Department of Plastic Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450000, Henan, P.R. China.
State Key Laboratory of Trauma, Burn and Combined Injury, Institute of Burn Research, Southwest Hospital, The Third Military Medical University, Chongqing, 400038, China.
Sci Rep. 2017 Jul 20;7(1):6028. doi: 10.1038/s41598-017-05950-5.
Diabetes is associated with impaired wound healing, which may be caused primarily by a deficiency in dendritic epidermal T cells (DETCs). In the epidermis, IL-15, IGF-1, and mTOR are known to regulate the maintenance of DETCs; however, it is unclear how these molecules may intersect to regulate DETC homeostasis in diabetes. Here, we show that the reduction of DETCs in the epidermis of diabetic mice is caused by altered homeostasis mediated by a reduction in IL-15 levels. Both impaired mTOR activation and reduction of IL-15 in the epidermis play important roles in DETC homeostasis. Moreover, IGF-1 drives keratinocytes to produce IL-15. The activation of IL-15 is dependent on mTOR, and conversely, mTOR regulates IGF-1 production in DETC, in a classic feedback regulatory loop. Our data suggest that in the setting of diabetes, reduced IGF-1, impaired mTOR pathway activation and reduced IL-15 in the epidermis function coordinately to promote altered DETC homeostasis and delayed skin wound closure.
糖尿病与伤口愈合受损有关,这可能主要是由于树突状表皮 T 细胞(DETC)的缺乏所致。在表皮中,IL-15、IGF-1 和 mTOR 已知可调节 DETCs 的维持;然而,这些分子如何相互作用以调节糖尿病中的 DETCs 稳态尚不清楚。在这里,我们表明,糖尿病小鼠表皮中 DETCs 的减少是由 IL-15 水平降低介导的稳态改变引起的。表皮中 mTOR 激活受损和 IL-15 减少都在 DETCs 稳态中起重要作用。此外,IGF-1 驱动角质形成细胞产生 IL-15。IL-15 的激活依赖于 mTOR,相反,mTOR 在经典的反馈调节环中调节 DETCs 中的 IGF-1 产生。我们的数据表明,在糖尿病环境中,表皮中 IGF-1 减少、mTOR 途径激活受损和 IL-15 减少协同作用,促进 DETCs 稳态改变和皮肤伤口愈合延迟。