糖尿病足溃疡实验动物模型的研究进展
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1.上海中医药大学附属岳阳中西医结合医院;2.复旦大学医学院;3.上海中医药大学中医学院;4.上海中医药大学附属曙光医院

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上海中医药大学附属中西医结合岳阳医院“揭榜挂帅”医学研究基金项目(2024YJJB16)


Progress in the Study of Experimental Animal Models of Diabetic Foot Ulcers
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1.Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine,;2.Shanghai Medical College, Fudan University;3.School of Traditional Chinese Medicine, Shanghai University of Traditional Chinese Medicine;4.Laboratory of Clinical Pharmacokinetics, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine;5.Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine

Fund Project:

the “Open Competition Mechanism to Select the Best Candidates” Medical Research Fund of Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine (2024YJJB16)

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    摘要:

    糖尿病足溃疡(Diabetic Foot Ulcer, DFU)是糖尿病最严重的并发症之一,给患者和社会带来沉重负担。构建能有效模拟人类DFU病理生理过程的动物模型,是探究其复杂机制研究并研发有效干预策略的基础。本文从比较医学角度系统梳理了DFU实验动物模型的研究进展,重点对比分析了不同模型的优势与局限性。DFU动物模型主要分为糖尿病模型和溃疡创面模型两大类:糖尿病模型包括1型糖尿病模型(链脲佐菌素诱导)、2型糖尿病模型(自发突变型如db/db小鼠、ob/ob小鼠、ZDF大鼠,以及诱导型如高脂饮食联合STZ);溃疡创面模型包括缺血性、神经性、感染性和模拟临床症状型模型。本文重点关注了创面愈合的种属差异及其对研究结果向临床转化的影响:啮齿类动物主要通过皮下筋膜层收缩愈合,而人类主要依赖上皮再生和肉芽组织形成。性别、年龄等因素对模型构建和表型表现具有显著影响。展望未来,人源化模型、3D生物打印技术、多基因动物模型等新兴技术将为DFU基础与转化研究提供更精准的实验平台。

    Abstract:

    Diabetic foot ulcer (DFU), one of the most severe complications of diabetes mellitus, imposes a significant clinical and socioeconomic burden on patients and healthcare systems. The development of animal models that can effectively recapitulate the pathophysiological processes of human DFU serves as a critical foundation for investigating its complex mechanisms and advancing effective intervention strategies. This paper systematically reviews the research progress of experimental animal models of DFU from a comparative medicine perspective, with a focus on comparative analysis of the advantages and limitations of different models.DFU animal models are broadly categorized into two major groups: diabetes mellitus models (including type 1 diabetes models, such as streptozotocin [STZ]-induced models; and type 2 diabetes models, including spontaneously mutated strains like db/db mice, ob/ob mice, and ZDF rats, as well as induced models such as high-fat diet combined with STZ) and ulcerative wound models (encompassing ischemic, neuropathic, infectious, and clinically symptomatic models). This review emphasizes species-specific differences in wound healing and their implications for translating research findings to clinical practice: rodents primarily rely on contraction of the subcutaneous fascia for wound closure, whereas humans depend predominantly on re-epithelialization and granulation tissue formation. Parameters including gender and age exert substantial influences on model construction and phenotypic manifestations. Looking ahead, emerging technologies—including humanized models, 3D bioprinting, and multigene-engineered animal models—are expected to provide more precise experimental platforms for basic and translational DFU research.

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  • 收稿日期:2025-08-15
  • 最后修改日期:2025-12-26
  • 录用日期:2026-01-14
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