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Prospective, Randomized, and Controlled Study of a Human Umbilical Cord Mesenchymal Stem Cell Injection for Treating Diabetic Foot Ulcers
Published on: March 3, 2023
A Dual Role of Mesenchymal Stem Cell Derived Small Extracellular Vesicles on TRPC6 Protein and Mitochondria to
Min Wang1,2, Dakai Yang1, Linli Li3
1Jiangsu Key Laboratory of Medical Science and Laboratory Medicine, Department of Clinical Laboratory, School of Medicine, Jiangsu University, Zhenjiang 212000, China.
Abstract:
Diabetic wounds exhibit delayed and incomplete healing, usually due to vascular and nerve damage. Dysregulation of cellular Ca2+ homeostasis has recently been shown to be closely related to insulin resistance and type 2 diabetes mellitus. However, the involvement of this dysregulation in diabetic wound complications remains unknown. In this study, we found calcium dysregulation in patients with diabetic ulcers via tissue protein profiling. High glucose and glucometabolic toxicant stimulation considerably impaired the function of TRPC6, a pore subunit of transient receptor potential channels mediating Ca2+ influx, and mitochondria, which regulate calcium cycling and metabolism. Furthermore, we found that mesenchymal stem cell (MSC)-derived small extracellular vesicles (MSC-sEVs) could play a dual role in restoring the function of TRPC6 and mitochondria by delivering transcription factor SP2 and deubiquitinating enzyme USP9, respectively. MSC-sEVs could transfer SP2 that activated TRPC6 expression by binding to its specific promoter regions (-1519 to -1725 bp), thus recovering Ca2+ influx and downstream pathways. MSC-sEVs also promoted mitophagy to restore mitochondrial function by transporting USP9 that stabilized the expression of Parkin, a major player in mitophagy, thereby guaranteeing Ca2+ efflux and avoidance of Ca2+ overload. Targeting the regulation of calcium homeostasis provides a perspective for understanding diabetic wound healing, and the corresponding design of MSC-sEVs could be a potential therapeutic strategy.
Insights
Diabetic wound healing is impaired by calcium dysregulation. Mesenchymal stem cell-derived small extracellular vesicles (MSC-sEVs) restore calcium balance by enhancing TRPC6 and mitochondrial function, offering a potential therapeutic strategy.
Area of Science:
- Biomedical Science
- Cell Biology
- Wound Healing Research
Background:
- Diabetic wounds heal poorly due to vascular and nerve damage.
- Cellular calcium (Ca2+) homeostasis dysregulation is linked to insulin resistance and type 2 diabetes mellitus.
- The role of calcium dysregulation in diabetic wound complications is not well understood.
Purpose of the Study:
- Investigate calcium dysregulation in diabetic ulcers.
- Examine the impact of high glucose on TRPC6 and mitochondria.
- Evaluate the therapeutic potential of mesenchymal stem cell-derived small extracellular vesicles (MSC-sEVs) in restoring calcium homeostasis and promoting diabetic wound healing.
Main Methods:
- Tissue protein profiling of diabetic ulcer patients to identify calcium dysregulation.
- In vitro stimulation of cells with high glucose and glucometabolic toxicants.
- Analysis of TRPC6 channel and mitochondrial function.
- Characterization of MSC-sEV cargo (SP2, USP9) and their effects on target gene expression and cellular processes like mitophagy.
Main Results:
- Calcium dysregulation was confirmed in patients with diabetic ulcers.
- High glucose impaired TRPC6 function and mitochondrial health.
- MSC-sEVs delivered SP2 to activate TRPC6 expression, restoring Ca2+ influx.
- MSC-sEVs delivered USP9 to stabilize Parkin, promoting mitophagy and restoring mitochondrial function by facilitating Ca2+ efflux.
Conclusions:
- Targeting calcium homeostasis offers a new perspective on understanding diabetic wound healing.
- MSC-derived small extracellular vesicles (MSC-sEVs) demonstrate a dual role in restoring TRPC6 and mitochondrial function.
- Engineered MSC-sEVs represent a promising therapeutic strategy for diabetic wound complications by modulating calcium balance.
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Mesenchymal Stem Cells
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