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A small molecule HIF-1α stabilizer that accelerates diabetic wound healing

  • Guodong Li
  • , Chung Nga Ko
  • , Dan Li
  • , Chao Yang
  • , Wanhe Wang
  • , Guan Jun Yang
  • , Carmelo Di Primo
  • , Vincent Kam Wai Wong
  • , Yaozu Xiang
  • , Ligen Lin*
  • , Dik Lung Ma*
  • , Chung Hang Leung*
  • *Corresponding author for this work

Research output: Contribution to journalJournal articlepeer-review

223 Citations (Scopus)

Abstract

Impaired wound healing and ulcer complications are a leading cause of death in diabetic patients. In this study, we report the design and synthesis of a cyclometalated iridium(III) metal complex 1a as a stabilizer of hypoxia-inducible factor-1α (HIF-1α). In vitro biophysical and cellular analyses demonstrate that this compound binds to Von Hippel-Lindau (VHL) and inhibits the VHL–HIF-1α interaction. Furthermore, the compound accumulates HIF-1α levels in cellulo and activates HIF-1α mediated gene expression, including VEGF, GLUT1, and EPO. In in vivo mouse models, the compound significantly accelerates wound closure in both normal and diabetic mice, with a greater effect being observed in the diabetic group. We also demonstrate that HIF-1α driven genes related to wound healing (i.e. HSP-90, VEGFR-1, SDF-1, SCF, and Tie-2) are increased in the wound tissue of 1a-treated diabetic mice (including, db/db, HFD/STZ and STZ models). Our study demonstrates a small molecule stabilizer of HIF-1α as a promising therapeutic agent for wound healing, and, more importantly, validates the feasibility of treating diabetic wounds by blocking the VHL and HIF-1α interaction.

Original languageEnglish
Article number3363
Number of pages11
JournalNature Communications
Volume12
Issue number1
DOIs
Publication statusPublished - 7 Jun 2021

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

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