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Wound Healing and Hypertrophic Scar

A special issue of International Journal of Molecular Sciences (ISSN 1422-0067). This special issue belongs to the section "Molecular Biology".

Deadline for manuscript submissions: closed (15 April 2024) | Viewed by 7595

Special Issue Editor


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Guest Editor
Department of Rehabilitation Medicine, Hangang Sacred Heart Hospital, Hallym University, Seoul 07247, Republic of Korea
Interests: wound healing; hypertrophic scar; skin rehabilitation; burn pain
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Hypertrophic scar is the most common complication of burn injury. Scars develop in wound healing. Wound healing and hypertrophic scars involves complex biological processes, and the exact mechanisms remain to be fully elucidated. Scar management is a major goal of rehabilitation. To achieve this goal, it is necessary to deeply understand the relevant clinical, histopathological, and molecular feature of scars and to understand how these manifestations relate to each other.

This Special Issue will cover a selection of recent research topics and current review articles in the field of scar research in wound healing and all kinds of tissues. Experimental papers, up-to-date review articles, and commentaries are all welcome.

Dr. Cheong Hoon Seo
Guest Editor

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Keywords

  • scar
  • fibrosis
  • wound healing
  • keloids
  • inflammation
  • rehabilitation
  • scleroderma
  • organ fibrosis
  • pruritus
  • pain

Published Papers (4 papers)

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Research

13 pages, 3954 KiB  
Article
Retention of Key Characteristics of Unprocessed Chorion Tissue Resulting in a Robust Scaffold to Support Wound Healing
by Katrina A. Harmon, MaryRose Kammer, Justin T. Avery, Kelly A. Kimmerling and Katie C. Mowry
Int. J. Mol. Sci. 2023, 24(21), 15786; https://doi.org/10.3390/ijms242115786 - 31 Oct 2023
Viewed by 839
Abstract
Placental membranes have been widely studied and used clinically for wound care applications, but there is limited published information on the benefits of using the chorion membrane. The chorion membrane represents a promising source of placental-derived tissue to support wound healing, with its [...] Read more.
Placental membranes have been widely studied and used clinically for wound care applications, but there is limited published information on the benefits of using the chorion membrane. The chorion membrane represents a promising source of placental-derived tissue to support wound healing, with its native composition of extracellular matrix (ECM) proteins and key regulatory proteins. This study examined the impact of hypothermic storage on the structure of chorion membrane, ECM content, and response to degradation in vitro. Hypothermically stored chorion membrane (HSCM) was further characterized for its proteomic content, and for its functionality as a scaffold for cell attachment and proliferation in vitro. HSCM retained the native ECM structure, composition, and integrity of native unprocessed chorion membrane and showed no differences in response to degradation in an in vitro wound model. HSCM retained key regulatory proteins previously shown to be present in placental membranes and promoted the attachment and proliferation of fibroblasts in vitro. These data support the fact that hypothermic storage does not significantly impact the structure and characteristics of the chorion membrane compared to unprocessed tissue or its functionality as a scaffold to support tissue growth. Full article
(This article belongs to the Special Issue Wound Healing and Hypertrophic Scar)
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23 pages, 3915 KiB  
Article
Effect of Hypertrophic Scar Fibroblast-Derived Exosomes on Keratinocytes of Normal Human Skin
by Hui Song Cui, So Young Joo, Seung Yeol Lee, Yoon Soo Cho, Dong Hyun Kim and Cheong Hoon Seo
Int. J. Mol. Sci. 2023, 24(7), 6132; https://doi.org/10.3390/ijms24076132 - 24 Mar 2023
Cited by 5 | Viewed by 1701
Abstract
Epidermal keratinocytes are highly activated, hyper-proliferated, and abnormally differentiated in the post-burn hypertrophic scar (HTS); however, the effects of scar fibroblasts (SFs) on keratinocytes through cell–cell interaction in HTS remain unknown. Here, we investigated the effects of HTSF-derived exosomes on the proliferation and [...] Read more.
Epidermal keratinocytes are highly activated, hyper-proliferated, and abnormally differentiated in the post-burn hypertrophic scar (HTS); however, the effects of scar fibroblasts (SFs) on keratinocytes through cell–cell interaction in HTS remain unknown. Here, we investigated the effects of HTSF-derived exosomes on the proliferation and differentiation of normal human keratinocytes (NHKs) compared with normal fibroblasts (NFs) and their possible mechanism to provide a reference for clinical intervention of HTS. Fibroblasts were isolated and cultured from HTS and normal skin. Both HTSF-exosomes and NF-exosomes were extracted via a column-based method from the cell culture supernatant. NHKs were treated for 24 or 48 h with 100 μg/mL of cell-derived exosomes. The expression of proliferation markers (Ki-67 and keratin 14), activation markers (keratins 6, 16, and 17), differentiation markers (keratins 1 and 10), apoptosis factors (Bax, Bcl2, caspase 14, and ASK1), proliferation/differentiation regulators (p21 and p27), and epithelial–mesenchymal transition (EMT) markers (E-cadherin, N-cadherin, and vimentin) was investigated. Compared with NF-exosomes, HTSF-exosomes altered the molecular pattern of proliferation, activation, differentiation, and apoptosis, proliferation/differentiation regulators of NHKs, and EMT markers differently. In conclusion, our findings indicate that HTSF-derived exosomes may play a role in the epidermal pathological development of HTS. Full article
(This article belongs to the Special Issue Wound Healing and Hypertrophic Scar)
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15 pages, 11320 KiB  
Article
The GPI-Anchored Protein Thy-1/CD90 Promotes Wound Healing upon Injury to the Skin by Enhancing Skin Perfusion
by Leonardo A. Pérez, José León, Juan López, Daniela Rojas, Montserrat Reyes, Pamela Contreras, Andrew F. G. Quest, Carlos Escudero and Lisette Leyton
Int. J. Mol. Sci. 2022, 23(20), 12539; https://doi.org/10.3390/ijms232012539 - 19 Oct 2022
Cited by 5 | Viewed by 1788
Abstract
Wound healing is a highly regulated multi-step process that involves a plethora of signals. Blood perfusion is crucial in wound healing and abnormalities in the formation of new blood vessels define the outcome of the wound healing process. Thy-1 has been implicated in [...] Read more.
Wound healing is a highly regulated multi-step process that involves a plethora of signals. Blood perfusion is crucial in wound healing and abnormalities in the formation of new blood vessels define the outcome of the wound healing process. Thy-1 has been implicated in angiogenesis and silencing of the Thy-1 gene retards the wound healing process. However, the role of Thy-1 in blood perfusion during wound closure remains unclear. We proposed that Thy-1 regulates vascular perfusion, affecting the healing rate in mouse skin. We analyzed the time of recovery, blood perfusion using Laser Speckle Contrast Imaging, and tissue morphology from images acquired with a Nanozoomer tissue scanner. The latter was assessed in a tissue sample taken with a biopsy punch on several days during the wound healing process. Results obtained with the Thy-1 knockout (Thy-1−/−) mice were compared with control mice. Thy-1/− mice showed at day seven, a delayed re-epithelialization, increased micro- to macro-circulation ratio, and lower blood perfusion in the wound area. In addition, skin morphology displayed a flatter epidermis, fewer ridges, and almost no stratum granulosum or corneum, while the dermis was thicker, showing more fibroblasts and fewer lymphocytes. Our results suggest a critical role for Thy-1 in wound healing, particularly in vascular dynamics. Full article
(This article belongs to the Special Issue Wound Healing and Hypertrophic Scar)
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14 pages, 3505 KiB  
Article
Dual-Functional Nanofibrous Patches for Accelerating Wound Healing
by Dan Xia, Yuan Liu, Wuxiu Cao, Junwei Gao, Donghui Wang, Mengxia Lin, Chunyong Liang, Ning Li and Ruodan Xu
Int. J. Mol. Sci. 2022, 23(18), 10983; https://doi.org/10.3390/ijms231810983 - 19 Sep 2022
Cited by 10 | Viewed by 2233
Abstract
Bacterial infections and inflammation are two main factors for delayed wound healing. Coaxial electrospinning nanofibrous patches, by co-loading and sequential co-delivering of anti-bacterial and anti-inflammation agents, are promising wound dressing for accelerating wound healing. Herein, curcumin (Cur) was loaded into the polycaprolactone (PCL) [...] Read more.
Bacterial infections and inflammation are two main factors for delayed wound healing. Coaxial electrospinning nanofibrous patches, by co-loading and sequential co-delivering of anti-bacterial and anti-inflammation agents, are promising wound dressing for accelerating wound healing. Herein, curcumin (Cur) was loaded into the polycaprolactone (PCL) core, and broad-spectrum antibacterial tetracycline hydrochloride (TH) was loaded into gelatin (GEL) shell to prepare PCL-Cur/GEL-TH core-shell nanofiber membranes. The fibers showed a clear co-axial structure and good water absorption capacity, hydrophilicity and mechanical properties. In vitro drug release results showed sequential release of Cur and TH, in which the coaxial mat showed good antioxidant activity by DPPH test and excellent antibacterial activity was demonstrated by a disk diffusion method. The coaxial mats showed superior biocompatibility toward human immortalized keratinocytes. This study indicates a coaxial nanofiber membrane combining anti-bacterial and anti-inflammation agents has great potential as a wound dressing for promoting wound repair. Full article
(This article belongs to the Special Issue Wound Healing and Hypertrophic Scar)
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