{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T01:59:20Z","timestamp":1792202360524,"version":"4.4.0"},"reference-count":49,"publisher":"American Diabetes Association","issue":"1","license":[{"start":{"date-parts":[[2023,10,24]],"date-time":"2023-10-24T00:00:00Z","timestamp":1698105600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.diabetesjournals.org\/journals\/pages\/license"}],"funder":[{"DOI":"10.13039\/100000072","name":"National Institute of Dental and Craniofacial Research","doi-asserted-by":"publisher","award":["R01DE017732"],"award-info":[{"award-number":["R01DE017732"]}],"id":[{"id":"10.13039\/100000072","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000072","name":"National Institute of Dental and Craniofacial Research","doi-asserted-by":"publisher","award":["R01DE019108"],"award-info":[{"award-number":["R01DE019108"]}],"id":[{"id":"10.13039\/100000072","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000072","name":"National Institute of Dental and Craniofacial Research","doi-asserted-by":"publisher","award":["R01DE030415"],"award-info":[{"award-number":["R01DE030415"]}],"id":[{"id":"10.13039\/100000072","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000072","name":"National Institute of Dental and Craniofacial Research","doi-asserted-by":"publisher","award":["R01DE031046"],"award-info":[{"award-number":["R01DE031046"]}],"id":[{"id":"10.13039\/100000072","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["diabetesjournals.org"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,1,1]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                    <jats:p>Wound healing is a complex, highly regulated process and is substantially disrupted by diabetes. We show here that human wound healing induces specific epigenetic changes that are exacerbated by diabetes in an animal model. We identified epigenetic changes and gene expression alterations that significantly reduce reepithelialization of skin and mucosal wounds in an in\u00a0vivo model of diabetes, which were dramatically rescued in\u00a0vivo by blocking these changes. We demonstrate that high glucose altered FOXO1\u2013matrix metallopeptidase 9 (MMP9) promoter interactions through increased demethylation and reduced methylation of DNA at FOXO1 binding sites and also by promoting permissive histone-3 methylation. Mechanistically, high glucose promotes interaction between FOXO1 and RNA polymerase-II (Pol-II) to produce high expression of MMP9 that limits keratinocyte migration. The negative impact of diabetes on reepithelialization in\u00a0vivo was blocked by specific DNA demethylase inhibitors in\u00a0vivo and by blocking permissive histone-3 methylation, which rescues FOXO1-impaired keratinocyte migration. These studies point to novel treatment strategies for delayed wound healing in individuals with diabetes. They also indicate that FOXO1 activity can be altered by diabetes through epigenetic changes that may explain other diabetic complications linked to changes in diabetes-altered FOXO1-DNA interactions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Article Highlights<\/jats:title>\n                    <jats:p>FOXO1 expression in keratinocytes is needed for normal wound healing. In contrast, FOXO1 expression interferes with the closure of diabetic wounds. Using matrix metallopeptidase 9 as a model system, we found that high glucose significantly increased FOXO1-matrix metallopeptidase 9 interactions via increased DNA demethylation, reduced DNA methylation, and increased permissive histone-3 methylation in\u00a0vitro. Inhibitors of DNA demethylation and permissive histone-3 methylation improved the migration of keratinocytes exposed to high glucose in\u00a0vitro and the closure of diabetic skin and mucosal wounds in\u00a0vivo. Inhibition of epigenetic enzymes that alter FOXO1-induced gene expression dramatically improves diabetic healing and may apply to other conditions where FOXO1 has a detrimental role in diabetic complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2337\/db23-0258","type":"journal-article","created":{"date-parts":[[2023,10,24]],"date-time":"2023-10-24T12:32:05Z","timestamp":1698150725000},"page":"120-134","update-policy":"https:\/\/doi.org\/10.2337\/ada-journal-policies","source":"Crossref","is-referenced-by-count":21,"title":["Reepithelialization of Diabetic Skin and Mucosal Wounds Is Rescued by Treatment With Epigenetic Inhibitors"],"prefix":"10.2337","volume":"73","author":[{"given":"Bo","family":"Yang","sequence":"first","affiliation":[{"name":"1Department of Implant Dentistry, Beijing Stomatological Hospital, Capital Medical University, Beijing, China"},{"name":"2Department of Periodontics, School of Dental Medicine, University of Pennsylvania, Philadelphia, PA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stella","family":"Alimperti","sequence":"additional","affiliation":[{"name":"3Department of Biochemistry, Molecular and Cellular Biology, Georgetown University, Washington, DC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael V.","family":"Gonzalez","sequence":"additional","affiliation":[{"name":"4Center for Applied Genomics, The Children's Hospital of Philadelphia, Philadelphia, PA"},{"name":"5Center for Cytokine Storm Treatment & Laboratory, Department of Medicine, University of Pennsylvania, Philadelphia, PA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tzvete","family":"Dentchev","sequence":"additional","affiliation":[{"name":"6Department of Dermatology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Minjung","family":"Kim","sequence":"additional","affiliation":[{"name":"2Department of Periodontics, School of Dental Medicine, University of Pennsylvania, Philadelphia, PA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin","family":"Suh","sequence":"additional","affiliation":[{"name":"6Department of Dermatology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul M.","family":"Titchenell","sequence":"additional","affiliation":[{"name":"7Department of Physiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA"},{"name":"8Institute for Diabetes, Obesity, and Metabolism, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kang I.","family":"Ko","sequence":"additional","affiliation":[{"name":"2Department of Periodontics, School of Dental Medicine, University of Pennsylvania, Philadelphia, PA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Seykora","sequence":"additional","affiliation":[{"name":"6Department of Dermatology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manju","family":"Benakanakere","sequence":"additional","affiliation":[{"name":"2Department of Periodontics, School of Dental Medicine, University of Pennsylvania, Philadelphia, PA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4664-8529","authenticated-orcid":false,"given":"Dana T.","family":"Graves","sequence":"additional","affiliation":[{"name":"2Department of Periodontics, School of Dental Medicine, University of Pennsylvania, Philadelphia, PA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1167","published-online":{"date-parts":[[2023,10,24]]},"reference":[{"key":"2023122019552225800_B1","doi-asserted-by":"crossref","first-page":"e166","DOI":"10.1161\/ATVBAHA.119.312005","article-title":"Metabolism, obesity, and diabetes mellitus","volume":"39","author":"Ruiz","year":"2019","journal-title":"Arterioscler Thromb Vasc Biol"},{"key":"2023122019552225800_B2","unstructured":"World Health Organization\n          . 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