Alvarez-Rafael Diego, de la Escosura-Muñiz Alfredo
NanoBioAnalysis Group-Department of Physical and Analytical Chemistry, University of Oviedo, Julián Clavería 8, Oviedo 33006, Spain; Biotechnology Institute of Asturias, University of Oviedo, Santiago Gascon Building, Oviedo 33006, Spain.
NanoBioAnalysis Group-Department of Physical and Analytical Chemistry, University of Oviedo, Julián Clavería 8, Oviedo 33006, Spain; Biotechnology Institute of Asturias, University of Oviedo, Santiago Gascon Building, Oviedo 33006, Spain.
J Pharm Biomed Anal. 2025 Dec 15;266:117110. doi: 10.1016/j.jpba.2025.117110. Epub 2025 Aug 11.
Chronic wounds represent a significant clinical challenge due to their prolonged healing time and susceptibility to infection and inflammation. Recent advances in molecular diagnostics have identified microRNAs as promising biomarkers for real-time monitoring of wound status, given their regulatory roles in the three phases of the healing process: inflammation, proliferation, and tissue remodeling. This review explores the potential of microRNAs as diagnostic tools for chronic wound management, with special focus on analytical strategies suitable for point-of-care (POC) detection like paper-based lateral flow assays or electrochemical techniques. We critically assess the advantages and limitations of current technologies regarding sensitivity, specificity, integration, and usability in decentralized healthcare settings.
慢性伤口由于愈合时间长且易受感染和炎症影响,是一项重大的临床挑战。鉴于微小RNA在愈合过程的三个阶段(炎症、增殖和组织重塑)中发挥调节作用,分子诊断学的最新进展已将其确定为实时监测伤口状况的有前景的生物标志物。本综述探讨了微小RNA作为慢性伤口管理诊断工具的潜力,特别关注适用于即时检测(POC)的分析策略,如基于纸的侧向流动分析或电化学技术。我们严格评估了当前技术在分散式医疗环境中的灵敏度、特异性、集成性和可用性方面的优点和局限性。