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Lu W, Zhao J, Cai X, Wang Y, Lin W, Fang Y, Wang Y, Ao J, Shou J, Xu J, Zhu S. Cadherin-responsive hydrogel combined with dental pulp stem cells and fibroblast growth factor 21 promotes diabetic scald repair via regulating epithelial-mesenchymal transition and necroptosis. Mater Today Bio 2024; 24:100919. [PMID: 38298888 PMCID: PMC10829787 DOI: 10.1016/j.mtbio.2023.100919] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2023] [Revised: 12/15/2023] [Accepted: 12/15/2023] [Indexed: 02/02/2024] Open
Abstract
Diabetes causes a loss of sensation in the skin, so diabetics are prone to burns when using heating devices. Diabetic scalded skin is often difficult to heal due to the microenvironment of high glucose, high oxidation, and low blood perfusion. The treatment of diabetic scald mainly focuses on three aspects: 1) promote the formation of the epithelium; 2) promote angiogenesis; and 3) maintain intracellular homeostasis. In response to these three major repair factors, we developed a cadherin-responsive hydrogel combined with FGF21 and dental pulp stem cells (DPSCs) to accelerate epithelial formation by recruiting cadherin to the epidermis and promoting the transformation of N cadherin to E cadherin; promoting angiogenesis to increase wound blood perfusion; regulating the stability of lysosomal and activating autophagy to maintain intracellular homeostasis in order to comprehensively advance the recovery of diabetic scald.
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Affiliation(s)
- Wenjie Lu
- Department of Orthopaedics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou Medical University, Wenzhou, Zhejiang, 325000 China
- School of Pharmaceutical Science, Wenzhou Medical University, Wenzhou, Zhejiang, 325000, China
| | - Juan Zhao
- Department of Orthopaedics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou Medical University, Wenzhou, Zhejiang, 325000 China
- School of Pharmaceutical Science, Wenzhou Medical University, Wenzhou, Zhejiang, 325000, China
| | - Xiong Cai
- Department of Orthopaedics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou Medical University, Wenzhou, Zhejiang, 325000 China
- School of Pharmaceutical Science, Wenzhou Medical University, Wenzhou, Zhejiang, 325000, China
| | - Yutian Wang
- Department of Orthopaedics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou Medical University, Wenzhou, Zhejiang, 325000 China
- School of Pharmaceutical Science, Wenzhou Medical University, Wenzhou, Zhejiang, 325000, China
| | - Wenwei Lin
- Department of Orthopaedics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou Medical University, Wenzhou, Zhejiang, 325000 China
- School of Pharmaceutical Science, Wenzhou Medical University, Wenzhou, Zhejiang, 325000, China
| | - Yaoping Fang
- Department of Orthopaedics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou Medical University, Wenzhou, Zhejiang, 325000 China
- School of Pharmaceutical Science, Wenzhou Medical University, Wenzhou, Zhejiang, 325000, China
| | - Yunyang Wang
- Department of Orthopaedics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou Medical University, Wenzhou, Zhejiang, 325000 China
- School of Pharmaceutical Science, Wenzhou Medical University, Wenzhou, Zhejiang, 325000, China
| | - Jinglei Ao
- Department of Orthopaedics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou Medical University, Wenzhou, Zhejiang, 325000 China
- School of Pharmaceutical Science, Wenzhou Medical University, Wenzhou, Zhejiang, 325000, China
| | - Jiahui Shou
- Department of Orthopaedics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou Medical University, Wenzhou, Zhejiang, 325000 China
- School of Pharmaceutical Science, Wenzhou Medical University, Wenzhou, Zhejiang, 325000, China
| | - Jiake Xu
- Department of Orthopaedics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou Medical University, Wenzhou, Zhejiang, 325000 China
- Shenzhen Institute of Advanced Technology, Chinese Academy of Sciences, Shenzhen, 518055, China
- School of Biomedical Sciences, University of Western Australia, Perth, Western Australia, 6009, Australia
| | - Sipin Zhu
- Department of Orthopaedics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou Medical University, Wenzhou, Zhejiang, 325000 China
- School of Pharmaceutical Science, Wenzhou Medical University, Wenzhou, Zhejiang, 325000, China
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Pormehr S, Dasht Bozorgi Z. Effectiveness of health-promoting lifestyle training on mental well-being, vitality, and quality of life of elderly with diabetes. THE JOURNAL OF GENERAL PSYCHOLOGY 2024; 151:21-33. [PMID: 36697391 DOI: 10.1080/00221309.2023.2171357] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2022] [Accepted: 01/17/2023] [Indexed: 01/27/2023]
Abstract
This study aimed to investigate the effectiveness of health-promoting lifestyle (HPL) training on the mental well-being, vitality, and quality of life (QoL) of the elderly with diabetes. This was a quasi-experimental study based on a pre-test-post-test design with experimental and control groups. The statistical population consisted of all elderly with diabetes who were members of the Diabetes Association of Ahvaz in 2021, of whom 40 elderlies were selected as the sample through the convenience sampling method. The participants were randomly assigned to experimental and control groups. The participants in the experimental group attended eight 90-min sessions of HPL training. The data were statistically analyzed using the multivariate analysis of covariance in SPSS-17. The mean ± SD of the post-test scores of mental well-being, vitality, and QoL was 39.90 ± 4.80, 23.00 ± 3.31, and 35.00 ± 6.13 in the experimental group and 33.85 ± 4.81, 17.80 ± 3.15, and 29.15 ± 4.67 in the control group. The post-test results revealed a significant difference between the two groups in all of these three variables, as the HPL training significantly improved the mental well-being, vitality, and QoL of participants in the experimental group. Health professionals are recommended to apply HPL training, along with other training and therapeutic methods, to improve the health-related characteristics of such patients.
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Affiliation(s)
- Sahar Pormehr
- Department of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran
| | - Zahra Dasht Bozorgi
- Department of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran
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