State-Province Key Laboratory of Biomedicine-Pharmaceutics of China, Key Laboratory of Cardiovascular Medicine Research, Ministry of Education, Department of Pharmacology, College of Pharmacy, Harbin Medical University, Harbin, China.
Department of Medicinal Chemistry and Natural Medicine Chemistry, College of Pharmacy, Harbin Medical University, Harbin, China.
Biomed Pharmacother. 2020 Dec;132:110933. doi: 10.1016/j.biopha.2020.110933. Epub 2020 Oct 28.
Diabetic foot is one of the main causes of non-traumatic amputation. However, there is still lack of effective drugs to treat diabetic foot in clinical practice. Kanglexin (KLX) is a new anthraquinone compound with cardiovascular protective effects. Here we report that KLX accelerates diabetic wound healing by promoting angiogenesis via FGFR1/ERK signaling. Firstly, KM mice were injected (ip) with streptozocin to establish type 1 diabetic model. The full thickness wound with the diameter of 5 mm was prepared on the back of each mice. The wounds were treated with KLX once a day for 14 consecutive days. Results showed that KLX significantly accelerated the closure of diabetic wounds. Pathological studies of skin tissues around the wounds showed that KLX promoted the formation of granulation tissue and new blood vessels, increased collagen deposition and reduced inflammatory cell infiltration. Besides, KLX significantly alleviated advanced glycation end products (AGEs) - induced abnormal proliferation, migration and tubule formation of human umbilical vein endothelial cells (HUVECs), and up-regulated phospho-ERK1/2 both in the diabetic wound tissue and AGEs - treated HUVECs. Moreover, molecular docking results indicated that KLX had the potential to bind with FGF receptor 1 (FGFR1), and subsequent experiments confirmed that FGFR1 inhibitor PD173074 reversed the effect of KLX on promoting the phosphorylation of ERK1/2 and angiogenesis, suggesting that KLX promoted angiogenesis through FGFR1/ERK signaling. In conclusion, our study provides a new effective compound for treating diabetic wounds. More importantly, KLX has the potential to be developed as a topical drug to promote diabetic wound healing.
糖尿病足是导致非创伤性截肢的主要原因之一。然而,临床上仍然缺乏有效的治疗糖尿病足的药物。康莱欣(KLX)是一种具有心血管保护作用的新型蒽醌类化合物。在这里,我们报告 KLX 通过 FGFR1/ERK 信号通路促进血管生成来加速糖尿病伤口愈合。首先,将链脲佐菌素(STZ)注射(ip)到 KM 小鼠中建立 1 型糖尿病模型。在每只小鼠的背部制备直径为 5mm 的全层伤口。用 KLX 每天处理一次,连续 14 天。结果表明 KLX 显著加速了糖尿病伤口的闭合。伤口周围皮肤组织的病理研究表明,KLX 促进了肉芽组织和新血管的形成,增加了胶原蛋白的沉积并减少了炎症细胞的浸润。此外,KLX 显著缓解了晚期糖基化终产物(AGEs)诱导的人脐静脉内皮细胞(HUVEC)异常增殖、迁移和小管形成,并上调了糖尿病伤口组织和 AGEs 处理的 HUVEC 中磷酸化 ERK1/2。此外,分子对接结果表明 KLX 具有与成纤维细胞生长因子受体 1(FGFR1)结合的潜力,随后的实验证实 FGFR1 抑制剂 PD173074 逆转了 KLX 促进 ERK1/2 磷酸化和血管生成的作用,表明 KLX 通过 FGFR1/ERK 信号通路促进了血管生成。总之,我们的研究为治疗糖尿病伤口提供了一种新的有效化合物。更重要的是,KLX 有可能被开发为一种促进糖尿病伤口愈合的局部药物。
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