Wounds under diabetic milieu: The role of immune cellar components and signaling pathways

Biomed Pharmacother. 2023 Jan:157:114052. doi: 10.1016/j.biopha.2022.114052. Epub 2022 Nov 30.

Abstract

A major challenge in the field of diabetic wound healing is to confirm the body's intrinsic mechanism that could sense the immune system damage promptly and protect the wound from non-healing. Accumulating literature indicates that macrophage, a contributor to prolonged inflammation occurring at the wound site, might play such a role in hindering wound healing. Likewise, other immune cell dysfunctions, such as persistent neutrophils and T cell infection, may also lead to persistent oxidative stress and inflammatory reaction during diabetic wound healing. In this article, we discuss recent advances in the immune cellular components in wounds under the diabetic milieu, and the role of key signaling mechanisms that compromise the function of immune cells leading to persistent wound non-healing.

Keywords: Cellular components; Diabetes; Diabetic wound healing progression; Immune cells; Inflammation; Signaling pathways.

Publication types

  • Review

MeSH terms

  • Diabetes Mellitus* / metabolism
  • Humans
  • Inflammation / metabolism
  • Macrophages / metabolism
  • Signal Transduction / physiology
  • Wound Healing* / physiology