Title Page Full Title Epigenetic Changes in Bone Marrow Progenitor Cells Influence the Inflammatory Phenotype and Alter Wound Healing in Type 2 Diabetes Short Running Title Epigenetics Impair Diabetic Wound Healing Authors

نویسندگان

  • Katherine A. Gallagher
  • Amrita Joshi
  • William F. Carson
  • Ronald Allen
  • Sumanta Mukerjee
  • Nico Kittan
  • Eva L. Feldman
  • Peter K. Henke
  • Cory Hogaboam
  • Charles F. Burant
  • Steven L. Kunkel
چکیده

Classically-activated (M1) macrophages are known to play a role in the development of chronic inflammation associated with impaired wound healing in Type 2 diabetes (T2D); however, the mechanism responsible for the dominant pro-inflammatory (M1) macrophage phenotype in T2D wounds is unknown. Since epigenetic enzymes can direct macrophage phenotypes, we assessed the role of histone methylation in bone marrow (BM) stem/progenitor cells in the programming of macrophages towards a pro-inflammatory phenotype. We have found that a repressive histone methylation mark, H3K27me3, is decreased at the promoter of the IL12 gene in BM progenitors and this epigenetic signature is passed down to wound macrophages in a murine model of glucose intolerance (diet-induced obese [DIO]). These epigenetically ‘pre-programmed’ macrophages result in poised macrophages in peripheral tissue and negatively impact wound repair. We found that in diabetic conditions, the H3K27 demethylase, Jmjd3, drives IL12 production in macrophages and that IL12 production can be modulated by inhibiting Jmjd3. Using human T2D tissue and murine models, we have identified a previously unrecognized mechanism by which macrophages are programmed towards a pro-inflammatory phenotype, establishing a pattern of unrestrained inflammation associated with non-healing wounds. Hence, histone demethylase inhibitor-based therapy may represent a novel treatment option for diabetic wounds. Page 2 of 39 Diabetes

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Epigenetic Changes in Bone Marrow Progenitor Cells Influence the Inflammatory Phenotype and Alter Wound Healing in Type 2 Diabetes

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تاریخ انتشار 2014