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      Oleanolic acid regulates the proliferation and extracellular matrix of keloid fibroblasts by mediating the TGF‐β1/SMAD signaling pathway

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          Abstract

          Background

          Keloid (KD) is a unique pathological fibroproliferative disease that seriously affects the appearance of patients. This study investigated the effect of oleanolic acid (OA) on the proliferation of keloid fibroblasts (KFs) and the expression of extracellular matrix (ECM)‐related proteins.

          Methods

          The proliferation of KFs was evaluated using an MTT assay. The effects of OA on intra‐ and extracellular levels of fibronectin (FN), procollagen I, matrix metalloproteinase‐1 (MMP‐1), and α‐smooth muscle actin (α‐SMA) were evaluated using Western blotting. To simulate the KD microenvironment, TGF‐β1 was added to the serum‐free culture medium, and KFs were incubated with TGF‐β1 and OA for 24 h. The intra‐ and extracellular levels of the ECM‐related proteins and the effect of OA on TGF‐β1‐induced phosphorylation of the SMAD2 and SMAD3 proteins were evaluated using Western blotting.

          Results

          OA inhibited the proliferation of KFs in a concentration‐ and time‐dependent manner. Furthermore, OA treatment of KFs reduced the intra‐ and extracellular levels of FN, procollagen I, and α‐SMA and increased those of MMP‐1. OA also reduced TGF‐β1‐induced increases in the intra‐ and extracellular levels of FN, procollagen I, and α‐SMA and increased the levels of the MMP‐1 protein. Additionally, OA significantly reduced TGF‐β1‐induced phosphorylation of SMAD2 and SMAD3 in KFs.

          Conclusions

          OA inhibited KF proliferation and reduced ECM deposition through the TGF‐β1/SMAD pathway, which suggests that OA may be an effective drug for the prevention and treatment of KD.

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          Most cited references18

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          Collagen structure and stability.

          Collagen is the most abundant protein in animals. This fibrous, structural protein comprises a right-handed bundle of three parallel, left-handed polyproline II-type helices. Much progress has been made in elucidating the structure of collagen triple helices and the physicochemical basis for their stability. New evidence demonstrates that stereoelectronic effects and preorganization play a key role in that stability. The fibrillar structure of type I collagen-the prototypical collagen fibril-has been revealed in detail. Artificial collagen fibrils that display some properties of natural collagen fibrils are now accessible using chemical synthesis and self-assembly. A rapidly emerging understanding of the mechanical and structural properties of native collagen fibrils will guide further development of artificial collagenous materials for biomedicine and nanotechnology.
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            The Keloid Disorder: Heterogeneity, Histopathology, Mechanisms and Models

            Keloids constitute an abnormal fibroproliferative wound healing response in which raised scar tissue grows excessively and invasively beyond the original wound borders. This review provides a comprehensive overview of several important themes in keloid research: namely keloid histopathology, heterogeneity, pathogenesis, and model systems. Although keloidal collagen versus nodules and α-SMA-immunoreactivity have been considered pathognomonic for keloids versus hypertrophic scars, conflicting results have been reported which will be discussed together with other histopathological keloid characteristics. Importantly, histopathological keloid abnormalities are also present in the keloid epidermis. Heterogeneity between and within keloids exists which is often not considered when interpreting results and may explain discrepancies between studies. At least two distinct keloid phenotypes exist, the superficial-spreading/flat keloids and the bulging/raised keloids. Within keloids, the periphery is often seen as the actively growing margin compared to the more quiescent center, although the opposite has also been reported. Interestingly, the normal skin directly surrounding keloids also shows partial keloid characteristics. Keloids are most likely to occur after an inciting stimulus such as (minor and disproportionate) dermal injury or an inflammatory process (environmental factors) at a keloid-prone anatomical site (topological factors) in a genetically predisposed individual (patient-related factors). The specific cellular abnormalities these various patient, topological and environmental factors generate to ultimately result in keloid scar formation are discussed. Existing keloid models can largely be divided into in vivo and in vitro systems including a number of subdivisions: human/animal, explant/culture, homotypic/heterotypic culture, direct/indirect co-culture, and 3D/monolayer culture. As skin physiology, immunology and wound healing is markedly different in animals and since keloids are exclusive to humans, there is a need for relevant human in vitro models. Of these, the direct co-culture systems that generate full thickness keloid equivalents appear the most promising and will be key to further advance keloid research on its pathogenesis and thereby ultimately advance keloid treatment. Finally, the recent change in keloid nomenclature will be discussed, which has moved away from identifying keloids solely as abnormal scars with a purely cosmetic association toward understanding keloids for the fibroproliferative disorder that they are.
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              Current potential therapeutic strategies targeting the TGF-β/Smad signaling pathway to attenuate keloid and hypertrophic scar formation

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                Author and article information

                Contributors
                Journal
                Journal of Cosmetic Dermatology
                J of Cosmetic Dermatology
                Wiley
                1473-2130
                1473-2165
                July 2023
                February 27 2023
                July 2023
                : 22
                : 7
                : 2083-2089
                Affiliations
                [1 ] Department of Medical Cosmetology Yanbian University Hospital Jilin China
                [2 ] Department of Dermatology Yanbian University Hospital Jilin China
                [3 ] Yanbian University Medical College Jilin China
                Article
                10.1111/jocd.15673
                a0ef5a9a-f735-4ed5-8247-cf7d5cc78d3a
                © 2023

                http://creativecommons.org/licenses/by/4.0/

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