MCC950 promotes diabetic wound healing through modulating macrophage polarization in an MDSC-dependent manner

Wei Yan1, Tianyi Ni1, Qian Zhang2

  • 1Department of Burn and Plastic Surgery, The First Affiliated Hospital of Nanjing Medical University, Nanjing 210000, Jiangsu, PR China.

PubMed

Insights

MCC950 accelerates diabetic foot ulcer healing by reducing inflammation and promoting M2 macrophages via myeloid-derived suppressor cells (MDSCs). This drug enhances wound healing quality and speed in diabetic mice.

Area of Science:

  • Biomedical Science
  • Immunology
  • Wound Healing Research

Background:

  • Diabetic foot ulcers (DFUs) present a significant clinical challenge due to stalled inflammatory phases in wound healing.
  • Current therapeutic strategies for DFUs are limited, necessitating novel treatment approaches.

Purpose of the Study:

  • To investigate the therapeutic potential of MCC950, a nod-like receptor family pyrin domain containing 3 (NLRP3) inhibitor, in a diabetic foot ulcer (DFU) mouse model.
  • To elucidate the underlying molecular mechanisms of MCC950 in accelerating diabetic wound healing.

Main Methods:

  • Administration of MCC950 to a DFU mouse model.
  • Assessment of wound healing progression, including healing time and quality.
  • Analysis of macrophage polarization (M1/M2 phenotypes) and gene expression profiles.
  • Quantification of myeloid-derived suppressor cells (MDSCs) in blood, spleen, and wound tissues.
  • In vivo MDSC depletion and in vitro co-culture experiments with bone marrow-derived macrophages (BMDMs).

Main Results:

  • MCC950 significantly accelerated diabetic wound healing and improved healing quality.
  • MCC950 treatment led to increased M2 phenotype macrophages and decreased pro-inflammatory gene expression.
  • Significant increases in MDSCs were observed in various tissues following MCC950 administration.
  • MDSCs were found to be crucial for MCC950's therapeutic effect, mediating M2 macrophage polarization.

Conclusions:

  • MCC950 effectively promotes diabetic wound healing by enhancing M2 macrophage polarization in an MDSC-dependent manner.
  • The findings highlight MCC950 as a promising pharmacological agent for DFU treatment.
  • This study elucidates a novel therapeutic pathway involving MCC950, MDSCs, and macrophages for DFU management.