Systematic analysis of DNA polymerases as therapeutic targets in pan-cancers

Introduction:DNA polymerases are crucial for maintaining genome stability and influencing tumorigenesis.However,the clinical implications of DNA polymerases in tumorigenesis and their potential as anti-cancer therapy targets are not well understood.Methods:We conducted a systematic analysis using TCGA Pan-Cancer Atlas data and Gene Set Cancer Analysis results to examine the expression profiles of 15 DNA polymerases(POLYs)and their clinical correlations.We also evaluated the prognostic value of POLYs by analyzing their expression levels in relation to overall survival time(OS)using Kaplan-Meier survival curves.Additionally,we investigated the correlations between POLY expression and immune cells,DNA damage repair(DDR)pathways,and ubiquitination.Drug sensitivity analysis was performed to assess the relationship between POLY expression and drug response.Results:Our analysis revealed that 14 out of 15 POLYs exhibited significantly distinct expression patterns between tumor and normal samples across most cancer types,except for DNA nucleotidylexotransferase(DNTT).Specifically,POLD1 and POLE showed elevated expression in almost all cancers,while POLQ exhibited high expression levels in all cancer types.Some POLYs showed heightened expression in specific cancer subtypes,while others exhibited low expression.Kaplan-Meier survival curves demonstrated significant prognostic value of POLYs in multiple cancers,including PAAD,KIRC,and ACC.Cox analysis further validated these findings.Alteration patterns of POLYs varied significantly among different cancer types and were associated with poorer survival outcomes.Significant correlations were observed between the expression of POLY members and immune cells,DDR pathways,and ubiquitination.Drug sensitivity analysis indicated an inverse relationship between POLY expression and drug response.Conclusion:Our comprehensive study highlights the significant role of POLYs in cancer development and identifies them as promising prognostic and immunological biomarkers for various cancer types.Additionally,targeting POLYs therapeutically holds promise for tumor immunotherapy.

Low testing rates and high BRCA prevalence: Poly (ADP-ribose) polymerase inhibitor use in Middle East BRCA/homologous recombination deficiency-positive cancer patients

BACKGROUND Poly(ADP-ribose)polymerase inhibitors(PARPis)are approved as first-line therapies for breast cancer gene(BRCA)-positive,human epidermal growth factor receptor 2-negative locally advanced or metastatic breast cancer.They are also effective for new and recurrent ovarian cancers that are BRCA-or homologous recombination deficiency(HRD)-positive.However,data on these mutations and PARPi use in the Middle East are limited.AIM To assess BRCA/HRD prevalence and PARPi use in patients in the Middle East with breast/ovarian cancer.METHODS This was a single-center retrospective study of 57 of 472 breast cancer patients tested for BRCA mutations,and 25 of 65 ovarian cancer patients tested for HRD.These adult patients participated in at least four visits to the oncology service at our center between August 2021 and May 2023.Data were summarized using descriptive statistics and compared using counts and percentages.Response to treatment was assessed using Response Evaluation Criteria in Solid Tumors criteria.RESULTS Among the 472 breast cancer patients,12.1%underwent BRCA testing,and 38.5%of 65 ovarian cancer patients received HRD testing.Pathogenic mutations were found in 25.6%of the tested patients:26.3%breast cancers had germline BRCA(gBRCA)mutations and 24.0%ovarian cancers showed HRD.Notably,40.0%of gBRCA-positive breast cancers and 66.0%of HRD-positive ovarian cancers were Middle Eastern and Asian patients,respectively.PARPi treatment was used in 5(33.3%)gBRCA-positive breast cancer patients as first-line therapy(n=1;7-months progression-free),for maintenance(n=2;>15-months progression-free),or at later stages due to compliance issues(n=2).Four patients(66.6%)with HRD-positive ovarian cancer received PARPi and all remained progression-free.CONCLUSION Lower testing rates but higher BRCA mutations in breast cancer were found.Ethnicity reflected United Arab Emirates demographics,with breast cancer in Middle Eastern and ovarian cancer in Asian patients.

In Vivo Improvements in Facial Appearance and in Vitro Changes in Gene Expression Using a Topical Formulation Designed to Repair Environmentally Induced DNA Damage

Background: While sunscreen has been accepted as a mainline defence against photodamage from ultraviolet, visible light and near-infrared radiation, there appears to be a lack of research into photorepair. The concept of protecting the skin during the day and repairing cellular damage at night is intuitive, yet specific strategies revolving around combinations of proven reparative active ingredients remain unelucidated. Purpose: To investigate the efficacy of a solar repair Formulation following ultraviolet and environmental exposure in order to improve overall skin health and appearance through three hypotheses: The Formulation increases expression of DNA repair mechanisms markers;The Formulation enhances overall skin appearance through reducing signs of inflammation, elevating hydration, reinforcing skin firmness and amplifying radiance;In-Vivo efficacy test results are aligned with measured gene expression changes. Methods: The Formulation (#6NIC1.V1.1-1) was tested for: In-vitro LDH cytotoxicity activity, In-vitro qPCR gene expression with and without ultraviolet exposure on a reconstructed 3-dimensional skin model, and In-Vivo efficacy study on a panel of 22 participants objectively and subjectively. Results: Skin radiance, firmness, hydration, redness, and inflammation are significantly improved after In-Vivo skin exposure to the Formulation and environmental challenges such as ultraviolet radiation. These outcomes were confirmed by in-vitro genetic testing on a reconstructed human skin model. Conclusion: The studies allowed us to identify and group results in four main skin functions that were significantly enhanced following the application of the Formulation: firmness, hydration, radiance and soothing.

DNA Extraction from Formalin-fixed and Paraffin-embedded Tissues by Triton X-100 for Effective Amplification of EGFR Gene by Polymerase Chain Reaction

For first-line non-small-cell lung cancer（NSCLC） therapy,detecting mutation status of the epidermal growth factor receptor（EGFR） gene constitutes a prudent test to identify patients who are most likely to benefit from EGFR-tyrosine kinase inhibitor（TKI） therapy.Now,the material for detecting EGFR gene mutation status mainly comes from formalin-fixed and paraffin-embedded（FFPE） tissues.DNA extraction from FFPE and the amplification of EGFR gene by polymerase chain reaction（PCR） are two key steps for detecting EGFR gene mutation.We showed a simple method of DNA extraction from FFPE tissues for the effective amplification of EGFR gene.Extracting DNA from the FFPE tissues of NSCLC patients with 1% Triton X-100（pH=10.0） was performed by heating at 95 °C for 30 min.Meanwhile,a commercial kit was used to extract DNA from the same FFPE tissues of NSCLC patients for comparison.DNA extracted products were used as template for amplifying the exons 18,19,20 and 21 of EGFR by PCR for different amplified fragments.Results show that DNA fragment size extracted from FFPE tissues with 1% Triton X was about 250―500 base pairs（bp）.However,DNA fragment size extracted from FFPE tissues via commercial kit was about from several hundreds to several thousands bp.The DNA yield extracted from FFPE tissues with 1% Triton X was larger than that via commercial kit.For about 500 bp fragment,four exons of EGFR could not be amplified more efficiently from extracted DNA with 1% Triton X than with commercial kit.However,for about 200 bp fragment.This simple and non-laborious protocol could successfully be used to extract DNA from FFPE tissue for the amplification of EGFR gene by PCR,further screening of EGFR gene mutation and facilitating the molecular analysis of a large number of FFPE tissues from NSCLC patients.

YMDD variants of HBV DNA polymerase gene: Rapid detection and clinicopathoiogical analysis with long-term Iamivudine therapy after liver transplantation

AIM: To look for a rapid low-cost technique for the detection of HBV variants.METHODS: Two patients who underwent orthotopic liver transplantation (OLT) for HBV infection were treated with lamivudine (100 mg daily) and HBV infection recurred in the grafted livers. The patients were monitored intensively for liver enzymes, hepatitis B surface antigen (HBsAg) and HBV DNA in serum. Liver biopsy was performed regularly. HBV DNA in a conserved polymerase domain (the YMDD locus) was amplified from serum of each patient by PCR and sequenced. HBV genotypes were analyzed by restriction fragment length polymorphism (RFLP) of the PCR products generated from a fragment of the polymerase gene.RESULTS: YMDD wild-type HBV was detected in one patient by PCR-RFLP and DNA sequencing 19 mo after OLT, and YIDD mutant-type HBV in the other patient, 16 mo after OLT.CONCLUSION: PCR-RFLP assay is an accurate and simple method for genotyping lamivudine-resistant HBV variants.

A New Tandem Gene Construction Method Involving a Cloning System Using <i>Poxvirus DNA polymerase</i>, and Its Application to Gene Expression

A simple method for constructing polymerized genes using only restriction enzymes and commercially available cloning systems was established. In this system, gel isolations or purifications of target genes after restriction enzyme digestions or PCR amplifications, which often cause errors and mutations in the target gene sequence, are not necessary. To verify the usefulness of this method, one, two, four, eight, and sixteen tandem-repeats of the Green Fluorescent Protein (GFP) expression gene in Escherichia coli were sequentially constructed. Efficacies of the GFP gene expression of those plasmids in E. coli showed an increasing trend in accordance with the copy numbers of the gene. On SDS polyacrylamide gel electrophoresis with Coomassie blue staining, no expressed protein could be seen in E. coli cells harboring plasmids that contained one or two copies of the gene. However, expressed protein bands in E. coli cells were clearly detected with 4 copies of the gene. In quantitative analyses involving green fluorescence intensities per culture volume, the expression level in E. coli with 16 copies of the gene was 36.3-fold higher than that in E. coli with one copy at 22 hours after induction.

Taq DNA聚合酶的分子改造及其在探针法qPCR直扩体系中的应用

Taq DNA聚合酶作为实时荧光定量聚合酶链式反应(qPCR)技术的核心组分,其性能优劣直接影响qPCR技术的进一步发展。然而,野生型Taq DNA聚合酶的耐抑制剂性能差、延伸性能不足。为获得具有高性能的Taq DNA聚合酶,采用基因工程技术将双链DNA结合蛋白Sso7d或Sto7d融合在野生型Taq DNA聚合酶的N端或C端,构建了4个均可溶表达的改造体,再经过耐受性测试筛选较优的改造体,结果显示:改造体Taq-Sto的耐受性最高,其热稳定性不受影响,且在1 s/kbp的延伸条件下能成功扩增靶标,表明Taq-Sto具有增强的延伸性能,在TaqMan探针法qPCR体系中对腐殖酸、单宁酸、全血等抑制剂同样表现出良好的耐受性。EMSA实验发现:Taq-Sto对DNA模板的结合亲和力有所提高,有利于增强Taq-Sto对模板的竞争力;将Taq-Sto应用于非洲猪瘟病毒(ASFV)的TaqMan探针法qPCR检测,与商品化试剂相比,Taq-Sto具有更低的ASFV检出限,且在体积分数为2%~6%的猪粪便样本或猪肉样本中的检测灵敏度分别为100.0%和85.4%,说明Taq-Sto在直扩qPCR检测领域更具有优势。

DNA条形码技术在蛇类鉴别中的应用

从NCBI中GenBank数据库下载蛇类细胞色素b基因(Cytb)序列7329条,以MT765098.1序列为标准进行对比和修剪,获得蛇类Cytb序列4665条。对蛇类Cytb序列进行核苷酸饱和度、遗传多样性、种内和种间遗传距离计算,构建系统发育树。结果表明,基于Kimura–2–Parameter模型,蛇类平均种内遗传距离为3.3%,普遍小于6.7%,而平均种间遗传距离为19.96%,普遍高于9.3%,说明蛇类物种间遗传距离存在较大差异。根据蛇类物种间遗传距离,识别出蛇类23个物种的亚种,Pareas和Hydrophis属物种含有复合体,Atractus dunni、A.iridescen和A.occidentali互为姐妹物种。

血清Wnt4基因启动子区的DNA甲基化程度对早产患者预测价值分析

目的 分析血清Wnt4基因启动子区的DNA甲基化程度对早产患者的预测价值。方法 随机选择2019年1-12月在该院产科病区产检的孕产妇480例,其中450例随访至分娩,将其中40例自发性早产的孕产妇作为早产组,410例足月产孕产妇作为健康组。比较健康组、早产组、早产组不同孕周者的血清Wnt4基因启动子区的DNA甲基化水平。分析健康组、早产组的临床数据,采用Logistic回归分析早产的风险因素,绘制受试者工作特征(ROC)曲线分析血清Wnt4基因启动子区的DNA甲基化程度对早产的预测价值。结果 与健康组比较,早产组血清Wnt4基因启动子区的DNA甲基化程度明显增高(P<0.05);与早产组34~<37周妊娠期女性相比,孕周28~<34周妊娠期女性血清Wnt4基因启动子区的DNA甲基化程度明显增高(P<0.05);与健康组比较,早产组产次≥2次、妊娠期被动吸烟、阴道胎儿纤维连接蛋白(fFN)阳性、家庭平均月收入<1 000元的比例明显增加(P<0.05),宫颈长度明显缩短(P<0.05);Logistic回归分析结果显示,产次≥2次、妊娠期被动吸烟、宫颈长度短、阴道fFN阳性、家庭平均月收入<1 000元、血清Wnt4基因启动子区的DNA甲基化程度高均是早产的主要风险因素(P<0.05);ROC曲线分析结果表明,血清Wnt4基因启动子区的DNA甲基化程度预测早产的曲线下面积为0.868(95%CI:0.834~0.898),最佳截断值为51.43%,灵敏度、特异度、准确度分别为82.50%、84.63%、84.44%。结论 血清Wnt4基因启动子区的DNA甲基化程度高对于早产具有一定的临床预测价值。

Study of differential polymerase chain reaction of C-erbB-2 oncogene amplification in gastric cancer

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Detection of bacterial DNA from cholesterol gallstones by nested primers polymerase chain reaction

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The characteristics of DNA repair synthesis induced by DNA polymerase β in hepatoma cells after γ rays irradiation

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Possible Role of DNA Polymerase beta in Protecting Human Bronchial Epithelial Cells Against Cytotoxicity of Hydroquinone

Objective To explore the toxicological mechanism of hydroquinone in human bronchial epithelial cells and to investigate whether DNA polymerase beta is involved in protecting cells from damage caused by hydroquinone. Methods DNA polymerase beta knock-down cell line was established via RNA interference as an experimental group. Normal human bronchial epithelial cells and cells transfected with the empty vector of pEGFP-C1 were used as controls. Cells were treated with different concentrations of hydroquinone （ranged from 10 μmol/L to 120 μmol/L） for 4 hours. MTT assay and Comet assay [single-cell gel electrophoresis （SCGE）] were performed respectively to detect the toxicity of hydroquinone. Results assay showed that DNA polymerase beta knock-down cells treated with different concentrations of hydroquinone had a lower absorbance value at 490 nm than the control cells in a dose-dependant manner. Comet assay revealed that different concentrations of hydroquinone caused more severe DNA damage in DNA polymerase beta knock-down cell line than in control cells and there was no significant difference in the two control groups. Conclusions Hydroquinone has significant toxicity to human bronchial epithelial cells and causes DNA damage. DNA polymerase beta knock-down cell line appears more sensitive to hydroquinone than the control cells. The results suggest that DNA polymerase beta is involved in protecting cells from damage caused by hydroquinone.

4个基因在副猪嗜血杆菌感染仔猪脑组织中DNA甲基化与mRNA表达联合验证

【目的】验证候选基因在副猪嗜血杆菌(Glaesserella parasuis,GPS)感染仔猪脑组织中DNA甲基化与mRNA表达之间的联合调控关系,为揭示副猪嗜血杆菌引起仔猪脑膜炎的表观致病机理提供理论依据。【方法】选取6头28日龄断奶仔猪,随机均分为对照组和GPS组,GPS组仔猪腹腔注射1 mL 2×109 CFU/mL副猪嗜血杆菌SH0165菌液,对照组仔猪腹腔注射等量生理盐水,7 d后采集仔猪脑组织提取DNA和RNA。采用实时荧光定量PCR检测4个候选基因(LYPD1、PITPNM1、SYP、ACVR1B)的mRNA表达量,并利用重亚硫酸盐测序(bisulfite sequencing PCR,BSP)、甲基化特异性PCR(methylation-specific PCR,MSP)检测副猪嗜血杆菌感染前后4个基因在仔猪脑组织中的DNA甲基化变化。【结果】本研究成功将MSP方法应用于基因的DNA甲基化测序研究,使其不局限于定点检测甲基化位点。实时荧光定量PCR结果显示,与对照组相比,GPS组仔猪LYPD 1、PITPNM 1、SYP、ACVR 1 B基因mRNA表达均显著或极显著下调(P<0.05;P<0.01)。DNA甲基化测序结果显示,除ACVR 1 B基因外,各基因DNA甲基化均上调。【结论】除ACVR 1 B基因外,LYPD 1、PITPNM 1、SYP 3个基因DNA甲基化与mRNA表达水平呈反向关联调控,副猪嗜血杆菌感染后仔猪脑组织DNA甲基化变化对4个候选基因的表达具有不同的调控模式。

Mutation of DNA polymerase p in esophageal carcinoma of different regions

AIM: To observe the variation of DNA polymerase β (polβ)in esophageal carcinoma.METHODS: Thirty specimens containing adjacent normal epithelial tissues were collected from patients in Linzhou region (a high risk area for esophageal squamous carcinoma) and 25 specimens were from a non-high risk area. Total RNA was extracted from the samples and reverse transcription polymerase chain reaction (RT-PCR) was performed. PCR products were cloned and sequenced to investigate the polβ gene with DNASIS and OMIGA. Statistical significance was evaluated using the x2 test.RESULTS: High-incidence area group: polβ gene variation was detected in 13 of 30 esophageal carcinoma tissue specimens, and only one variation was found in 30corresponding adjacent normal tissue specimens. Non high-incidence area group: polβ gene variation was detected in 5 of 25 esophageal carcinoma tissue specimens,and no variation was found in 25 corresponding adjacent normal tissue specimens. The incidence of polβ gene variation observed in the high-incidence area group was significantly higher than in the non-high incidence area group. Two mutation hot spots (454-466 and 648-670 nt)and a 58 bp deletion (177-234 nt) were found.CONCLUSION: Variations of polβ perform different functions between the high-incidence areas and the other areas, and may play a more important role in the high-incidence areas.

Uhrf1基因重组腺病毒载体构建及其在小鼠心肌细胞DNA损伤修复中的作用研究

目的:构建携带小鼠泛素样同源域和环指结构域1(Uhrf1)基因的重组腺病毒载体,验证Uhrf1基因在原代乳鼠心肌细胞中的表达情况,并探究其在过氧化氢(H_(2)O2)诱导的心肌细胞DNA损伤中的作用。方法:利用PCR扩增小鼠Uhrf1基因的编码序列,将其酶切后插入pADM-CMV-C-FH载体,获得重组腺病毒质粒ADM-Uhrf1。将该质粒转染至HEK293T细胞包装成重组腺病毒颗粒,数代扩增后进行腺病毒的纯化及滴度检测。分离25只1日龄ICR小鼠原代心肌细胞,分为两组,以感染复数(MOI)为50的比例分别感染ADM-Uhrf1及ADM-control(ADMCtrl),通过Western blot及免疫荧光染色验证重组腺病毒介导的UHRF1蛋白的表达,并利用H_(2)O2诱导心肌细胞DNA损伤,进而探究Uhrf1在DNA损伤修复过程中的作用。结果:通过壳蛋白免疫法检测得到的ADM-Uhrf1病毒滴度为1.8×10^(13) pfu/L。Western blot验证显示UHRF1蛋白表达水平显著升高(P<0.05),免疫荧光染色显示UHRF1主要表达在细胞核内,且Uhrf1的过表达能够显著抑制DNA损伤标志物磷酸化组蛋白H_(2)A变异体(γH_(2)AX)蛋白的表达(P<0.01)。结论:成功构建了携带小鼠Uhrf1基因的重组过表达腺病毒载体,并通过腺病毒递送系统在心肌细胞中实现了Uhrf1的过表达,且Uhrf1的过表达有效减轻了H_(2)O2诱导的心肌细胞DNA损伤。

铜绿假单胞菌oprI基因DNA疫苗及其重组亚单位疫苗免疫效果的评估

为评估铜绿假单胞菌opr I基因DNA疫苗和重组亚单位疫苗对小鼠的免疫效果,本实验将铜绿假单胞菌外膜蛋白编码基因opr I克隆至真核表达载体p CAGGS-HA中构建重组质粒p CAGGS-opr I,经酶切鉴定正确后获得DNA疫苗。同时将opr I基因克隆至原核表达载体p ET32a中构建重组质粒p ET32a-oprI,经酶切鉴定正确后转入大肠杆菌,经IPTG诱导重组Opr I蛋白(rOprI)的表达,采用亲和层析法纯化后以SDS-PAGE检测,结果显示正确表达了r Opr I,且获得了其纯化蛋白,利用其制备重组亚单位疫苗。分别以DNA疫苗和重组亚单位疫苗免疫BALB/c小鼠,并以铜绿假单胞菌的灭活疫苗和外膜蛋白疫苗为对照,采用间接ELISA法检测免疫后不同时间小鼠血清中的抗体水平和血清中IFN-γ、IL-2和IL-4的含量;初免42 d后以铜绿假单胞菌(1.25×109 cfu/mL,100μL/只)对各组小鼠进行攻毒试验,通过测定各疫苗对小鼠的保护率,评估疫苗的保护效果。结果显示,各疫苗诱导的免疫小鼠血清抗体水平和细胞因子含量均显著高于阴性对照组(P<0.05),且重组亚单位疫苗诱导小鼠的抗体水平和IL-4含量均显著高于DNA疫苗(P<0.05),而IFN-γ和IL-2含量则与DNA疫苗无显著差异(P>0.05)。小鼠攻毒试验结果显示,DNA疫苗组、重组亚单位疫苗组、外膜蛋白疫苗组和灭活疫苗组小鼠获得的免疫保护率分别为45%、55%、70%和95%。上述结果首次表明以铜绿假单胞菌opr I基因制备的DNA疫苗和r Opr I重组亚单位疫苗均可诱导小鼠产生体液和细胞免疫应答,并可为小鼠提供对铜绿假单胞菌攻毒的免疫保护效果,但二者的免疫效果还需进一步提高。本研究为铜绿假单胞菌疫苗的研究提供了参考依据。

The fidelity of DNA synthesis by eukaryotic replicative and translesion synthesis polymerases

在他们描述脱氧核糖核酸双螺旋，沃森和克里克的结构写了什么可以是在科学文学的最大的保守的陈述之一的精液的出版，也就是那“这没疏忽特定的配对我们立即要求了为遗传物质建议可能的拷贝机制。“半个世纪以后，我们更充分欣赏它是与精确性复制 60 亿核苷酸的巨大的挑战需要稳定地在许多代上维持人的染色体的。这挑战也许比大 50 年以前被认识到，因为随后的研究表明了染色体能被在脱氧核糖核酸而且由现在质问到复制的正常脱氧核糖核酸的各种各样的顺序主题产生潜在地细胞毒素、诱变的损害的一个大数字和变化的环境压力使动摇不仅。向染色体稳定性的许多决定因素的更好的理解，这章考察 undamaged 和损坏脱氧核糖核酸与被拷贝的忠实，与真核细胞的 B 家庭和 Y 家庭 DNA 的一个焦点，并且考虑这忠实怎么被完成。

Flexibility in the order of action and in the enzymology of the nuclease, polymerases, and ligase of vertebrate non-homologous DNA end joining： relevance to cancer, aging, and the immune system

加入的 Nonhomologous 脱氧核糖核酸结束(NHEJ ) 是为在人的房间并且在多细胞的优核质的双海滨脱氧核糖核酸裂缝的修理的主要小径。双海滨裂缝的原因经常碎裂在损坏的地点的脱氧核糖核酸，导致在那里的信息的损失。NHEJ 不恢复失去的信息并且可以将切除另外的核苷酸在修理过程期间。修理大量 overhang 并且损坏配置的能力反映 NHEJ 的核酸酶，聚合酶，和连接酶的灵活性。单个部件的灵活性也解释 NHEJ 能在修理脱氧核糖核酸结束的任何给定的对的方法的大数字。局部地，在 NHEJ 的地点，修理可以贡献癌症和老化的信息的损失，而是由 NHEJ 的行动保证染色体的全部片断没被失去。

DNA甲基化调控相关基因在糖尿病足溃疡中的研究进展

糖尿病足溃疡(DFU)是一种常见的慢性难愈性溃疡,也是糖尿病患者截肢甚至死亡的主要原因。DFU因迁延难愈,并且容易愈后复发,给患者带来了巨大的经济和心理负担,现已成为亟待解决的社会公共卫生问题。DNA甲基化是表观遗传学领域的一大热点,是目前研究最为深入的表观遗传机制之一,在疾病的发生发展过程中发挥着关键作用。DNA甲基化发生发展过程中的众多关键基因对DFU的调控机制尚不明确。本文综述了5个DNA甲基化调控基因在DFU愈合过程中的作用,旨在为进一步指导DNA甲基化在DFU中的应用提供参考。