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pmid:38107519
Single-cell profiling reveals transcriptomic signatures of vascular endothelial cells in non-healing diabetic foot ulcers.
Yangzhou Lu · Xiaogang Liu · Jingling Zhao · Fan Bie · Yiling Liu · Julin Xie · Peng Wang · Junyou Zhu · Yahui Xiong · Shitian Qin · Fan Yang · Lei Chen · Yingbin Xu
Frontiers in endocrinology · 2023 doi:10.3389/fendo.2023.1275612
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Complete file
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Clinically, wounds that fail to heal for more than 12 weeks after the formation of DFUs are referred to as non-healing/chronic wounds. Among various factors contributing to the non-healing of DFUs, the impairment of skin microvascular endothelial cell function caused by high glucose plays a crucial role. Our study aimed to reveal the transcriptomic signatures of non-healing DFUs endothelial cells, providing novel intervention targets for treatment strategies.\nMethods: Based on the GEO dataset (GSE165816), we selected DFU-Healer, DFU-Non-healer, and healthy non-diabetic controls as research subjects. Single-cell RNA transcriptomic sequencing technology was employed to analyze the heterogeneity of endothelial cells in different skin tissue samples and identify healing-related endothelial cell subpopulations. Immunofluorescence was applied to validate the sequencing results on clinical specimens.\nResults: The number of endothelial cells and vascular density showed no significant differences among the three groups of skin specimens. However, endothelial cells from non-healing DFUs exhibited apparent inhibition of angiogenesis, inflammation, and immune-related signaling pathways. The expression of CCND1, ENO1, HIF1α, and SERPINE1 was significantly downregulated at the transcriptomic and histological levels. Further analysis demonstrated that healing-related endothelial cell subpopulations in non-healing DFUs has limited connection with other cell types and weaker differentiation ability.\nConclusion: At the single-cell level, we uncovered the molecular and functional specificity of endothelial cells in non-healing DFUs and highlighted the importance of endothelial cell immune-mediated capability in angiogenesis and wound healing. This provides new insights for the treatment of DFUs.", "claims": [{"id": "claim-method", "statement": "The FindMarkers tool of the Seurat package was used to analyze differential gene expression in the sample cells.", "kind": "methodological", "target": null, "evidence": [{"asset": "source:pmid:38107519", "locator": "sections[4] \"Data processing and analysis\" paragraph 2", "quote": "The FindMarkers tool of the Seurat package was used to analyze differential gene expression in the sample cells."}], "state": "complete"}, {"id": "claim-data-access", "statement": "Publicly available datasets were analyzed in this study. This data can be found here: https://www.ncbi.nlm.nih.gov/geo/query/acc.cgi?acc=GSE165816.", "kind": "methodological", "target": null, "evidence": [{"asset": "source:pmid:38107519", "locator": "sections[15] \"Data availability statement\" paragraph 2", "quote": "Publicly available datasets were analyzed in this study. 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