Diabetes mellitus (DM) is a common but complicated metabolic disease that causes hyperglycemia for a long time. It may cause serious health problems, such as poor wound healing. The complex biology of diabetic wound healing is reviewed here, with particular attention paid to the interactions between neuropathy, inadequate angiogenesis, metabolic dysfunctions, and chronic inflammation. Diabetes affects approximately 537 million individuals globally, and as the disease becomes more common, new treatment methods for chronic wounds are required. Reduced blood flow, sensory loss, and an insufficient inflammatory response are some of the variables that combine to cause persistent diabetes ulcers and often impede the healing process. There is major health issues associated with these ulcers, such as infections, gangrene formations, and even limb loss. Recent developments in the molecular processes of diabetic wound healing have provided important new information on the function of metabolic imbalances, the dysregulation of inflammatory pathways, and polymicrobial infections in tissue repair. This article discusses contemporary therapy strategies, which range from traditional wound care procedures to cutting-edge interventions including growth factor therapies and bioengineered skin replacements. To improve wound healing in diabetes patients, we want to provide researchers and physicians with useful information on possible intervention targets and future approaches by combining the most recent research results. Finally, a better comprehension of these intricate relationships might result in improved patient outcomes and a higher standard of living for those with diabetic wounds.
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http://dx.doi.org/10.1007/s40200-025-01588-7 | DOI Listing |
Dermatol Reports
February 2025
Division of Regenerative and Oncological Dermatological Surgery, Modena University Hospital.
In patients with epidermolysis bullosa (EB), surgery may be required to remove squamous cell carcinoma (SCC) of the hands or to correct pseudo-syndactyly. Dermal substitutes may represent a suitable tool to promote the healing of surgical wounds in EB. We review our experience with a collagen-elastin dermal matrix to promote surgical wound healing due to hand surgery to correct pseudo-syndactyly or SCC resection in patients affected by EB.
View Article and Find Full Text PDFInvest Ophthalmol Vis Sci
March 2025
Department of Bioengineering, University of Texas at Dallas, Richardson, Texas, United States.
Purpose: After stromal injury to the cornea, the release of growth factors and pro-inflammatory cytokines promotes the activation of quiescent keratocytes into a migratory fibroblast and/or fibrotic myofibroblast phenotype. Persistence of the myofibroblast phenotype can lead to corneal fibrosis and scarring, which are leading causes of blindness worldwide. This study aims to establish comprehensive transcriptional profiles for cultured corneal keratocytes, fibroblasts, and myofibroblasts to gain insights into the mechanisms through which these phenotypic changes occur.
View Article and Find Full Text PDFNanomaterials (Basel)
March 2025
Department of Materials Science and Engineering, University of Crete, 700 13 Heraklion, Greece.
Chronic or improperly healed wounds, either as a result of extended trauma or prolonged inflammatory response, affect a significant percentage of the world population. Hence, there is a growing interest in the development of biomimetic scaffolds that expedite wound closure at the early stages. Curcumin (Cur) is a plant-derived polyphenol with antimicrobial activity, and it accelerates the wound contraction rate.
View Article and Find Full Text PDFAdv Mater
March 2025
PCFM Lab, School of Chemistry, Sun Yat-sen University, Guangzhou, 510006, P. R. China.
Exudate management and cell activity enhancement are vital to complicated wound healing. However, current exudate management dressings indiscriminately remove exudate, which is detrimental to cell activity enhancement. Herein, a novel class of electroactive bilayer (cMO/PVA) dressing is developed by constructing manganese oxide nanoneedle-clusters decorated commercial carbon cloth (MO), in situ casting polyvinyl alcohol (PVA) hydrogel, and finally charging.
View Article and Find Full Text PDFJ Appl Biomater Funct Mater
March 2025
Department of Nanoscience and Nanotechnology, Erciyes University, Kayseri, Turkey.
For millennia, aloe vera (AV) and eucalyptus oil (EO) have been recognized as natural sources of healing and have been utilized for medicinal purposes in the realm of health. As an attempt to treat pressure sores, AV and eucalyptus oil were added as supplements to biocompatible and biodegradable poly (ethylene oxide) (PEO) polymer to synthesize nano and micro fibrous wound dressings by the electrospinning process. Additive solubility in polymeric matrix is the key parameter to achieve the synthesis of homogeneous fibers with controlled release of therapeutic oils, cure and humidity; therefore, lecithin as herbal (soybean) based emulsifier was used to control additive/polymer solubility.
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