2020
DOI: 10.1016/j.mbplus.2020.100037
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The role of extracellular matrix in the pathophysiology of diabetic wounds

Abstract: Impaired healing leading to the formation of ulcerated wounds is a critical concern in patients with diabetes. Abnormalities in extracellular matrix (ECM) production and remodeling contribute to tissue dysfunction and delayed healing. Specifically, diabetes-induced changes in the expression and/or activity of structural proteins, ECM-modifying enzymes, proteoglycans, and matricellular proteins have been reported. In this review, we provide a summary of the key ECM molecules and associated changes in skin and d… Show more

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Cited by 50 publications
(41 citation statements)
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References 146 publications
(107 reference statements)
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“…Diabetes mellitus (DM) may impair wound healing, though the pathophysiology of impaired wound healing in DM is not fully understood ( Huang and Kyriakides, 2020 ). High blood glucose decreases collagen production and fibroblast migration and inhibits inflammatory cell proliferation, leading to chronically non-healing ulcers ( Okonkwo and DiPietro, 2017 ).…”
Section: Collagen Prolidase and Wound Healingmentioning
confidence: 99%
“…Diabetes mellitus (DM) may impair wound healing, though the pathophysiology of impaired wound healing in DM is not fully understood ( Huang and Kyriakides, 2020 ). High blood glucose decreases collagen production and fibroblast migration and inhibits inflammatory cell proliferation, leading to chronically non-healing ulcers ( Okonkwo and DiPietro, 2017 ).…”
Section: Collagen Prolidase and Wound Healingmentioning
confidence: 99%
“…Compromised ECM remodeling is a typical presentation of diabetic foot ulcers. In defective wound healing, the balance between ECM degradation, production and maturation tends to yield more degraded, non-soluble fibrils, resulting in a disorganized ECM network [ 44 ].…”
Section: Microscopic Organization Of Foot Fasciae and Their Possible Role In Diabetic Footmentioning
confidence: 99%
“…Alterations in ECM are well-documented changes which occur during the fibrotic disease process in diabetes mellitus (DM). However, there is a controversial situation between the in vivo and in vitro conditions that underlines the role of the functional environment that can determine a decrease in the integrity of the skin [ 44 ].…”
Section: Microscopic Organization Of Foot Fasciae and Their Possible Role In Diabetic Footmentioning
confidence: 99%
“…Single cell and collective cell migrations are dependent on ECM integrity [22]. Diabetes mellitus negatively remodulates the ECM and compromises ECM-cell and cell-to-cell communications [21,23].…”
Section: Lecs Migratory Proliferative and Differentiation Activitiesmentioning
confidence: 99%