Protective effect of dimethyl fumarate for the development of pressure ulcers after cutaneous ischemia‐reperfusion injury.

Ischemia‐reperfusion (I/R) is associated with various pathogenic conditions, and there has been increasing evidence that cutaneous I/R injury is associated with the pathogenesis of pressure ulcers (PUs), especially at the early stage presenting as non‐blanchable erythema. Several studies demonstrate...

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Publicado en:Wound Repair & Regeneration Vol. 28; no. 5; pp. 600 - 609
Autores principales: Inoue, Yuta, Uchiyama, Akihiko, Sekiguchi, Akiko, Yamazaki, Sahori, Fujiwara, Chisako, Yokoyama, Yoko, Ogino, Sachiko, Torii, Ryoko, Hosoi, Mari, Akai, Ryoko, Iwawaki, Takao, Ishikawa, Osamu, Motegi, Sei‐ichiro
Formato: pictorial research tables/charts Journal Article
Publicado: Wiley-Blackwell Sep2020
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2020
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        10.1111/wrr.12824
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        atl: Protective effect of dimethyl fumarate for the development of pressure ulcers after cutaneous ischemia‐reperfusion injury.
      aug:
        au:
          Inoue, Yuta
          Uchiyama, Akihiko
          Sekiguchi, Akiko
          Yamazaki, Sahori
          Fujiwara, Chisako
          Yokoyama, Yoko
          Ogino, Sachiko
          Torii, Ryoko
          Hosoi, Mari
          Akai, Ryoko
          Iwawaki, Takao
          Ishikawa, Osamu
          Motegi, Sei‐ichiro
        affil: Department of Dermatology, Gunma University Graduate School of Medicine, Maebashi, Japan
      sug:
        subj:
          Acids, Acyclic Pharmacodynamics
          Administration, Oral
          Immunosuppressive Agents Pharmacodynamics
          Pressure Ulcer Prevention and Control
          Reperfusion Injury Complications
          Pressure Ulcer Risk Factors
          Animal Studies
          Mice
          Models, Biological
          Immunosuppressive Agents Administration and Dosage
          Anoxia
          Apoptosis Drug Effects
          Cell Physiology
          Neutrophils Drug Effects
          Cytokines
          In Vitro Studies
          Reactive Oxygen Species Drug Effects
          Oxidative Stress Drug Effects
          Inflammation
      ab: Ischemia‐reperfusion (I/R) is associated with various pathogenic conditions, and there has been increasing evidence that cutaneous I/R injury is associated with the pathogenesis of pressure ulcers (PUs), especially at the early stage presenting as non‐blanchable erythema. Several studies demonstrated that oxidative stress is a key player in I/R injury, and the inhibition of oxidative stress may be capable of protecting tissue damage after I/R injury in various organs including skin. Dimethyl fumarate (DMF) approved by the Food and Drug Administration is Nrf2 activator, and recent studies revealed the antioxidative and anti‐inflammatory effects of DMF on I/R injury in animal models. Our objective was to assess the effects of oral administration of DMF on the development of PUs after cutaneous I/R injury in mice. We found that DMF administration significantly decreased the size of PUs after cutaneous I/R. Cutaneous I/R‐induced oxidative stress was also significantly inhibited by DMF in OKD48 mice, in which oxidative stress can be visually assessed. In addition, DMF treatment decreased hypoxic area, the numbers of apoptotic cells, and vascular loss in I/R area. DMF treatment suppressed the infiltration of MPO+ neutrophils and the production of proinflammatory cytokines in I/R site after cutaneous I/R injury. in vitro experiments, DMF treatment suppressed the production of reactive oxygen species in pericyte‐like cells. These results suggest that DMF treatment might prevent the formation of PUs induced by cutaneous I/R injury via suppressing oxidative stress and subsequent inflammation. DMF treatment during the early phase of decubitus ulcers might protect against further progression.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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