Bayer Andreas, Lammel Justus, Lippross Sebastian, Klüter Tim, Behrendt Peter, Tohidnezhad Mersedeh, Pufe Thomas, Cremer Jochen, Jahr Holger, Rademacher Franziska, Gläser Regine, Harder Jürgen
Department of Heart- and Vascular Surgery, University Hospital of Schleswig-Holstein, Campus Kiel, Arnold-Heller Straße 3, Haus 26, 24105 Kiel, Germany.
Department of Dermatology, University Hospital of Schleswig-Holstein, Campus Kiel, Schittenhelmstr. 7, 24105 Kiel, Germany.
Ann Anat. 2017 Sep;213:25-32. doi: 10.1016/j.aanat.2017.04.002. Epub 2017 May 25.
Millions of patients around the world suffer minor or major extremity amputation due to progressive wound healing complications of chronic or infected wounds, the therapy of which remains a challenge. One emerging therapeutic option for the treatment of these complicated wounds is the local application of an autologous thrombocytes concentrate lysate (e.g. platelet-released growth factors ((PRGF)) or Vivostat PRF) that contains a multitude of chemokines, cytokines and growth factors and is therefore supposed to stimulate the complex wound healing process. Although PRGF and Vivostat PRF are already used successfully to support healing of chronic, hard-to-heal and infected wounds the underlying molecular mechanisms are not well understood. Psoriasin, also termed S100A7, is a multifunctional antimicrobial protein expressed in keratinocytes and is involved in various processes such as wound-healing, angiogenesis, innate immunity and immune-modulation. In this study, we investigated the influence of PRGF on psoriasin expression in human primary keratinocytes in vitro and the influence of Vivostat PRF on psoriasin expression in experimentally generated skin wounds in vivo. PRGF treatment of primary keratinocytes caused a significant concentration- and time-dependent increase of psoriasin gene and protein expression in vitro that were partially mediated by the epidermal growth factor receptor (EGFR) and the interleukin-6 receptor (IL-6R). In accordance with these cell culture data, Vivostat PRF induced a significant psoriasin gene and protein expression when applied to artificially generated skin wounds in vivo. The observed psoriasin induction in keratinocytes may contribute to the wound healing-promoting effects of therapeutically used thrombocyte concentrate lysates.
世界各地数以百万计的患者因慢性或感染性伤口的渐进性伤口愈合并发症而遭受轻微或严重的肢体截肢,其治疗仍然是一项挑战。治疗这些复杂伤口的一种新兴治疗选择是局部应用自体血小板浓缩物裂解物(例如血小板释放生长因子((PRGF))或Vivostat PRF),其含有多种趋化因子、细胞因子和生长因子,因此被认为可以刺激复杂的伤口愈合过程。尽管PRGF和Vivostat PRF已成功用于支持慢性、难愈合和感染性伤口的愈合,但其潜在的分子机制尚未完全了解。银屑素,也称为S100A7,是一种在角质形成细胞中表达的多功能抗菌蛋白,参与伤口愈合、血管生成、先天免疫和免疫调节等各种过程。在本研究中,我们调查了PRGF对人原代角质形成细胞中银屑素表达的影响,以及Vivostat PRF对实验性皮肤伤口中银屑素表达的影响。在体外,PRGF处理原代角质形成细胞导致银屑素基因和蛋白表达显著的浓度和时间依赖性增加,这部分由表皮生长因子受体(EGFR)和白细胞介素-6受体(IL-6R)介导。与这些细胞培养数据一致,当将Vivostat PRF应用于体内人工生成的皮肤伤口时,可诱导显著的银屑素基因和蛋白表达。在角质形成细胞中观察到的银屑素诱导可能有助于治疗性使用的血小板浓缩物裂解物的促伤口愈合作用。
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