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橙皮素通过激活 SIRT3 抑制铁死亡来促进糖尿病伤口愈合。

Hesperetin promotes diabetic wound healing by inhibiting ferroptosis through the activation of SIRT3.

机构信息

Department of Orthopaedic, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China.

Key Laboratory of Orthopaedics of Zhejiang Province, Wenzhou, China.

出版信息

Phytother Res. 2024 Mar;38(3):1478-1493. doi: 10.1002/ptr.8121. Epub 2024 Jan 17.

Abstract

Hesperetin (HST) is a flavonoid compound naturally occurring in citrus fruits and is widespread in various traditional medicinal herbs such as grapefruit peel, orange peel, and tangerine peel. These plant materials are commonly used in traditional Chinese medicine to prepare herbal remedies. The study aimed to investigate the potential molecular mechanisms through which HST reduces ferroptosis in human umbilical vein endothelial cells (HUVECs) and promotes angiogenesis and wound healing. We employed network pharmacology to predict the downstream targets affected by HST. The expression of markers related to ferroptosis was assessed through Western blot (WB) and polymerase chain reaction. Intracellular levels of ferroptosis-related metabolism were examined using glutathione/oxidized glutathione (GSH/GSSG) and malondialdehyde (MDA) assay kits. Mitochondrial status and iron levels within the cells were investigated through staining with Mitosox, FerroOrange, and JC1 staining. Potential downstream direct targets of HST were identified using molecular docking. Additionally, wound healing and neovascularization within the wound site were analyzed using various methods including HE staining, Masson's staining, immunohistochemistry, and Doppler hemodynamics assessment. HST effectively inhibits the elevated levels of intracellular ferroptosis stimulated by ERASTIN. Furthermore, we observed that HST achieves this inhibition of ferroptosis by activating SIRT3. In a diabetic rat wound model, HST significantly promotes wound healing, reducing levels of tissue ferroptosis, consistent with our in vitro findings. This study demonstrates that HST can inhibit the progression of ferroptosis and protect the physiological function of HUVECs by activating SIRT3. HST holds promise as a natural compound for promoting diabetic wound healing.

摘要

橙皮素(HST)是一种天然存在于柑橘类水果中的类黄酮化合物,广泛存在于各种传统草药中,如葡萄柚皮、橙皮和蜜橘皮。这些植物材料常用于中药制剂中。本研究旨在探讨 HST 降低人脐静脉内皮细胞(HUVEC)中 ferroptosis 以及促进血管生成和伤口愈合的潜在分子机制。我们采用网络药理学预测 HST 影响的下游靶标。通过 Western blot(WB)和聚合酶链反应评估与 ferroptosis 相关的标志物的表达。使用谷胱甘肽/氧化谷胱甘肽(GSH/GSSG)和丙二醛(MDA)测定试剂盒检测细胞内 ferroptosis 相关代谢物的水平。通过 Mitosox、FerroOrange 和 JC1 染色研究细胞内线粒体状态和铁含量。使用分子对接鉴定 HST 的潜在下游直接靶标。此外,通过 HE 染色、Masson 染色、免疫组织化学和多普勒血流动力学评估分析伤口部位的伤口愈合和新血管生成。HST 可有效抑制 ERASIN 刺激的细胞内 ferroptosis 水平升高。此外,我们观察到 HST 通过激活 SIRT3 实现对 ferroptosis 的抑制。在糖尿病大鼠伤口模型中,HST 显著促进伤口愈合,降低组织 ferroptosis 水平,与我们的体外研究结果一致。本研究表明,HST 通过激活 SIRT3 抑制 ferroptosis 进展并保护 HUVECs 的生理功能。HST 有望成为促进糖尿病伤口愈合的天然化合物。

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