Epigenetics: key to improve delayed wound healing in type 2 diabetes.
Rupal DubeyPranav Kumar PrabhakarJeena GuptaPublished in: Molecular and cellular biochemistry (2021)
Diabetes-related delayed wound healing is a multifactorial, nuanced, and intertwined complication that causes substantial clinical morbidity. The etiology of diabetes and its related microvascular complications is affected by genes, diet, and lifestyle factors. Epigenetic modifications such as DNA methylation, histone modifications, and post-transcriptional RNA regulation (microRNAs) are subsequently recognized as key facilitators of the complicated interaction between genes and the environment. Current research suggests that diabetes-persuaded dysfunction of epigenetic pathways, which results in changed expression of genes in target cells and cause diabetes-related complications including cardiomyopathy, nephropathy, retinopathy, delayed wound healing, etc., which are foremost drivers to diabetes-related adverse outcomes. In this paper, we discuss the role of epigenetic mechanisms in controlling tissue repair, angiogenesis, and expression of growth factors, as well as recent findings that show the alteration of epigenetic events during diabetic wound healing.
Keyphrases
- wound healing
- type diabetes
- dna methylation
- glycemic control
- cardiovascular disease
- genome wide
- gene expression
- poor prognosis
- heart failure
- physical activity
- insulin resistance
- weight loss
- induced apoptosis
- risk factors
- metabolic syndrome
- bioinformatics analysis
- skeletal muscle
- signaling pathway
- adipose tissue
- oxidative stress
- binding protein
- cell cycle arrest
- atrial fibrillation
- pi k akt