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Effect of cinnamaldehyde on Bax/Bak and apoptosis of vascular endothelial cells in diabetic ulcers
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Zheyu JIN1, Chenlei XIE1, Xinqi FAN1, Shu YANG1, Ruiyi DONG1, Yanyu BAI1, Yarong DING2, Zhongzhi ZHOU2, Li CHEN2
Journal of Army Medical University | 2025, 47(21) : 2678 - 2687
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Journal of Army Medical University | 2025, 47(21): 2678-2687
• Basic Medicine •
Effect of cinnamaldehyde on Bax/Bak and apoptosis of vascular endothelial cells in diabetic ulcers
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Zheyu JIN1, Chenlei XIE1, Xinqi FAN1, Shu YANG1, Ruiyi DONG1, Yanyu BAI1, Yarong DING2, Zhongzhi ZHOU2, Li CHEN2
Affiliations
  • 1Hunan Provincial Key Laboratory of Vascular Biology and Translational Medicine,Hunan University of Chinese Medicine,Changsha,Hunan
  • 2Department of Burn Wounds and Plastic Surgery,First Affiliated Hospital of Hunan University of Chinese Medicine,Changsha,Hunan,China
Published: 2025-11-15 doi: 10.16016/j.2097-0927.202506009
Outline
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Objective

To investigate the effects of cinnamic aldehyde (CA) on Bcl-2-associated X protein (Bax) and Bcl-2 homologous antagonist/killer (Bak) in vascular endothelial cells of diabetic ulcer wound tissues, as well as on cell apoptosis.

Methods

① Forty-eight healthy SPF-grade male SD rats (5 weeks old, weighing 180~220 g) were randomly assigned to a control group (12 rats) and a diabetes group (36 rats). The diabetic model was established with an intraperitoneal injection of 50 mg/kg STZ-citrate sodium solution and high-fat diet feeding. The diabetes group was further randomly divided into Model group, CA group, and the rb-bFGF group, with 12 animals in each group. Wounds in the Con and Model groups were disinfected and topically treated with normal saline, CA group received topical application of 4 µmol/L CA in PEG 400 gel, and those of the rb-bFGF group were treated with bevacizumab gel. The wound healing rate of each group was calculated at 3, 7 and 14 d after intervention. At 14 d after intervention, pathological changes in the wounds were observed with HE staining, and the expression levels of Bax and Bak were detected by Western blotting. ② Human umbilical vein endothelial cell line EA.hy926 was treated with 175 mmol/L glucose for 48 h to establish a cell model of high glucose injury. The experimental cells were divided into control group, model group and CA treatment group. Cell scratch test and tube formation test were performed respectively to determine the migration ability and angiogenesis of the cells. The expression levels of Bax and Bak was detected with immunofluorescence assay, and cell apoptosis was detected by TUNEL staining.

Results

①The diabetic rats in the Model group exhibited significantly higher blood glucose level (P<0.05), declined wound healing rate at 7 and 14 d after intervention (P<0.05), and enhanced expression levels of Bax and Bak (P<0.05) when compared with the control group. Pathological observation revealed that, at 14 d after intervention, accompanied with inflammatory reactions, dense infiltration of inflammatory cells, fewer new blood vessels, and continuous fluid exudation in the wound were observed in the Model group, but the control group presented complete epithelialization in full-thickness skin. Compared with the conditions in the Model group, both CA and rb-bFGF treatment improved the epithelialization process, with mature granulation tissues, showing good healing condition, promoted wound healing rate (P<0.05), and decreased the expression levels of Bax and Bak (P<0.05). ② The results of cell experiments showed that the cells of the model group showed significantly reduced migration ability and tube formation ability (P<0.05), reduced protein levels of Bax and Bak (P<0.05), and lower apoptotic rate (P<0.05) when compared with the cells in the model group.

Conclusion

CA can inhibit the expression of apoptosis-related proteins Bax and Bak, promote the migration and tube formation of vascular endothelial cells, and inhibit the cell apoptosis under high glucose condition, which may be an important reason for its promoting wound healing in diabetic ulcer rats.

cinnamaldehyde  /  diabetic ulcers  /  apoptosis  /  Bcl-2-associated X protein  /  Bcl-2 homologous antagonist/killer
金哲羽, 谢晨磊, 范心琪, 杨树, 董睿怡, 白雁瑜, 丁雅容, 周忠志, 陈丽. 肉桂醛对糖尿病溃疡血管内皮细胞Bax/Bak和凋亡的影响. 陆军军医大学学报, 2025 , 47 (21) : 2678 -2687 . DOI: 10.16016/j.2097-0927.202506009
Zheyu JIN, Chenlei XIE, Xinqi FAN, Shu YANG, Ruiyi DONG, Yanyu BAI, Yarong DING, Zhongzhi ZHOU, Li CHEN. Effect of cinnamaldehyde on Bax/Bak and apoptosis of vascular endothelial cells in diabetic ulcers[J]. Journal of Army Medical University, 2025 , 47 (21) : 2678 -2687 . DOI: 10.16016/j.2097-0927.202506009
Year 2025 volume 47 Issue 21
25
10
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Article Info
doi: 10.16016/j.2097-0927.202506009
  • Receive Date:2025-06-04
  • Online Date:2026-10-30
  • Published:2025-11-15
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History
  • Received:2025-06-04
  • Revised:2025-10-27
Affiliations
    1Hunan Provincial Key Laboratory of Vascular Biology and Translational Medicine,Hunan University of Chinese Medicine,Changsha,Hunan
    2Department of Burn Wounds and Plastic Surgery,First Affiliated Hospital of Hunan University of Chinese Medicine,Changsha,Hunan,China
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表12种不同金属材料的力学参数
科
Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
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属
Genus
种数
Number of
species
占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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