Proteomics

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Cathepsin K inhibitor and hUMSC-EVs synergistically promote diabetic wound healing by suppressing ferroptosis


ABSTRACT: Refractory chronic diabetic wounds severely threaten patient survival, yet current treatments fail to adequately promote healing or prevent amputations. Cathepsin K (CTSK), a collagen-degrading protease upregulated in early diabetic wounds, presents a potential therapeutic target, while human umbilical cord mesenchymal stem cell-derived extracellular vesicles (hUMSC-EVs) show promise in regeneration but are limited by high costs and instability. This study hypothesizes that combining a stable, cost-effective CTSK inhibitor with hUMSC-EVs could enhance therapeutic efficacy and overcome these challenges. The hypothesis was tested using diabetic wound models in db/db mice and high glucose-exposed human dermal fibroblasts (HDFs) and human umbilical vein endothelial cells (HUVECs). The combination of CTSK inhibitor and hUMSC-EVs at half doses outperformed full-dose monotherapies, accelerating wound healing through synergistic effects on collagen synthesis, cell proliferation, migration, and angiogenesis.

ORGANISM(S): Homo Sapiens

SUBMITTER: Rui Guo  

PROVIDER: PXD067444 | iProX | Mon Aug 18 00:00:00 BST 2025

REPOSITORIES: iProX

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