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. 2021 Feb 4;2021:8852759. doi: 10.1155/2021/8852759

Table 1.

Antioxidants and their potential benefit in diabetic wound healing.

Drugs Observation Mechanism Reference
Antimetabolism imbalance Metformin Improved angiogenic functions of ECs and EPCs NO, AMPK/mTOR pathway [72, 73]
SGLT2i Improve inflammation and endothelial function Lower mRNA expression of TNF-α, IL-6, and MCP-1 [7476]
DDP-4i Antioxidative stress Nrf2 pathway [77, 78]
Fenofibrates Improve skin barrier Wnt/β-catenin pathway [79, 80]
Statins Promote angiogenesis and lymphangiogenesis PI3-kinase/Akt pathway [8183]

Therapy for diabetic neuropathy ALA Antioxidative stress Inhibition of NF-κB [64, 84, 85]
Aldose reductase inhibitors Antioxidative stress Polyol pathway [31]
Coenzyme Q10 Ameliorates oxidant stress and apoptosis Increasing energy generation of ATP [86, 87]

Therapy for diabetic angiopathies Cilostazol Antiatherosclerosis [88]
Low molecular-weight heparin Increase microcirculation Anticoagulation [8991]
Iloprost Improve limb perfusion / [92]

Therapy for the diabetic skin EGF Antioxidative stress / [94]
Biogenic AgNPs Accelerate wound healing Inhibit overexpression of MMP-2 and MMP-9, antimicrobial [95]
NaB Accelerate wound healing Antimicrobial activity and improve proliferation [96]

Therapy for infection Antibiotics Fight against for infection / [97, 98]

Plant ingredients for OS Ferulic acid Antioxidative stress Reduce MMP (2, 8, 9) and increase TIMP-1 and 2 [99, 100]
Chlorogenic acid Antioxidative stress Elevate the level of reduced glutathione [102]

Potential antioxidants The drug-loaded ROS-scavenging hydrogel Accelerate wound healing Decrease ROS level and upregulate M2 phenotype macrophages [103]
Deferoxamine Promote neovascularization and regeneration Suppress OS and activate hypoxia-inducible factor-1 alpha ion [104]
Propolis / Increase GSH/GSSG) ratio [108]
N-Acetyl cysteine (NAC) Accelerate wound healing Accelerate wound healing [109, 110]