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Keratinocytes differentiation and wound healing in rats with streptozotocin – induced diabetes and severe hyperglycemia

https://doi.org/10.14341/DM10071

Abstract

BACKGROUND: Diabetes mellitus leads to disruption of the skin repair processes, but the leading mechanisms of this pathology have not yet been identified. In this regard, in our work, we decided to check how hyperglycaemia affects the process of keratinocyte phenotype changes during wound healing.


AIMS: To study the effect of hyperglycaemia on wound healing and differentiation of keratinocytes in a rat streptozotocin-induced diabetes model.


MATERIALS AND METHODS: Diabetes mellitus was induced in rats by using streptozotocin, 65 mg / kg, intraperitoneally, once. The wound was applied in the supra-scapular region on the 42nd day, after which (after 8, 16, and 24 days) the repair process was evaluated using histological methods. Immunohistochemistry was used to evaluate the expression of cytokeratin-10 and cytokeratin-17.


RESULTS: In rats with diabetes mellitus, wound healing slowed down in the later stages, compared with the control group. In general, wound healing was accompanied by an increase in the expression of cytokeratin-10 in its region compared with intact skin, and contractile keratinocytes activation was disrupted in diabetic rat wounds.


CONCLUSIONS: Hyperglycaemia slightly slows wound healing in rats and impairs contractile keratinocytes activation.

About the Authors

Evgeniy V. Ivanov
M.V. Lomonosov Moscow State University
Russian Federation

PhD Student



Maria P. Morozova
M.V. Lomonosov Moscow State University
Russian Federation

PhD in Biology, assistant



Ekaterina M. Rzhavina
M.V. Lomonosov Moscow State University
Russian Federation

PhD Student



Anna M. Gorbacheva
Endocrinology Research Centre
Russian Federation

MD



Svetlana A. Gavrilova
M.V. Lomonosov Moscow State University
Russian Federation

PhD in Biology, Associate Professor



Aleksei K. Erdiakov
M.V. Lomonosov Moscow State University
Russian Federation

PhD in Biology, Senior Researcher



Gagik R. Galstyan
Endocrinology Research Centre
Russian Federation

MD, PhD, Professor



Vladimir B. Koshelev
M.V. Lomonosov Moscow State University
Russian Federation

PhD, D.Sc., Professor



References

1. WHO. Global report on diabetes [Internet]. WHO; 2016. Available from: https://apps.who.int/iris/bitstream/handle/10665/204871/9789241565257_eng.pdf?sequence=1

2. Mendes AL, Miot HA, Haddad V Jr. Diabetes mellitus and the skin. An Bras Dermatol. 2017;92(1):8−20. doi: https://doi.org/10.1590/abd1806-4841.20175514

3. Wang CJ, Ko JY, Kuo YR, et al. Molecular changes in diabetic foot ulcers. Diabetes Res Clin Pract. 2011;94(1):105−110. doi: https://doi.org/10.1016/j.diabres.2011.06.016

4. Okano J, Kojima H, Katagi M, et al. Hyperglycemia induces skin barrier dysfunctions with impairment of epidermal integrity in non-wounded skin of type 1 diabetic mice. PLoS One. 2016;11(11):e0166215. doi: https://doi.org/10.1371/journal.pone.0166215

5. Brito-Casillas Y, Melián C, Wägner AM. [Study of the pathogenesis and treatment of diabetes mellitus through animal models. (In English, Spanish)]. Endocrinol Nutr. 2016;63(7):345−353. doi: https://doi.org/10.1016/j.endonu.2016.03.011

6. Pepper AR, Gall C, Mazzuca DM, et al. Diabetic rats and mice are resistant to porcine and human insulin: flawed experimental models for testing islet xenografts. Xenotransplantation. 2009;16(6):502−510. doi: https://doi.org/10.1111/j.1399-3089.2009.00548.x

7. Demidova-Rice TN, Hamblin MR, Herman IM. Acute and impaired wound healing: pathophysiology and current methods for drug delivery, part 1: normal and chronic wounds: biology, causes, and approaches to care. Adv Skin Wound Care. 2012;25(7):304−314. doi: https://doi.org/10.1097/01.ASW.0000416006.55218.d0

8. Usui ML, Mansbridge JN, Carter WG, et al. Keratinocyte migration, proliferation, and differentiation in chronic ulcers from patients with diabetes and normal wounds. J Histochem Cytochem. 2008;56(7):687−696. doi: https://doi.org/10.1369/jhc.2008.951194

9. Ahmed RR, Mahmoud A, Ahmed OM, et al. Up-regulation of Hsp72 and keratin16 mediates wound healing in streptozotocin diabetic rats. Biol Res. 2015;48:54. doi: https://doi.org/10.1186/s40659-015-0044-5

10. Lenzen S. The mechanisms of alloxan- and streptozotocin-induced diabetes. Diabetologia. 2008;51(2):216−226. doi: https://doi.org/10.1007/s00125-007-0886-7

11. Biessels GJ, Bril V, Calcutt NA, et al. Phenotyping animal models of diabetic neuropathy: a consensus statement of the diabetic neuropathy study group of the EASD (Neurodiab). J Peripher Nerv Syst. 2014;19(2):77−87. doi: https://doi.org/10.1111/jns5.12072

12. Oliveira FS, Nessler RA, Castania JA, et al. Ultrastructural and morphometric alterations in the aortic depressor nerve of rats due to long term experimental diabetes: effects of insulin treatment. Brain Res. 2013;1491:197−203. doi: https://doi.org/10.1016/j.brainres.2012.10.054

13. Pichu S, Patel BM, Apparsundaram S, Goyal RK. Role of biomarkers in predicting diabetes complications with special reference to diabetic foot ulcers. Biomark Med. 2017;11(4):377−388. doi: https://doi.org/10.2217/bmm-2016-0205

14. Lim JZ, Ng NS, Thomas C. Prevention and treatment of diabetic foot ulcers. J R Soc Med. 2017;110(3):104−109. doi: https://doi.org/10.1177/0141076816688346

15. Noor S, Zubair M, Ahmad J. Diabetic foot ulcer — a review on pathophysiology, classification and microbial etiology. Diabetes Metab Syndr. 2015;9(3):192−199. doi: https://doi.org/10.1016/j.dsx.2015.04.007

16. Freedberg IM, Tomic-Canic M, Komine M, Blumenberg M. Keratins and the keratinocyte activation cycle. J Invest Dermatol. 2001;116(5):633–640. doi: https://doi.org/10.1046/j.1523-1747.2001.01327.x

17. Blakytny R, Jude EB. Altered molecular mechanisms of diabetic foot ulcers. Int J Low Extrem Wounds. 2009;8(2):95−104. doi: https://doi.org/10.1177/1534734609337151


Supplementary files

1. Fig. 1. The dynamics of wound healing in rats with diabetes and CB. The proportion of rats with areas of the wound more (dark column) or less (white column) 15% relative to the original area on the 3-24th day after application of the wound; Diabetes mellitus; diabetes mellitus; CB - citrate buffer. The frame shows the time point with statistically significant differences in the exact Fisher test (p = 0.046).
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2. Fig. 2. Rat skin preparations, hematoxylin and eosin staining, × 200. A - intact skin; B - diabetes mellitus, 8th day of healing; B — citrate buffer group, 8th day of healing; a - area of inflammation and the formation of granulation tissue; b - the regenerating edge of the epidermis; in - a basal layer; g - a prickly layer.
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3. Fig. 3. Rat skin preparations, hematoxylin and eosin staining, × 400. A - group of diabetes mellitus, day 16; B — citrate buffer group, day 16; a - the basal layer; b - a prickly layer; in - a connective tissue scar.
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4. Fig. 4. Rat skin preparations, stained with hematoxylin and eosin, × 800: A — group of diabetes mellitus, 24th day; B — citrate buffer group, 24th day; a - the basal layer; b - a prickly layer; in - a connective tissue scar.
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5. Fig. 5. Rat skin micropreparations, immunohistochemistry method, visualization with the DAB system and hematoxylin counter-staining, × 200. A - cytokeratin marker 10, group SD8; B - cytokeratin marker 17, group SD8.
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6. Fig. 6. Expression of cytokeratin 10 in the epidermis of the skin of the wound edge and epidermis of the skin of intact rats. * - p <0.05 compared with other groups, a mixed linear model. Data are presented as median ± interquartile range.
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7. Fig. 7. The staining density of the epidermis of the skin of the wound edges of rats with antibodies to cytokeratin 17. The data are presented as median ± interquartile range. * - p <0.05 in comparison with intact control; $ - p <0.05 compared with 8 days; # - p <0.05 compared between groups of diabetes mellitus and citrate buffer at one time point, a mixed linear model.
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8. Fig. 8. Average rat weight in grams ± standard deviation. DM - animals with diabetes, CB; - control group. * - p <0.05 when comparing between two groups, ANOVA.
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Review

For citations:


Ivanov E.V., Morozova M.P., Rzhavina E.M., Gorbacheva A.M., Gavrilova S.A., Erdiakov A.K., Galstyan G.R., Koshelev V.B. Keratinocytes differentiation and wound healing in rats with streptozotocin – induced diabetes and severe hyperglycemia. Diabetes mellitus. 2020;23(1):19-28. (In Russ.) https://doi.org/10.14341/DM10071

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ISSN 2072-0351 (Print)
ISSN 2072-0378 (Online)