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10.1155/2017/3159798

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suck abstract from ncbi


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pmid29675430      J+Diabetes+Res 2017 ; 2017 (ä): ä
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  • Pirfenidone Accelerates Wound Healing in Chronic Diabetic Foot Ulcers: A Randomized, Double-Blind Controlled Trial #MMPMID29675430
  • Gasca-Lozano LE; Lucano-Landeros S; Ruiz-Mercado H; Salazar-Montes A; Sandoval-Rodríguez A; Garcia-Bañuelos J; Santos-Garcia A; Davila-Rodriguez JR; Navarro-Partida J; Bojórquez-Sepúlveda H; Castañeda-Gomez J; Domínguez-Rosales J; Ruiz-Arcos MA; Sánchez-Parada MG; Armendariz-Borunda J
  • J Diabetes Res 2017[]; 2017 (ä): ä PMID29675430show ga
  • Background: Diabetic foot ulcers are one disabling complication of diabetes mellitus. Pirfenidone (PFD) is a potent modulator of extracellular matrix. Modified diallyl disulfide oxide (M-DDO) is an antimicrobial and antiseptic agent. Aim: To evaluate efficacy of topical PFD?+?M-DDO in a randomized, double-blind trial versus ketanserin in the treatment of noninfected chronic DFU. Methods: Patients received PFD?+?M-DDO or ketanserin for 6 months. Relative ulcer volume (RUV) was measured every month; biopsies were taken at baseline and months 1 and 2 for histopathology and gene expression analysis for COL-1?, COL-4, KGF, VEGF, ACTA2 (?-SMA), elastin, fibronectin, TGF-?1, TGF-?3, HIF-1?, and HIF-1?. Results: Reduction of median RUV in the PFD?+?M-DDO group was 62%, 89.8%, and 99.7% at months 1?3 and 100% from months 4 to 6. Ketanserin reduced RUV in 38.4%, 56%, 60.8%, 94%, 94.8%, and 100% from the first to the sixth month, respectively. Healing score improved 4.5 points with PFD?+?M-DDO and 1.5 points with ketanserin compared to basal value. Histology analysis revealed few inflammatory cells and organized/ordered collagen fiber bundles in PFD?+?M-DDO. Expression of most genes was increased with PFD?+?M-DDO; 43.8% of ulcers were resolved using PFD?+?M-DDO and 23.5% with ketanserin. Conclusion: PFD?+?M-DDO was more effective than ketanserin in RUV reduction.
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