Impaired wound healing in type 1 diabetes is dependent on 5-lipoxygenase products
SCIENTIFIC REPORTS
Authors: Ramalho, Theresa; Filgueiras, Luciano; Silva-Jr, Ildefonso Alves; Marcal Pessoa, Ana Flavia; Jancar, Sonia
Abstract
Type 1 diabetes is associated with systemic low grade inflammation (LGI). We have previously shown that LGI in diabetic mice depends on systemic circulation of leukotriene (LTB4) which potentiates the toll-like/IL1 beta receptors response in macrophages. Impaired wound healing is an important comorbidity in diabetes, and macrophages play a key role in this process. Here, we investigated the role of leukotrienes on monocytes and macrophages phenotype and in the impaired wound healing in diabetic mice. Type 1 diabetes was induced with streptozotocin in 129SvE wild-type (WT) and leukotrienesdeficient 5LO(-/- )(5-lipoxygenase knockout) mice. In diabetics, the systemic levels of LTB4, TNF-alpha, IL-6, IL-10, IL-12 and IFN gamma were increased as well as the frequency of pro-inflammatory monocytes (CD11b(+)Ly6C(high)Ly6G(-)) compared to healthy mice. In diabetic 5LO(-/- )mice, these parameters were similar to those in healthy mice. Resident peritoneal macrophages from diabetic WT mice showed a classically activated Ml-like phenotype (high Nos2, Stat and Il12 expression, and nitrite levels). Macrophages from diabetic 5LO(-/-) mice presented alternatively activated M2-macrophages markers (high Arg1 and Chi3l3 expression and arginase activity) and when stimulated with IL4, enhanced phosphorylated-STAT6. Cutaneous wound healing in diabetic WT mice was impaired, which correlated with the decreased frequency of M2-macrophages (CD45(+)F4/80(+)CD206(+)) in the lesions. In diabetic 5LO(-/- ) mice, the frequency of M2-macrophages in the wound was similar to that in healthy mice, suggesting that the impaired healing of diabetic mice depends on 5LO products. The inhibition of leukotrienes or antagonism of its receptors could be a therapeutic alternative for diabetic patients with impaired healing.
Redox, immune and genetic biomarker system for personalized treatments in colorectal cancer
WORLD JOURNAL OF GASTROINTESTINAL ONCOLOGY
Authors: Berghella, Anna Maria; Aureli, Anna; Canossi, Angelica; Del Beato, Tiziana; Colanardi, Alessia; Pellegrini, Patrizia
Abstract
BACKGROUND Identifying biomarkers for the risk of developing degenerative processes linked to aging and colorectal cancer (CRC) onset that could improve clinical strategies. AIM To determine valid targets and a predictive biomarker's system of chronicization of inflammation for cancer treatment. METHODS A group of 147 CRC patients was studied. Clinical diagnosis was confirmed histopathologically, and patients were sub-typed using the pathological tumor-node-metastasis classification. Thirteen colon adenoma patients and 219 healthy subjects were also studied. A system biology study on Thioredoxin1/CD30 redox-immune systems (Trx1/CD30), T helper cytokines and polymorphisms of killer immunoglobulin-like receptors, Fc gamma RIIa-131H/R and Fc gamma RIIIa-158V/F was carried out. Enzyme-linked immunosorbent assay was performed to analyze sera. Genetic study was executed by polymerase chain reaction sequence-specific primers and sequence-based typing method. Statistical analysis was performed by using the "Statgraphics software systems". RESULTS We found a positive increase between Trx1/RTrx1 levels and sCD30 level and increased age. With respect to the gender relationships, there were distinct differences. Females showed a primary relationship between transforming growth factor beta (TGF beta) with Trx1, whereas males had one with TGF beta and RTrx1. Trx1/CD30 controls the redox immune homeostasis, and an imbalance in the relationship between the Trx1/RTrx1 and sCD30 levels is linked to the onset and progression of tumor. This event happens through different gender-specific cytokine pathways. Our study demonstrated that the serum levels of Trx1/RTrx1, TGF beta/interleukin (IL) 6 and TGF beta/IL4 combinations and the sCD30, IFN gamma and IL2 combination constitute a predictive gender specific biomarker system. This is relevant for clinical screening to detect the risk of the potential development or progression of a tumor. CONCLUSION Oxidative stress on Trx1/CD30 is a trigger of cancer disease, and the selected oxidation and immune products are a biomarker system for aging and cancer.