2015
DOI: 10.2337/db15-0564
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An Essential Role of NRF2 in Diabetic Wound Healing

Abstract: The high mortality and disability of diabetic nonhealing skin ulcers create an urgent need for the development of more efficacious strategies targeting diabetic wound healing. In the current study, using human clinical specimens, we show that perilesional skin tissues from patients with diabetes are under more severe oxidative stress and display higher activation of the nuclear factor-E2–related factor 2 (NRF2)–mediated antioxidant response than perilesional skin tissues from normoglycemic patients. In a strep… Show more

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Cited by 170 publications
(157 citation statements)
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References 56 publications
(55 reference statements)
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“…2B). Previous reports indicate that absence of NRF2 promotes MMP9 activity (Long et al, 2016). We observe an increase in NRF2 expression on cigarette smoke exposure and inhibition of its expression on vitamin E treatment on cells exposed to CSC (Fig.…”
Section: Csc Induces Nrf2 Overexpression In Keratinocytes In Vitrosupporting
confidence: 54%
“…2B). Previous reports indicate that absence of NRF2 promotes MMP9 activity (Long et al, 2016). We observe an increase in NRF2 expression on cigarette smoke exposure and inhibition of its expression on vitamin E treatment on cells exposed to CSC (Fig.…”
Section: Csc Induces Nrf2 Overexpression In Keratinocytes In Vitrosupporting
confidence: 54%
“…Moreover, mice lacking Nrf2 demonstrated a slowed wound-healing process, due to the deprivation of efficient antioxidant activity [34]. Environmental challenges, such as UV irradiation, toxic chemicals, and mechanical wounding, result in increased reactive oxygen species (ROS), inflammation, skin aging, and cancer development [46].…”
Section: Discussionmentioning
confidence: 99%
“…Compelling evidence for the importance of the Nrf2 pathway for disease prevention and control of tissue damage associated with inflammation comes from numerous studies with mice lacking the Nrf2 gene (reviewed in (Senger et al, 2016)). Also, consistent with folklore use of BL for diabetic complications, Nrf2 has been implicated in protection from diabetic pathology (de Haan, 2011; Evans and Goldfine, 2016; Li et al, 2012; Long et al, 2016). Consequently, in studies described here, we investigated regulation of the Nrf2 pathway by BL in human microvascular endothelial cells, which are pivotal “gatekeepers” of inflammation (Dejana, 2004; Granger DN, 2010) and closely involved in diabetic complications (Avogaro et al, 2011; Brownlee, 2005).…”
Section: Introductionmentioning
confidence: 67%