p38 MAPK inhibition reduces diabetes-induced impairment of wound healing

Satyanarayana Medicherla1, Scott Wadsworth2, Breda Cullen3, Derek Silcock3, Jing Y Ma1, Ruban Mangadu1, Irene Kerr1, Sarvajit Chakravarty1, Gregory L Luedtke1, Sundeep Dugar1, Andrew A Protter1, Linda S Higgins11Scios Inc., Fremont, CA, USA; 2Center for Biomaterials and Advanced Technol...

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Autores principales: Satyanarayana Medicherla, Scott Wadsworth, Breda Cullen, Derek Silcock, et al.
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Publicado: Dove Medical Press 2009
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spelling oai:doaj.org-article:d66217c22bda46f580f546002150d7482021-12-02T06:39:37Zp38 MAPK inhibition reduces diabetes-induced impairment of wound healing1178-7007https://doaj.org/article/d66217c22bda46f580f546002150d7482009-06-01T00:00:00Zhttp://www.dovepress.com/p38-mapk-inhibition-reduces-diabetes-induced-impairment-of-wound-heali-a3283https://doaj.org/toc/1178-7007Satyanarayana Medicherla1, Scott Wadsworth2, Breda Cullen3, Derek Silcock3, Jing Y Ma1, Ruban Mangadu1, Irene Kerr1, Sarvajit Chakravarty1, Gregory L Luedtke1, Sundeep Dugar1, Andrew A Protter1, Linda S Higgins11Scios Inc., Fremont, CA, USA; 2Center for Biomaterials and Advanced Technologies, Somerville, NJ, USA; 3Johnson & Johnson Wound Management, Gargrave, UKAbstract: In healthy tissue, a wound initiates an inflammatory response characterized by the presence of a hematoma, infiltration of inflammatory cells into the wound and, eventually, wound healing. In pathological conditions like diabetes mellitus, wound healing is impaired by the presence of chronic nonresolving inflammation. p38 mitogen-activated protein kinase (MAPK) inhibitors have demonstrated anti-inflammatory effects, primarily by inhibiting the expression of inflammatory cytokines and regulating cellular traffic into wounds. The db/db mouse model of type 2 diabetes was used to characterize the time course of expression of activated p38 during impaired wound healing. The p38α-selective inhibitor, SCIO-469, was applied topically and effects on p38 activation and on wound healing were evaluated. A topical dressing used clinically, PromogranTM, was used as a comparator. In this study, we established that p38 is phosphorylated on Days 1 to 7 post-wounding in db/db mice. Further, we demonstrated that SCIO-469, at a dose of 10 µg/wound, had a positive effect on wound contraction, granulation tissue formation, and re-epithelialization, and also increased wound maturity during healing. These effects were similar to or greater than those observed with PromogranTM. These results suggest a novel approach to prophylactic and therapeutic management of chronic wounds associated with diabetes or other conditions in which healing is impaired.Keywords: p38 MAPK ihibition, diabetic wound healing, db/db mouse, nonresolving healing, PromogranTM Satyanarayana MedicherlaScott WadsworthBreda CullenDerek Silcocket al.Dove Medical PressarticleSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol 2009, Iss default, Pp 91-100 (2009)
institution DOAJ
collection DOAJ
language EN
topic Specialties of internal medicine
RC581-951
spellingShingle Specialties of internal medicine
RC581-951
Satyanarayana Medicherla
Scott Wadsworth
Breda Cullen
Derek Silcock
et al.
p38 MAPK inhibition reduces diabetes-induced impairment of wound healing
description Satyanarayana Medicherla1, Scott Wadsworth2, Breda Cullen3, Derek Silcock3, Jing Y Ma1, Ruban Mangadu1, Irene Kerr1, Sarvajit Chakravarty1, Gregory L Luedtke1, Sundeep Dugar1, Andrew A Protter1, Linda S Higgins11Scios Inc., Fremont, CA, USA; 2Center for Biomaterials and Advanced Technologies, Somerville, NJ, USA; 3Johnson & Johnson Wound Management, Gargrave, UKAbstract: In healthy tissue, a wound initiates an inflammatory response characterized by the presence of a hematoma, infiltration of inflammatory cells into the wound and, eventually, wound healing. In pathological conditions like diabetes mellitus, wound healing is impaired by the presence of chronic nonresolving inflammation. p38 mitogen-activated protein kinase (MAPK) inhibitors have demonstrated anti-inflammatory effects, primarily by inhibiting the expression of inflammatory cytokines and regulating cellular traffic into wounds. The db/db mouse model of type 2 diabetes was used to characterize the time course of expression of activated p38 during impaired wound healing. The p38α-selective inhibitor, SCIO-469, was applied topically and effects on p38 activation and on wound healing were evaluated. A topical dressing used clinically, PromogranTM, was used as a comparator. In this study, we established that p38 is phosphorylated on Days 1 to 7 post-wounding in db/db mice. Further, we demonstrated that SCIO-469, at a dose of 10 µg/wound, had a positive effect on wound contraction, granulation tissue formation, and re-epithelialization, and also increased wound maturity during healing. These effects were similar to or greater than those observed with PromogranTM. These results suggest a novel approach to prophylactic and therapeutic management of chronic wounds associated with diabetes or other conditions in which healing is impaired.Keywords: p38 MAPK ihibition, diabetic wound healing, db/db mouse, nonresolving healing, PromogranTM
format article
author Satyanarayana Medicherla
Scott Wadsworth
Breda Cullen
Derek Silcock
et al.
author_facet Satyanarayana Medicherla
Scott Wadsworth
Breda Cullen
Derek Silcock
et al.
author_sort Satyanarayana Medicherla
title p38 MAPK inhibition reduces diabetes-induced impairment of wound healing
title_short p38 MAPK inhibition reduces diabetes-induced impairment of wound healing
title_full p38 MAPK inhibition reduces diabetes-induced impairment of wound healing
title_fullStr p38 MAPK inhibition reduces diabetes-induced impairment of wound healing
title_full_unstemmed p38 MAPK inhibition reduces diabetes-induced impairment of wound healing
title_sort p38 mapk inhibition reduces diabetes-induced impairment of wound healing
publisher Dove Medical Press
publishDate 2009
url https://doaj.org/article/d66217c22bda46f580f546002150d748
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