2019
DOI: 10.1073/pnas.1900351116
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Triggering of a Dll4–Notch1 loop impairs wound healing in diabetes

Abstract: Diabetic foot ulcerations (DFUs) represent a major medical, social, and economic problem. Therapeutic options are restricted due to a poor understanding of the pathogenic mechanisms. The Notch pathway plays a pivotal role in cell differentiation, proliferation, and angiogenesis, processes that are profoundly disturbed in diabetic wounds. Notch signaling is activated upon interactions between membrane-bound Notch receptors (Notch 1–4) and ligands (Jagged 1–2 and Delta-like 1, 3, 4), resulting in cell-context-de… Show more

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Cited by 66 publications
(48 citation statements)
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“…Delta-like ligand 4 (DLL4), one of the ligands of Notch receptors, is predominantly expressed in the endothelial cells and has been shown to play a pivotal role in regulating tumor angiogenesis [38][39][40][41][42][43][44][45]. Some studies reveal a role for DLL4 in tumorigenesis in several cancers, including T acute lymphoblastic leukemia (T-ALL) [46], and glioblastoma [47] etc.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Delta-like ligand 4 (DLL4), one of the ligands of Notch receptors, is predominantly expressed in the endothelial cells and has been shown to play a pivotal role in regulating tumor angiogenesis [38][39][40][41][42][43][44][45]. Some studies reveal a role for DLL4 in tumorigenesis in several cancers, including T acute lymphoblastic leukemia (T-ALL) [46], and glioblastoma [47] etc.…”
Section: Discussionmentioning
confidence: 99%
“…Some studies reveal a role for DLL4 in tumorigenesis in several cancers, including T acute lymphoblastic leukemia (T-ALL), and glioblastoma etc. [37][38][39][40][41][42][43][44][45][46][47]. DLL4 is one of the ligands of Notch 1.…”
Section: Introductionmentioning
confidence: 99%
“…Although previous studies demonstrated that certain molecules are abnormally expressed in three cell types of skin under diabetic conditions, other studies indicated that some molecules were expressed differently and inconsistently by the three cell types. One study showed that exposure to high glucose (HG) was followed by increased expression of Notch intracellular domain in fibroblasts, microvascular endothelial cells, and keratinocytes (2). In addition, increased expression of MMP9 under hypoglycemic conditions has been detected not only in human skin fibroblasts and microvascular endothelial cells but also in keratinocytes (9,10).…”
Section: Introductionmentioning
confidence: 99%
“…These previous studies suggest that high intracellular Notch pathway activity attenuates cellular activity of fibroblasts and are consistent with the findings of the current study. Interestingly, the inhibitory role of Notch pathway activation in modulating keratinocyte-, EC-, and macrophages-mediated diabetic wound healing has been reported ( Kimball et al, 2017 ; Zheng et al, 2019 ). These findings, along with ours, imply a general role of the Notch signaling in the regulation of the reparative responses of various types of cells in diabetic wound healing.…”
Section: Discussionmentioning
confidence: 99%