Document Detail


Granulocyte-macrophage colony-stimulating factor enhances wound healing in diabetes via upregulation of proinflammatory cytokines.
MedLine Citation:
PMID:  19799605     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Chronic ulceration, especially in diabetes, remains a substantial clinical problem. Exogenous granulocyte-macrophage colony-stimulating factor (GM-CSF) is efficacious in the treatment of chronic wound healing in both animal models and patients, but its role in diabetic wounds remains to be explored. Objectives Using a diabetic mouse model, to investigate the role of GM-CSF in wound healing. METHODS: Clinical observation, histopathology, immunohistochemistry and cytokine assays. RESULTS: There was a significant reduction (50%) in GM-CSF production in the wounds of the diabetics compared with nondiabetics. Exogenous GM-CSF substantially enhanced the wound healing in diabetic mice, accompanied by increased interleukin-6 and monocyte chemoattractant protein-1 production. The elevated cytokines correlated with increased neovascularization, and infiltration of macrophages and neutrophils. GM-CSF showed no beneficial effects in nondiabetic wound healing. CONCLUSIONS: Our results provide useful guidelines for the clinical management of chronic ulceration in diabetes.
Authors:
Y Fang; J Shen; M Yao; K W Beagley; B D Hambly; S Bao
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2009-10-03
Journal Detail:
Title:  The British journal of dermatology     Volume:  162     ISSN:  1365-2133     ISO Abbreviation:  Br. J. Dermatol.     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-04-08     Completed Date:  2010-09-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0004041     Medline TA:  Br J Dermatol     Country:  England    
Other Details:
Languages:  eng     Pagination:  478-86     Citation Subset:  IM    
Affiliation:
Department of Plastic Surgery, School of Medicine, Shanghai Third People's Hospital, Shanghai Jiaotong University, Shanghai, China.
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MeSH Terms
Descriptor/Qualifier:
Analysis of Variance
Animals
Chemokine CCL2 / biosynthesis
Collagen / metabolism
Colony-Stimulating Factors / metabolism*
Cytokines / metabolism*
Diabetes Mellitus, Experimental / metabolism*
Female
Granulocyte-Macrophage Colony-Stimulating Factor / metabolism*
Interleukin-6 / biosynthesis
Male
Mice
Mice, Knockout
Models, Animal
Neovascularization, Physiologic / physiology
Up-Regulation / physiology*
Wound Healing / physiology*
Chemical
Reg. No./Substance:
0/Ccl2 protein, mouse; 0/Chemokine CCL2; 0/Colony-Stimulating Factors; 0/Cytokines; 0/Interleukin-6; 83869-56-1/Granulocyte-Macrophage Colony-Stimulating Factor; 9007-34-5/Collagen

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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