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由RCN1下调驱动的内质网膜应激会损害内皮功能和糖尿病足的愈合
Zhiyan Weng1, Xiaoyan Ren1, Wanxin Lin1
1Department of Endocrinology, the First Affiliated Hospital of Fujian Medical University, 20 Cha Zhong Road, Fuzhou, 350005, China.
通过增加内质网膜 (ER) 应激和内皮功能障碍,红细胞1 (RCN1) 缺乏会使糖尿病足 (DFU) 恶化. 在糖尿病模型中恢复RCN1水平有助于愈和血管生成.
科学领域:
- 内分泌学
- 血管生物学
- 细胞生物学
背景情况:
- 糖尿病足是主要的发病和死亡原因.
- 内皮功能障碍和内质网膜 (ER) 压力是不治愈的DFU的关键因素.
- 连接ER应激与内皮功能障碍的确切机制尚不清楚.
研究的目的:
- 在糖尿病足发病过程中研究Reticulocalbin 1 (RCN1) 的作用.
- 阐明RCN1影响内皮细胞功能和ER应激的机制.
- 评估RCN1作为改善DFU愈合的潜在治疗点.
主要方法:
- 用于评估愈,血管生成和RCN1表达的糖尿病小鼠模型.
- 对暴露于糖脂毒性的人类静脉内皮细胞 (HUVEC) 进行了蛋白质和RNA测序分析.
- 操纵RCN1表达 (过度表达和沉默) 以研究其对ER压力标志物 (PERK,CHOP) 和内皮细胞功能的影响.
- 研究了TRIM11介导的全方位化对RCN1稳定性的作用.
- 对人类的DFU样本进行了RCN1水平和与疾病进展和治疗结果的相关性分析.
主要成果:
- 糖尿病小鼠的愈不良,血管生成减少,RCN1表达率降低.
- 糖脂毒性影响了HUVEC管体的形成,迁移和生存,与RCN1的下调有关.
- 过度表达RCN1减轻了由糖脂毒性或Thapsigargin (TG) 诱导的ER压力,而RCN1沉默则加剧了它.
- 通过TRIM11介导的全方位化影响了RCN1的稳定性和血管生成.
- 通过减少ER压力和增强血管生成,RCN1过度表达加速了小鼠的DFU愈合.
- 人体DFU样本中的低RCN1水平与破坏的ER蛋白和疾病严重程度相关.
- 在治疗后,RCN1水平在改善DFU愈合的患者中增加.
结论:
- 在糖尿病条件下,RCN1在维持内皮细胞功能和ER平衡方面发挥着至关重要的作用.
- 由RCN1抑制促成的糖脂毒性诱导的ER压力有助于内皮功能障碍和非愈合的DFU.
- RCN1是促进糖尿病足愈合的有希望的治疗.
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