Department of Dermatology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Department of Dermatology, Affiliated Hospital of Nantong University, Nantong, China.
J Cell Mol Med. 2020 Apr;24(8):4415-4427. doi: 10.1111/jcmm.15100. Epub 2020 Mar 2.
Sirtuin 3 (SIRT3) plays a vital role in several dermatological diseases. However, the role and detailed mechanism of SIRT3 in diabetic wound healing are unknown well yet. To explore possible involvement of SIRT3 and necroptosis in diabetic skin wound healing, SIRT3 knockout (KO) mice and 129S1/SvImJ wild-type (WT) mice were injected with streptozotocin (STZ), and mice skin fibroblasts were exposed to high glucose (HG). It was found that SIRT3 expression decreased in the skin of diabetic patients. SIRT3 deficiency delayed healing rate, reduced blood supply and vascular endothelial growth factor expression, promoted superoxide production, increased malondialdehyde (MDA) levels, decreased total antioxidant capacity (T-AOC), reduced superoxide dismutase (SOD) activity and aggravated ultrastructure disorder in skin wound of diabetic mice. SIRT3 deficiency inhibited mice skin fibroblasts migration with HG stimulation, which was restored by SIRT3 overexpression. SIRT3 deficiency also suppressed α-smooth muscle actin (α-SMA) expression, enhanced superoxide production but decreased mitochondrial membrane potential with HG stimulation after scratch. SIRT3 deficiency further elevated receptor-interacting protein kinase 3 (RIPK3), RIPK1 and caspase 3 expression both in vitro and in vivo. Collectively, SIRT3 deficiency delayed skin wound healing in diabetes, the mechanism might be related to impaired mitochondria function, enhanced oxidative stress and increased necroptosis. This may provide a novel therapeutic target to accelerate diabetic skin wound healing.
Sirtuin 3(SIRT3)在几种皮肤病中起着至关重要的作用。然而,SIRT3 在糖尿病创面愈合中的作用和详细机制尚不清楚。为了探讨 SIRT3 和坏死性凋亡在糖尿病皮肤伤口愈合中的可能作用,SIRT3 敲除(KO)小鼠和 129S1/SvImJ 野生型(WT)小鼠被注射链脲佐菌素(STZ),并使小鼠皮肤成纤维细胞暴露于高葡萄糖(HG)中。结果发现,糖尿病患者皮肤中 SIRT3 表达降低。SIRT3 缺乏会延迟愈合速度,减少血液供应和血管内皮生长因子表达,促进超氧化物产生,增加丙二醛(MDA)水平,降低总抗氧化能力(T-AOC),降低超氧化物歧化酶(SOD)活性,并加重糖尿病小鼠皮肤伤口的超微结构紊乱。SIRT3 缺乏抑制 HG 刺激下的小鼠皮肤成纤维细胞迁移,而过表达 SIRT3 可恢复其迁移。SIRT3 缺乏还抑制了 HG 刺激下划痕后α-平滑肌肌动蛋白(α-SMA)的表达,增加了超氧化物的产生,但降低了线粒体膜电位。SIRT3 缺乏进一步增加了受体相互作用蛋白激酶 3(RIPK3)、RIPK1 和 caspase 3 的表达,无论是在体外还是在体内。总之,SIRT3 缺乏会延迟糖尿病皮肤伤口愈合,其机制可能与线粒体功能受损、氧化应激增强和坏死性凋亡增加有关。这可能为加速糖尿病皮肤伤口愈合提供新的治疗靶点。