PMID- 33446687 OWN - NLM STAT- MEDLINE DCOM- 20210916 LR - 20230127 IS - 2045-2322 (Electronic) IS - 2045-2322 (Linking) VI - 11 IP - 1 DP - 2021 Jan 14 TI - Dermal fibroblasts cultured from donors with type 2 diabetes mellitus retain an epigenetic memory associated with poor wound healing responses. PG - 1474 LID - 10.1038/s41598-020-80072-z [doi] LID - 1474 AB - The prevalence of Type 2 diabetes mellitus (T2DM) is escalating globally. Patients suffer from multiple complications including the development of chronic wounds that can lead to amputation. These wounds are characterised by an inflammatory environment including elevated tumour necrosis factor alpha (TNF-alpha). Dermal fibroblasts (DF) are critical for effective wound healing, so we sought to establish whether there were any differences in DF cultured from T2DM donors or those without diabetes (ND-DF). ND- and T2DM-DF when cultured similarly in vitro secreted comparable concentrations of TNF-alpha. Functionally, pre-treatment with TNF-alpha reduced the proliferation of ND-DF and transiently altered ND-DF morphology; however, T2DM-DF were resistant to these TNF-alpha induced changes. In contrast, TNF-alpha inhibited ND- and T2DM-DF migration and matrix metalloprotease expression to the same degree, although T2DM-DF expressed significantly higher levels of tissue inhibitor of metalloproteases (TIMP)-2. Finally, TNF-alpha significantly increased the secretion of pro-inflammatory cytokines (including CCL2, CXCL1 and SERPINE1) in ND-DF, whilst this effect in T2DM-DF was blunted, presumably due to the tendency to higher baseline pro-inflammatory cytokine expression observed in this cell type. Collectively, these data demonstrate that T2DM-DF exhibit a selective loss of responsiveness to TNF-alpha, particularly regarding proliferative and secretory functions. This highlights important phenotypic changes in T2DM-DF that may explain the susceptibility to chronic wounds in these patients. FAU - Al-Rikabi, Aaiad H A AU - Al-Rikabi AHA AD - Centre for Skin Sciences, Faculty of Life Sciences, University of Bradford, Bradford, UK. AD - Department of Biology, College of Science, University of Baghdad, Baghdad, Iraq. FAU - Tobin, Desmond J AU - Tobin DJ AD - The Charles Institute for Dermatology, School of Medicine, University College Dublin, Dublin, Ireland. FAU - Riches-Suman, Kirsten AU - Riches-Suman K AD - Centre for Skin Sciences, Faculty of Life Sciences, University of Bradford, Bradford, UK. FAU - Thornton, M Julie AU - Thornton MJ AD - Centre for Skin Sciences, Faculty of Life Sciences, University of Bradford, Bradford, UK. m.j.thornton@bradford.ac.uk. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20210114 PL - England TA - Sci Rep JT - Scientific reports JID - 101563288 RN - 0 (Cytokines) RN - 0 (Tissue Inhibitor of Metalloproteinases) RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Adult MH - Aged MH - Cells, Cultured MH - Cytokines/metabolism MH - Diabetes Mellitus, Type 2/*genetics/metabolism/physiopathology MH - Epigenesis, Genetic/genetics MH - Epigenomics/methods MH - Female MH - Fibroblasts/metabolism MH - Humans MH - Male MH - Middle Aged MH - Primary Cell Culture MH - Skin/*metabolism MH - Tissue Inhibitor of Metalloproteinases/metabolism MH - Tumor Necrosis Factor-alpha/analysis/metabolism MH - Wound Healing/*genetics PMC - PMC7809350 COIS- The authors declare no competing interests. EDAT- 2021/01/16 06:00 MHDA- 2021/09/18 06:00 PMCR- 2021/01/14 CRDT- 2021/01/15 05:54 PHST- 2020/06/04 00:00 [received] PHST- 2020/12/02 00:00 [accepted] PHST- 2021/01/15 05:54 [entrez] PHST- 2021/01/16 06:00 [pubmed] PHST- 2021/09/18 06:00 [medline] PHST- 2021/01/14 00:00 [pmc-release] AID - 10.1038/s41598-020-80072-z [pii] AID - 80072 [pii] AID - 10.1038/s41598-020-80072-z [doi] PST - epublish SO - Sci Rep. 2021 Jan 14;11(1):1474. doi: 10.1038/s41598-020-80072-z.