PMID- 15575346 OWN - NLM STAT- MEDLINE DCOM- 20050203 LR - 20171116 IS - 0394-3402 (Print) IS - 0394-3402 (Linking) VI - 17 IP - 4 DP - 2004 Aug TI - Expression of cell surface antigens in diabetic patients and healthy controls after injury. PG - 244-6 AB - AIMS: Due to the systemic character of Type 2 diabetes, cellular disturbances paralleled by an altered expression of various growth factors constitute the basis for impaired wound healing. Cell-surface antigens are altered in chronic wounds and may also have an effect on the persistance of diabetic foot lesions. METHODS: We investigated blood samples of diabetic patients with diabetic foot ulcers (n=21) in comparison with those from healthy control patients subsequent to an injury (n=9). A blood sample (EDTA) was taken from each participant (in the trauma control group on the third day after injury) and examined by flow cytometry [fluorescence-activated cell sorter (FACS)]. Typical cell surface antigens involved in wound healing were studied [cluster of differentiation (CD)2, CD3, CD4, CD25 and human leukocyte antigen (HLA)-diabetic retinopathy (DR)]. RESULTS: known to adversely affect wound healing were elevated in diabetic patients (CD2 p<0.001; CD3 p=0.016, CD4 p=0.22, CD25 p<0.001). HLA-DR expression was also decreased in diabetic foot patients (p=0.023). CONCLUSIONS: Cell-surface antigens appear to be altered in diabetic patients when compared to healthy controls. Thus, due to the systemic character of Type 2 diabetes, cellular disturbances may well constitute the basis for impaired wound healing in diabetes. FAU - Lobmann, R AU - Lobmann R AD - Department of Endocrinology and Metabolism, University of Magdeburg Medical School, Magdeburg, Germany. ralf.lobmann@medizin.uni-magdeburg.de FAU - Ittenson, A AU - Ittenson A FAU - Schiweck, S AU - Schiweck S FAU - Motzkau, M AU - Motzkau M FAU - Schraven, B AU - Schraven B FAU - Winckler, S AU - Winckler S FAU - Lehnert, H AU - Lehnert H LA - eng PT - Journal Article PL - Italy TA - Diabetes Nutr Metab JT - Diabetes, nutrition & metabolism JID - 8813443 RN - 0 (Antigens, Differentiation, B-Lymphocyte) RN - 0 (Antigens, Differentiation, T-Lymphocyte) RN - 0 (CD2 Antigens) RN - 0 (CD3 Complex) RN - 0 (CD4 Antigens) RN - 0 (HLA-DR Antigens) RN - 0 (Receptors, Interleukin-2) SB - IM MH - Adult MH - Antigens, Differentiation, B-Lymphocyte/*blood/immunology MH - Antigens, Differentiation, T-Lymphocyte/*blood/immunology MH - CD2 Antigens/blood MH - CD3 Complex/blood MH - CD4 Antigens/blood MH - Case-Control Studies MH - Diabetes Mellitus, Type 2/complications/*immunology MH - Diabetic Foot/*immunology/pathology MH - Female MH - Flow Cytometry MH - HLA-DR Antigens/blood MH - Humans MH - Leukocyte Count MH - Male MH - Middle Aged MH - Receptors, Interleukin-2/blood MH - Wound Healing/*immunology MH - Wounds and Injuries/immunology EDAT- 2004/12/04 09:00 MHDA- 2005/02/04 09:00 CRDT- 2004/12/04 09:00 PHST- 2004/12/04 09:00 [pubmed] PHST- 2005/02/04 09:00 [medline] PHST- 2004/12/04 09:00 [entrez] PST - ppublish SO - Diabetes Nutr Metab. 2004 Aug;17(4):244-6.