{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T05:15:59Z","timestamp":1789708559499,"version":"4.0.1"},"reference-count":46,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2019,8,19]],"date-time":"2019-08-19T00:00:00Z","timestamp":1566172800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2019,8,19]],"date-time":"2019-08-19T00:00:00Z","timestamp":1566172800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"name":"Director of the National Institute of Angiology"},{"name":"Vascular Surgery, in Havana, Cuba"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Wound Journal"],"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Diabetic foot ulcer is one of the most frightened diabetic complications leading to amputation disability and early mortality. Diabetic wounds exhibit a complex networking of inflammatory cytokines, local proteases, and reactive oxygen and nitrogen species as a pathogenic polymicrobial biofilm, overall contributing to wound chronification and host homeostasis imbalance. Intralesional infiltration of epidermal growth factor (EGF) has emerged as a therapeutic alternative to diabetic wound healing, reaching responsive cells while avoiding the deleterious effect of proteases and the biofilm on the wound's surface. The present study shows that intralesional therapy with EGF is associated with the systemic attenuation of pro\u2010inflammatory markers along with redox balance recovery. A total of 11 diabetic patients with neuropathic foot ulcers were studied before and 3\u2009weeks after starting EGF treatment. Evaluations comprised plasma levels of pro\u2010inflammatory, redox balance, and glycation markers. Pro\u2010inflammatory markers such as erythrosedimentation rate, C\u2010reactive protein, interleukin\u20106, soluble FAS, and macrophage inflammatory protein 1\u2010alpha were significantly reduced by EGF therapy. Oxidative capacity, nitrite\/nitrate ratio, and pentosidine were also reduced, while soluble receptor for advanced glycation end\u2010products significantly increased. Overall, our results indicate that the local intralesional infiltration of EGF translates in systemic anti\u2010inflammatory and antioxidant effects, as in attenuation of the glycation products' negative effects.<\/jats:p>","DOI":"10.1111\/iwj.13189","type":"journal-article","created":{"date-parts":[[2019,8,19]],"date-time":"2019-08-19T20:45:57Z","timestamp":1566247557000},"page":"1294-1303","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Systemic translation of locally infiltrated epidermal growth factor in diabetic lower extremity wounds"],"prefix":"10.1111","volume":"16","author":[{"given":"Ariana","family":"Garc\u00eda\u2010Ojalvo","sequence":"first","affiliation":[{"name":"Wound Healing and Cytoprotection Group, Department of Pharmaceuticals, Biomedical Research Direction Center for Genetic Engineering and Biotechnology  Havana 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