Impaired cutaneous T-cell attracting chemokine elevation and adipose-derived stromal cell migration in a high-glucose environment cause poor diabetic wound healing

高糖环境下皮肤 T 细胞吸引趋化因子升高和脂肪来源的基质细胞迁移受损导致糖尿病伤口愈合不良

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作者:Wei-Ting Wang, Su-Shin Lee, Ya-Chin Wang, Ya-Wei Lai, Yur-Ren Kuo, Yueh-Bih Tang Chen, Yu-Sen Liu, Yi-Chia Wu

Abstract

Diabetic wound care is a major health care concern. The major cause of non-healing of wounds in patients with diabetes mellitus (DM) patients mainly involves poor glycemic control, which hinders the migration of progenitor cells including mesenchymal stem cells to the wound site. In this study, we introduced adipose-derived stromal cells (ADSCs) into wound sites and demonstrated that the local transplantation of ADSCs accelerated DM-related wound healing. Furthermore, the migration ability of ADSCs, which diminishes in a high-glucose environment, was partially restored by the exogenous replenishment of the cutaneous T-cell attracting chemokine (CTACK/CCL27). Our findings suggest that CTACK is a potential novel therapeutic target in DM-related wound healing.

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