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Exosomes derived from autologous dermal fibroblasts promote diabetic cutaneous wound healing through the Akt/β-catenin pathway.

Abstract
Diabetic cutaneous wounds are one of the complications of diabetes mellitus (DM) and are difficult to cure at present. Autologous dermal fibroblasts (DFs) have shown great promise in skin regeneration and repair. However, whether exosomes derived from autologous dermal fibroblasts (DF-Ex) can be used to accelerate diabetic cutaneous wound healing is unclear. In this study, human umbilical vein endothelial cells (HUVECs) were treated with high glucose. We found that DF-Ex could reverse the damage produced by high glucose in HUVECs in vitro. A high-fat diet and streptozotocin were used to establish a rat model of type 2 diabetes mellitus (T2DM), and a diabetic cutaneous wound model was established in the T2DM rats. We discovered that subcutaneous injections of DF-Ex could significantly promote re-epithelialization, collagen deposition, skin cell proliferation, angiogenesis and inhibit inflammation to accelerate diabetic cutaneous wound healing. We further explored the underlying mechanism and found that DF-Ex exerted positive effects by activating the Akt/β-catenin pathway. This research revealed that DF-Ex may provide a new treatment strategy for diabetic cutaneous wound healing.
AuthorsXinye Han, Peipei Wu, Linli Li, Hassan Mohamud Sahal, Cheng Ji, Jiahui Zhang, Yi Wang, Qichen Wang, Hui Qian, Hui Shi, Wenrong Xu
JournalCell cycle (Georgetown, Tex.) (Cell Cycle) 2021 Mar-Mar Vol. 20 Issue 5-6 Pg. 616-629 ISSN: 1551-4005 [Electronic] United States
PMID33685347 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Proto-Oncogene Proteins c-akt
Topics
  • Animals
  • Animals, Newborn
  • Autografts (metabolism, transplantation)
  • Diabetes Mellitus, Experimental (metabolism, pathology, therapy)
  • Diabetes Mellitus, Type 2 (metabolism, pathology, therapy)
  • Exosomes (metabolism, transplantation)
  • Fibroblasts (metabolism, transplantation)
  • Human Umbilical Vein Endothelial Cells (metabolism)
  • Humans
  • Male
  • Proto-Oncogene Proteins c-akt (metabolism)
  • Rats
  • Rats, Sprague-Dawley
  • Wnt Signaling Pathway (physiology)
  • Wound Healing (physiology)

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