Department of Medical Biology, Cerrahpasa Medical Faculty, Istanbul University-Cerrahpasa, Istanbul, Turkey.
Medical Laboratory Techniques, Vocational School of Health Services, Istinye University, Istanbul, Turkey.
Acta Diabetol. 2019 Feb;56(2):177-186. doi: 10.1007/s00592-018-1237-5. Epub 2018 Oct 9.
Lucilia sericata larvae have been successfully used on healing of wounds in the diabetics. However, the involvement of the extraction/secretion (ES) products of larvae in the treatment of diabetic wounds is still unknown. Activator protein-1 (AP-1) transcription, composed of c-jun and c-Fos proteins, has been shown to be the principal regulator of multiple MMP transcriptions under a variety of conditions, also in diabetic wounds. Specifically, MMP-2 and MMP-9's transcriptions are known to be modulated by AP-1. c-jun has been demonstrated to be a repressor of p53 in immortalized fibroblasts. The aim of the present study is to investigate the effects of L. sericata ES on the expression of AP-1 (c-jun), p53, MMP-2, and MMP-9 in wound biopsies dissected from streptozotocin induced diabetic rats.
The expression levels of MMP-2, MMP-9, c-jun and p53 in dermal tissues were determined at days 0, 3, 7 and 14 after wounding, using immunohistochemical analysis and quantitative real-time PCR.
The treatment with ES significantly decreased through inflammation-based induction of MMP-2 and MMP-9 expression levels in the wounds of diabetic groups, compared to control groups at the third day of wound healing. At the 14th day, there were dramatic decreases in expression of c-jun, MMP-9, and p53 in ES-treated groups, compared to the diabetic group (P < 0.001, P < 0.05 and P < 0.01, respectively).
ES products of L. sericata may enhance the process of wound healing in phases of inflammation, proliferation, and re-epithelization, essentially via regulating c-jun expression and modulating MMP-2 and MMP-9 expressions.
丝光绿蝇幼虫已成功用于治疗糖尿病患者的伤口。然而,幼虫的提取/分泌(ES)产物在治疗糖尿病伤口中的作用仍不清楚。激活蛋白-1(AP-1)转录,由 c-jun 和 c-Fos 蛋白组成,已被证明是多种条件下(包括糖尿病伤口)多种 MMP 转录的主要调节剂。已知 MMP-2 和 MMP-9 的转录受 AP-1 调节。c-jun 已被证明是永生化成纤维细胞中 p53 的抑制剂。本研究旨在探讨丝光绿蝇 ES 对链脲佐菌素诱导的糖尿病大鼠伤口活检中 AP-1(c-jun)、p53、MMP-2 和 MMP-9 表达的影响。
采用免疫组织化学分析和实时定量 PCR 法测定伤后第 0、3、7 和 14 天真皮组织中 MMP-2、MMP-9、c-jun 和 p53 的表达水平。
与对照组相比,ES 治疗组在伤后第 3 天糖尿病组伤口中 MMP-2 和 MMP-9 的表达水平通过炎症诱导显著降低。在第 14 天,ES 治疗组中 c-jun、MMP-9 和 p53 的表达明显降低,与糖尿病组相比(P<0.001、P<0.05 和 P<0.01)。
丝光绿蝇 ES 产物可能通过调节 c-jun 表达和调节 MMP-2 和 MMP-9 表达,增强炎症、增殖和再上皮化阶段的伤口愈合过程。