PMID- 33691762 OWN - NLM STAT- MEDLINE DCOM- 20210708 LR - 20220727 IS - 1757-6512 (Electronic) IS - 1757-6512 (Linking) VI - 12 IP - 1 DP - 2021 Mar 10 TI - mTOR inhibitor INK128 promotes wound healing by regulating MDSCs. PG - 170 LID - 10.1186/s13287-021-02206-y [doi] LID - 170 AB - BACKGROUND: Skin wounds in diabetic patients hardly recover. Accumulating evidence has shown that mammalian target of rapamycin (mTOR) pathway and myeloid-derived suppressor cells (MDSCs) are involved in inflammatory-related response. INK128 is a novel mTOR kinase inhibitor in clinical development. However, the exact roles of MDSCs and INK128 in healing wound of diabetic patients are unclear. METHODS: Mice models of normal, diabetic, and diabetic+INK128 were constructed. Bone marrow (BM)-derived macrophages and RAW264.7 cell line co-cultured with MDSCs, which were induced at different conditions. Flow cytometry, western blot, quantitative real-time PCR, and immunohistochemical analysis were performed. RESULTS: Diabetic mice (DM) had a slower recovery rate, thinner epidermis and dermis, and less blood vessels than those of normal mice. MDSCs were abnormally accumulated in DM, mTOR was activated in MDSCs of DM, and the cells were treated with high glucose. Moreover, mTOR signaling inhibitor INK128 could promote wound healing through reducing the MDSCs. MDSC function was disordered in DM and high-glucose environments, while INK128 could help retrieve their function. Furthermore, high glucose and other factors in DM could promote M-MDSC differentiation to M1 pro-inflammatory macrophage cells, thus inhibiting wound healing. The differentiation, which was dependent on mTOR signaling, could be reversed by INK128. CONCLUSION: INK128 is potential to be developed as a clinical strategy to promote wound healing of diabetic patients. FAU - Li, Yi AU - Li Y AD - Department of Burns and Plastic Surgery, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing, 210093, People's Republic of China. AD - The State Key Laboratory of Pharmaceutical Biotechnology, Division of Immunology, Medical School, Nanjing University, Nanjing, 210093, People's Republic of China. FAU - Xu, Yujun AU - Xu Y AD - The State Key Laboratory of Pharmaceutical Biotechnology, Division of Immunology, Medical School, Nanjing University, Nanjing, 210093, People's Republic of China. FAU - Liu, Xinghan AU - Liu X AD - The State Key Laboratory of Pharmaceutical Biotechnology, Division of Immunology, Medical School, Nanjing University, Nanjing, 210093, People's Republic of China. FAU - Yan, Xin AU - Yan X AD - Department of Burns and Plastic Surgery, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing, 210093, People's Republic of China. FAU - Lin, Yue AU - Lin Y AD - Department of Burns and Plastic Surgery, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing, 210093, People's Republic of China. FAU - Tan, Qian AU - Tan Q AD - Department of Burns and Plastic Surgery, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing, 210093, People's Republic of China. smmutanqian@sina.com. FAU - Hou, Yayi AU - Hou Y AD - The State Key Laboratory of Pharmaceutical Biotechnology, Division of Immunology, Medical School, Nanjing University, Nanjing, 210093, People's Republic of China. yayihou@nju.edu.cn. AD - Jiangsu Key Laboratory of Molecular Medicine, Nanjing University, Nanjing, 210093, People's Republic of China. yayihou@nju.edu.cn. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20210310 PL - England TA - Stem Cell Res Ther JT - Stem cell research & therapy JID - 101527581 RN - 0 (Benzoxazoles) RN - 0 (Pyrimidines) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - JGH0DF1U03 (sapanisertib) SB - IM EIN - Stem Cell Res Ther. 2021 Sep 6;12(1):494. PMID: 34488864 MH - Animals MH - Benzoxazoles MH - *Diabetes Mellitus, Experimental MH - Humans MH - Mice MH - *Myeloid-Derived Suppressor Cells MH - Pyrimidines MH - TOR Serine-Threonine Kinases/genetics MH - Wound Healing PMC - PMC7944919 OTO - NOTNLM OT - Immunology OT - Macrophages OT - Myeloid-derived suppressor cells OT - Wound healing COIS- The authors declare that they have no competing interests. EDAT- 2021/03/12 06:00 MHDA- 2021/07/09 06:00 PMCR- 2021/03/10 CRDT- 2021/03/11 05:52 PHST- 2020/08/06 00:00 [received] PHST- 2021/02/02 00:00 [accepted] PHST- 2021/03/11 05:52 [entrez] PHST- 2021/03/12 06:00 [pubmed] PHST- 2021/07/09 06:00 [medline] PHST- 2021/03/10 00:00 [pmc-release] AID - 10.1186/s13287-021-02206-y [pii] AID - 2206 [pii] AID - 10.1186/s13287-021-02206-y [doi] PST - epublish SO - Stem Cell Res Ther. 2021 Mar 10;12(1):170. doi: 10.1186/s13287-021-02206-y.