THE INDUCTIVE CAPACITY OF PRIMARY CULTURED ORAL MUCOSAL KERATINOCYTES IN SKIN WOUND HEALING OF ATHYMIC NUDE MICE

배양된 구강점막 각화상피세포가 누드마우스 피부 창상 치유에 미치는 효과

  • Kim, Hyun-Sil (Department of Oral Pathology, Oral Cancer Research Institute, Yonsei University College of Dentistry, Brain Korea 21 project for Medical Science) ;
  • Kim, Nam-Hee (Department of Oral Pathology, Oral Cancer Research Institute, Yonsei University College of Dentistry, Brain Korea 21 project for Medical Science) ;
  • Kim, Jin (Department of Oral Pathology, Oral Cancer Research Institute, Yonsei University College of Dentistry, Brain Korea 21 project for Medical Science) ;
  • Cha, In-Ho (Department of Oral and Maxillofacial Surgery, Oral Cancer Research Institute, Yonsei University College of Dentistry, Brain Korea 21 project for Medical Science)
  • 김현실 (연세대학교 치과대학 구강병리학교실, 구강종양연구소, 두뇌한국 21 의과학사업단) ;
  • 김남희 (연세대학교 치과대학 구강병리학교실, 구강종양연구소, 두뇌한국 21 의과학사업단) ;
  • 김진 (연세대학교 치과대학 구강병리학교실, 구강종양연구소, 두뇌한국 21 의과학사업단) ;
  • 차인호 (연세대학교 치과대학 구강악안면외과학교실, 구강종양연구소, 두뇌한국 21 의과학사업단)
  • Published : 2004.08.31

Abstract

Aim: The aim of this study was to investigate the mechanism of promoted skin wound healing in skin defects with primary cultured oral mucosal keratinocytes. Materials and methods: Thirty adult female nude mice weighing $20{\pm}2g$ were used for the experiment. Primary cultured and suspended oral mucosal keratinocytes, labeled with BrdU, were scattered onto $1.5cm{\times}1.5cm$ sized full thickness skin defects in the experimental group(N=15), and no grafts were placed the control group(N=15). They were sacrificed at 3 days, 1 week and 2 weeks after the treatment respectively. Histological examination of each wounds were performed to review the healing progress on measuring the length from the wound margin to regenerating epithelial front. The role of keratinocytes were assessed by double immunohistochemical staining with Anti-BrdU and Anti-cytokeratin AE1/3. Results: In the experimental group the wound was completely covered with regenerating epithelia in 2 weeks, but partially regenerated in the control group. The immunohistochemical studies unexpectedly reveal that most of regenerating epithelial cells were induced from marginal epithelium of the margin, not from the scattered keratinocytes. Conclusion: We could successfully confirm that graft of primary cultured oral mucosal keratinocytes promotes the regeneration of skin defects.

Keywords

References

  1. Lee KH: Tissue-engineered human living skin substitutes: development and clinical application. Yonsei Med J 2000;41(6):774-9 https://doi.org/10.3349/ymj.2000.41.6.774
  2. Lauer G: Autografting of feeder-cell free cultured gingival epithelium. Method and clinical application. J Craniomaxillofac Surg 1994;22(1):18-22 https://doi.org/10.1016/S1010-5182(05)80291-4
  3. Lauer G, Schimming R: Tissue-engineered mucosa graft for reconstruction of the intraoral lining after freeing of the tongue: a clinical and immunohistologic study. J Oral Maxillofac Surg 2001;59(2):169-75; discussion 175-7 https://doi.org/10.1053/joms.2001.20489
  4. Lauer G, Schimming R, Frankenschmidt A: Intraoral wound closure with tissue-engineered mucosa: new perspectives for urethra reconstruction with buccal mucosa grafts. Plast Reconstr Surg 2001;107(1):25-33 https://doi.org/10.1097/00006534-200101000-00005
  5. Arenholt-Bindslev D, Jepsen A, MacCallum DK, Lillie JH: The growth and structure of human oral keratinocytes in culture. J Invest Dermatol 1987;88(3):314-9 https://doi.org/10.1111/1523-1747.ep12466191
  6. Southgate J, Williams HK, Trejdosiewicz LK, Hodges GM: Primary culture of human oral epithelial cells. Growth requirements and expression of differentiated characteristics. Lab Invest 1987; 56(2):211-23
  7. Tsunenaga M, Kohno Y, Horii I, Yasumoto S, Huh NH, Tachikawa T, Yoshiki S, Kuroki T: Growth and differentiation properties of normal and transformed human keratinocytes in organotypic culture. Jpn J Cancer Res 1994;85(3):238-44 https://doi.org/10.1111/j.1349-7006.1994.tb02088.x
  8. Fujiyama C, Masaki Z, Sugihara H: Reconstruction of the urinary bladder mucosa in three-dimensional collagen gel culture: fibroblast- extracellular matrix interactions on the differentiation of transitional epithelial cells. J Urol 1995;153(6):2060-7 https://doi.org/10.1016/S0022-5347(01)67402-0
  9. 차인호, 육종인, 손영숙, 이은하, 정소영, 김경주, 김진: 구강점막 각화 상피의 삼차원적 배양과 재건된 조직의 생물학적 특성. 대한병리학회지 2000;34:181-189
  10. Mackenzie IC, Hill MW: Connective tissue influences on patterns of epithelial architecture and keratinization in skin and oral mucosa of the adult mouse skin. Cell Tissue Res 1984;235(3):551-9
  11. Hall BK: A role for epithelial-mesenchymal interactions in tail growth/morphogenesis and chondrogenesis in embryonic mice. Cells Tissues Organs 2000;166(1):6-14 https://doi.org/10.1159/000016703
  12. Ueda M, Hata K, Horie K, Torii S: The potential of oral mucosal cells for cultured epithelium: a preliminary report. Ann Plast Surg 1995;35(5):498-504 https://doi.org/10.1097/00000637-199511000-00009
  13. Waymack P, Duff RG, Sabolinski M: The effect of a tissue engineered bilayered living skin analog, over meshed split-thickness autografts on the healing of excised burn wounds. The Apligraf Burn Study Group. Burns 2000;26(7):609-19 https://doi.org/10.1016/S0305-4179(00)00017-6
  14. Izumi K, Terashi H, Marcelo CL, Feinberg SE: Development and characterization of a tissue-engineered human oral mucosa equivalent produced in a serum-free culture system. J Dent Res 2000; 79(3):798-805 https://doi.org/10.1177/00220345000790030301
  15. Hollander DA, Soranzo C, Falk S, Windolf J: Extensive traumatic soft tissue loss: reconstruction in severely injured patients using cultured hyaluronan-based three-dimensional dermal and epidermal autografts J Trauma 2001;50(6):1125-36
  16. 문선재: 구강점막의 polydioxanone mesh를 이용한 조직 공학적 재건. 석사학위논문, 연세대학교 대학원, 서울, 2002
  17. Gratzner HG, Leif RC, Ingram DJ, Castro A: The use of antibody specific for bromodeoxyuridine for the immunofluorescent determination of DNA replication in single cells and chromosomes. Exp Cell Res 1975;95(1):88-94 https://doi.org/10.1016/0014-4827(75)90612-6
  18. Tseng SC, Jarvinen MJ, Nelson WG, Huang JW, Woodcock-Mitchell J, Sun TT: Correlation of specific keratins with different types of epithelial differentiation: monoclonal antibody studies. Cell 1982;30(2):361-72 https://doi.org/10.1016/0092-8674(82)90234-3
  19. Kupper TS: The activated keratinocyte: a model for inducible cytokine production by non-bone marrow-derived cells in cutaneous inflammatory and immune responses. J Invest Dermatol 1990;94(6 Suppl):146S-150S https://doi.org/10.1111/1523-1747.ep12876130
  20. Gottlieb AB, Chang CK, Posnett DN, Fanelli B, Tam JP: Detection of transforming growth factor alpha in normal, malignant, and hyperproliferative human keratinocytes. J Exp Med 1988;167(2):670-5 https://doi.org/10.1084/jem.167.2.670
  21. Andreadis ST, Hamoen KE, Yarmush ML, Morgan JR: Keratinocyte growth factor induces hyperproliferation and delays differentiation in a skin equivalent model system. FASEB J 2001;15(6):898-906 https://doi.org/10.1096/fj.00-0324com
  22. McKay IA, Leigh IM: Epidermal cytokines and their roles in cutaneous wound healing. Br J Dermatol 1991;124(6):513-8 https://doi.org/10.1111/j.1365-2133.1991.tb04942.x
  23. Lauer G, Schimming R, Gellrich NC, Schmelzeisen R: Prelaminating the fascial radial forearm flap by using tissue-engineered mucosa: improvement of donor and recipient sites. Plast Reconstr Surg 2001;108(6):1564-72; discussion 1573-5 https://doi.org/10.1097/00006534-200111000-00019
  24. Falanga V, Isaacs C, Paquette D, Downing G, Kouttab N, Butmarc J, Badiavas E, Hardin-Young J: Wounding of bioengineered skin: cellular and molecular aspects after injury. J Invest Dermatol 2002;119(3):653-60 https://doi.org/10.1046/j.1523-1747.2002.01865.x
  25. Robson MC, Phillips TJ, Falanga V, Odenheimer DJ, Parish LC, Jensen JL, Steed DL: Randomized trial of topically applied repifermin (recombinant human keratinocyte growth factor-2) to accelerate wound healing in venous ulcers. Wound Repair Regen 2001; 9(5):347-52 https://doi.org/10.1046/j.1524-475x.2001.00347.x
  26. Gorczyca W, Gong J, Darzynkiewicz Z: Detection of DNA strand breaks in individual apoptotic cells by the in situ terminal deoxynucleotidyl transferase and nick translation assays. Cancer Res 1993;53(8):1945-51
  27. Maruoka Y, Harada H, Mitsuyasu T, Seta Y, Kurokawa H, Kajiyama M, Toyoshima K: Keratinocytes become terminally differentiated in a process involving programmed cell death. Biochem Biophys Res Commun 1997;238(3):886-90 https://doi.org/10.1006/bbrc.1997.7405