Gene Expression Linked to Reepithelialization of Human Skin Wounds

Our understanding of the regulatory processes of reepithelialization during wound healing is incomplete. In an attempt to map the genes involved in epidermal regeneration and differentiation, we measured gene expression in formalin-fixed, paraffin-embedded standardized epidermal wounds induced by th...

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Bibliographic Details
Main Authors: Magnus S. Ågren, Thomas Litman, Jens Ole Eriksen, Peter Schjerling, Michael Bzorek, Lise Mette Rahbek Gjerdrum
Format: Article
Language:English
Published: MDPI AG 2022-12-01
Series:International Journal of Molecular Sciences
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Online Access:https://www.mdpi.com/1422-0067/23/24/15746
Description
Summary:Our understanding of the regulatory processes of reepithelialization during wound healing is incomplete. In an attempt to map the genes involved in epidermal regeneration and differentiation, we measured gene expression in formalin-fixed, paraffin-embedded standardized epidermal wounds induced by the suction-blister technique with associated nonwounded skin using NanoString technology. The transcripts of 139 selected genes involved in clotting, immune response to tissue injury, signaling pathways, cell adhesion and proliferation, extracellular matrix remodeling, zinc transport and keratinocyte differentiation were evaluated. We identified 22 upregulated differentially expressed genes (DEGs) in descending order of fold change (<i>MMP1</i>, <i>MMP3</i>, <i>IL6</i>, <i>CXCL8</i>, <i>SERPINE1</i>, <i>IL1B</i>, <i>PTGS2</i>, <i>HBEGF</i>, <i>CXCL5</i>, <i>CXCL2</i>, <i>TIMP1</i>, <i>CYR61</i>, <i>CXCL1</i>, <i>MMP12</i>, <i>MMP9</i>, <i>HGF</i>, <i>CTGF</i>, <i>ITGB3</i>, <i>MT2A</i>, <i>FGF7</i>, <i>COL4A1</i> and <i>PLAUR</i>). The expression of the most upregulated gene, <i>MMP1</i>, correlated strongly with <i>MMP3</i> followed by <i>IL6</i> and <i>IL1B</i>. rhIL-1β, but not rhIL-6, exposure of cultured normal human epidermal keratinocytes and normal human dermal fibroblasts increased both <i>MMP1</i> mRNA and MMP-1 protein levels, as well as <i>TIMP1</i> mRNA levels. The increased <i>TIMP1</i> in wounds was validated by immunohistochemistry. The six downregulated DEGs (<i>COL7A1</i>, <i>MMP28</i>, <i>SLC39A2</i>, <i>FLG1</i>, <i>KRT10</i> and <i>FLG2</i>) were associated with epidermal maturation. <i>KLK8</i> showed the strongest correlation with <i>MKI67</i> mRNA levels and is a potential biomarker for keratinocyte proliferation. The observed gene expression changes correlate well with the current knowledge of physiological reepithelialization. Thus, the gene expression panel described in this paper could be used in patients with impaired healing to identify possible therapeutic targets.
ISSN:1661-6596
1422-0067