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Peng WX, He PX, Liu LJ, Zhu T, Zhong YQ, Xiang L, Peng K, Yang JJ, Xiang GD. LncRNA GAS5 activates the HIF1A/VEGF pathway by binding to TAF15 to promote wound healing in diabetic foot ulcers. J Transl Med 2021; 101:1071-1083. [PMID: 33875793 DOI: 10.1038/s41374-021-00598-2] [Citation(s) in RCA: 21] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2020] [Revised: 03/01/2021] [Accepted: 03/05/2021] [Indexed: 12/14/2022] Open
Abstract
A diabetic foot ulcer (DFU) is one of the most devastating complications of diabetes. It has been reported that lncRNA GAS5 plays a vital role in wound healing in DFUs. However, the specific mechanism remains unclear. In this research, we aimed to investigate the role of GAS5 in wound healing in DFUs as well as the underlying mechanism. qPCR or western blotting was performed to measure the expression levels of GAS5, HIF1A, VEGF and TAF15. CCK-8 or EdU assays, flow cytometry, wound healing assays and tube formation assays were carried out to assess the proliferation, apoptosis, wound healing and in vitro angiogenesis of HUVECs, respectively. RNA pull-down and RIP assays were performed to verify the interaction between GAS5 and TAF15. ChIP and luciferase assays were conducted to verify the binding of TAF15 to the HIF1A promoter. In the DFU mouse model, H&E and Masson staining were used to determine epidermal and dermal thickness and collagen formation. GAS5 and HIF1A were downregulated in the skin tissues of DFU patients, and GAS5 overexpression promoted cell proliferation, wound healing and tubule formation in HG-treated HUVECs. In addition, GAS5 facilitated HIF1A expression by interacting with TAF15. Rescue assays demonstrated that the suppression of HIF1A/VEGF pathway activation partially reversed the functional roles of GAS5 in HUVECs. Furthermore, GAS5 accelerated wound healing by activating the HIF1A/VEGF pathway in mice with DFUs. GAS5 activates the HIF1A/VEGF pathway by binding to TAF15, resulting in accelerated wound healing in DFUs. Our findings may provide a theoretical basis for the clinical treatment of DFUs.
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Affiliation(s)
- Wei-Xia Peng
- The First School of Clinical Medicine, Southern Medical University, Guangzhou, Guangdong, PR China
- Department of Endocrine, Yiyang Central Hospital, Yiyang, Hunan, PR China
| | - Pei-Xiang He
- Department of Endocrine, Yiyang Central Hospital, Yiyang, Hunan, PR China
| | - Li-Jun Liu
- Department of Endocrine, Yiyang Central Hospital, Yiyang, Hunan, PR China
| | - Ting Zhu
- Department of Endocrine, Yiyang Central Hospital, Yiyang, Hunan, PR China
| | - Ya-Qin Zhong
- Department of Endocrine, Yiyang Central Hospital, Yiyang, Hunan, PR China
| | - Lin Xiang
- Department of Endocrine, Central Theater General Hospital of PLA, Wuhan, Hubei, PR China
| | - Ke Peng
- Department of Endocrine, Yiyang Central Hospital, Yiyang, Hunan, PR China
| | - Jing-Jin Yang
- Department of Endocrine, Huaihua First People's Hospital, Huaihua, Hunan, PR China
| | - Guang-Da Xiang
- The First School of Clinical Medicine, Southern Medical University, Guangzhou, Guangdong, PR China.
- Department of Endocrine, Central Theater General Hospital of PLA, Wuhan, Hubei, PR China.
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