Review ArticleInternational Journal of Research in Medical Sciences
Publication: VEGF: structure, biological activities, regulations and roles in the healing of diabetic ulcers
Int J Res Med Sci. 2018;6(7):2184-2192.DOI10.18203/2320-6012.ijrms20182801
Abstract
Diabetic ulcer patients can be hampered their ulcer healing process. The condition is caused by hyperglycemia and accumulation of advanced glycation end-products (AGEs) that can cause interference with VEGF and its receptors and signaling pathways. The VEGF core region is formed by a cystine bond motif with 8 invariant cystine residues in inter and intramolecular disulfide bound to the end of the central 4-stranded at each monomer with a side-by-side antiparallel orientation. VEGF stimulates angiogenesis in three dimensions, causing the encounter of microvascular endothelial cells, penetration into collagen gels and forming capillary-like structures. Regulation of VEGF gene expression through: (1) hypoxia; (2) cytokines and (3) differentiation and transformation. VEGF stimulates wound healing through several mechanisms such as collagen deposition, angiogenesis and epithelialisation.
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Affiliations
- Department of Medical Surgical Nursing, School of Nursing, Muhammadiyah Surakarta University, Surakarta, Indonesia
- Department of Parasitology, Faculty of Medicine, Diponegoro University, Semarang, Indonesia
- Department of Occupational Safety and Health, Faculty of Public Health, Diponegoro University, Semarang, Indonesia
- Department of Internal Medicine, Faculty of Medicine, Diponegoro University, Semarang, Indonesia
