trends in the incidence of hospital admissions for diabetes-related foot disease and amputations: a review of national rates in the 21st century[J].Diabetologia,2023,66(2):267-287.DOI: 10.1007/s00125-022-05845-9.
    [2] EliassonB,FagerdahlAM,JönssonA,et al.Debriding effect of amino acid-buffered hypochlorite on hard-to-heal wounds covered by devitalised tissue: pilot study[J].J Wound Care,2021,30(6):455-464.DOI: 10.12968/jowc.2021.30.6.455.
    [3] 罗高兴, 周璇. 先进生物材料在创面修复中的应用[J]. 中华烧伤与创面修复杂志, 2024, 40(1): 26-32. DOI: 10.3760/cma.j.cn501225-20231128-00211.
    [4] 潘泽平,石云龙,袁志强,等.负载锌离子的复合水凝胶对糖尿病小鼠全层皮肤缺损感染创面的作用及机制[J].中华烧伤与创面修复杂志,2024,40(9):866-875.DOI: 10.3760/cma.j.cn501225-20231120-00200.
    [5] 刘颖,程凤,王泽薇,等.负载小鼠脂肪干细胞的甲壳素/透明质酸/胶原水凝胶的制备及其对大鼠全层皮肤缺损创面愈合的作用[J].中华烧伤与创面修复杂志,2024,40(1):50-56.DOI: 10.3760/cma.j.cn501225-20230928-00101.
    [6] 付小兵.生物材料是创烧伤救治与创面修复研究的新方向[J].中华烧伤与创面修复杂志,2025,41(1):1-4.DOI: 10.3760/cma.j.cn501225-20241125-00461.
    [7] KamarajM, MoghimiN, McCarthyA, et al. Granular porous nanofibrous microspheres enhance cellular infiltration for diabetic wound healing[J]. ACS Nano,2024,18(41):28335-28348. DOI: 10.1021/acsnano.4c10044.
    [8] SuHY, YangCY, OuHT, et al. Cost-effectiveness of novel macrophage-regulating treatment for wound healing in patients with diabetic foot ulcers from the Taiwan health care sector perspective[J]. JAMA Netw Open,2023,6(1):e2250639. DOI: 10.1001/jamanetworkopen.2022.50639.
    [9] 梅柯强,刘泽慧,祝蓉,等.2型糖尿病足溃疡加重的危险因素及细菌感染特征分析[J].重庆医科大学学报,2025,50(6):770-777. DOI: 10.13406/j.cnki.cyxb.003761.
    [10] SchoenenweidC.New perspectives of management of the diabetic foot[J].Rev Med Suisse,2024,20(885):1576-1581.DOI: 10.53738/REVMED.2024.20.885.1576.
    [11] FanB,ChoppM,ZhangY,et al.Ablation of Argonaute 2 in Schwann cells accelerates the progression of diabetic peripheral neuropathy[J].Glia,2023,71(9):2196-2209.DOI: 10.1002/glia.24387.
    [12] QiuJ,HeS,YuC,et al.Assessing the validity of METS-IR for predicting the future onset of diabetes: an analysis using time-dependent receiver operating characteristics[J].BMC Endocr Disord,2024,24(1):238.DOI: 10.1186/s12902-024-01769-0.
    [13] LiuH,LiZ,YanS,et al.Investigating the correlation of hip circumference to cardiovascular disease and type-2 diabetes using Mendelian randomization[J].J Diabetes Investig,2025,16(2):265-271.DOI: 10.1111/jdi.14344.
    [14] LouiselleAE,NiemiecSM,ZgheibC,et al.Macrophage polarization and diabetic wound healing[J].Transl Res,2021,236:109-116.DOI: 10.1016/j.trsl.2021.05.006.
    [15] LinCW,ChenCC,HuangWY,et al.Restoring prohealing/remodeling-associated M2a/c macrophages using ON101 accelerates diabetic wound healing[J].JID Innov,2022,2(5):100138.DOI: 10.1016/j.xjidi.2022.100138.
    [16] 施彦,易亮,张伟强,等.黄芩素对糖尿病小鼠全层皮肤缺损创面愈合的影响及其机制[J].中华烧伤与创面修复杂志,2024,40(11):1085-1094.DOI: 10.3760/cma.j.cn501225-20231104-00179.
    [17] LiY,ZhuZ,LiS,et al.Exosomes: compositions, biogenesis, and mechanisms in diabetic wound healing[J].J Nanobiotechnology,2024,22(1):398.DOI: 10.1186/s12951-024-02684-1.
    [18] WuX,GuR,TangM,et al.Elucidating the dual roles of apoptosis and necroptosis in diabetic wound healing: implications for therapeutic intervention[J/OL].Burns Trauma,2025,13:tkae061[2025-11-19]. https://pubmed.ncbi.nlm.nih.gov/39845196/.DOI: 10.1093/burnst/tkae061.
    [19] KamalR,AwasthiA,PundirM,et al.Healing the diabetic wound: unlocking the secrets of genes and pathways[J].Eur J Pharmacol,2024,975:176645.DOI: 10.1016/j.ejphar.2024.176645.
    [20] WanX,NiX,XieY,et al.Research progress and application prospect of adipose-derived stem cell secretome in diabetes foot ulcers healing[J].Stem Cell Res Ther,2024,15(1):279.DOI: 10.1186/s13287-024-03912-z.
    [21] 林志琥,王君,梁尊鸿,等.干细胞治疗糖尿病足创面的研究进展[J].中华烧伤与创面修复杂志,2022,38(3):281-286.DOI: 10.3760/cma.j.cn501120-20210828-00292.
    [22] MahmoudvandG,Karimi RouzbahaniA,RazaviZS,et al.Mesenchymal stem cell therapy for non-healing diabetic foot ulcer infection: new insight[J].Front Bioeng Biotechnol,2023,11:1158484.DOI: 10.3389/fbioe.2023.1158484.
    [23] PandaD,NayakS.Stem cell-based tissue engineering approaches for diabetic foot ulcer: a review from mechanism to clinical trial[J].Stem Cell Rev Rep,2024,20(1):88-123.DOI: 10.1007/s12015-023-10640-z.
    [24] BianX,ConleySM,EirinA,et al.Diabetic kidney disease induces transcriptome alterations associated with angiogenesis activity in human mesenchymal stromal cells[J].Stem Cell Res Ther,2023,14(1):49.DOI: 10.1186/s13287-023-03269-9.
    [25] OuyangL,QiuD,FuX,et al.Overexpressing HPGDS in adipose-derived mesenchymal stem cells reduces inflammatory state and improves wound healing in type 2 diabetic mice[J].Stem Cell Res Ther,2022,13(1):395.DOI: 10.1186/s13287-022-03082-w.
    [26] CaoZ,XieY,YuL,et al.Hepatocyte growth factor (HGF) and stem cell factor (SCF) maintained the stemness of human bone marrow mesenchymal stem cells (hBMSCs) during long-term expansion by preserving mitochondrial function via the PI3K/AKT, ERK1/2, and STAT3 signaling pathways[J].Stem Cell Res Ther,2020,11(1):329.DOI: 10.1186/s13287-020-01830-4.
    [27] De GregorioC,ContadorD,DíazD,et al.Human adipose-derived mesenchymal stem cell-conditioned medium ameliorates polyneuropathy and foot ulceration in diabetic BKS db/db mice[J].Stem Cell Res Ther,2020,11(1):168.DOI: 10.1186/s13287-020-01680-0.
    [28] KrasilnikovaOA,BaranovskiiDS,LyundupAV,et al.Stem and somatic cell monotherapy for the treatment of diabetic foot ulcers: review of clinical studies and mechanisms of action[J].Stem Cell Rev Rep,2022,18(6):1974-1985.DOI: 10.1007/s12015-022-10379-z.
    [29] LuD,ChenB,LiangZ,et al.Comparison of bone marrow mesenchymal stem cells with bone marrow-derived mononuclear cells for treatment of diabetic critical limb ischemia and foot ulcer: a double-blind, randomized, controlled trial[J].Diabetes Res Clin Pract,2011,92(1):26-36.DOI: 10.1016/j.diabres.2010.12.010.
    [30] Low WangCC,ChongT,MooreG,et al.Results of the phase 1 open-label safety study of umbilical cord lining mesenchymal stromal/stem cells (Corlicyte®) to heal chronic diabetic foot ulcers[J].Biomedicines,2024,12(6):1375.DOI: 10.3390/biomedicines12061375.
    [31] ZhangC,HuangL,WangX,et al.Topical and intravenous administration of human umbilical cord mesenchymal stem cells in patients with diabetic foot ulcer and peripheral arterial disease: a phase Ⅰ pilot study with a 3-year follow-up[J].Stem Cell Res Ther,2022,13(1):451.DOI: 10.1186/s13287-022-03143-0.
    [32] BerthiaumeF,MaguireTJ,YarmushML.Tissue engineering and regenerative medicine: history, progress, and challenges[J].Annu Rev Chem Biomol Eng,2011,2:403-430.DOI: 10.1146/annurev-chembioeng-061010-114257.
    [33] ZhaoH,HuangJ,LiY,et al.ROS-scavenging hydrogel to promote healing of bacteria infected diabetic wounds[J].Biomaterials,2020,258:120286.DOI: 10.1016/j.biomaterials.2020.120286.
    [34] FuK,ZhengX,ChenY,et al.Role of matrix metalloproteinases in diabetic foot ulcers: potential therapeutic targets[J].Front Pharmacol,2022,13:1050630.DOI: 10.3389/fphar.2022.1050630.
    [35] YangS,WangS,ChenL,et al.Neutrophil extracellular traps delay diabetic wound healing by inducing endothelial-to-mesenchymal transition via the Hippo pathway[J].Int J Biol Sci,2023,19(1):347-361.DOI: 10.7150/ijbs.78046.
    [36] Da SilvaJ,LealEC,CarvalhoE,et al.Innovative functional biomaterials as therapeutic wound dressings for chronic diabetic foot ulcers[J].Int J Mol Sci,2023,24(12):9900. DOI: 10.3390/ijms24129900.
    [37] HostyL,HeatheringtonT,QuondamatteoF,et al.Extracellular matrix-inspired biomaterials for wound healing[J].Mol Biol Rep,2024,51(1):830.DOI: 10.1007/s11033-024-09750-9.
    [38] ChenX,XieY,ShengY,et al.Wafer-scale functional circuits based on two dimensional semiconductors with fabrication optimized by machine learning[J].Nat Commun,2021,12(1):5953.DOI: 10.1038/s41467-021-26230-x.
    [39] WeiYJ, ChenH, ZhouZW, et al. Kill two birds with one stone: dual-metal MOF-nanozyme-decorated hydrogels with ROS-scavenging, oxygen-generating, and antibacterial abilities for accelerating infected diabetic wound healing[J]. Small,2024,20(48):e2403679. DOI: 10.1002/smll.202403679.
    [40] LiuH,AiR,LiuBZ,et al.Tea polyphenol nano-crosslinked dynamical hyaluronic acid-based hydrogel for diabetic wound healing[J].Int J Biol Macromol,2024,282(Pt 1):136856.DOI: 10.1016/j.ijbiomac.2024.136856.
    [41] GuanL,WuS,LiX,et al."All-in-one" tea polyphenol-modified injectable hyaluronic acid-based hydrogel for diabetic wound healing[J].Int J Biol Macromol,2024,280(Pt 2):135736.DOI: 10.1016/j.ijbiomac.2024.135736.
    [42] HuaY,SuY,ZhangH,et al.Poly(lactic-co-glycolic acid) microsphere production based on quality by design: a review[J].Drug Deliv,2021,28(1):1342-1355.DOI: 10.1080/10717544.2021.1943056.
    [43] SunY,QinS,LiY,et al.Machine learning integrated with in vitro experiments for study of drug release from PLGA nanoparticles[J].Sci Rep,2025,15(1):4218.DOI: 10.1038/s41598-024-82728-6.
    [44] AzamMS, AzadMH, ArsalanM, et al. Efficacy of platelet-rich plasma in the treatment of diabetic foot ulcer[J]. Cureus,2024,16(5):e60934. DOI: 10.7759/cureus.60934.
    [45] ZhangY, LinS, XuX, et al. Programmable hierarchical hydrogel dressing for sequential release of growth factor and DNase to accelerate diabetic wound healing[J]. J Control Release,2025,383:113825. DOI: 10.1016/j.jconrel.2025.113825.
    [46] BharathiR,GaneshSS,HariniG,et al.Chitosan-based scaffolds as drug delivery systems in bone tissue engineering[J].Int J Biol Macromol,2022,222(Pt A):132-153.DOI: 10.1016/j.ijbiomac.2022.09.058.
    [47] LiuW, LeiL, MaF, et al. A Dioscorea opposita polysaccharide-calcium carbonate microsphere-doped hydrogel for accelerated diabetic wound healing via synergistic glucose-responsive hypoglycemic and anti-inflammatory effects[J].ACS Biomater Sci Eng,2025,11(1):415-428. DOI: 10.1021/acsbiomaterials.4c02090.
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出版历程
  • 收稿日期:  2024-11-19
  • 网络出版日期:  2025-12-22

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