PMID- 26177082 OWN - NLM STAT- MEDLINE DCOM- 20160501 LR - 20181113 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 10 IP - 7 DP - 2015 TI - Analysis of Gene Expression in Experimental Pressure Ulcers in the Rat with Special Reference to Inflammatory Cytokines. PG - e0132622 LID - 10.1371/journal.pone.0132622 [doi] LID - e0132622 AB - Pressure ulcers have been investigated in a few animal models, but the molecular mechanisms of pressure ulcers are not well understood. We hypothesized that pressure results in up-regulation of inflammatory cytokines and those cytokines contribute to the formation of pressure ulcers. We measured genome-wide changes in transcript levels after compression, and focused especially on inflammatory cytokines. The abdominal wall of rats was compressed at 100 mmHg for 4 hours by two magnets. Specimens were obtained 12 hours, 1, or 3 days after compression, and analyzed by light microscopy, microarray, Real-Time PCR, and ELISA. The skin and subcutaneous tissue in the compressed area were markedly thickened. The microarray showed that numerous genes were up-regulated after the compression. Up-regulated genes were involved in apoptosis, inflammation, oxidative stress, proteolysis, hypoxia, and so on. Real-Time PCR showed the up-regulation of granulocyte-macrophage colony stimulating factor (GM-CSF), interferon gamma (IFN-gamma), interleukin 1beta (IL-1beta), interleukin 1 receptor antagonist gene (IL1Ra), interleukin 6 (IL-6), interleukin 10 (IL-10), matrix metalloproteinase 3 (MMP-3), tissue inhibitor of metalloproteinase 1 (TIMP-1), and tumor necrosis factor alpha (TNF-alpha) at 12 hours, IFN-gamma, IL-6, IL-10, MMP-3, and TIMP-1 at 1 day, and IFN-gamma, IL-6, and MMP-3 at 3 days. Some genes from subcutaneous tissue were up-regulated temporarily, and others were kept at high levels of expression. ELISA data showed that the concentrations of IL-1beta and IL-6 proteins were most notably increased following compression. Prolonged up-regulation of IL-1beta, and IL-6 might enhance local inflammation, and continuous local inflammation may contribute to the pressure ulcer formation. In addition, GM-CSF, IFN-gamma, MMP-3, and TIMP-1 were not reported previously in the wound healing process, and those genes may have a role in development of the pressure ulcers. Expression data from Real-Time PCR were generally in good agreement with those of the microarray. Our microarray data were useful for identifying genes involved in pressure ulcer formation. However, the expression levels of the genes didn't necessarily correspond with protein production. As such, the functions of these cytokines need to be further investigated. FAU - Kurose, Tomoyuki AU - Kurose T AD - Institute of Biomedical & Health Sciences, Hiroshima University, Hiroshima, Japan. FAU - Hashimoto, Masakazu AU - Hashimoto M AD - Institute of Biomedical & Health Sciences, Hiroshima University, Hiroshima, Japan. FAU - Ozawa, Junya AU - Ozawa J AD - Faculty of Health Sciences, Hiroshima International University, Hiroshima, Japan. FAU - Kawamata, Seiichi AU - Kawamata S AD - Institute of Biomedical & Health Sciences, Hiroshima University, Hiroshima, Japan. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150715 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (Cytokines) SB - IM MH - Animals MH - Cytokines/*genetics/metabolism MH - Disease Models, Animal MH - Gene Expression Profiling/methods MH - Genetic Predisposition to Disease MH - Genome-Wide Association Study MH - Male MH - Oligonucleotide Array Sequence Analysis/methods MH - Pressure Ulcer/genetics/*immunology/*pathology MH - Rats MH - Up-Regulation PMC - PMC4503587 COIS- Competing Interests: The authors have declared that no competing interests exist. EDAT- 2015/07/16 06:00 MHDA- 2016/05/02 06:00 PMCR- 2015/07/15 CRDT- 2015/07/16 06:00 PHST- 2014/11/07 00:00 [received] PHST- 2015/06/16 00:00 [accepted] PHST- 2015/07/16 06:00 [entrez] PHST- 2015/07/16 06:00 [pubmed] PHST- 2016/05/02 06:00 [medline] PHST- 2015/07/15 00:00 [pmc-release] AID - PONE-D-14-50201 [pii] AID - 10.1371/journal.pone.0132622 [doi] PST - epublish SO - PLoS One. 2015 Jul 15;10(7):e0132622. doi: 10.1371/journal.pone.0132622. eCollection 2015.