Neurovascular Factors in Wound Healing in the Foot Skin of Type 2 Diabetic Subjects

Response to Catrina and Brismar

  1. Singhan T.M. Krishnan, MD and
  2. Gerry Rayman, FRCP, MD
  1. From the Diabetes Centre, Ipswich Hospital, Ipswich, U.K
  1. Address correspondence to Dr. G. Rayman, MD, FRCP, Ipswich Diabetes Centre, Ipswich Hospital NHS Trust, Heath Road, Ipswich, IP4 5PD, U.K. E-mail: gerry.rayman{at}ipswichhospital.nhs.uk

We agree with Catrina and Brismar (1) that the main stimulus for hypoxia-inducible factor-1α (HIF-1α) is hypoxia. Thus, in view of the normal blood vessel density, one would not expect hypoxia, which would be compatible with the normal …

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