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糖尿病创面愈合中局部衰老的升高与通过 CXCR2 的病理性修复有关。

Elevated Local Senescence in Diabetic Wound Healing Is Linked to Pathological Repair via CXCR2.

机构信息

Centre for Atherothrombosis and Metabolic Disease, Hull York Medical School, The University of Hull, UK.

Research and Development Department, Royal Stoke University Hospital, University Hospitals of North Midlands National Health Service Trust, UK.

出版信息

J Invest Dermatol. 2019 May;139(5):1171-1181.e6. doi: 10.1016/j.jid.2019.01.005. Epub 2019 Jan 23.

Abstract

Cellular senescence can be broadly defined as a stable, but essentially irreversible, loss of proliferative capacity. Historically, senescence has been described as a negative outcome of advanced cellular age. It is now clear, however, that senescence represents a dynamic autonomous stress response, integral to long-term tumor suppression. Transient induction of a senescent phenotype has actually been suggested to promote regeneration in both liver and skin. Here, we explored the role of senescence in pathological aged and diabetic murine wound healing. Aged and diabetic wounds had greater numbers of senescent cells, and diabetic macrophages maintained altered retention of polarization and produced a CXCR2-enriched senescence-associated secretory phenotype (i.e., SASP). Of translational relevance, targeted expression of CXCR2 in primary human dermal fibroblasts led to paracrine induction of nuclear p21. Furthermore, a selective agonist to CXCR2 was able to reverse delayed healing in diabetic mice and accelerate ex vivo human skin wound healing. Collectively, these data suggest a hitherto unappreciated role for CXCR2 in mediating cellular senescence in pathological wound repair.

摘要

细胞衰老可以被广泛定义为一种稳定但基本上不可逆转的增殖能力丧失。从历史上看,衰老被描述为细胞老化的一种负面结果。然而,现在很清楚,衰老代表了一种动态的自主应激反应,是长期肿瘤抑制的重要组成部分。短暂诱导衰老表型实际上被认为可以促进肝脏和皮肤的再生。在这里,我们研究了衰老在病理性衰老和糖尿病小鼠伤口愈合中的作用。衰老和糖尿病伤口有更多的衰老细胞,糖尿病巨噬细胞保持极化的改变保留,并产生 CXCR2 富集的衰老相关分泌表型(即 SASP)。具有转化相关性的是,CXCR2 在原代人真皮成纤维细胞中的靶向表达导致核 p21 的旁分泌诱导。此外,CXCR2 的选择性激动剂能够逆转糖尿病小鼠的愈合延迟,并加速离体人皮肤伤口愈合。总的来说,这些数据表明,CXCR2 在调节病理性伤口修复中的细胞衰老中具有迄今为止尚未被认识到的作用。

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