Impaired wound healing is one of the major complications of diabetes, involving prolonged inflammation, delayed re-epithelialization, and consistent oxidative stress. The detailed mechanism remains unclear, and there is currently no effective treatment for diabetic wound healing. In this study, we aim to investigate the potential role and effect of nuclear factor erythroid-2-related factor-2 (Nrf2) activation on diabetic wound healing. In vitro experiments in rat macrophages showed that hyperglycemia treatment suppresses Nrf2 activation, resulting in oxidative stress with decreased expression of antioxidant genes, including NAD(P) H: quinone oxidoreductase 1 and heme oxygenase 1, together with increased secretion of proinflammatory cytokines, including interleukin 1 beta (IL1 beta), IL6, and monocyte chemoattractant protein-1. Both Nrf2 overexpression and Nrf2 activator dimethyl fumarate (DMF) treatment significantly ameliorated oxidative stress and inflammation. On the other hand, both Nrf2 knockdown or Nrf2 inhibitor ML385 mimicked the effect of diabetes. Further in vivo experiments in rats showed that DMF treatment significantly accelerated wound healing in streptozocin-induced diabetic rats with increased expression of antioxidant enzymes and decreased secretion of proinflammatory cytokines, while Nrf2 inhibitor ML385 mimicked the effect of diabetes. We conclude that Nrf2 activation accelerates impaired wound healing by ameliorating diabetes-mediated oxidative stress and inflammation. This provides a new clinical treatment strategy for diabetic wound healing using Nrf2 activator DMF.
基金:
National Natural Science Foundation of ChinaNational Natural Science Foundation of China (NSFC) [81772097, 81501667]; Hubei Science & Technology Development Project [2016CFB473, 2016CFB589]; Features Innovative Projects of General Colleges and Universities of Guangdong Province in 2017 [2017KTSCX084]; Open Funding of Key Lab of Prevention and Management of Chronic Kidney Disease of Zhanjiang City [KF201905]; Doctoral Research Project of Guangdong Natural Science in 2018 (Basic and Applied Basic Research) [2018A030310115]
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, Tongren Hosp, Inst Burns, Wuhan, Hubei, Peoples R China
共同第一作者:
通讯作者:
通讯机构:[2]Wuhan Univ, Wuhan Hosp 3, Tongren Hosp, Inst Burns, Wuhan, Hubei, Peoples R China[3]Guangdong Med Coll, Sch Publ Hlth, Dongguan, Peoples R China
推荐引用方式(GB/T 7714):
Li Min,Yu Haibing,Pan Haiyan,et al.Nrf2 Suppression Delays Diabetic Wound Healing Through Sustained Oxidative Stress and Inflammation[J].FRONTIERS IN PHARMACOLOGY.2019,10:doi:10.3389/fphar.2019.01099.
APA:
Li, Min,Yu, Haibing,Pan, Haiyan,Zhou, Xueqing,Ruan, Qiongfang...&Yao, Paul.(2019).Nrf2 Suppression Delays Diabetic Wound Healing Through Sustained Oxidative Stress and Inflammation.FRONTIERS IN PHARMACOLOGY,10,
MLA:
Li, Min,et al."Nrf2 Suppression Delays Diabetic Wound Healing Through Sustained Oxidative Stress and Inflammation".FRONTIERS IN PHARMACOLOGY 10.(2019)