Epigenetic Regulation of TLR4 in Diabetic Macrophages Modulates Immunometabolism and Wound Repair

Macrophages are critical for the initiation and resolution of the inflammatory phase of wound healing. In diabetes, macrophages display a prolonged inflammatory phenotype preventing tissue repair. TLRs, particularly TLR4, have been shown to regulate myeloid-mediated inflammation in wounds. We examin...

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Veröffentlicht in:The Journal of immunology (1950) 2020-05, Vol.204 (9), p.2503-2513
Hauptverfasser: Davis, Frank M, denDekker, Aaron, Kimball, Andrew, Joshi, Amrita D, El Azzouny, Mahmoud, Wolf, Sonya J, Obi, Andrea T, Lipinski, Jay, Gudjonsson, Johann E, Xing, Xianying, Plazyo, Olesya, Audu, Christopher, Melvin, William J, Singer, Kanakadurga, Henke, Peter K, Moore, Bethany B, Burant, Charles, Kunkel, Steven L, Gallagher, Katherine A
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container_issue 9
container_start_page 2503
container_title The Journal of immunology (1950)
container_volume 204
creator Davis, Frank M
denDekker, Aaron
Kimball, Andrew
Joshi, Amrita D
El Azzouny, Mahmoud
Wolf, Sonya J
Obi, Andrea T
Lipinski, Jay
Gudjonsson, Johann E
Xing, Xianying
Plazyo, Olesya
Audu, Christopher
Melvin, William J
Singer, Kanakadurga
Henke, Peter K
Moore, Bethany B
Burant, Charles
Kunkel, Steven L
Gallagher, Katherine A
description Macrophages are critical for the initiation and resolution of the inflammatory phase of wound healing. In diabetes, macrophages display a prolonged inflammatory phenotype preventing tissue repair. TLRs, particularly TLR4, have been shown to regulate myeloid-mediated inflammation in wounds. We examined macrophages isolated from wounds of patients afflicted with diabetes and healthy controls as well as a murine diabetic model demonstrating dynamic expression of TLR4 results in altered metabolic pathways in diabetic macrophages. Further, using a myeloid-specific mixed-lineage leukemia 1 (MLL1) knockout ( ), we determined that MLL1 drives expression in diabetic macrophages by regulating levels of histone H3 lysine 4 trimethylation on the promoter. Mechanistically, MLL1-mediated epigenetic alterations influence diabetic macrophage responsiveness to TLR4 stimulation and inhibit tissue repair. Pharmacological inhibition of the TLR4 pathway using a small molecule inhibitor (TAK-242) as well as genetic depletion of either ( ) or myeloid-specific resulted in improved diabetic wound healing. These results define an important role for MLL1-mediated epigenetic regulation of TLR4 in pathologic diabetic wound repair and suggest a target for therapeutic manipulation.
doi_str_mv 10.4049/jimmunol.1901263
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In diabetes, macrophages display a prolonged inflammatory phenotype preventing tissue repair. TLRs, particularly TLR4, have been shown to regulate myeloid-mediated inflammation in wounds. We examined macrophages isolated from wounds of patients afflicted with diabetes and healthy controls as well as a murine diabetic model demonstrating dynamic expression of TLR4 results in altered metabolic pathways in diabetic macrophages. Further, using a myeloid-specific mixed-lineage leukemia 1 (MLL1) knockout ( ), we determined that MLL1 drives expression in diabetic macrophages by regulating levels of histone H3 lysine 4 trimethylation on the promoter. Mechanistically, MLL1-mediated epigenetic alterations influence diabetic macrophage responsiveness to TLR4 stimulation and inhibit tissue repair. Pharmacological inhibition of the TLR4 pathway using a small molecule inhibitor (TAK-242) as well as genetic depletion of either ( ) or myeloid-specific resulted in improved diabetic wound healing. 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subjects Aged
Animals
Diabetes Mellitus, Type 2 - genetics
Diabetes Mellitus, Type 2 - immunology
Epigenesis, Genetic - genetics
Epigenesis, Genetic - immunology
Female
Histones - genetics
Histones - immunology
Humans
Inflammation - genetics
Inflammation - immunology
Inflammation Mediators - immunology
Macrophages - immunology
Macrophages - physiology
Male
Mice
Mice, Inbred C57BL
Mice, Knockout
Middle Aged
Myeloid-Lymphoid Leukemia Protein - genetics
Myeloid-Lymphoid Leukemia Protein - immunology
Promoter Regions, Genetic - genetics
Promoter Regions, Genetic - immunology
Toll-Like Receptor 4 - genetics
Toll-Like Receptor 4 - immunology
Wound Healing - genetics
Wound Healing - immunology
title Epigenetic Regulation of TLR4 in Diabetic Macrophages Modulates Immunometabolism and Wound Repair
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