木犀草素通过改善KDM4C/ITGA1介导的晚期糖基化终末产物诱导的衰老内皮细胞功能障碍来减轻糖尿病足溃疡。
Luteolin Alleviates Diabetic Foot Ulcers Through Improving KDM4C/ITGA1-mediated Functional Impairments of AGEs-Induced Senescent Endothelial Cell.
作者信息
Li Wei, Bai Pengxing, Hou Feng
机构信息
Department of Vascular Surgery, Shaanxi Provincial People's Hospital, Xi'an, Shaanxi, China.
Department of Thoracic Surgery, Shaanxi Provincial People's Hospital, Xi'an, Shaanxi, China.
出版信息
J Biochem Mol Toxicol. 2025 Aug;39(8):e70437. doi: 10.1002/jbt.70437.
Endothelial dysfunction driven by senescent endothelial cells represents a pivotal mechanism underlying delayed wound healing in diabetic foot ulcers (DFU). Luteolin can enhance the angiogenesis of diabetic wounds, and improve cellular senescence. This study investigated its mechanism in DFU using advanced glycosylation end products (AGEs)-treated HUVECs and streptozotocin (STZ) -induced diabetic rats with surgical wounds. Integrin α1 (ITGA1) was upregulated in wound tissues of diabetic patients and AGEs-induced HUVECs. ITGA1 knockdown improved functional impairments and senescence in AGEs-treated HUVECs, as demonstrated by the elevated abilities of proliferation, migration and tube-formation, the decreased SA-β-galactosidase positive cells, and the reduced expression of senescence markers (P16, P21 and P53), where CCK-8, EdU, Transwell, and tube formation, and SA-β-galactosidase staining assay and Western blot were utilized. Luteolin significantly improved AGEs-induced senescence and functional impairments of HUVECs, and accelerated wound healing in diabetic rats. Conversely, overexpression of ITGA1 abrogated these protective effects. Mechanistic studies revealed that Luteolin suppressed ITGA1 transcription by inhibiting lysine-specific demethylase 4 C (KDM4C)-mediated demethylation of H3K9me3 at the ITGA1 promoter. Additionally, the epidermal growth factor receptor (EGFR)/MEK/ERK pathway was involved in Luteolin's therapeutic effects on DFU wound healing. In conclusion, Luteolin alleviated DFU through improving KDM4C/ITGA1-mediated functional impairments in AGEs-induced senescent endothelial cell via the EGFR/MEK/ERK pathway, providing novel insights into the molecular mechanisms underlying Luteolin's therapeutic potential for DFU.
由衰老内皮细胞驱动的内皮功能障碍是糖尿病足溃疡(DFU)伤口愈合延迟的关键机制。木犀草素可促进糖尿病伤口的血管生成,并改善细胞衰老。本研究使用晚期糖基化终产物(AGEs)处理的人脐静脉内皮细胞(HUVECs)和链脲佐菌素(STZ)诱导的有手术伤口的糖尿病大鼠,研究了木犀草素在DFU中的作用机制。整合素α1(ITGA1)在糖尿病患者的伤口组织和AGEs诱导的HUVECs中上调。ITGA1基因敲低改善了AGEs处理的HUVECs的功能障碍和衰老,表现为增殖、迁移和管形成能力增强,SA-β-半乳糖苷酶阳性细胞减少,衰老标志物(P16、P21和P53)表达降低,其中使用了CCK-8、EdU、Transwell、管形成实验、SA-β-半乳糖苷酶染色分析和蛋白质印迹法。木犀草素显著改善了AGEs诱导的HUVECs衰老和功能障碍,并加速了糖尿病大鼠的伤口愈合。相反,ITGA1的过表达消除了这些保护作用。机制研究表明,木犀草素通过抑制赖氨酸特异性去甲基化酶4C(KDM4C)介导的ITGA1启动子处H3K9me3的去甲基化来抑制ITGA1转录。此外,表皮生长因子受体(EGFR)/MEK/ERK通路参与了木犀草素对DFU伤口愈合的治疗作用。总之,木犀草素通过EGFR/MEK/ERK通路改善KDM4C/ITGA1介导的AGEs诱导的衰老内皮细胞功能障碍,从而减轻DFU,为木犀草素治疗DFU的潜在分子机制提供了新的见解。