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 | [74–76] | |
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 | [81–83] | |
| ||||
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 | [89–91] | |
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] |