PMID- 30352880 OWN - NLM STAT- MEDLINE DCOM- 20190325 LR - 20200309 IS - 1939-327X (Electronic) IS - 0012-1797 (Print) IS - 0012-1797 (Linking) VI - 68 IP - 1 DP - 2019 Jan TI - Dysregulation of Nrf2/Keap1 Redox Pathway in Diabetes Affects Multipotency of Stromal Cells. PG - 141-155 LID - 10.2337/db18-0232 [doi] AB - The molecular and cellular level reaches of the metabolic dysregulations that characterize diabetes are yet to be fully discovered. As mechanisms underlying management of reactive oxygen species (ROS) gain interest as crucial factors in cell integrity, questions arise about the role of redox cues in the regulation and maintenance of bone marrow-derived multipotent stromal cells (BMSCs) that contribute to wound healing, particularly in diabetes. Through comparison of BMSCs from wild-type and diabetic mice, with a known redox and metabolic disorder, we found that the cytoprotective nuclear factor erythroid-related factor 2 (Nrf2)/kelch-like erythroid cell-derived protein 1 (Keap1) pathway is dysregulated and functionally insufficient in diabetic BMSCs (dBMSCs). Nrf2 is basally active, but in chronic ROS, we found irregular inhibition of Nrf2 by Keap1, altered metabolism, and limited BMSC multipotency. Forced upregulation of Nrf2-directed transcription, through knockdown of Keap1, restores redox homeostasis. Normalized Nrf2/Keap1 signaling restores multipotent cell properties in dBMSCs through Sox2 expression. These restored BMSCs can resume their role in regenerative tissue repair and promote healing of diabetic wounds. Knowledge of diabetes and hyperglycemia-induced deficits in BMSC regulation, and strategies to reverse them, offers translational promise. Our study establishes Nrf2/Keap1 as a cytoprotective pathway, as well as a metabolic rheostat, that affects cell maintenance and differentiation switches in BMSCs. CI - (c) 2018 by the American Diabetes Association. FAU - Rabbani, Piul S AU - Rabbani PS AUID- ORCID: 0000-0001-8302-8225 AD - Hansjorg Wyss Department of Plastic Surgery, New York University School of Medicine, New York, NY piul.rabbani@nyumc.org daniel.ceradini@nyumc.org. FAU - Soares, Marc A AU - Soares MA AD - Hansjorg Wyss Department of Plastic Surgery, New York University School of Medicine, New York, NY. FAU - Hameedi, Sophia G AU - Hameedi SG AD - Hansjorg Wyss Department of Plastic Surgery, New York University School of Medicine, New York, NY. FAU - Kadle, Rohini L AU - Kadle RL AD - Hansjorg Wyss Department of Plastic Surgery, New York University School of Medicine, New York, NY. FAU - Mubasher, Adnan AU - Mubasher A AD - Hansjorg Wyss Department of Plastic Surgery, New York University School of Medicine, New York, NY. FAU - Kowzun, Maria AU - Kowzun M AD - Hansjorg Wyss Department of Plastic Surgery, New York University School of Medicine, New York, NY. FAU - Ceradini, Daniel J AU - Ceradini DJ AD - Hansjorg Wyss Department of Plastic Surgery, New York University School of Medicine, New York, NY piul.rabbani@nyumc.org daniel.ceradini@nyumc.org. LA - eng GR - P30 CA016087/CA/NCI NIH HHS/United States GR - S10 OD010584/OD/NIH HHS/United States GR - S10 OD018338/OD/NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20181023 PL - United States TA - Diabetes JT - Diabetes JID - 0372763 RN - 0 (Kelch-Like ECH-Associated Protein 1) RN - 0 (NF-E2-Related Factor 2) RN - 0 (Reactive Oxygen Species) RN - 0 (SOXB1 Transcription Factors) RN - 0 (Sox2 protein, mouse) SB - IM MH - Animals MH - Blotting, Western MH - Cell Differentiation/physiology MH - Diabetes Mellitus, Experimental/*metabolism MH - Enzyme-Linked Immunosorbent Assay MH - Immunohistochemistry MH - Immunophenotyping MH - Kelch-Like ECH-Associated Protein 1/*metabolism MH - Mice MH - Mice, Inbred C57BL MH - NF-E2-Related Factor 2/*metabolism MH - Oxidation-Reduction MH - Oxidative Stress/physiology MH - Reactive Oxygen Species/metabolism MH - Reverse Transcriptase Polymerase Chain Reaction MH - SOXB1 Transcription Factors/metabolism MH - Signal Transduction/physiology MH - Stromal Cells/*cytology/*metabolism PMC - PMC6302538 EDAT- 2018/10/26 06:00 MHDA- 2019/03/26 06:00 PMCR- 2020/01/01 CRDT- 2018/10/25 06:00 PHST- 2018/02/28 00:00 [received] PHST- 2018/10/09 00:00 [accepted] PHST- 2018/10/26 06:00 [pubmed] PHST- 2019/03/26 06:00 [medline] PHST- 2018/10/25 06:00 [entrez] PHST- 2020/01/01 00:00 [pmc-release] AID - db18-0232 [pii] AID - 0232 [pii] AID - 10.2337/db18-0232 [doi] PST - ppublish SO - Diabetes. 2019 Jan;68(1):141-155. doi: 10.2337/db18-0232. Epub 2018 Oct 23.