Goldberg Stephanie R, Quirk Gerald L, Sykes Virginia W, McKinstry Robert P, Kordula Tomasz, Lanning David A
Division of Pediatric Surgery, Department of Surgery, Medical College of Virginia Hospitals, Virginia Commonwealth University Health System, Richmond, VA 23298-0015, USA.
J Pediatr Surg. 2008 Jun;43(6):971-6. doi: 10.1016/j.jpedsurg.2008.02.020.
Previously, we demonstrated the rapid closure of mid-gestational excisional murine wounds at 32 hours. In this study, we theorized that mid-gestational wounds would be completely regenerated, whereas late-gestational wounds would heal with scar formation at 48 hours. Furthermore, we theorized that mid- and late-gestational fibroblasts differentially use the transforming growth factor beta and mitogen-activated protein kinase pathways.
Three-millimeter excisional cutaneous wounds were made on murine mid- (embryonic day 15 [E15]) and late-gestational (E18) fetuses and harvested at 48 hours for histology. Percent wound closure was calculated. E15 and E18 fibroblasts were cultured overnight for in vitro scratch wound assay in the presence of the activin receptor-like kinase 4-5-7, Erk1/2, and p38 inhibitors.
E15 wounds healed in a regenerative manner, whereas E18 wounds exhibited scar formation. In vitro scratch closure was similar in the E15 and E18 groups at 8 hours; yet, it increased in E15 compared with E18 groups with activin receptor-like kinase 4-5-7 and Erk1/2 inhibitors. p38 inhibition resulted in reduced scratch closure in both groups.
The scarless mid-gestational excisional wounds compared with the scar-forming late-gestational wounds provides a model to study scar formation. This study also suggests that variable transforming growth factor beta and Erk1/2 signaling may influence differences in wound closure between mid- and late-gestational wounds.
此前,我们证明了妊娠中期切除的小鼠伤口在32小时时能快速愈合。在本研究中,我们推测妊娠中期的伤口将完全再生,而妊娠晚期的伤口在48小时时会形成瘢痕愈合。此外,我们推测妊娠中期和晚期的成纤维细胞对转化生长因子β和丝裂原活化蛋白激酶途径的使用存在差异。
在妊娠中期(胚胎第15天[E15])和晚期(E18)的小鼠胎儿身上制作3毫米的皮肤切除伤口,并在48小时时取材进行组织学检查。计算伤口闭合百分比。将E15和E18的成纤维细胞培养过夜,在存在激活素受体样激酶4 - 5 - 7、Erk1/2和p38抑制剂的情况下进行体外划痕伤口试验。
E15伤口以再生方式愈合,而E18伤口表现出瘢痕形成。E15和E18组在8小时时的体外划痕闭合情况相似;然而,与E18组相比,使用激活素受体样激酶4 - 5 - 7和Erk1/2抑制剂时E15组的划痕闭合增加。p38抑制导致两组的划痕闭合减少。
与形成瘢痕的妊娠晚期伤口相比,妊娠中期切除伤口无瘢痕形成,这为研究瘢痕形成提供了一个模型。本研究还表明,转化生长因子β和Erk1/2信号的变化可能影响妊娠中期和晚期伤口在伤口闭合方面的差异。