在糖尿病足溃疡模型中,骨化三醇可促进角质形成细胞中的促血管生成分子。
Calcitriol promotes proangiogenic molecules in keratinocytes in a diabetic foot ulcer model.
作者信息
Trujillo Valentin, Marín-Luevano Paulina, González-Curiel Irma, Rodríguez-Carlos Adrián, Ramírez-Reyes Maira, Layseca-Espinosa Esther, Enciso-Moreno José A, Díaz Lorenza, Rivas-Santiago Bruno
机构信息
Unidad de Investigación Biomédica-Zacatecas, IMSS, Mexico; Centro de Investigacion en Ciencias de la Salud y Biomedicina, Facultad de Medicina, Universidad Autónoma de San Luis Potosi, Mexico.
Unidad de Investigación Biomédica-Zacatecas, IMSS, Mexico.
出版信息
J Steroid Biochem Mol Biol. 2017 Nov;174:303-311. doi: 10.1016/j.jsbmb.2017.10.013. Epub 2017 Oct 16.
Foot ulceration is one of the most common and complex sequelae of diabetes mellitus, generally posing a therapeutic challenge due to poor healing responses and high rates of complications, including peripheral vascular disease, ischemia and infections. Calcitriol, the most active vitamin D metabolite, induces antimicrobial peptides production in keratinocytes from diabetic foot ulcers (DFU); however, little is known about its effects on angiogenic factors in this pathology. Herein we aimed at studying whether calcitriol induces angiogenic molecules in keratinocytes under normoxic and hypoxic conditions, and if these molecules are able to improve cell migration in vitro. Evaluation of DFU samples by immunohistochemistry showed increased VEGF and decreased angiogenin and HIF-1α expression compared to controls, suggesting an altered pattern of angiogenic factors in DFU. Interestingly, incubation of keratinocytes with calcitriol significantly upregulated VEGFA, HIF-1α and angiogenin gene expression, while the resulting cell culture media stimulated both endothelial cells and keratinocytes migration in an in vitro wound closure assay under a normoxic environment (p<0.05). Moreover, the culture media of calcitriol-treated keratinocytes stimulated cell migration in a similar extent as exogenous VEGF or EGF in endothelial and keratinocytes cells. These results suggest that the altered profile of angiogenic molecules in DFU might be improved by local or systemic treatment with calcitriol under normoxic conditions, which could probably be achieved with hyperbaric oxygen therapy. Given that calcitriol not only augments proangiogenic factors but also induces antimicrobial peptides expression, this hormone should be further investigated in clinical trials of DFU.
足部溃疡是糖尿病最常见且复杂的后遗症之一,由于愈合反应不佳以及并发症发生率高,包括外周血管疾病、局部缺血和感染,通常构成治疗挑战。骨化三醇是最具活性的维生素D代谢产物,可诱导糖尿病足溃疡(DFU)角质形成细胞产生抗菌肽;然而,其对这种病理状态下血管生成因子的影响却知之甚少。在此,我们旨在研究骨化三醇在常氧和低氧条件下是否能诱导角质形成细胞中的血管生成分子,以及这些分子是否能够在体外改善细胞迁移。通过免疫组织化学对DFU样本进行评估显示,与对照组相比,VEGF增加,血管生成素和HIF-1α表达降低,这表明DFU中血管生成因子的模式发生了改变。有趣的是,用骨化三醇孵育角质形成细胞可显著上调VEGFA、HIF-1α和血管生成素基因的表达,而在常氧环境下的体外伤口愈合试验中,由此产生的细胞培养基可刺激内皮细胞和角质形成细胞的迁移(p<0.05)。此外,经骨化三醇处理的角质形成细胞的培养基在刺激内皮细胞和角质形成细胞迁移方面的程度与外源性VEGF或EGF相似。这些结果表明,在常氧条件下,通过骨化三醇进行局部或全身治疗可能会改善DFU中血管生成分子的改变情况,这可能通过高压氧疗法来实现。鉴于骨化三醇不仅能增强促血管生成因子,还能诱导抗菌肽表达,这种激素应在DFU的临床试验中进一步研究。