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Epigenetic changes in bone marrow progenitor cells influence the inflammatory phenotype and alter wound healing in type 2 diabetes.

Diabetes | 2015

Classically activated (M1) macrophages are known to play a role in the development of chronic inflammation associated with impaired wound healing in type 2 diabetes (T2D); however, the mechanism responsible for the dominant proinflammatory (M1) macrophage phenotype in T2D wounds is unknown. Since epigenetic enzymes can direct macrophage phenotypes, we assessed the role of histone methylation in bone marrow (BM) stem/progenitor cells in the programming of macrophages toward a proinflammatory phenotype. We have found that a repressive histone methylation mark, H3K27me3, is decreased at the promoter of the IL-12 gene in BM progenitors and this epigenetic signature is passed down to wound macrophages in a murine model of glucose intolerance (diet-induced obese). These epigenetically "preprogrammed" macrophages result in poised macrophages in peripheral tissue and negatively impact wound repair. We found that in diabetic conditions the H3K27 demethylase Jmjd3 drives IL-12 production in macrophages and that IL-12 production can be modulated by inhibiting Jmjd3. Using human T2D tissue and murine models, we have identified a previously unrecognized mechanism by which macrophages are programmed toward a proinflammatory phenotype, establishing a pattern of unrestrained inflammation associated with nonhealing wounds. Hence, histone demethylase inhibitor-based therapy may represent a novel treatment option for diabetic wounds.

Pubmed ID: 25368099 RIS Download

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Associated grants

  • Agency: NIDDK NIH HHS, United States
    Id: K08 DK102357
  • Agency: NIDDK NIH HHS, United States
    Id: P30 DK089503
  • Agency: NIDDK NIH HHS, United States
    Id: P30 DK034933
  • Agency: NHLBI NIH HHS, United States
    Id: HL-112897
  • Agency: NIDDK NIH HHS, United States
    Id: DK-102357
  • Agency: NIEHS NIH HHS, United States
    Id: P30 ES017885
  • Agency: NIDDK NIH HHS, United States
    Id: P30 DK020572
  • Agency: NHLBI NIH HHS, United States
    Id: R01 HL112897
  • Agency: NIAID NIH HHS, United States
    Id: T32 AI007413

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