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Role of neuropeptides in skin inflammation and its involvement in diabetic wound healing.

机译:神经肽在皮肤炎症中的作用及其在糖尿病伤口愈合中的作用。

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IMPORTANCE OF THE FIELD: In 2010, the world prevalence of diabetes is 6.4%, affecting 285 million adults. Diabetic patients are at risk of developing neuropathy and delayed wound healing that can culminate in incurable diabetic foot ulcerations (DFUs) or even foot amputation. AREAS COVERED IN THIS REVIEW: The contrast between cellular and molecular events of wound healing and diabetic wound healing processes is characterized. Neuropeptides released from the autonomous nervous system and skin cells reveal a major role in the immunity of wound healing. Therefore, the signaling pathways that induce pro/anti-inflammatory cytokines expression and its involvement in diabetic wound healing are discussed. The involvement of neuropeptides in the activation, growth, migration and maturation of skin cells, like keratinocytes, Langerhans cells, macrophages and mast cells, are described. WHAT THE READER WILL GAIN: This review attempts to address the role of neuropeptides in skin inflammation, focusing on signal transduction, inflammatory mediators and pro/anti-inflammatory function, occurring in each cell type, as well as, its connection with diabetic wound healing. TAKE HOME MESSAGE: Understanding the role of neuropeptides in the skin, their application on skin wounds could be a potential therapy for skin pathologies, like the problematic and prevalent DFUs.
机译:领域的重要性:2010年,全球糖尿病患病率为6.4%,影响到2.85亿成年人。糖尿病患者处于发展神经病和伤口愈合延迟的风险中,这最终可能导致无法治愈的糖尿病足溃疡(DFU)甚至截肢。本文涵盖的领域:伤口愈合和糖尿病伤口愈合过程的细胞和分子事件之间的对比特征。从自主神经系统和皮肤细胞释放的神经肽在伤口愈合的免疫中显示出重要作用。因此,讨论了诱导促炎/抗炎细胞因子表达的信号通路及其在糖尿病伤口愈合中的作用。描述了神经肽参与皮肤细胞如角质形成细胞,朗格汉斯细胞,巨噬细胞和肥大细胞的活化,生长,迁移和成熟。读者的收获:这篇综述试图探讨神经肽在皮肤炎症中的作用,重点在于每种细胞类型中发生的信号转导,炎症介质和促炎/抗炎功能,以及其与糖尿病伤口愈合的关系。 。寄语:了解神经肽在皮肤中的作用及其在皮肤伤口上的应用可能是皮肤病理学的潜在疗法,例如有问题且普遍的DFU。

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