Cancer and Inflammation Program, National Cancer Institute, Frederick, Maryland 21702, USA.
Wound Repair Regen. 2010 Nov-Dec;18(6):586-93. doi: 10.1111/j.1524-475X.2010.00632.x. Epub 2010 Oct 13.
Wound healing is mediated through complex interactions between circulating immune cells and local epithelial and endothelial cells. Elements of the innate immune system are triggered when Toll-like receptors (TLR) are stimulated by their cognate ligands, and previous studies suggest that such interactions can accelerate wound healing. This work examines the effect of treating excisional skin biopsies with immunostimulatory CpG oligodeoxynucleotides (ODN) that trigger via TLR9. Results indicate that CpG (but not control) ODN accelerate wound closure and reduce the total wound area exposed over time by >40% (p<0.01). TLR9 knockout mice, a strain unresponsive to the immunomodulatory effects of CpG stimulation, are unresponsive to ODN treatment and exhibit a general delay in healing when compared with wild-type mice. CpG ODN administration promoted the influx of macrophages to the wound site and increased the production of vascular endothelial growth factor, expediting neovascularization of the wound bed (p<0.01 for both parameters). Stimulation via TLR9 thus represents a novel strategy to accelerate wound healing.
伤口愈合是通过循环免疫细胞与局部上皮细胞和内皮细胞之间的复杂相互作用来介导的。当 Toll 样受体 (TLR) 被其同源配体刺激时,先天免疫系统的元素被触发,先前的研究表明这种相互作用可以加速伤口愈合。这项工作研究了用免疫刺激 CpG 寡脱氧核苷酸 (ODN) 治疗切皮活检的效果,这些 ODN 通过 TLR9 触发。结果表明,CpG(而非对照)ODN 可加速伤口闭合,并随着时间的推移减少暴露的总伤口面积>40%(p<0.01)。TLR9 敲除小鼠对 CpG 刺激的免疫调节作用无反应,对 ODN 治疗无反应,与野生型小鼠相比,愈合普遍延迟。CpG ODN 给药促进了巨噬细胞向伤口部位的浸润,并增加了血管内皮生长因子的产生,加速了伤口床的新血管生成(两个参数均 p<0.01)。因此,通过 TLR9 刺激代表了一种加速伤口愈合的新策略。