Human adipose ECM alleviates radiation-induced skin fibrosis via endothelial cell-mediated M2 macrophage polarization

Summary: Radiation therapy can lead to late radiation-induced skin fibrosis (RISF), causing movement restriction, pain, and organ dysfunction. This study evaluated adipose-derived extracellular matrix (Ad-ECM) as a mitigator of RISF. Female C57BL/6J mice that were irradiated developed fibrosis, whic...

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Main Authors: Somaiah Chinnapaka, Katherine S. Yang, Yusuf Surucu, Fuat B. Bengur, José A. Arellano, Zayaan Tirmizi, Hamid Malekzadeh, Michael W. Epperly, Wen Hou, Joel S. Greenberger, J. Peter Rubin, Asim Ejaz
Format: Article
Language:English
Published: Elsevier 2023-09-01
Series:iScience
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2589004223017376
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author Somaiah Chinnapaka
Katherine S. Yang
Yusuf Surucu
Fuat B. Bengur
José A. Arellano
Zayaan Tirmizi
Hamid Malekzadeh
Michael W. Epperly
Wen Hou
Joel S. Greenberger
J. Peter Rubin
Asim Ejaz
author_facet Somaiah Chinnapaka
Katherine S. Yang
Yusuf Surucu
Fuat B. Bengur
José A. Arellano
Zayaan Tirmizi
Hamid Malekzadeh
Michael W. Epperly
Wen Hou
Joel S. Greenberger
J. Peter Rubin
Asim Ejaz
author_sort Somaiah Chinnapaka
collection DOAJ
description Summary: Radiation therapy can lead to late radiation-induced skin fibrosis (RISF), causing movement restriction, pain, and organ dysfunction. This study evaluated adipose-derived extracellular matrix (Ad-ECM) as a mitigator of RISF. Female C57BL/6J mice that were irradiated developed fibrosis, which was mitigated by a single local Ad-ECM injection, improving limb movement and reducing epithelium thickness and collagen deposition. Ad-ECM treatment resulted in decreased expression of pro-inflammatory and fibrotic genes, and upregulation of anti-inflammatory cytokines, promoting M2 macrophage polarization. Co-culture of irradiated human fibroblasts with Ad-ECM down-modulated fibrotic gene expression and enhanced bone marrow cell migration. Ad-ECM treatment also increased interleukin (IL)-4, IL-5, and IL-15 expression in endothelial cells, stimulating M2 macrophage polarization and alleviating RISF. Prophylactic use of Ad-ECM showed effectiveness in mitigation. This study suggests Ad-ECM’s potential in treating chronic-stage fibrosis.
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spelling doaj.art-d0e04c23d33743148cafa71d07da74642023-09-01T05:02:57ZengElsevieriScience2589-00422023-09-01269107660Human adipose ECM alleviates radiation-induced skin fibrosis via endothelial cell-mediated M2 macrophage polarizationSomaiah Chinnapaka0Katherine S. Yang1Yusuf Surucu2Fuat B. Bengur3José A. Arellano4Zayaan Tirmizi5Hamid Malekzadeh6Michael W. Epperly7Wen Hou8Joel S. Greenberger9J. Peter Rubin10Asim Ejaz11Department of Plastic Surgery, University of Pittsburgh, Pittsburgh, PA, USADepartment of Plastic Surgery, University of Pittsburgh, Pittsburgh, PA, USADepartment of Plastic Surgery, University of Pittsburgh, Pittsburgh, PA, USADepartment of Plastic Surgery, University of Pittsburgh, Pittsburgh, PA, USADepartment of Plastic Surgery, University of Pittsburgh, Pittsburgh, PA, USADepartment of Plastic Surgery, University of Pittsburgh, Pittsburgh, PA, USADepartment of Plastic Surgery, University of Pittsburgh, Pittsburgh, PA, USADepartment of Radiation Oncology, University of Pittsburgh Cancer Institute, Pittsburgh, PA, USADepartment of Radiation Oncology, University of Pittsburgh Cancer Institute, Pittsburgh, PA, USADepartment of Radiation Oncology, University of Pittsburgh Cancer Institute, Pittsburgh, PA, USADepartment of Plastic Surgery, University of Pittsburgh, Pittsburgh, PA, USADepartment of Plastic Surgery, University of Pittsburgh, Pittsburgh, PA, USA; Corresponding authorSummary: Radiation therapy can lead to late radiation-induced skin fibrosis (RISF), causing movement restriction, pain, and organ dysfunction. This study evaluated adipose-derived extracellular matrix (Ad-ECM) as a mitigator of RISF. Female C57BL/6J mice that were irradiated developed fibrosis, which was mitigated by a single local Ad-ECM injection, improving limb movement and reducing epithelium thickness and collagen deposition. Ad-ECM treatment resulted in decreased expression of pro-inflammatory and fibrotic genes, and upregulation of anti-inflammatory cytokines, promoting M2 macrophage polarization. Co-culture of irradiated human fibroblasts with Ad-ECM down-modulated fibrotic gene expression and enhanced bone marrow cell migration. Ad-ECM treatment also increased interleukin (IL)-4, IL-5, and IL-15 expression in endothelial cells, stimulating M2 macrophage polarization and alleviating RISF. Prophylactic use of Ad-ECM showed effectiveness in mitigation. This study suggests Ad-ECM’s potential in treating chronic-stage fibrosis.http://www.sciencedirect.com/science/article/pii/S2589004223017376Cell biologyDermatologyFibrosisImmunologyStem cells research
spellingShingle Somaiah Chinnapaka
Katherine S. Yang
Yusuf Surucu
Fuat B. Bengur
José A. Arellano
Zayaan Tirmizi
Hamid Malekzadeh
Michael W. Epperly
Wen Hou
Joel S. Greenberger
J. Peter Rubin
Asim Ejaz
Human adipose ECM alleviates radiation-induced skin fibrosis via endothelial cell-mediated M2 macrophage polarization
iScience
Cell biology
Dermatology
Fibrosis
Immunology
Stem cells research
title Human adipose ECM alleviates radiation-induced skin fibrosis via endothelial cell-mediated M2 macrophage polarization
title_full Human adipose ECM alleviates radiation-induced skin fibrosis via endothelial cell-mediated M2 macrophage polarization
title_fullStr Human adipose ECM alleviates radiation-induced skin fibrosis via endothelial cell-mediated M2 macrophage polarization
title_full_unstemmed Human adipose ECM alleviates radiation-induced skin fibrosis via endothelial cell-mediated M2 macrophage polarization
title_short Human adipose ECM alleviates radiation-induced skin fibrosis via endothelial cell-mediated M2 macrophage polarization
title_sort human adipose ecm alleviates radiation induced skin fibrosis via endothelial cell mediated m2 macrophage polarization
topic Cell biology
Dermatology
Fibrosis
Immunology
Stem cells research
url http://www.sciencedirect.com/science/article/pii/S2589004223017376
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