PMID- 36692102 OWN - NLM STAT- MEDLINE DCOM- 20230520 LR - 20230614 IS - 1464-5491 (Electronic) IS - 0742-3071 (Linking) VI - 40 IP - 6 DP - 2023 Jun TI - Identification of signalling downstream of the transcription factor forkhead box protein M1 that protects against endoplasmic reticulum stress in a diabetic foot ulcer model. PG - e15051 LID - 10.1111/dme.15051 [doi] AB - AIMS: Diabetic foot ulcer (DFU) has a significant impact on the quality of life of diabetic mellitus (DM) patients. Here, we aimed to explore the molecules with aberrant expression and their regulatory mechanisms in DFU. METHODS: The expression of gene and protein was examined using quantitative polymerase chain reaction (qPCR) and western blot. Pearson's correlation analysis was used to analyse interactions among FOXM1, GAS5 and SDF4. Immunofluorescence was used to detect PDI and GRP78 expression. Flow cytometry was used to assess cell apoptosis. Tube formation assay was used to determine angiogenic capacity. Fluorescence in situ hybridization (FISH) assay was employed to determine the cellular localization of GAS5 and SDF4 in human umbilical vein endothelial cells (HUVECs). The interactions among FOXM1, GAS5 and SDF4 were validated by chromatin immunoprecipitation (ChIP), luciferase, RNA pull-down and RNA immunoprecipitation (RIP) assays. RESULTS: FOXM1, GAS5 and SDF4 were decreased in the skin tissues of DFU patients. High glucose (HG) stimulation induced endoplasmic reticulum (ER) stress and cell apoptosis but suppressed angiogenesis in HUVECs, which were abolished by FOXM1 overexpression. FOXM1 promoted GAS5 transcriptional activity, resulting in increased GAS5 expression, and GAS5 knockdown reversed the effects of FOXM1 overexpression in HG-treated HUVECs. Moreover, GAS5 recruited TAF15 to promote SDF4 expression in HUVECs. GAS5 overexpression inhibited ER stress, cell apoptosis and induced angiogenesis in HG-treated HUVECs which could be reversed by silencing SDF4. CONCLUSION: Our results revealed that FOXM1 suppressed ER stress, cell apoptosis and promoted angiogenesis in HG-induced HUVECs via mediating GAS5/TAF15/SDF4 axis, providing a novel therapeutic molecule mechanism for DFU. CI - (c) 2023 Diabetes UK. FAU - Peng, Weixia AU - Peng W AD - Department of Endocrine, Yiyang Central Hospital, Yiyang, Hunan, P.R. China. FAU - Zhu, Ting AU - Zhu T AD - Department of Endocrine, Yiyang Central Hospital, Yiyang, Hunan, P.R. China. FAU - Xiang, Guangda AU - Xiang G AD - Department of Endocrine, Central Theater General Hospital of PLA, Wuhan, Hubei, P.R. China. FAU - Ding, Ting AU - Ding T AD - Department of Endocrine, Yiyang Central Hospital, Yiyang, Hunan, P.R. China. FAU - Zhao, Jun AU - Zhao J AD - Department of Endocrine, Yiyang Central Hospital, Yiyang, Hunan, P.R. China. FAU - Xiong, Dan AU - Xiong D AD - Department of Endocrine, Yiyang Central Hospital, Yiyang, Hunan, P.R. China. FAU - Zhong, Yaqin AU - Zhong Y AD - Department of Endocrine, Yiyang Central Hospital, Yiyang, Hunan, P.R. China. FAU - Zhang, Youqi AU - Zhang Y AUID- ORCID: 0000-0003-4603-4866 AD - Department of Emergency, Yiyang Central Hospital, Yiyang, Hunan, P.R. China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20230215 PL - England TA - Diabet Med JT - Diabetic medicine : a journal of the British Diabetic Association JID - 8500858 RN - 0 (Forkhead Box Protein M1) RN - 63231-63-0 (RNA) RN - 0 (FOXM1 protein, human) SB - IM MH - Humans MH - Apoptosis MH - *Diabetes Mellitus/metabolism MH - *Diabetic Foot/therapy MH - Endoplasmic Reticulum Stress MH - Forkhead Box Protein M1/genetics/metabolism/pharmacology MH - Human Umbilical Vein Endothelial Cells/metabolism MH - In Situ Hybridization, Fluorescence MH - Quality of Life MH - RNA OTO - NOTNLM OT - DFU OT - ER stress OT - FOXM1 OT - GAS5 OT - SDF4 OT - TAF15 EDAT- 2023/01/25 06:00 MHDA- 2023/05/19 06:42 CRDT- 2023/01/24 07:23 PHST- 2023/01/12 00:00 [revised] PHST- 2022/09/20 00:00 [received] PHST- 2023/01/18 00:00 [accepted] PHST- 2023/05/19 06:42 [medline] PHST- 2023/01/25 06:00 [pubmed] PHST- 2023/01/24 07:23 [entrez] AID - 10.1111/dme.15051 [doi] PST - ppublish SO - Diabet Med. 2023 Jun;40(6):e15051. doi: 10.1111/dme.15051. Epub 2023 Feb 15.