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1. Department of Burn and Plastic Surgery
2. Chinese People’s Liberation Army General Hospital
3. 7th Department of Plastic Surgery
纸质出版日期:2021,
网络出版日期:2021-9-11,
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Jinxiu Yang, Shiyi Li, Leren He, 等. Adipose-derived stem cells inhibit dermal fibroblast growth and induce apoptosis in keloids through the arachidonic acid-derived cyclooxygenase-2/prostaglandin E2 cascade by paracrine[J]. Burns & Trauma, 2021,9(1).
Jinxiu Yang, Shiyi Li, Leren He, Minliang Chen, Adipose-derived stem cells inhibit dermal fibroblast growth and induce apoptosis in keloids through the arachidonic acid-derived cyclooxygenase-2/prostaglandin E2 cascade by paracrine, Burns & Trauma, Volume 9, 2021, tkab020, https://doi.org/10.1093/burnst/tkab020
Jinxiu Yang, Shiyi Li, Leren He, 等. Adipose-derived stem cells inhibit dermal fibroblast growth and induce apoptosis in keloids through the arachidonic acid-derived cyclooxygenase-2/prostaglandin E2 cascade by paracrine[J]. Burns & Trauma, 2021,9(1). DOI: 10.1093/burnst/tkab020.
Jinxiu Yang, Shiyi Li, Leren He, Minliang Chen, Adipose-derived stem cells inhibit dermal fibroblast growth and induce apoptosis in keloids through the arachidonic acid-derived cyclooxygenase-2/prostaglandin E2 cascade by paracrine, Burns & Trauma, Volume 9, 2021, tkab020, https://doi.org/10.1093/burnst/tkab020 DOI:
BackgroundThe clinical features of keloids consist of aberrant proliferation
secretion
differentiation and apoptosis of keloid dermis-derived fibroblasts (KFBs). Notably
the apoptosis rate of KFBs is lower than the proliferation rate. Though the anti-fibrotic effect of adipose-derived stem cells (ADSCs) on keloids has become a hot topic of research
the exact anti-fibrotic mechanism of the paracrine effect remains unclear. This study aimed to find out how the conditioned medium of ADSCs (ADSC-CM) exerts an anti-fibrotic effect in KFBs.MethodsKFBs and ADSCs were extracted and cultured. Then
ADSC-CM was prepared. Whether ADSC-CM could inhibit KFB growth and induce apoptosis was verified by the use of a cell counting kit-8
an 5-Ethynyl-2-deoxyuridine (Edu) kit and flow cytometry. The expressions of cyclooxygenase-1 (COX-1)
COX-2
caspase 3 and B-cell lymphoma-2 (Bcl-2) in ADSC-CM-cultured KFBs were tested by real-time PCR and western blotting. To clarify the role of COX-2 in ADSC-CM-induced KFB apoptosis
a specific COX-2 inhibitor
celecoxib
was applied to KFBs cultured in ADSC-CM. Moreover
we tested the production of arachidonic acid (AA) and prostaglandin E2 (PGE2) by ELISA. Then
we established a keloid transplantation model in a nude mouse to validate the therapeutic effect in vivo.ResultsThe proliferation ability of KFBs cultured in ADSC-CM was found to be weakened and apoptosis was significantly increased. Caspase 3 expression was significantly upregulated and Bcl-2 was downregulated in ADSC-CM-cultured KFBs. Furthermore
ADSC-CM strikingly elevated COX-2 mRNA and protein expressions
but COX-1 expression was unaltered. COX-2 inhibitors reduced ADSC-CM-induced apoptosis. Additionally
COX-2 inhibition blocked the elevation of caspase 3 and reversed the decrease in Bcl-2 expression. ADSC-CM increased PGE2 levels by 1.5-fold and this effect was restrained by COX-2 inhibition. In the nude mouse model
expressions of AA
COX-2 and PGE2 were higher in the translated keloid tissues after ADSC-CM injection than in the controls.ConclusionsWe showed activation of the COX-2/PGE2 cascade in KFBs in response to ADSC-CM. By employing a specific COX-2 inhibitor
COX-2/PGE2 cascade activation played a crucial role in mediating the ADSC-CM-induced KFB apoptosis and anti-proliferation effects.
KeloidsAdipose-derived stem cellsFibroblastsApoptosisAnti-fibrosis cyclooxygenase-2Arachidonic acid
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