Abstract
Skin exposure to sulfur mustard (SM) provokes long-term complications in wound healing. Similar to chronic wounds, SM-induced skin lesions are associated with low levels of oxygen in the wound tissue. Normally, skin cells respond to hypoxia by stabilization of the transcription factor hypoxia-inducible factor 1 alpha (HIF-1α). HIF-1α modulates expression of genes including VEGFA, BNIP3, and MMP2 that control processes such as angiogenesis, growth, and extracellular proteolysis essential for proper wound healing. The results of our studies revealed that exposure of primary normal human epidermal keratinocytes (NHEK) and primary normal human dermal fibroblasts (NHDF) to SM significantly impaired hypoxia-induced HIF-1α stabilization and target gene expression in these cells. Addition of a selective inhibitor of the oxygen-sensitive prolyl hydroxylase domain-containing protein 2 (PHD-2), IOX2, fully recovered HIF-1α stability, nuclear translocation, and target gene expression in NHEK and NHDF. Moreover, functional studies using a scratch wound assay demonstrated that the application of IOX2 efficiently counteracted SM-mediated deficiencies in monolayer regeneration under hypoxic conditions in NHEK and NHDF. Our findings describe a pathomechanism by which SM negatively affects hypoxia-stimulated HIF-1α signaling in keratinocytes and fibroblasts and thus possibly contributes to delayed wound healing in SM-injured patients that could be treated with PHD-2 inhibitors.
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Abbreviations
- BNIP3:
-
BCL2/adenovirus E1B 19-kDa protein-interacting protein 3
- HIF-1α:
-
Hypoxia-inducible factor 1 alpha
- MMP-2:
-
Matrix metalloproteinase 2
- MMP-9:
-
Matrix metalloproteinase 9
- NHDF:
-
Normal human dermal fibroblasts
- NHEK:
-
Normal human epidermal keratinocytes
- PHD-2:
-
Prolyl hydroxylase domain-containing protein 2
- VEGF-A:
-
Vascular endothelial growth factor a
- SM:
-
Sulfur mustard
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Acknowledgments
This work was funded by grants from the Institute of Cardiovascular Prevention, Ludwig-Maximilians-University of Munich and by a contract of the German Armed Forces (M/SABX/BA003). We especially want to thank Thomas Pitsch for valuable technical assistance in C.R.’s laboratory, Christian Mahl for help with the analysis of the scratch wound assay, Donato Santovito for support in statistical analysis, and Mina Zarrabi as well as Ram Prasad for conducting the intoxication of cells at the Bundeswehr Institute of Pharmacology and Toxicology.
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The authors declare no conflicts of interest.
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Deppe, J., Popp, T., Egea, V. et al. Impairment of hypoxia-induced HIF-1α signaling in keratinocytes and fibroblasts by sulfur mustard is counteracted by a selective PHD-2 inhibitor. Arch Toxicol 90, 1141–1150 (2016). https://doi.org/10.1007/s00204-015-1549-y
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DOI: https://doi.org/10.1007/s00204-015-1549-y