4.6 Article

Epigenetics: key to improve delayed wound healing in type 2 diabetes

期刊

MOLECULAR AND CELLULAR BIOCHEMISTRY
卷 477, 期 2, 页码 371-383

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SPRINGER
DOI: 10.1007/s11010-021-04285-0

关键词

Diabetes; Wound healing; Epigenetics; DNA methylation; Histone modifications; MicroRNAs

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Diabetes-related delayed wound healing is a multifactorial complication affected by genetic, dietary, and lifestyle factors, with epigenetic modifications recognized as key facilitators of gene-environment interactions. Dysfunctional epigenetic pathways caused by diabetes lead to changed gene expression in target cells, contributing to complications such as cardiomyopathy, nephropathy, and delayed wound healing. The role of epigenetic mechanisms in tissue repair, angiogenesis, and growth factors, as well as altered epigenetic events during diabetic wound healing, are important areas of study.
Diabetes-related delayed wound healing is a multifactorial, nuanced, and intertwined complication that causes substantial clinical morbidity. The etiology of diabetes and its related microvascular complications is affected by genes, diet, and lifestyle factors. Epigenetic modifications such as DNA methylation, histone modifications, and post-transcriptional RNA regulation (microRNAs) are subsequently recognized as key facilitators of the complicated interaction between genes and the environment. Current research suggests that diabetes-persuaded dysfunction of epigenetic pathways, which results in changed expression of genes in target cells and cause diabetes-related complications including cardiomyopathy, nephropathy, retinopathy, delayed wound healing, etc., which are foremost drivers to diabetes-related adverse outcomes. In this paper, we discuss the role of epigenetic mechanisms in controlling tissue repair, angiogenesis, and expression of growth factors, as well as recent findings that show the alteration of epigenetic events during diabetic wound healing.

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