Introduction. Impaired wound-healing in diabetics can lead to life-threatening complications, such as limb
amputation, associated in part with excessive
matrix metalloproteinase- (
MMP-) mediated degradation of
collagen and other matrix constituents. In the current study, a novel triketonic chemically modified
curcumin,
CMC2.24, was tested for efficacy in healing of standardized skin
wounds in
streptozotocin-induced diabetic rats. Initially,
CMC2.24 was daily applied topically at 1% or 3% concentrations or administered systemically (oral intubation; 30 mg/kg); controls received vehicle treatment only. Over 7 days, the diabetics exhibited impaired
wound closure, assessed by gross and histologic measurements, compared to the nondiabetic controls. All drug treatments significantly improved
wound closure with efficacy ratings as follows: 1% 2.24 > systemic 2.24 > 3% 2.24 with no effect on the severe
hyperglycemia. In subsequent experiments, 1%
CMC2.24 "normalized" wound-healing in the diabetics, whereas 1%
curcumin was no more effective than 0.25%
CMC2.24, and the latter remained 34% worse than normal. MMP-8 was increased 10-fold in the diabetic
wounds and topically applied 1% (but not 0.25%)
CMC2.24 significantly reduced this excessive
collagenase-2;
MMP-13/
collagenase-3 did not show significant changes. Additional studies indicated efficacy of 1%
CMC2.24 over more prolonged periods of time up to 30 days.