The proteolytic environment of chronic wounds

被引:272
作者
Yager, DR [1 ]
Nwomeh, BC [1 ]
机构
[1] Virginia Commonwealth Univ, Med Coll Virginia, Plast Surg Res Lab, Richmond, VA 23298 USA
关键词
D O I
10.1046/j.1524-475X.1999.00433.x
中图分类号
Q2 [细胞生物学];
学科分类号
071009 ; 090102 ;
摘要
A consistent feature of chronic leg and pressure ulcers is chronic inflammation associated with an elevated infiltration of neutrophils. Neutrophils and their proteases have been implicated in mediating the tissue damage associated with a variety of chronic inflammatory diseases. This review discusses our current understanding of the proteolytic enzymes found in chronic wounds and attempts to relate this information to the abundant presence of neutrophils. In addition, the implications that the proteolytic environment may have for current and future treatment strategies of chronic nonhealing wounds are discussed.
引用
收藏
页码:433 / 441
页数:9
相关论文
共 82 条
[1]   MECHANISMS OF NEUTROPHIL-MEDIATED TISSUE-INJURY [J].
ANDERSON, BO ;
BROWN, JM ;
HARKEN, AH .
JOURNAL OF SURGICAL RESEARCH, 1991, 51 (02) :170-179
[2]  
Barone EJ, 1998, PLAST RECONSTR SURG, V102, P1023, DOI 10.1097/00006534-199809040-00015
[3]  
BERMAN M, 1983, INVEST OPHTH VIS SCI, V24, P1358
[4]  
BIRRER P, 1995, RESPIRATION, V62, P25
[5]   EFFECT OF CALCIUM ON PHENOTHIAZINE INHIBITION OF NEUTROPHIL DEGRANULATION [J].
BLACKWOOD, RA ;
HESSLER, RJ .
JOURNAL OF LEUKOCYTE BIOLOGY, 1995, 58 (01) :114-118
[6]   PREVENTION OF TISSUE-DAMAGE - INHIBITION OF MYELOPEROXIDASE MEDIATED INACTIVATION OF ALPHA-1-PROTEINASE INHIBITOR BY N-ACETYL CYSTEINE, GLUTATHIONE, AND METHIONINE [J].
BORREGAARD, N ;
JENSEN, HS ;
BJERRUM, OW .
AGENTS AND ACTIONS, 1987, 22 (3-4) :255-260
[7]  
Borregaard N, 1996, Curr Opin Hematol, V3, P11
[8]  
Bouma MG, 1997, J IMMUNOL, V158, P5400
[9]   Structure of malonic acid-based inhibitors bound to human neutrophil collagenase. A new binding mode explains apparently anomalous data [J].
Brandstetter, H ;
Engh, RA ;
Von Roedern, EG ;
Moroder, L ;
Huber, R ;
Bode, W ;
Grams, F .
PROTEIN SCIENCE, 1998, 7 (06) :1303-1309
[10]   TISSUE INHIBITOR OF METALLOPROTEINASES-1 IS DECREASES AND ACTIVATED GELATINASES ARE INCREASED IN CHRONIC WOUNDS [J].
BULLEN, EC ;
LONGAKER, MT ;
UPDIKE, DL ;
BENTON, R ;
LADIN, D ;
HOU, ZZ ;
HOWARD, EW .
JOURNAL OF INVESTIGATIVE DERMATOLOGY, 1995, 104 (02) :236-240