2013
DOI: 10.1155/2013/754802
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Abnormal Cell Responses and Role of TNF-αin Impaired Diabetic Wound Healing

Abstract: Impaired diabetic wound healing constitutes a major health problem. The impaired healing is caused by complex factors such as abnormal keratinocyte and fibroblast migration, proliferation, differentiation, and apoptosis, abnormal macrophage polarization, impaired recruitment of mesenchymal stem cells (MSCs) and endothelial progenitor cells (EPCs), and decreased vascularization. Diabetes-enhanced and prolonged expression of TNF-α also contributes to impaired healing. In this paper, we discuss the abnormal cell … Show more

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Cited by 177 publications
(145 citation statements)
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“…The systemic condition of diabetes mellitus can affect the healing process. 30 Traumatic ulcers in cases of diabetes mellitus can precipitate a delayed healing process due to a prolonged inflammatory process marked by an increased pro-inflammatory cytokine, TNF-α.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…The systemic condition of diabetes mellitus can affect the healing process. 30 Traumatic ulcers in cases of diabetes mellitus can precipitate a delayed healing process due to a prolonged inflammatory process marked by an increased pro-inflammatory cytokine, TNF-α.…”
Section: Discussionmentioning
confidence: 99%
“…34,38 The proliferative stage of the healing process is, moreover, characterized by the proliferation of fibroblast and collagen synthesis. 30 The formation of granulation tissue at the proliferative stage of the wound healing process triggers fibroblasts to reduce collagenase so that the degradation process decreases. Furthermore, at this stage, the fibroblasts also undergo apoptosis resulting in the granulation tissue being replaced by collagen.…”
Section: Discussionmentioning
confidence: 99%
“…Navarro & Mora-Fernández (2006), Roszer (2011) and Xu et al (2013)). In addition to TNFa, AGE-BSA increased the mRNA levels of other apoptogenic ligands, such as lymphotoxin alpha (Etemadi et al 2013) and TRAIL (Falschlehner et al 2007).…”
Section: Discussionmentioning
confidence: 99%
“…The proliferation phase is also compromised in diabetic wounds; 34 however, re-epithelialization scoring and epithelial thicknesses results in this study indicate that tissue proliferation was promoted in heparin mimetic hydrogel treated wounds.…”
Section: Acs Biomaterials Science and Engineeringmentioning
confidence: 51%