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Zeng S, Zheng Z, Wei X, Chen L, Lin J, Liu M, Zheng K, Li W, Chen X, Ma J, Xiong Z, Yang L. Multiomics Analysis Unravels Alteration in Molecule and Pathways Involved in Nondiabetic Chronic Wounds. ACS OMEGA 2024; 9:20425-20436. [PMID: 38737053 PMCID: PMC11080021 DOI: 10.1021/acsomega.4c01335] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/10/2024] [Revised: 04/08/2024] [Accepted: 04/12/2024] [Indexed: 05/14/2024]
Abstract
The prevalence of chronic wounds (CW) continues to grow. A thorough knowledge of the mechanism of CW formation remains elusive due to a lack of relevant studies. Furthermore, most previous studies concentrated on diabetic ulcers with relatively few investigations on other types. We performed this multiomics study to investigate the proteomic and metabolomic changes in wound and surrounding tissue from a cohort containing 13 patients with nondiabetic CW. Differentially expressed proteins (DEPs) and metabolites (DEMs) were filtered out and analyzed through multiomic profiling. The DEPs were further confirmed with the use of parallel reaction monitoring. Compared with the surrounding tissue, there were 82 proteins and 214 metabolites altered significantly in wound tissue. The DEPs were mainly enriched in focal adhesion (FA), extracellular matrix-receptor interaction (ERI), and the PI3K-Akt (PA) signaling pathway. Moreover, the DEMs were significantly enriched in amino sugar and nucleotide sugar metabolism and biosynthesis of nucleotide sugar pathways. In correlation analysis, we discovered that the PA signaling pathway, as well as its upstream and downstream pathways, coenriched some DEPs and DEMs. Additionally, we found that FBLN1, FBLN5, and EFEMP1 (FBLN3) proteins dramatically elevated in wound tissue and connected with the above signaling pathways. This multiomics study found that changes in FA, ERI, and PA signaling pathways had an impact on the cellular activities and functions of wound tissue cells. Additionally, increased expression of those proteins in wound tissue may inhibit vascular and skin cell proliferation and degrade the extracellular matrix, which may be one of the causes of CW formation.
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Affiliation(s)
- Shuaidan Zeng
- Department
of Burns, Nanfang Hospital, Southern Medical
University, Jingxi Street, Baiyun District, Guangzhou, Guangdong 510515 ,P. R. China
- Department
of Orthopedics, Shenzhen Children’s
Hospital, Yitian Road, Futian District, Shenzhen, Guangdong 518026 ,P. R. China
| | - Zijun Zheng
- Department
of Burns, Nanfang Hospital, Southern Medical
University, Jingxi Street, Baiyun District, Guangzhou, Guangdong 510515 ,P. R. China
| | - Xuerong Wei
- Department
of Burns, Nanfang Hospital, Southern Medical
University, Jingxi Street, Baiyun District, Guangzhou, Guangdong 510515 ,P. R. China
| | - Lianglong Chen
- Department
of Burns, Nanfang Hospital, Southern Medical
University, Jingxi Street, Baiyun District, Guangzhou, Guangdong 510515 ,P. R. China
| | - Jiabao Lin
- Department
of Burns, Nanfang Hospital, Southern Medical
University, Jingxi Street, Baiyun District, Guangzhou, Guangdong 510515 ,P. R. China
| | - Mengqian Liu
- Department
of Burns, Nanfang Hospital, Southern Medical
University, Jingxi Street, Baiyun District, Guangzhou, Guangdong 510515 ,P. R. China
| | - Kaize Zheng
- Department
of Orthopedics, Shenzhen Children’s
Hospital, Yitian Road, Futian District, Shenzhen, Guangdong 518026 ,P. R. China
| | - Weiqing Li
- Department
of Orthopedics, Shenzhen Children’s
Hospital, Yitian Road, Futian District, Shenzhen, Guangdong 518026 ,P. R. China
| | - Xiaodi Chen
- Department
of Orthopedics, Shenzhen Children’s
Hospital, Yitian Road, Futian District, Shenzhen, Guangdong 518026 ,P. R. China
| | - Jun Ma
- Department
of Burns, Nanfang Hospital, Southern Medical
University, Jingxi Street, Baiyun District, Guangzhou, Guangdong 510515 ,P. R. China
| | - Zhu Xiong
- Department
of Orthopedics, Shenzhen Children’s
Hospital, Yitian Road, Futian District, Shenzhen, Guangdong 518026 ,P. R. China
| | - Lei Yang
- Department
of Burns, Nanfang Hospital, Southern Medical
University, Jingxi Street, Baiyun District, Guangzhou, Guangdong 510515 ,P. R. China
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Couturier A, Calissi C, Cracowski JL, Sigaudo-Roussel D, Khouri C, Roustit M. Mouse models of diabetes-related ulcers: a systematic review and network meta-analysis. EBioMedicine 2023; 98:104856. [PMID: 38251464 PMCID: PMC10755106 DOI: 10.1016/j.ebiom.2023.104856] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2023] [Revised: 10/09/2023] [Accepted: 10/13/2023] [Indexed: 01/23/2024] Open
Abstract
BACKGROUND Diabetic foot ulcers (DFUs) are a common complication of diabetes, associated with important morbidity. Appropriate animal models of DFUs may improve drug development, and subsequently the success rate of clinical trials. However, while many models have been proposed, they are extremely heterogeneous, and no standard has emerged. We thus propose a systematic review with a network meta-analysis (NMA) to gather direct and indirect evidence, and compare the different mouse models of diabetes-related ulcers. METHODS The systematic search was performed in Pubmed and Embase. The main outcomes were wound size measurement at days 3, 7, 11 and 15 (±1 day). The risk of bias and methodological quality of all included studies was assessed by using the Systematic Review Center for Laboratory animal Experimentation (SYRCLE) risk of bias tool. Meta-regressions were done on prespecified variables, including mouse strain, type of ulcer, sex, age, and use of a splint. FINDINGS We included 295 studies. Among all models, only db/db, ob/ob, streptozotocin (STZ), and STZ + high fat diet mice showed a significantly delayed wound healing, compared with controls, at each time point. Age, sex and ulcer type had influence on wound healing, although not at all time points. INTERPRETATION In conclusion, the db/db model is associated with the largest delay in wound healing The STZ model also exhibits significantly decreased wound healing. STZ + high fat diet and ob/ob mice may also be relevant models of diabetes-related ulcers, although the results rely on a more limited number of studies. FUNDING This work was funded by the Agence Nationale de la Recherche (grant ANR-18-CE17-0017).
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Affiliation(s)
- Axel Couturier
- Univ. Grenoble Alpes, Inserm U1300, HP2, Grenoble 38000, France
| | - Clément Calissi
- Univ. Grenoble Alpes, Inserm U1300, HP2, Grenoble 38000, France
| | - Jean-Luc Cracowski
- Univ. Grenoble Alpes, Inserm U1300, HP2, Grenoble 38000, France; Univ. Grenoble Alpes, Inserm CIC1406, CHU Grenoble Alpes, Grenoble 38000, France
| | | | - Charles Khouri
- Univ. Grenoble Alpes, Inserm U1300, HP2, Grenoble 38000, France; Univ. Grenoble Alpes, Inserm CIC1406, CHU Grenoble Alpes, Grenoble 38000, France
| | - Matthieu Roustit
- Univ. Grenoble Alpes, Inserm U1300, HP2, Grenoble 38000, France; Univ. Grenoble Alpes, Inserm CIC1406, CHU Grenoble Alpes, Grenoble 38000, France.
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Chen L, Takashi E, Kamijo A, Miura D, Lu J, Zhang L, Ten H, Fan J. A comprehensive analysis of multi-circulatory disorders in early pressure injury and their diagnostic significance in rat models. Sci Rep 2023; 13:19342. [PMID: 37935772 PMCID: PMC10630315 DOI: 10.1038/s41598-023-46676-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2023] [Accepted: 11/03/2023] [Indexed: 11/09/2023] Open
Abstract
Early pressure injury (PI) progression is associated with multi-circulatory disorders and they interplay with each other, resulting in a lack of a satisfactory diagnostic method. We generated early PI and blanchable erythema hairless rat models. Transparent disc method and capillary refilling time test (CRTT) results were recorded with ultraviolet camera to capture the dynamics changes, and the blanching index and refilling index were set for comprehensive analysis. The deteriorated areas of early PI showed non-blanchable erythema (NBE) and an increase in erythema at 0.5 and 6 h with the transparent disc method. CRTT showed a marked refilling delay at 12 h. The comprehensive analysis of blanching index and refilling index showed a significant change in erythema from NBE at 0.5 h and ischemia progressing to hemorrhage at 18 h. There was also a marked difference in the deteriorating and improving areas within the same erythema. Pathological analysis showed inflammatory cell infiltration, with marked edema accompanied by increased hemorrhage and tissue necrosis. Furthermore, small arteries and veins with thrombosis and microthrombi were observed. Consistent ischemia after decompression and subsequent hemorrhage are important indicators, and comprehensive analysis can help increase the positive diagnosis rate over that for other circulatory disorders alone.
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Affiliation(s)
- Lu Chen
- Division of Basic & Clinical Medicine, Faculty of Nursing, Nagano College of Nursing, Komagane, Japan
- Department of Molecular Pathology, Graduate School of Medical Sciences, Faculty of Medicine, University of Yamanashi, Yamanashi, Japan
| | - En Takashi
- Division of Basic & Clinical Medicine, Faculty of Nursing, Nagano College of Nursing, Komagane, Japan.
| | - Akio Kamijo
- Division of Basic & Clinical Medicine, Faculty of Nursing, Nagano College of Nursing, Komagane, Japan
| | - Daiji Miura
- Division of Basic & Clinical Medicine, Faculty of Nursing, Nagano College of Nursing, Komagane, Japan
| | - Jian Lu
- Device Technology Research Institute, National Institute of Advanced Industrial Science and Technology, Tsukuba, Japan
| | - Lan Zhang
- Device Technology Research Institute, National Institute of Advanced Industrial Science and Technology, Tsukuba, Japan
| | - Hirotomo Ten
- Department of Judo Physical Therapy, Faculty of Health, Teikyo Heisei University, Tokyo, Japan
| | - Jianglin Fan
- Department of Molecular Pathology, Graduate School of Medical Sciences, Faculty of Medicine, University of Yamanashi, Yamanashi, Japan
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Hou P, Xue H, Chang S, Xie P, Chen Y, Wang Y, Miura D, Fan J, Liang J, Kitayama A, Fang F, Yuan H, Wu X, Zhang X, Wang J, Ding N, Zhang C, Sun X, Takashi E. Thermal preconditioning can reduce the incidence of intraoperatively acquired pressure injuries. J Therm Biol 2023; 115:103617. [PMID: 37352595 DOI: 10.1016/j.jtherbio.2023.103617] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2023] [Revised: 05/17/2023] [Accepted: 06/07/2023] [Indexed: 06/25/2023]
Abstract
Intraoperatively acquired pressure injuries (IAPIs) occur frequently among patients who undergo surgical procedures that last longer than 3 h. Several studies indicated that heat shock proteins (HSPs) play an important role in the protection of stress-induced damages in skin tissues. Hence, the aim of this study was to investigate the potential preventive effect of thermal preconditioning (TPC) on IAPIs in surgical patients and rats and to identify the differentially expressed HSP genes in response to the above treatment. TPC was performed on one group of hairless rats before the model of pressure injuries was established. Subsequently, the size of skin lesions was measured and the expression levels of mRNA and protein of HSPs of the pressured skin were detected by real-time polymerase chain reaction (RT-PCR), western blot, and immunohistochemical staining. For human studies, 118 surgical patients were randomly divided into the TPC group (n = 59) and the control group (n = 59), respectively. The temperature and pressure of sacral skin, as well as the incidence of pressure injury (PI) were detected and compared. In animal studies, TPC significantly reduced both the size and incidence of PI in rats on the second, third and fourth days post treatment. In addition, the expression levels of both mRNA and protein of HSP27 were increased in the TPC group, compared with the control group. Immunohistochemical staining showed that HSP27 was distributed in various types of dermal cells and increased in basal cells. In human studies, a significant reduction (75%) of IAPIs was observed among the patients in the TPC group. TPC can reduce the incidence of PI in rats and humans, and the upregulation of HSP27 may play an important role in this biological progress. Further studies are warranted to explore the molecular mechanism of the preventive effect in PI mediated by HSP27.
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Affiliation(s)
- Ping Hou
- Nagano College of Nursing, 399-4117, Nagano, Japan; School of Nursing and School of Public Health, Yangzhou University, 225000, Yangzhou, China
| | - Huiping Xue
- Nagano College of Nursing, 399-4117, Nagano, Japan; Emergency Intensive Care Unit, Affiliated Hospital of Nantong University, 226000, Nantong, China
| | - Shuwen Chang
- Nagano College of Nursing, 399-4117, Nagano, Japan; Nursing Department, Northern Jiangsu People's Hospital, 225000, Yangzhou, China
| | - Ping Xie
- Nursing Department, Northern Jiangsu People's Hospital, 225000, Yangzhou, China.
| | - Yajie Chen
- Department of Molecular Pathology, Faculty of Medicine, Graduate School of Medical Sciences, University of Yamanashi, 409-3898, Yamanashi, Japan
| | - Yanwei Wang
- Nagano College of Nursing, 399-4117, Nagano, Japan
| | - Daiji Miura
- Nagano College of Nursing, 399-4117, Nagano, Japan
| | - Jianglin Fan
- Department of Molecular Pathology, Faculty of Medicine, Graduate School of Medical Sciences, University of Yamanashi, 409-3898, Yamanashi, Japan
| | - Jingyan Liang
- Health Science Center, Yangzhou University, 225000, Yangzhou, China.
| | | | - Fang Fang
- Nursing Department, Northern Jiangsu People's Hospital, 225000, Yangzhou, China
| | - Haijuan Yuan
- Nursing Department, Northern Jiangsu People's Hospital, 225000, Yangzhou, China
| | - Xiaoling Wu
- Nursing Department, Northern Jiangsu People's Hospital, 225000, Yangzhou, China
| | - Xiaolin Zhang
- Nursing Department, Northern Jiangsu People's Hospital, 225000, Yangzhou, China
| | - Jing Wang
- Nursing Department, Northern Jiangsu People's Hospital, 225000, Yangzhou, China
| | - Ning Ding
- Nursing Department, Northern Jiangsu People's Hospital, 225000, Yangzhou, China
| | - Can Zhang
- Nursing Department, Northern Jiangsu People's Hospital, 225000, Yangzhou, China
| | - Xiuyun Sun
- Nursing Department, Northern Jiangsu People's Hospital, 225000, Yangzhou, China
| | - En Takashi
- Nagano College of Nursing, 399-4117, Nagano, Japan.
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Tan MLL, Chin JS, Madden L, Becker DL. Challenges faced in developing an ideal chronic wound model. Expert Opin Drug Discov 2023; 18:99-114. [PMID: 36573018 DOI: 10.1080/17460441.2023.2158809] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
INTRODUCTION Chronic wounds are a major drain on healthcare resources and can lead to substantial reductions in quality of life for those affected. Moreover, they often precede serious events such as limb amputations and premature death. In the long run, this burden is likely to escalate with an ageing population and lifestyle diseases such as obesity. Thus far, the identification of beneficial therapeutics against chronic wounds have been hindered by the lack of an ideal chronic wound animal model. Although animal models of delayed healing have been developed, none of these models fully recapitulate the complexity of the human chronic wound condition. Furthermore, most animals do not develop chronic wounds. Only the thoroughbred racehorse develops chronic ulcers. AREAS COVERED In this review, the different characteristics of chronic wounds that highlight its complexity are described. In addition, currently available models reflecting different aspects of chronic wound pathology and their relevance to human chronic wounds are discussed. This article concludes by listing relevant features representative of an ideal chronic wound model. Additionally, alternative approaches for the development of chronic wound models are discussed. EXPERT OPINION Delayed models of healing, including the streptozotocin diabetic model, skin flap model and magnet-induced IR models have emerged. While these models have been widely adopted for preclinical therapeutic testing, their relevance towards human chronic wounds remains debatable. In particular, current delayed healing models often fail to fully incorporate the key characteristics of chronic ulcers. Ultimately, more representative models are required to expedite the advancement of novel therapeutics to the clinic.
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Affiliation(s)
- Mandy Li Ling Tan
- Nanyang Institute of Health Technologies, Interdisciplinary Graduate School, Nanyang Technological University, 639798, Singapore.,Lee Kong Chian School of Medicine, Nanyang Technological University, 308232, Singapore
| | - Jiah Shin Chin
- Lee Kong Chian School of Medicine, Nanyang Technological University, 308232, Singapore
| | - Leigh Madden
- Lee Kong Chian School of Medicine, Nanyang Technological University, 308232, Singapore
| | - David L Becker
- Lee Kong Chian School of Medicine, Nanyang Technological University, 308232, Singapore.,Skin Research Institute Singapore, Clinical Sciences Building, 11 Mandalay Road, 308232, Singapore.,National Skin Centre, Mandalay Road, Singapore
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