AGEs Induced Autophagy Impairs Cutaneous Wound Healing via Stimulating Macrophage Polarization to M1 in Diabetes

Abstract Autophagy is essential in physiological and pathological processes, however, the role of autophagy in cutaneous wound healing and the underlying molecular mechanism remain elusive. We hypothesized that autophagy plays an important role in regulating wound healing. Here, we show that enhance...

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Main Authors: Yuanyuan Guo, Cai Lin, Peng Xu, Shan Wu, Xiujun Fu, Weidong Xia, Min Yao
Format: Article
Language:English
Published: Nature Portfolio 2016-11-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/srep36416
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author Yuanyuan Guo
Cai Lin
Peng Xu
Shan Wu
Xiujun Fu
Weidong Xia
Min Yao
author_facet Yuanyuan Guo
Cai Lin
Peng Xu
Shan Wu
Xiujun Fu
Weidong Xia
Min Yao
author_sort Yuanyuan Guo
collection DOAJ
description Abstract Autophagy is essential in physiological and pathological processes, however, the role of autophagy in cutaneous wound healing and the underlying molecular mechanism remain elusive. We hypothesized that autophagy plays an important role in regulating wound healing. Here, we show that enhanced autophagy negatively impacts on normal cutaneous healing process and is related to chronic wounds as demonstrated by the increased LC3 in diabetic mice skin or patients’ chronic wounds. In addition, inhibition of autophagy by 3-MA restores delayed healing in C57BL/6 or db/db mice, demonstrating that autophagy is involved in regulating wound healing. Furthermore, we identify that macrophage is a major cell type underwent autophagy in wounds and increased autophagy induces macrophages polarization into M1 with elevated CD11c population and gene expressions of proinflammatory cytokines. To explore the mechanism underlying autophagy-impaired wound healing, we tested the role of IRF8, a regulator of autophagy, in autophagy-modulated macrophages polarization. IRF8 activation is up-regulating autophagy and M1 polarization of macrophages after AGEs (advanced glycation endproducts) treatment, blocking the IRF8 with shIRF8 inhibits autophagic activity and M1 polarization. In summary, this study elucidates that AGEs induces autophagy and modulates macrophage polarization to M1 via IRF8 activation in impairment of cutaneous wound healing.
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spelling doaj.art-a265add0249742cf909984207245f1552024-01-21T12:23:04ZengNature PortfolioScientific Reports2045-23222016-11-016111610.1038/srep36416AGEs Induced Autophagy Impairs Cutaneous Wound Healing via Stimulating Macrophage Polarization to M1 in DiabetesYuanyuan Guo0Cai Lin1Peng Xu2Shan Wu3Xiujun Fu4Weidong Xia5Min Yao6Department of Burns and Plastic Surgery, Shanghai Ninth People’s Hospital, Institute of Traumatic Medicine; Shanghai Jiao Tong University School of MedicineBurn and Wound center, First Affiliated Hospital of Wenzhou Medical UniversityDepartment of Burns and Plastic Surgery, Shanghai Ninth People’s Hospital, Institute of Traumatic Medicine; Shanghai Jiao Tong University School of MedicineDepartment of Burns and Plastic Surgery, Shanghai Ninth People’s Hospital, Institute of Traumatic Medicine; Shanghai Jiao Tong University School of MedicineDepartment of Burns and Plastic Surgery, Shanghai Ninth People’s Hospital, Institute of Traumatic Medicine; Shanghai Jiao Tong University School of MedicineBurn and Wound center, First Affiliated Hospital of Wenzhou Medical UniversityDepartment of Burns and Plastic Surgery, Shanghai Ninth People’s Hospital, Institute of Traumatic Medicine; Shanghai Jiao Tong University School of MedicineAbstract Autophagy is essential in physiological and pathological processes, however, the role of autophagy in cutaneous wound healing and the underlying molecular mechanism remain elusive. We hypothesized that autophagy plays an important role in regulating wound healing. Here, we show that enhanced autophagy negatively impacts on normal cutaneous healing process and is related to chronic wounds as demonstrated by the increased LC3 in diabetic mice skin or patients’ chronic wounds. In addition, inhibition of autophagy by 3-MA restores delayed healing in C57BL/6 or db/db mice, demonstrating that autophagy is involved in regulating wound healing. Furthermore, we identify that macrophage is a major cell type underwent autophagy in wounds and increased autophagy induces macrophages polarization into M1 with elevated CD11c population and gene expressions of proinflammatory cytokines. To explore the mechanism underlying autophagy-impaired wound healing, we tested the role of IRF8, a regulator of autophagy, in autophagy-modulated macrophages polarization. IRF8 activation is up-regulating autophagy and M1 polarization of macrophages after AGEs (advanced glycation endproducts) treatment, blocking the IRF8 with shIRF8 inhibits autophagic activity and M1 polarization. In summary, this study elucidates that AGEs induces autophagy and modulates macrophage polarization to M1 via IRF8 activation in impairment of cutaneous wound healing.https://doi.org/10.1038/srep36416
spellingShingle Yuanyuan Guo
Cai Lin
Peng Xu
Shan Wu
Xiujun Fu
Weidong Xia
Min Yao
AGEs Induced Autophagy Impairs Cutaneous Wound Healing via Stimulating Macrophage Polarization to M1 in Diabetes
Scientific Reports
title AGEs Induced Autophagy Impairs Cutaneous Wound Healing via Stimulating Macrophage Polarization to M1 in Diabetes
title_full AGEs Induced Autophagy Impairs Cutaneous Wound Healing via Stimulating Macrophage Polarization to M1 in Diabetes
title_fullStr AGEs Induced Autophagy Impairs Cutaneous Wound Healing via Stimulating Macrophage Polarization to M1 in Diabetes
title_full_unstemmed AGEs Induced Autophagy Impairs Cutaneous Wound Healing via Stimulating Macrophage Polarization to M1 in Diabetes
title_short AGEs Induced Autophagy Impairs Cutaneous Wound Healing via Stimulating Macrophage Polarization to M1 in Diabetes
title_sort ages induced autophagy impairs cutaneous wound healing via stimulating macrophage polarization to m1 in diabetes
url https://doi.org/10.1038/srep36416
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