DOI QR코드

DOI QR Code

Effect of Relaxin Expressing Adenovirus on Scar Remodeling: A Preliminary Study

  • Jung, Bok Ki (Department of Plastic and Reconstructive Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Lee, Won Jai (Institute for Human Tissue Restoration, Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine) ;
  • Kang, Eunhye (Institute for Human Tissue Restoration, Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine) ;
  • Ahn, Hyo Min (Department of Bioengineering, College of Engineering, Hanyang University) ;
  • Kim, Yong Oock (Institute for Human Tissue Restoration, Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine) ;
  • Rah, Dong Kyun (Institute for Human Tissue Restoration, Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine) ;
  • Yun, Chae-Ok (Department of Bioengineering, College of Engineering, Hanyang University) ;
  • Yun, In Sik (Department of Plastic and Reconstructive Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine)
  • Received : 2017.01.19
  • Accepted : 2017.02.24
  • Published : 2017.03.20

Abstract

Background: Relaxin is a transforming growth factor ${\beta}1$ antagonist. To determine the effects of relaxin on scar reduction, we investigated the scar remodeling process by injecting relaxin-expressing adenoviruses using a pig scar model. Methods: Scars with full thickness were generated on the backs of Yorkshire pigs. Scars were divided into two groups (relaxin [RLX] and Control). Adenoviruses were injected into the RLX (expressing relaxin) and Control (not expressing relaxin) groups. Changes in the surface areas, color index and pliability of scars were compared. Results: Fifty days after treatment, the surface areas of scars decreased, the color of scars was normalized, and the pliability of scars increased in RLX group. Conclusion: Relaxin-expressing adenoviruses improved the surface area, color, and pliability of scars. The mechanism of therapeutic effects on scar formation should be further investigated.

Keywords

References

  1. Lorenz HP. Wound healing: Repair biology and wound and scar treatment. In: Mathes SJ, editor. Mathes Plastic surgery. 2nd ed. Philadelphia: Saunders; 2006. p. 209-35.
  2. Desmouliere A, Darby IA, Gabbiani G. Normal and pathologic soft tissue remodeling: role of the myofibroblast, with special emphasis on liver and kidney fibrosis. Lab Invest 2003;83:1689-707.
  3. Samuel CS, Hewitson TD, Unemori EN, Tang ML. Drugs of the future: the hormone relaxin. Cell Mol Life Sci 2007;64:1539-57.
  4. Sherwood OD. Relaxin’s physiological roles and other diverse actions. Endocr Rev 2004;25:205-34.
  5. Samuel CS, Hewitson TD. Relaxin in cardiovascular and renal disease. Kidney Int 2006;69:1498-502.
  6. Dschietzig T, Bartsch C, Baumann G, Stangl K. Relaxin-a pleiotropic hormone and its emerging role for experimental and clinical therapeutics. Pharmacol Ther 2006;112:38-56.
  7. Unemori EN, Erikson ME, Rocco SE, Sutherland KM, Parsell DA, Mak J, et al. Relaxin stimulates expression of vascular endothelial growth factor in normal human endometrial cells in vitro and is associated with menometrorrhagia in women. Hum Reprod 1999;14:8006.
  8. Kim JH, Lee YS, Kim H, Huang JH, Yoon AR, Yun CO. Relaxin expression from tumor-targeting adenoviruses and its intratumoral spread, apoptosis induction, and efficacy. J Natl Cancer Inst 2006;98:1482-93.
  9. Unemori EN, Lewis M, Constant J, Arnold G, Grove BH, Normand J, et al. Relaxin induces vascular endothelial growth factor expression and angiogenesis selectively at wound sites. Wound Repair Regen 2000;8:361-70.
  10. Kim J, Cho JY, Kim JH, Jung KC, Yun CO. Evaluation of E1B gene-attenuated replicating adenoviruses for cancer gene therapy. Cancer Gene Ther 2002;9:725-36.
  11. Chartier C, Degryse E, Gantzer M, Dieterle A, Pavirani A, Mehtali M. Efficient generation of recombinant adenovirus vectors by homologous recombination in Escherichia coli. J Virol 1996;70:4805-10.
  12. Lee WJ, Kim YO, Choi IK, Rah DK, Yun CO. Adenovirus-relaxin gene therapy for keloids: implication for reversing pathological fibrosis. Br J Dermatol 2011;165:673-7.
  13. Lee WJ, Choi IK, Lee JH, Lee JS, Kim YO, Rah DK, et al. Relaxin-expressing adenovirus decreases collagen synthesis and up-regulates matrix metalloproteinase expression in keloid fibroblasts: in vitro experiments. Plast Reconstr Surg 2012;130:407e-417e.
  14. Lee WJ, Yun CO, Yun IS, Kim YO, Choi IK, Yun TJ, et al. Augmentation of rat skin flap viability by relaxin-expressing adenovirus. Wound Repair Regen 2011;19:709-17.
  15. Yun IS, Lee WJ, Rah DK, Kim YO, Park BY. Skin color analysis using a spectrophotometer in Asians. Skin Res Technol 2010;16:311-5.
  16. Park BY, Shin IS, Yun IS. Dovetail scar revision. Dermatol Surg 2012;38:1716-21.
  17. Kim SG, Kim EY, Kim YJ, Lee SI. The efficacy and safety of ablative fractional resurfacing using a 2,940-Nm Er:YAG laser for traumatic scars in the early posttraumatic period. Arch Plast Surg 2012;39:232-7.
  18. Greenhalgh DG. Consequences of excessive scar formation: dealing with the problem and aiming for the future. Wound Repair Regen 2007;15 Suppl 1:S2-5.
  19. Shah M, Foreman DM, Ferguson MW. Neutralising antibody to TGF-beta 1,2 reduces cutaneous scarring in adult rodents. J Cell Sci 1994;107(Pt 5):1137-57.
  20. Wilgus TA, Vodovotz Y, Vittadini E, Clubbs EA, Oberyszyn TM. Reduction of scar formation in full-thickness wounds with topical celecoxib treatment. Wound Repair Regen 2003;11:25-34.
  21. Liu W, Chua C, Wu X, Wang D, Ying D, Cui L, et al. Inhibiting scar formation in rat wounds by adenovirus-mediated overexpression of truncated TGF-beta receptor II. Plast Reconstr Surg 2005;115:860-70.
  22. Gallant CL, Olson ME, Hart DA. Molecular, histologic, and gross phenotype of skin wound healing in red Duroc pigs reveals an abnormal healing phenotype of hypercontracted, hyperpigmented scarring. Wound Repair Regen 2004;12:305-19.
  23. Margulis A, Nocka KH, Wood NL, Wolf SF, Goldman SJ, Kasaian MT. MMP dependence of fibroblast contraction and collagen production induced by human mast cell activation in a three-dimensional collagen lattice. Am J Physiol Lung Cell Mol Physiol 2009;296:L236-47.
  24. Kitamura Y, Oboki K, Ito A. Molecular mechanisms of mast cell development. Immunol Allergy Clin North Am 2006;26:387-405.
  25. Sur R, Cavender D, Malaviya R. Different approaches to study mast cell functions. Int Immunopharmacol 2007;7:555-67.
  26. Gilfillan AM, Rivera J. The tyrosine kinase network regulating mast cell activation. Immunol Rev 2009;228:149-69.
  27. Yun IS, Jeon YR, Lee WJ, Lee JW, Rah DK, Tark KC, et al. Effect of human adipose derived stem cells on scar formation and remodeling in a pig model: a pilot study. Dermatol Surg 2012;38:1678-88.
  28. Corr DT, Gallant-Behm CL, Shrive NG, Hart DA. Biomechanical behavior of scar tissue and uninjured skin in a porcine model. Wound Repair Regen 2009;17:250-9.
  29. Wang XQ, Kravchuk O, Liu PY, Kempf M, Boogaard CV, Lau P, et al. The evaluation of a clinical scar scale for porcine burn scars. Burns 2009;35:538-46.
  30. Wang XQ, Liu PY, Kempf M, Cuttle L, Chang AH, Wong M, et al. Burn healing is dependent on burn site: a quantitative analysis from a porcine burn model. Burns 2009;35:264-9.
  31. Zhao S, Lee HY, Sherwood OD. Porcine and human relaxin bioactivity: bioactivities of porcine relaxin and human relaxin do not differ in mice and rats. Ann N Y Acad Sci 2005;1041:126-31.
  32. Perna AM, Masini E, Nistri S, Bani Sacchi T, Bigazzi M, Bani D. Human recombinant relaxin reduces heart injury and improves ventric ular performance in a swine model of acute myocardial infarction. Ann N Y Acad Sci 2005;1041:431-3.
  33. Nistri S, Cinci L, Perna AM, Masini E, Mastroianni R, Bani D. Relaxin induces mast cell inhibition and reduces ventricular arrhythmias in a swine model of acute myocardial infarction. Pharmacol Res 2008;57:43-8.
  34. Nistri S, Cinci L, Perna AM, Masini E, Bani D. Mast cell inhibition and reduced ventricular arrhythmias in a swine model of acute myocardial infarction upon therapeutic administration of relaxin. Inflamm Res 2008;57 Suppl 1:S7-8.