PMID- 25586463 OWN - NLM STAT- MEDLINE DCOM- 20170711 LR - 20210703 IS - 1742-481X (Electronic) IS - 1742-4801 (Print) IS - 1742-4801 (Linking) VI - 13 IP - 5 DP - 2016 Oct TI - Increased expression of endosomal members of toll-like receptor family abrogates wound healing in patients with type 2 diabetes mellitus. PG - 927-35 LID - 10.1111/iwj.12411 [doi] AB - The inflammatory phase of wound healing cascade is an important determinant of the fate of the wound. Acute inflammation is necessary to initiate proper wound healing, while chronic inflammation abrogates wound healing. Different endosomal members of toll-like receptor (TLR) family initiate inflammatory signalling via a range of different inflammatory mediators such as interferons, internal tissue damaged-associated molecular patterns (DAMPs) and hyperactive effector T cells. Sustained signalling of TLR9 and TLR7 contributes to chronic inflammation by activating the plasmacytoid dendritic cells. Diabetic wounds are also characterised by sustained inflammatory phase. The objective of this study was to analyse the differential expression of endosomal TLRs in human diabetic wounds compared with control wounds. We analysed the differential expression of TLR7 and TLR9 both at transcriptional and translational levels in wounds of 84 patients with type 2 diabetes mellitus (T2DM) and 6 control subjects without diabetes using quantitative real-time polymerase chain reaction (RT-PCR), western blot and immunohistochemistry. TLR7 and TLR9 were significantly up-regulated in wounds of the patients with T2DM compared with the controls and were dependent on the infection status of the diabetic wounds, and wounds with microbial infection exhibited lower expression levels of endosomal TLRs. Altered endosomal TLR expression in T2DM subjects might be associated with wound healing impairment. CI - (c) 2015 Medicalhelplines.com Inc and John Wiley & Sons Ltd. FAU - Singh, Kanhaiya AU - Singh K AD - Department of Molecular & Human Genetics, Banaras Hindu University, Varanasi, 221005, India. FAU - Agrawal, Neeraj K AU - Agrawal NK AD - Department of Endocrinology and Metabolism, Institute of Medical Sciences, Banaras Hindu University, Varanasi, 221005, India. FAU - Gupta, Sanjeev K AU - Gupta SK AD - Department of General Surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi, 221005, India. FAU - Mohan, Gyanendra AU - Mohan G AD - Department of Pathology, Indian Railway Cancer Hospital and Research Center, N.E.R., Varanasi, 221002, India. FAU - Chaturvedi, Sunanda AU - Chaturvedi S AD - Department of Pathology, Indian Railway Cancer Hospital and Research Center, N.E.R., Varanasi, 221002, India. FAU - Singh, Kiran AU - Singh K AD - Department of Molecular & Human Genetics, Banaras Hindu University, Varanasi, 221005, India. skiran@bhu.ac.in. LA - eng PT - Journal Article DEP - 20150114 PL - England TA - Int Wound J JT - International wound journal JID - 101230907 RN - 0 (RNA, Messenger) RN - 0 (TLR7 protein, human) RN - 0 (TLR9 protein, human) RN - 0 (Toll-Like Receptor 7) RN - 0 (Toll-Like Receptor 9) SB - IM MH - Adult MH - Aged MH - Case-Control Studies MH - Diabetes Mellitus, Type 2/*complications/*metabolism MH - Diabetic Foot/etiology/*metabolism MH - Female MH - Humans MH - Male MH - Middle Aged MH - RNA, Messenger/metabolism MH - Toll-Like Receptor 7/genetics/*metabolism MH - Toll-Like Receptor 9/genetics/*metabolism MH - Wound Healing/*physiology PMC - PMC7949499 OTO - NOTNLM OT - Diabetic foot ulcer OT - T2DM OT - TLR7 OT - TLR9 OT - Toll-like receptors OT - Wound healing impairment EDAT- 2015/01/15 06:00 MHDA- 2017/07/14 06:00 PMCR- 2015/01/14 CRDT- 2015/01/15 06:00 PHST- 2014/09/02 00:00 [received] PHST- 2014/12/05 00:00 [revised] PHST- 2014/12/09 00:00 [accepted] PHST- 2015/01/15 06:00 [entrez] PHST- 2015/01/15 06:00 [pubmed] PHST- 2017/07/14 06:00 [medline] PHST- 2015/01/14 00:00 [pmc-release] AID - IWJ12411 [pii] AID - 10.1111/iwj.12411 [doi] PST - ppublish SO - Int Wound J. 2016 Oct;13(5):927-35. doi: 10.1111/iwj.12411. Epub 2015 Jan 14.