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Anti-Ageing Protein β-Klotho Rejuvenates Diabetic Stem Cells for Improved Gene-Activated Scaffold Based Wound Healing
M Suku1,2, A L Laiva1,2, F J O'Brien2,3,4
1Royal College of Surgeons in Ireland, Medical University of Bahrain, Kingdom of Bahrain P.O Box 15503, Ireland.
Abstract:
Skin wounds can lead to serious morbidity complications in diabetic patients due to the reduced healing potential of autologous stem cells. One reason for the low functional potency of stem cells from diabetic patients (diabetic stem cells) is attributed to their senescent-like nature. Here, we investigated if an anti-ageing protein, β-klotho, could be used to rejuvenate diabetic stem cells and to promote pro-angiogenic gene-activated scaffold (GAS)-induced functional response for wound healing applications. Human stem cells derived from the adipose tissue (adipose-derived stem cells (ADSCs)) of normal and diabetic (type 2) donors were used for the study. We report that the β-klotho priming facilitated inflammatory signal pruning by reducing interleukin-8 release by more than half while concurrently doubling the release of monocyte chemoattractant protein-1. Additionally, β-klotho priming enhanced the pro-angiogenic response of diabetic ADSCs on GAS by dampening the release of anti-angiogenic factors (i.e., pigment epithelium-derived factor, tissue inhibitor of metalloproteinase-1 and thrombospondin-1) while simultaneously supporting the expression of pro-angiogenic factors (i.e., Vascular Endothelial Growth Factor (VEGF), angiopoietin-2 and angiogenin). Finally, we show that β-klotho pre-treatment expedites the cellular expression of matrix proteins such as collagen IV and collagen VI, which are implicated in tissue maturation. Taken together, our study provides evidence that the synergistic effect of the pro-angiogenic GAS and β-klotho activation effectively accelerates the functional development of diabetic ADSCs for wound healing applications.
Insights
This study shows that the anti-aging protein β-klotho can rejuvenate diabetic stem cells. This rejuvenation enhances their ability to promote wound healing by improving blood vessel formation and tissue repair.
Area of Science:
- Regenerative Medicine
- Cell Biology
- Biotechnology
Background:
- Diabetic patients exhibit impaired wound healing due to reduced stem cell function.
- Diabetic stem cells often display a senescent-like phenotype, limiting their therapeutic potential.
- Gene-activated scaffolds (GAS) offer a promising approach for enhancing stem cell function.
Purpose of the Study:
- To investigate the rejuvenating effect of β-klotho on diabetic adipose-derived stem cells (ADSCs).
- To evaluate the synergistic potential of β-klotho and GAS in promoting pro-angiogenic responses for wound healing.
- To assess the impact of β-klotho on inflammatory and matrix protein expression in diabetic ADSCs.
Main Methods:
- Human ADSCs from normal and type 2 diabetic donors were isolated and characterized.
- ADSCs were primed with β-klotho, and their response on GAS was analyzed.
- Key inflammatory cytokines (e.g., interleukin-8), chemoattractants (e.g., monocyte chemoattractant protein-1), anti-angiogenic factors, pro-angiogenic factors (e.g., VEGF), and matrix proteins were quantified.
Main Results:
- β-klotho priming significantly reduced inflammatory interleukin-8 release and increased monocyte chemoattractant protein-1.
- Diabetic ADSCs treated with β-klotho showed enhanced pro-angiogenic activity on GAS, with reduced anti-angiogenic factors and increased pro-angiogenic factors.
- β-klotho pre-treatment accelerated the expression of crucial matrix proteins like collagen IV and VI.
Conclusions:
- β-klotho effectively rejuvenates diabetic ADSCs, mitigating their senescent-like characteristics.
- The combination of pro-angiogenic GAS and β-klotho activation synergistically enhances the functional capacity of diabetic ADSCs.
- This approach holds significant promise for accelerating functional development of diabetic ADSCs in wound healing applications.
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