Multi-Antigen Imaging Reveals Inflammatory DC, ADAM17 and Neprilysin as Effectors in Keloid Formation

Keloid is an aberrant scarring process of the skin, characterized by excessive extracellular matrix synthesis and deposition. The pathogenesis of this prevalent cutaneous disorder is not fully understood; however, a persistent inflammatory process is observed. To obtain more insight into this proces...

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Main Authors: Mathias Rath, Alain Pitiot, Michael Kirr, Waltraud Fröhlich, Bianca Plosnita, Stefan Schliep, Jürgen Bauerschmitz, Andreas S. Baur, Christian Ostalecki
Format: Article
Language:English
Published: MDPI AG 2021-08-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/22/17/9417
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author Mathias Rath
Alain Pitiot
Michael Kirr
Waltraud Fröhlich
Bianca Plosnita
Stefan Schliep
Jürgen Bauerschmitz
Andreas S. Baur
Christian Ostalecki
author_facet Mathias Rath
Alain Pitiot
Michael Kirr
Waltraud Fröhlich
Bianca Plosnita
Stefan Schliep
Jürgen Bauerschmitz
Andreas S. Baur
Christian Ostalecki
author_sort Mathias Rath
collection DOAJ
description Keloid is an aberrant scarring process of the skin, characterized by excessive extracellular matrix synthesis and deposition. The pathogenesis of this prevalent cutaneous disorder is not fully understood; however, a persistent inflammatory process is observed. To obtain more insight into this process, we analyzed lesional, perilesional and healthy tissue using multi-antigen-analysis (MAA) in conjunction with a data mining approach. Here, we demonstrate that monocyte-derived inflammatory dendritic cells (CD1a+, CD11c+, CD14+) and activated CD4+ T lymphocytes (CD45 RO+) dominated the immune infiltration in keloids while associating with fibroblasts. In perilesional tissue, precursor immune cells were dominant in the perivascular area, suggesting that they were attracted by an immune process, potentially in the lesional area. Supporting this hypothesis, only in keloid lesions, high levels of ADAM10/17 and Neprilysin (CD10) were observed in both fibroblasts and leukocytes. The spatial proximity of these two cell types, which could be confirmed by image analysis only in lesional tissue, could be a potential factor leading to the activation of fibroblasts. Our findings provide new insight into the pathogenesis of keloid formation and reveal metalloproteinases as a target for therapeutical intervention.
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spelling doaj.art-86fec926b78e4b6e984b8f8315bafc762023-11-22T10:43:08ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672021-08-012217941710.3390/ijms22179417Multi-Antigen Imaging Reveals Inflammatory DC, ADAM17 and Neprilysin as Effectors in Keloid FormationMathias Rath0Alain Pitiot1Michael Kirr2Waltraud Fröhlich3Bianca Plosnita4Stefan Schliep5Jürgen Bauerschmitz6Andreas S. Baur7Christian Ostalecki8Department of Urology, University Hospital Heidelberg, 69120 Heidelberg, GermanyLaboratory of Image & Data Analysis, Ilixa Ltd., London W1U 6NQ, UKDepartment of Dermatology, Universitätsklinikum Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg, 91054 Erlangen, GermanyDepartment of Dermatology, Universitätsklinikum Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg, 91054 Erlangen, GermanyTissueGnostics GmbH, 1020 Vienna, AustriaDepartment of Dermatology, Universitätsklinikum Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg, 91054 Erlangen, GermanyDepartment of Dermatology, Universitätsklinikum Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg, 91054 Erlangen, GermanyDepartment of Dermatology, Universitätsklinikum Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg, 91054 Erlangen, GermanyDepartment of Dermatology, Universitätsklinikum Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg, 91054 Erlangen, GermanyKeloid is an aberrant scarring process of the skin, characterized by excessive extracellular matrix synthesis and deposition. The pathogenesis of this prevalent cutaneous disorder is not fully understood; however, a persistent inflammatory process is observed. To obtain more insight into this process, we analyzed lesional, perilesional and healthy tissue using multi-antigen-analysis (MAA) in conjunction with a data mining approach. Here, we demonstrate that monocyte-derived inflammatory dendritic cells (CD1a+, CD11c+, CD14+) and activated CD4+ T lymphocytes (CD45 RO+) dominated the immune infiltration in keloids while associating with fibroblasts. In perilesional tissue, precursor immune cells were dominant in the perivascular area, suggesting that they were attracted by an immune process, potentially in the lesional area. Supporting this hypothesis, only in keloid lesions, high levels of ADAM10/17 and Neprilysin (CD10) were observed in both fibroblasts and leukocytes. The spatial proximity of these two cell types, which could be confirmed by image analysis only in lesional tissue, could be a potential factor leading to the activation of fibroblasts. Our findings provide new insight into the pathogenesis of keloid formation and reveal metalloproteinases as a target for therapeutical intervention.https://www.mdpi.com/1422-0067/22/17/9417scardendritic cellstumor microenvironmentsingle-cell analysismultiplex imagingproteases
spellingShingle Mathias Rath
Alain Pitiot
Michael Kirr
Waltraud Fröhlich
Bianca Plosnita
Stefan Schliep
Jürgen Bauerschmitz
Andreas S. Baur
Christian Ostalecki
Multi-Antigen Imaging Reveals Inflammatory DC, ADAM17 and Neprilysin as Effectors in Keloid Formation
International Journal of Molecular Sciences
scar
dendritic cells
tumor microenvironment
single-cell analysis
multiplex imaging
proteases
title Multi-Antigen Imaging Reveals Inflammatory DC, ADAM17 and Neprilysin as Effectors in Keloid Formation
title_full Multi-Antigen Imaging Reveals Inflammatory DC, ADAM17 and Neprilysin as Effectors in Keloid Formation
title_fullStr Multi-Antigen Imaging Reveals Inflammatory DC, ADAM17 and Neprilysin as Effectors in Keloid Formation
title_full_unstemmed Multi-Antigen Imaging Reveals Inflammatory DC, ADAM17 and Neprilysin as Effectors in Keloid Formation
title_short Multi-Antigen Imaging Reveals Inflammatory DC, ADAM17 and Neprilysin as Effectors in Keloid Formation
title_sort multi antigen imaging reveals inflammatory dc adam17 and neprilysin as effectors in keloid formation
topic scar
dendritic cells
tumor microenvironment
single-cell analysis
multiplex imaging
proteases
url https://www.mdpi.com/1422-0067/22/17/9417
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