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ER beta Accelerates Diabetic Wound Healing by Ameliorating Hyperglycemia-Induced Persistent Oxidative Stress

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机构: [1]Wuhan Univ, Zhongnan Hosp, Dept Gen Surg, Wuhan, Hubei, Peoples R China [2]Wuhan Univ, Wuhan Hosp 3, Inst Burns, Tongren Hosp, Wuhan, Hubei, Peoples R China [3]Hainan Maternal & Child Hlth Hosp, Haikou, Hainan, Peoples R China [4]Hubei Univ, Sch Life Sci, State Key Lab Biocatalysis & Enzyme Engn, Wuhan, Hubei, Peoples R China
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关键词: ER beta SOD2 mitochondria oxidative stress wound healing

摘要:
Delayed wound healing in diabetic patients is a serious diabetic complication, resulting in major health problems as well as high mortality and disability. The detailed mechanism still needs to be fully understood. In this study, we aim to investigate potential mechanisms and explore an efficient strategy for clinical treatment of diabetic wound healing. Human umbilical endothelial cells were exposed to hyperglycemia for 4 days, then switched to normoglycemia for an additional 4 days. The cells were harvested for the analysis of reactive oxygen species (ROS) generation, gene expression and VEGF signaling pathway. Furthermore, the diabetic wound model was established in rats for the evaluation of wound healing rates under the treatment of either ER beta agonist/antagonist or SOD mimetic MnTBAP. Our results show that transient hyperglycemia exposure results in persistent ROS overgeneration after the switch to normoglycemia, along with suppressed expression of ER beta SOD2, and the VEGF signaling pathway. Either ER beta expression or activation diminishes ROS generation. In vivo experiments with diabetic rats show that ER beta activation or SOD mimetic MnTBAP diminishes ROS generation in tissues and accelerates diabetic wound healing. Transient hyperglycemia exposure induces ROS generation and suppresses ER beta expression, subsequently resulting in SOD2 suppression with additional elevated ROS generation. This forms a positive-feed forward loop for ROS generation with persistent oxidative stress. ER beta expression or activation breaks this loop and ameliorates this effect, thereby accelerating diabetic wound healing. We conclude that ER beta accelerates diabetic wound healing by ameliorating hyperglycemia-induced persistent oxidative stress. This provides a new strategy for clinical treatment of diabetic wound healing based on ER beta activation.

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出版当年[2018]版:
大类 | 2 区 医学
小类 | 3 区 内分泌学与代谢
最新[2023]版:
大类 | 2 区 医学
小类 | 2 区 内分泌学与代谢
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出版当年[2017]版:
Q2 ENDOCRINOLOGY & METABOLISM
最新[2023]版:
Q2 ENDOCRINOLOGY & METABOLISM

影响因子: 最新[2023版] 最新五年平均 出版当年[2017版] 出版当年五年平均 出版前一年[2016版] 出版后一年[2018版]

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第一作者机构: [1]Wuhan Univ, Zhongnan Hosp, Dept Gen Surg, Wuhan, Hubei, Peoples R China [2]Wuhan Univ, Wuhan Hosp 3, Inst Burns, Tongren Hosp, Wuhan, Hubei, Peoples R China
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通讯机构: [2]Wuhan Univ, Wuhan Hosp 3, Inst Burns, Tongren Hosp, Wuhan, Hubei, Peoples R China [3]Hainan Maternal & Child Hlth Hosp, Haikou, Hainan, Peoples R China
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