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Prasad A, Lin F, Clark RAF. Fibronectin-derived Epiviosamines enhance PDGF-BB-stimulated human dermal fibroblast migration in vitro and granulation tissue formation in vivo. Wound Repair Regen 2019; 27:634-649. [PMID: 31219655 DOI: 10.1111/wrr.12744] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2018] [Accepted: 05/28/2019] [Indexed: 01/01/2023]
Abstract
Fibronectin (FN) is a multimodular glycoprotein that is a critical component of the extracellular matrix (ECM) anlage during embryogenesis, morphogenesis, and wound repair. Our laboratory has previously described a family of FN-derived peptides collectively called "epiviosamines" that enhance platelet-derived growth factor-BB (PDGF-BB)-driven tissue cell survival, speed burn healing, and reduce scarring. In this study, we used an agarose drop outmigration assay to report that epiviosamines can enhance PDGF-BB-stimulated adult human dermal fibroblast (AHDF) outmigration in a dose-dependent manner. Furthermore, these peptides can, when delivered topically, stimulate granulation tissue formation in vivo. A thiol-derivatized hyaluronan hydrogel cross-linked with polyethyleneglycol diacrylate (PEGDA) was used to topically deliver a cyclized epiviosamine: cP12 and a cyclized engineered variant of cP12 termed cNP8 to porcine, full-thickness, excisional wounds. Both cP12 and cNP8 exhibited dose-dependent increases in granulation tissue formation at day 4, with 600 μM cNP8 significantly enhancing new granulation tissue compared to vehicle alone. In contrast to previous studies, this study suggests that epiviosamines can be used to increase granulation tissue formation without an exogenous supply of PDGF-BB or any cell-binding peptides. Thus, epiviosamine may be useful topically to increase granulation tissue formation in acute wounds.
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Affiliation(s)
- Atulya Prasad
- Department of Biomedical Engineering, Health Science Center T16-060, Stony Brook University, Stony Brook, New York, 11794-8165.,NeoMatrix Therapeutics, Inc., 25 Health Sciences Drive, Stony Brook, New York, 11790
| | - Fubao Lin
- Department of Biomedical Engineering, Health Science Center T16-060, Stony Brook University, Stony Brook, New York, 11794-8165.,NeoMatrix Therapeutics, Inc., 25 Health Sciences Drive, Stony Brook, New York, 11790
| | - Richard A F Clark
- Department of Biomedical Engineering, Health Science Center T16-060, Stony Brook University, Stony Brook, New York, 11794-8165.,Department of Dermatology, Health Science Center T16-060, Stony Brook University, Stony Brook, New York, 11794-8165.,Department of Medicine, Health Science Center T16-060, Stony Brook University, Stony Brook, New York, 11794-8165
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Clark RAF, Fenner J, Sasson A, McClain SA, Singer AJ, Tonnesen MG. Blood vessel occlusion with erythrocyte aggregates causes burn injury progression-microvasculature dilation as a possible therapy. Exp Dermatol 2018; 27:625-629. [PMID: 29478253 DOI: 10.1111/exd.13518] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/14/2018] [Indexed: 12/28/2022]
Abstract
Burns are dynamic injuries characterized by progressive tissue death and continuous severe pain over the course of several days. The extent of burn injury progression determines the ultimate patient outcome. Initial burns result in a central zone of necrosis surrounded by a potentially viable zone of ischemia. Several mechanisms have been proposed to explain injury progression, including oxidant and cytokine stress resulting from either ischemia/reperfusion and/or inflammation, but no proven therapy has emerged. To address the unmet need to limit burn injury progression, the root cause of this process must be delineated. For this reason, we have recently focused on post-burn blood vessel occlusion, currently ascribed to microthrombi. We have found that blood vessel occlusion is initially, mainly and persistently caused by erythrocyte aggregation. Although thermal-induced cell necrosis is the immediate cause of cell death, apoptotic cells from persistent ischemia/anoxia, admixed with inflammatory cells, form a band between viable and nonviable tissue 24 hours later. The delayed cell death by apoptosis appears to be the main attractant for inflammatory cells. Finally, we posit that fibrinogen elevation arising from inflammation provides stimulus for additional erythrocyte aggregation, further extending blood vessel occlusion. In our view this persistent occlusion with resultant prolonged tissue ischemia/anoxia, not ischemia/reperfusion, is the root cause of burn injury progression concomitant with associated severe and persistent pain. Epiviosamines, a new class of peptides, appear to selectively dilate microvasculature, and may provide therapy for burn injury progression.
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Affiliation(s)
- Richard A F Clark
- Departments of Dermatology, School of Medicine, Stony Brook University, Stony Brook, NY, USA.,Biomedical Engineering, School of Medicine, Stony Brook University, Stony Brook, NY, USA
| | - Justine Fenner
- Departments of Dermatology, School of Medicine, Stony Brook University, Stony Brook, NY, USA
| | - Arielle Sasson
- Departments of Dermatology, School of Medicine, Stony Brook University, Stony Brook, NY, USA
| | - Steve A McClain
- Departments of Dermatology, School of Medicine, Stony Brook University, Stony Brook, NY, USA.,Emergency Medicine, School of Medicine, Stony Brook University, Stony Brook, NY, USA
| | - Adam J Singer
- Emergency Medicine, School of Medicine, Stony Brook University, Stony Brook, NY, USA
| | - Marcia G Tonnesen
- Departments of Dermatology, School of Medicine, Stony Brook University, Stony Brook, NY, USA.,Dermatology Section, Medicine Service, Veterans Affairs Medical Center, Northport, NY, USA
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