Relative Expression of Proinflammatory and Antiinflammatory Genes Reveals Differences between Healing and Nonhealing Human Chronic Diabetic Foot Ulcers 

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Relative Expression of Proinflammatory and Antiinflammatory Genes Reveals Differences between Healing and Nonhealing Human Chronic Diabetic Foot Ulcers  Sina Nassiri, Issa Zakeri, Michael S. Weingarten, Kara L. Spiller  Journal of Investigative Dermatology  Volume 135, Issue 6, Pages 1700-1703 (June 2015) DOI: 10.1038/jid.2015.30 Copyright © 2015 The Society for Investigative Dermatology, Inc Terms and Conditions

Figure 1 Expression profiling of individual genes does not differentiate between healing and nonhealing chronic diabetic ulcers. Temporal gene expression relative to glyceraldehyde-3-phosphate dehydrogenase (GAPDH) in healing versus nonhealing chronic diabetic ulcers (mean±SEM, n=5 per group; note that the y axis is log scale). Journal of Investigative Dermatology 2015 135, 1700-1703DOI: (10.1038/jid.2015.30) Copyright © 2015 The Society for Investigative Dermatology, Inc Terms and Conditions

Figure 2 A combinatorial M1/M2 score reveals major differences between healing and nonhealing chronic diabetic ulcers. (a) Gene expression of macrophages polarized in vitro to the M1 or M2 phenotypes (mean±SEM, n=5). GAPDH, glyceraldehyde-3-phosphate dehydrogenase. (b) Conversion of data in (a) to a combinatorial M1/M2 score. (c) Change in M1/M2 score (relative to normal skin) over time in acute wounds (mean±SEM, n=3 pooled data from 15 samples), using data from Greco et al. (2010). Black asterisks indicate significance compared with normal skin. (d) M1/M2 score in healing and nonhealing diabetic ulcers over time. (e) Fold change in the M1/M2 score relative to the first time point. (f) Mean fold change of M1/M2 score at 4 weeks. Data in (d–f) are represented as mean±SEM, n=5 per group. Black asterisks indicate significance between healing and nonhealing groups, whereas blue and red asterisks indicate differences over time within groups. *P<0.05, **P<0.01, ***P<0.001, ****P<0.0001. Journal of Investigative Dermatology 2015 135, 1700-1703DOI: (10.1038/jid.2015.30) Copyright © 2015 The Society for Investigative Dermatology, Inc Terms and Conditions