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  • 1
    Electronic Resource
    Electronic Resource
    Oxford, UK; Malden, USA : Blackwell Science Ltd/Inc.
    Wound repair and regeneration 12 (2004), S. 0 
    ISSN: 1524-475X
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Hydration of keratinocytes modifies the levels of cytokines they secrete, which in turn impacts the secretory behaviour of dermal fibroblasts. In an in vitro coculture model, conditioned media (CM) collagen content was decreased 44% when keratinocytes were hydrated. We hypothesized that this is partly due to increased MMP-activity. We used the same coculture model to study changes in MMP-activity and TIMP secreted by keratinocytes as well as by fibroblasts in monoculture and in coculture in relation to air-treatment or hydration of keratinocytes. Stratified human epidermal keratinocytes (HEK) and confluent human dermal fibroblasts (HDF) were cocultured for 72 h under serum-free conditions. HEK were either kept at the air-interface or hydrated. CM was assayed for MMP-1, −2, −9, TIMP-1 and −2 were assayed using zymograms, western blotting, and ELISA. MMP-1, secreted by both cell types, increased significantly in cocultures compared to monocultures (4-fold in the air-treated group, 26-fold in the hydrated group). MMP-2, secreted mainly by HDFs, was significantly increased by coculture (hydration: 2.4-fold, air: 2.8-fold). MMP-9, predominantly secreted by air-treated HEKs and was significantly decreased in hydrated monoculture (76%) and coculture. HEK-monoculture hydration also significant decreased MMP-1 (86%) and MMP-2 (81%) activity. HDF-secreted TIMP-1 expression was significantly increased by coculture and was unaffected by hydration. Our findings demonstrate that paracrine interactions between HEK and HDF modify MMP activity and that HEK hydration significantly effects on MMP activity. The findings provide insight into the role of hydration on HEK and HDF ctivity during the wound healing process.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Oxford, UK; Malden, USA : Blackwell Publishing Ltd/Inc.
    Wound repair and regeneration 13 (2005), S. 0 
    ISSN: 1524-475X
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Hypertrophic scars can be reduced by application of silicone dressing; however, the detailed mechanism of silicone action is still unknown. It is known that silicone gel sheets cause a hydration of the epidermal layer of the skin. An in vitro coculture experiment has shown that hydration of keratinocytes has a suppressive effect on the metabolism of the underlying fibroblasts resulting in reduced collagen deposition. We tested the hypothesis that silicone gel sheeting in vivo has a beneficial effect on scar reduction by a reduction in keratinocyte stimulation, with a resulting reduction in dermal thickness.Silicone adhesive gel sheets were applied to scars in our rabbit ear model of hypertrophic scarring 14 days post wounding for a total of 14 days. Scarring was measured in this model by the Scar Elevation Index (SEI), a ratio of the scar height over normal skin, and the Epidermal Thickness Index (ETI), a ratio of the epidermal height of the scar over normal epidermis. Ultrastructural changes were investigated using electron microscopy (EM).SEIs were significantly reduced after only 2-week applications of silicone gel sheets versus untreated scars (1.18 ± 0.05 vs. 1.45 ± 0.09, respectively; P 〈 0.05)– corresponding to a 48.8% reduction of scar hypertrophy. The epidermal layer in scars was in general thicker than in unwounded skin. However, ETIs of untreated scars increased by 103% versus 71% after silicone gel treatment – corresponding to a significant reduction of epidermal thickness by 24.4%. EM showed a basal layer in untreated scars that was very different than normal skin with many vacuoles at the basement membrane level, while silicone gel-treated scars had a basal cell layer which resembled unwounded epidermis.Our findings demonstrate that 2 weeks of silicone gel application at a very early onset of scarring reduces dermal thickness which appears to be due to a reduction in keratinocyte stimulation. These findings are consistent with our coculture results.
    Type of Medium: Electronic Resource
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