PMID- 33338031 OWN - NLM STAT- MEDLINE DCOM- 20210104 LR - 20210816 IS - 1643-3750 (Electronic) IS - 1234-1010 (Print) IS - 1234-1010 (Linking) VI - 26 DP - 2020 Dec 18 TI - Functional Analysis of Estrogen Receptor 1 in Diabetic Wound Healing: A Knockdown Cell-Based and Bioinformatic Study. PG - e928788 LID - 10.12659/MSM.928788 [doi] AB - BACKGROUND Diabetic wound (DW) treatment is a serious challenge for clinicians, and the underlying mechanisms of DWs remain elusive. We sought to identify the critical genes in the development of DWs and provide potential targets for DW therapies. MATERIAL AND METHODS Datasets of GSE38396 from the Gene Expression Omnibus (GEO) database were reviewed. Pathway analysis was performed using the Kyoto Encyclopedia of Genes and Genomes (KEGG), Gene Ontology term analyses were carried out, and Cytoscape software (Cytoscape 3.7.2) was used to construct the protein interaction network. Serum samples from patients with diabetes and control participants were collected, and the expression of estrogen receptor 1 (ESR1) was measured by quantitative reverse-transcription polymerase chain reaction. In addition, the function of ESR1 in human skin fibroblasts was investigated in vitro. RESULTS Eight samples were analyzed using the Morpheus online tool, which identified 637 upregulated and 448 downregulated differentially expressed genes. The top 5 KEGG pathways of upregulated differentially expressed genes were associated with sphingolipid metabolism, estrogen signaling, ECM-receptor interaction, MAPK signaling, and PI3K-Akt signaling. The hub genes for DWs were JUN, ESR1, CD44, SMARCA4, MMP2, BMP4, GSK3B, WDR5, PTK2, and PTGS2. JUN, MMP2, and ESR1 were the upregulated hub genes, and ESR1 was found to be consistently enriched in DW patients. Inhibition of ESR1 had a stimulative role in human skin fibroblasts. CONCLUSIONS ESR1 was identified as a crucial gene in the development of DWs, which suggests potential therapeutic targets for DW healing. FAU - Qi, Sha AU - Qi S AD - Department of Hand Surgery, Wuhan Fourth Hospital; Puai Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China (mainland). FAU - Han, Qiong AU - Han Q AD - Department of Hand Surgery, Wuhan Fourth Hospital; Puai Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China (mainland). FAU - Xing, Danmou AU - Xing D AD - Department of Hand Surgery, Wuhan Fourth Hospital; Puai Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China (mainland). FAU - Qian, Long AU - Qian L AD - Department of Hand Surgery, Wuhan Fourth Hospital; Puai Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China (mainland). FAU - Yu, Xiang AU - Yu X AD - Department of Hand Surgery, Wuhan Fourth Hospital; Puai Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China (mainland). FAU - Ren, Dong AU - Ren D AD - Department of Hand Surgery, Wuhan Fourth Hospital; Puai Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China (mainland). FAU - Wang, Huan AU - Wang H AD - Department of Hand Surgery, Wuhan Fourth Hospital; Puai Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China (mainland). FAU - Chen, Quan AU - Chen Q AD - Department of Hand Surgery, Wuhan Fourth Hospital; Puai Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China (mainland). LA - eng PT - Journal Article DEP - 20201218 PL - United States TA - Med Sci Monit JT - Medical science monitor : international medical journal of experimental and clinical research JID - 9609063 RN - 0 (ESR1 protein, human) RN - 0 (Estrogen Receptor alpha) SB - IM MH - Cells, Cultured MH - Databases, Genetic MH - Diabetes Complications/*genetics MH - Estrogen Receptor alpha/*genetics MH - Fibroblasts/*metabolism MH - Gene Expression Regulation MH - Gene Ontology MH - Humans MH - Signal Transduction MH - *Skin Ulcer/etiology/genetics/metabolism MH - Wound Healing/genetics PMC - PMC7754692 EDAT- 2020/12/19 06:00 MHDA- 2021/01/05 06:00 PMCR- 2020/12/18 CRDT- 2020/12/18 17:11 PHST- 2020/12/18 17:11 [entrez] PHST- 2020/12/19 06:00 [pubmed] PHST- 2021/01/05 06:00 [medline] PHST- 2020/12/18 00:00 [pmc-release] AID - 928788 [pii] AID - 10.12659/MSM.928788 [doi] PST - epublish SO - Med Sci Monit. 2020 Dec 18;26:e928788. doi: 10.12659/MSM.928788.