alexa Differential Expression of Toll like Receptor 4 in Type
ISSN: 2155-6156

Journal of Diabetes & Metabolism
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Research Article

Differential Expression of Toll like Receptor 4 in Type 2 Diabetic Patients with Impaired Wound Healing

Kanhaiya1, Agrawal NK2, Gupta SK3 and Kiran Singh1*

1Department of Molecular and Human Genetics, Banaras Hindu University, India

2Department of Endocrinology and Metabolism, Institute of Medical Sciences, Banaras Hindu University, India

3Department of Surgery, Institute of Medical Sciences, Banaras Hindu University, India

*Corresponding Author:
Kiran Singh
Department of Molecular and Human Genetics
Banaras Hindu University
Varanasi-221005, India
Tel: +91- 9454210058
Fax: +91-542-670-2499
E-mail: [email protected]

Received date: March 25, 2013; Accepted date: April 22, 2013; Published date: April 26, 2013

Citation: Kanhaiya, Agrawal NK, Gupta SK, Kiran Singh (2013) Differential Expression of Toll like Receptor 4 in Type 2 Diabetic Patients with Impaired Wound Healing. J Diabetes Metab 4:260. doi:10.4172/2155-6156.1000260

Copyright: © 2013 Kanhaiya, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



Toll like Receptor 4 (TLR4), is known for its key role in initiation of innate immunity and regulation of adaptive immune responses. TLR4 is also an important regulator of wound inflammation, stimulator of growth factors like vascular endothelial growth factor (VEGF) and plays an important role in restoring damaged tissue integrity during normal wound healing. In the present study we have investigated 78 Diabetic Foot ulcer (DFU) patients with Type 2 diabetes (T2DM) and 8 foot ulcers patients without T2DM as controls for the differential expression of TLR4 both at mRNA level and protein level. Expression analysis was done using semi-quantitative RT-PCR, quantitative Real-time PCR and western blot. TLR4 message and protein were significantly down-regulated in DFU patients as compared to controls. Similarly down regulation of VEGF was also observed in DFU patients as compared to controls. DNA Methylation is an important regulator of gene expression therefore Methylation status of promoter of TLR4 gene was analyzed in DFU and control wounds using specific methylation-sensitive restriction enzyme which suggested higher methylation of TLR4 promoter in DFU with respect to controls. TLR4 expression was not influenced by the infection status and wound grade of the subjects however TLR4 was significantly affected by the gender of the subjects. These results clearly suggests that TLR4 down regulation in the wounds of T2DM subjects could be one of the causes contributing to impairment in healing of diabetic wounds and eventually into the development of chronic, non healing ulcers in T2DM subjects.

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