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Creation and Transplantation of an Adipose-derived Stem Cell ASC Sheet in a Diabetic Wound-healing Model
Published on: August 4, 2017
Topical Application of Tat-Rac1 Promotes Cutaneous Wound Healing in Normal and Diabetic Mice
Bin Fan1,2, Tao Wang1,3, Li Bian1,4
1Department of Pathology, University of Colorado Denver Anschutz Medical Campus, Aurora, CO, USA.
Abstract:
The endogenous small GTPase, Rac1, plays a critical role during normal skin wound healing. It remains to be determined whether endogenous Rac1 can be appropriately activated in chronic wounds; if not, whether exogenous Rac1 has therapeutic effects on wound healing. Here we show that Rac1 protein levels were lower in wounds of db/db diabetic mice than wounds in wild type mice during the healing process. To assess the therapeutic potential of exogenous Rac1 in wound healing, we produced a Tat-Rac1 fusion protein that enters into cells through protein transduction. Tat-Rac1 increased proliferation and migration of keratinocytes and dermal fibroblasts in vitro. Topical application of Tat-Rac1 accelerated cutaneous wound closure in vivo in db/db mice as well as wild type mice. Further analyses revealed that Tat-Rac1 had faster re-epithelialization, higher keratinocyte proliferation and migration without an earlier onset of myofibroblast activation than vehicle treated wounds. Tat-Rac1 also reduced inflammation in wounds. Our findings revealed the failure of diabetic wounds to elevate Rac1 expression and suggested a therapeutic strategy utilizing a Rac1-based biologic to compensate for this defect thereby promoting wound healing.
Insights
Diabetic wounds show lower Rac1 protein levels, hindering healing. Applying Tat-Rac1 protein accelerates wound closure and reduces inflammation in diabetic and normal mice.
Area of Science:
- Biochemistry
- Dermatology
- Regenerative Medicine
Background:
- Endogenous Rac1 (Ras-related C3 botulinum toxin substrate 1) is crucial for normal skin wound healing.
- The role and activation of Rac1 in chronic wounds, particularly diabetic wounds, remain unclear.
- Investigating therapeutic potential of exogenous Rac1 in wound healing is warranted.
Purpose of the Study:
- To determine if endogenous Rac1 is adequately activated in chronic diabetic wounds.
- To evaluate the therapeutic efficacy of exogenous Rac1 in promoting wound healing.
Main Methods:
- Compared Rac1 protein levels in wounds of diabetic (db/db) and wild-type mice.
- Developed Tat-Rac1 fusion protein for cellular delivery via protein transduction.
- Assessed Tat-Rac1 effects on keratinocyte and fibroblast proliferation and migration in vitro.
- Evaluated topical Tat-Rac1 application on wound closure, re-epithelialization, and inflammation in vivo.
Main Results:
- Rac1 protein levels were significantly lower in db/db diabetic mouse wounds compared to wild-type.
- Tat-Rac1 enhanced keratinocyte and dermal fibroblast proliferation and migration in vitro.
- Topical Tat-Rac1 accelerated wound closure in both db/db and wild-type mice.
- Tat-Rac1 promoted faster re-epithelialization, increased keratinocyte proliferation/migration, and reduced inflammation without accelerating myofibroblast activation.
Conclusions:
- Diabetic wounds exhibit a failure to adequately increase Rac1 expression during the healing process.
- Exogenous Tat-Rac1 demonstrates therapeutic potential by compensating for Rac1 deficiency.
- Rac1-based biologics offer a promising strategy for enhancing chronic wound healing.
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