Heterogeneity of epithelial-mesenchymal transition and CD26 expression in hypertrophic scars and keloids

Objective To investigate the histological differences and expression of E-cadherin, Vimentin, matrix metalloprotein-9 (MMP-9), TNF-α, dipeptidyl-peptidase 4 (DPP4, also called CD26) in the margin and center of hypertrophic scar, superficial dilated keloid and normal skin. Methods Ten patients with k...

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Main Authors: GONG Wanru, LIU Mengchang, LIU Xingke, XIE Defu, YAN Hong
Format: Article
Language:zho
Published: Editorial Office of Journal of Army Medical University 2022-11-01
Series:陆军军医大学学报
Subjects:
Online Access:http://aammt.tmmu.edu.cn/Upload/rhtml/202203103.htm
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author GONG Wanru
LIU Mengchang
LIU Xingke
XIE Defu
YAN Hong
author_facet GONG Wanru
LIU Mengchang
LIU Xingke
XIE Defu
YAN Hong
author_sort GONG Wanru
collection DOAJ
description Objective To investigate the histological differences and expression of E-cadherin, Vimentin, matrix metalloprotein-9 (MMP-9), TNF-α, dipeptidyl-peptidase 4 (DPP4, also called CD26) in the margin and center of hypertrophic scar, superficial dilated keloid and normal skin. Methods Ten patients with keloid and another 10 with hypertrophic scar undergoing excision surgery in our hospital from October 2020 to August 2021 were included, and 8 cases requiring partial normal skin resection were also recruited. The resected tissues were collected, the tissue morphology was observed with HE staining, and the expression levels of E-cadherin, Vimentin, MMP-9, TNF-α and CD26 were detected by immunohistochemical staining and Western blotting. Results The E-cadherin expression in the epidermis of both keloid and hypertrophic scar was significantly lower than that of normal skin (P < 0.05), and the level in the edge of keloid was obviously weakened as compared with that of the center (P < 0.05), but there was no significant difference between the edge of hypertrophic scar and the center (P>0.05). By contrast, the expression levels of Vimentin, MMP-9, TNF-α and CD26 in the epidermis of both keloid and hypertrophic scar were remarkably enhanced when compared with those of normal skin (P < 0.05), and the keloids' edge higher than the center (P < 0.05), while no significance between the hypertrophic scars' edge and center (P>0.05). Conclusion The differences in epithelial-to-mesenchymal transition (EMT) and expression of relevant biomarkers within individual scars may be one of the reasons for the diversity of clinical features between hypertrophic scar and keloid, in which TNF-α and CD26 may be the key factors.
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spelling doaj.art-92cd7b46f107475b9b55ab91b1bfa6f12022-12-22T03:36:37ZzhoEditorial Office of Journal of Army Medical University陆军军医大学学报2097-09272022-11-0144212174218210.16016/j.2097-0927.202203103Heterogeneity of epithelial-mesenchymal transition and CD26 expression in hypertrophic scars and keloidsGONG Wanru0LIU Mengchang1LIU Xingke2XIE Defu3YAN Hong4Department of Plastic and Burn Surgery, National Key Clinical Construction Specialty, Wound Repair and Regeneration Laboratory, Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan Province, 646000, ChinaDepartment of Plastic and Burn Surgery, National Key Clinical Construction Specialty, Wound Repair and Regeneration Laboratory, Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan Province, 646000, ChinaDepartment of Plastic and Burn Surgery, National Key Clinical Construction Specialty, Wound Repair and Regeneration Laboratory, Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan Province, 646000, ChinaDepartment of Plastic and Burn Surgery, National Key Clinical Construction Specialty, Wound Repair and Regeneration Laboratory, Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan Province, 646000, ChinaDepartment of Plastic and Burn Surgery, National Key Clinical Construction Specialty, Wound Repair and Regeneration Laboratory, Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan Province, 646000, ChinaObjective To investigate the histological differences and expression of E-cadherin, Vimentin, matrix metalloprotein-9 (MMP-9), TNF-α, dipeptidyl-peptidase 4 (DPP4, also called CD26) in the margin and center of hypertrophic scar, superficial dilated keloid and normal skin. Methods Ten patients with keloid and another 10 with hypertrophic scar undergoing excision surgery in our hospital from October 2020 to August 2021 were included, and 8 cases requiring partial normal skin resection were also recruited. The resected tissues were collected, the tissue morphology was observed with HE staining, and the expression levels of E-cadherin, Vimentin, MMP-9, TNF-α and CD26 were detected by immunohistochemical staining and Western blotting. Results The E-cadherin expression in the epidermis of both keloid and hypertrophic scar was significantly lower than that of normal skin (P < 0.05), and the level in the edge of keloid was obviously weakened as compared with that of the center (P < 0.05), but there was no significant difference between the edge of hypertrophic scar and the center (P>0.05). By contrast, the expression levels of Vimentin, MMP-9, TNF-α and CD26 in the epidermis of both keloid and hypertrophic scar were remarkably enhanced when compared with those of normal skin (P < 0.05), and the keloids' edge higher than the center (P < 0.05), while no significance between the hypertrophic scars' edge and center (P>0.05). Conclusion The differences in epithelial-to-mesenchymal transition (EMT) and expression of relevant biomarkers within individual scars may be one of the reasons for the diversity of clinical features between hypertrophic scar and keloid, in which TNF-α and CD26 may be the key factors. http://aammt.tmmu.edu.cn/Upload/rhtml/202203103.htmhypertrophic scarkeloidclinical manifestationepithelial-to-mesenchymal transitiontnf-αcd26
spellingShingle GONG Wanru
LIU Mengchang
LIU Xingke
XIE Defu
YAN Hong
Heterogeneity of epithelial-mesenchymal transition and CD26 expression in hypertrophic scars and keloids
陆军军医大学学报
hypertrophic scar
keloid
clinical manifestation
epithelial-to-mesenchymal transition
tnf-α
cd26
title Heterogeneity of epithelial-mesenchymal transition and CD26 expression in hypertrophic scars and keloids
title_full Heterogeneity of epithelial-mesenchymal transition and CD26 expression in hypertrophic scars and keloids
title_fullStr Heterogeneity of epithelial-mesenchymal transition and CD26 expression in hypertrophic scars and keloids
title_full_unstemmed Heterogeneity of epithelial-mesenchymal transition and CD26 expression in hypertrophic scars and keloids
title_short Heterogeneity of epithelial-mesenchymal transition and CD26 expression in hypertrophic scars and keloids
title_sort heterogeneity of epithelial mesenchymal transition and cd26 expression in hypertrophic scars and keloids
topic hypertrophic scar
keloid
clinical manifestation
epithelial-to-mesenchymal transition
tnf-α
cd26
url http://aammt.tmmu.edu.cn/Upload/rhtml/202203103.htm
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AT liuxingke heterogeneityofepithelialmesenchymaltransitionandcd26expressioninhypertrophicscarsandkeloids
AT xiedefu heterogeneityofepithelialmesenchymaltransitionandcd26expressioninhypertrophicscarsandkeloids
AT yanhong heterogeneityofepithelialmesenchymaltransitionandcd26expressioninhypertrophicscarsandkeloids