ROCK1 inhibition improves wound healing in diabetes via RIPK4/AMPK pathway

© 2024. The Author(s), under exclusive licence to Shanghai Institute of Materia Medica, Chinese Academy of Sciences and Chinese Pharmacological Society..

Refractory wounds are a severe complication of diabetes mellitus that often leads to amputation because of the lack of effective treatments and therapeutic targets. The pathogenesis of refractory wounds is complex, involving many types of cells. Rho-associated protein kinase-1 (ROCK1) phosphorylates a series of substrates that trigger downstream signaling pathways, affecting multiple cellular processes, including cell migration, communication, and proliferation. The present study investigated the role of ROCK1 in diabetic wound healing and molecular mechanisms. Our results showed that ROCK1 expression significantly increased in wound granulation tissues in diabetic patients, streptozotocin (STZ)-induced diabetic mice, and db/db diabetic mice. Wound healing and blood perfusion were dose-dependently improved by the ROCK1 inhibitor fasudil in diabetic mice. In endothelial cells, fasudil and ROCK1 siRNA significantly elevated the phosphorylation of adenosine monophosphate-activated protein kinase at Thr172 (pThr172-AMPKα), the activity of endothelial nitric oxide synthase (eNOS), and suppressed the levels of mitochondrial reactive oxygen species (mtROS) and nitrotyrosine formation. Experiments using integrated bioinformatics analysis and coimmunoprecipitation established that ROCK1 inhibited pThr172-AMPKα by binding to receptor-interacting serine/threonine kinase 4 (RIPK4). These results suggest that fasudil accelerated wound repair and improved angiogenesis at least partially through the ROCK1/RIPK4/AMPK pathway. Fasudil may be a potential treatment for refractory wounds in diabetic patients.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - year:2024

Enthalten in:

Acta pharmacologica Sinica - (2024) vom: 27. März

Sprache:

Englisch

Beteiligte Personen:

Huyan, Tianru [VerfasserIn]
Fan, Lu [VerfasserIn]
Zheng, Zhong-Yuan [VerfasserIn]
Zhao, Jing-Hui [VerfasserIn]
Han, Zhen-Ru [VerfasserIn]
Wu, Pin [VerfasserIn]
Ma, Qun [VerfasserIn]
Du, Ya-Qin [VerfasserIn]
Shi, Yun-di [VerfasserIn]
Gu, Chun-Yan [VerfasserIn]
Li, Xue-Jun [VerfasserIn]
Wang, Wen-Hui [VerfasserIn]
Zhang, Long [VerfasserIn]
Tie, Lu [VerfasserIn]

Links:

Volltext

Themen:

AMPK
Diabetes
Journal Article
Mitochondria
ROCK1
Wound

Anmerkungen:

Date Revised 28.03.2024

published: Print-Electronic

Citation Status Publisher

doi:

10.1038/s41401-024-01246-3

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM370282590