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ABSTRACTS

ETRS STUTTGART MEETING, 2005
Young Investigators Awards

Design of a novel proteolysis resistant VEGF variant
Eming S.1, Roth D.1, Lauer G.1, Paulsson M.2, Davidson J.3 and Krieg T.1,
1Dermatology, University of Cologne, Germany,
2Center for Biochemistry, University of Cologne, Germany, 3Department of Pathology, Vanderbilt
University School of Medicine and VA Medical Center, Nashville, Tennessee, U.S.A.


Vascular endothelial growth factor (VEGF) is a potent angiogenic mediator in tissue repair. Recently we demonstrated that in non-healing human wounds a plasmincatalyzed cleavage significantly reduces the bioactivity of the VEGF-A isoform VEGF165, suggesting that VEGF165 degradation and inactivation contribute to an impaired healing response. Plasmin digestion results in loss of the carboxyl-terminal heparin-binding domain. To investigate the biological relevance of the protease sensitivity of VEGF165 during cutaneous repair, we assessed the activity of a VEGF165 mutant resistant to plasmin proteolysis (VEGF165-MutPro111) in a genetic mouse model of impaired wound healing (db/db mouse). In this mouse model the stability of the mutant VEGF165 was substantially increased in wound tissue lysates in comparison to VEGF165 wild type thus indicating a prolonged activity of the plasmin resistant VEGF165 mutant. The db/db delayed healing phenotype could be reversed by topical application of VEGF165-MutPro111 and most interestingly
the resistance of VEGF165 to plasmin cleavage resulted in the increased stability of vascular structures during the late phase of healing due to delayed and reduced endothelial cell apoptosis. Our data provide the first indication that plasmin-catalyzed cleavage modulates VEGF165 mediated angiogenesis in vivo. Our experiments propose that the ability to stabilize the heparin-binding capability of VEGF165-A may help to preserve the biological function of VEGF165 under conditions in which proteases are highly active such as wound repair and inflammation.

Contact:

Priv.-Doz. Dr med. Sabine Eming, University of Cologne, Joseph-Stelzmann Str. 9,
50931 Köln, Germany Tel: +49 221 4783196


Role of Shc family signaling protein in mesenchymal stem cell
Akino K.1, Imaizumi T.2, Mori N.1, Hirano A.2 and Akita S.2
1Nagasaki University, Department of Developmental and Reconstructive Medicine 2Nagasaki University, Department of Plastic Surgery, Nagasaki, Japan


Mesenchymal stem cells are implicated in the neurological disorders and neuronal differentiation. The neurological
imbalance and abnormality may lead to impaired wound healing such as paraplegic and diabetic diseases. Mesenchymal stem cell grafting in the cutaneous wounds successfully improves the rate of the healing, however, the further mechanisms are unknown. Shc is one of intracellular signaling proteins related to various cell functions. Detail analysis of Shc in mesenchymal stem cells may implicate in neuronal and curtaneous regeneration. Shc recognizes the phosphorylation of various growth factor receptors and the activated signals are transported to Ras- ERK or JNK via Grb2-SOS. Therefore, Shc is the cytosolic protein involves in cell proliferation, cell differentiation, and induction of apoptosis. Among Shc family, ShcC/Neuronal Shc (N-Shc) is one of the homologues of Shc proteins and demonstrated the neuron-specific actions. Human mesenchymal stem cells (hMSCs), which is distinctively sorted by cell surface antigens and the cell properties and bone marrow stromal cell derived from ShcC deleted mice are further analyzed in vitro and in vivo. Various neuronal markers such as Shc family and stathminrelated proteins are investigated. The hMSCs demonstrated immunoreactivities in SCG10 and OP-18(stathmin) in cytoplasms, whereas there were only Shc and ShcC cytoplasmic immunoreactivites but not in Sck, which is specific to membrane depolarization. The immunoreactively positive cells were all blackout in the nuclei, in which DAPI immunoreactivities were also observed. The RT-PCR transcript levels normalized by the internal G3PDH control demonstrated the SCG10 SCLIP transcripts in hMSCs. Since the stathmin (OP-18) antibody used for immunocytochemistry was not able to distinguish stathmin antigen from related
antigens such as SCLIP and Rb3, the detail profile of the gene products first elucidated by RT-PCR. SCG10, SCLIP and stathmin were detectable but not RB3. The expression levels of SCG10 and SCLIP in hMSCs were cell-cycle dependent (p<0.01). In the bone marrow derived from ShcC ‘knockout’ mice in three passages, it is demonstrated the biphasic morphology in size. In cutaneous defects in ShcC ‘knockout’ mice significantly delayed the wound healing. Therefore, ShcC may involve in cutaneous wound healing by mesenchymal stem or stromal cells.

Contact:

Dr Sadanori Akita, Nagasaki University, 1-7-1 Sakamoto,
8528501, Japan Tel: 81 95 849 7327


Chronic wound fibroblasts: ageing before their time?
Wall I.1, Baird D.2, Price P.3, Harding K.3, Kipling D.2, Thomas D.W.4 and Stephens P.4
1Wound Biology Group, Cardiff Institute of Tissue Engineering and Repair, Dept. Oral Surgery, Medicine & Pathology, School of Dentistry; Wound Healing Research Unit, School of Medicine, Cardiff University, Cardiff, UK,
2Dept. Pathology, School of Medicine, Cardiff University, Cardiff, UK,
3Wound Healing Researh Unit, School of Medicine, Cardiff University, Cardiff, UK,
4Wound Biology Group, Cardiff Institute of Tissue Engineering and Repair, Dept. Oral Surgery, Medicine & Pathology, School of Dentistry, Cardiff University, Cardiff, UK


INTRODUCTION:
Chronic non-healing wounds are a major health problem and affect 3% of the population over 65 years of age. Age-related functional changes in dermal fibroblasts may contribute to this dysfunctional healing phenotype. The aim of this study was to investigate potential genotypic and phenotypic differences between patient- matched chronic wound fibroblasts (CWF) and normal skin fibroblasts (NF). In addition, we sought to investigate the role played by cellular and molecular ageing as a contributory factor in these wounds.

METHODS:
CWF and NF were established in culture (n = 4) and RNA was extracted for transcriptional profile analysis using Affymetrix microarrays after serum-starvation (to synchronise the cells in G0) and subsequent serum restimulation (to mimic a wound healing response). Phenotypic characteristics were also assessed throughout their proliferative lifespans including cellular proliferation (population doublings), senescence (cell morphology, senescence associated b-Galactosidase activity [SA b-Gal] and telomere length [using the novel PCR-based single telomere length analysis; STELA]), extracellular matrix reorganisation and ability to repopulate an experimental wound.

RESULTS:
Microarray analysis of CWF and NF following serum-stimulation demonstrated differential expression of 118 genes, including molecules involved in the protection against oxidative stress (e.g., glutaredoxin, oxidative stress responsive-1). In long-term culture CWF proliferated more slowly than NF and senesced at earlier time points (p < 0.01). The onset of premature senescence within the CWF populations significantly decreased their abilities to reorganise the surrounding extracellular environment (p < 0.01) and repopulate a wound. Premature senescence in CWF was confirmed by increased SA b-Gal staining and their larger, polygonal morphology. Analysis of telomere lengths in these samples revealed that replicative senescence was predominantly (3/4 samples) telomere-independent.

CONCLUSIONS:
The results demonstrate that CWF have a genotype and phenotype distinct from patient-matched NF. The senescent phenotype of fibroblasts from some, but not all wounds, is independent of telomere shortening. One hypothesis that supports telomere-dependent and -independent mechanisms of cellular senescence involves differential levels of oxidative stress within the wound environment. Elevated levels of stress could drive telomeredependent senescence by stimulating cell turnover. However, extremely high levels of oxidative stress bypass the normal methods of telomere-dependent senescence causing direct DNA damage and subsequent cell senescence.

Contact:
Ivan Wall, Cardiff University, 4th Floor Dental School, CF14 4XY, United Kingdom Tel: 02920 744252


Wound-healing defect of CD18-/- mice due to a decrease in TGF-b1 and myofibroblast differentiation
Peters T.1, Sindrilaru A.1, Hinz B.2, Al-Azzeh E.1, Menke A.3, Hinrichs R.1, Oreshkova T.1, Kess D.1, Wang H.1, Holzwarth K.4, Renkl A.1, Wlaschek M.1, Sunderkötter C.1, Krieg T.4, Scharffetter-Kochanek K.1
1University of Ulm, Dept. of Dermatology and Allergic Diseases, Ulm, Germany,
2Swiss Federal Institute of Technology, Laboratory of Cell Biophysics, Lausanne, Switzerland,
3University of Ulm, Dept. I of Internal Medicine, Ulm, Germany,
4University of Cologne, Dept. of Dermatology and Venerology, Cologne, Germany


The b2 leukocyte integrins are heterodimers, composed of a common b chain (CD18) and one out of four distinct a chains (CD11). They are pivotal for migration and signaling of hematopoietic cells during inflammatory processes and immune responses. Lack of functional b2 integrin causes leukocyte-adhesion deficiency type 1 (LAD1), a life-threatening primary immunodeficiency syndrome with severe recurrent microbial infections, leukocytosis and impaired wound healing. Initial data revealed significantly increased wound sizes in a murine model for LAD1 (CD18-/-) from day 5 to 14 after application of full thickness wounds on mouse backs. We now addressed the question whether this impairment in wound healing was a consequence of reduced wound contraction potentially caused by disturbed myofibroblast recruitment. Therefore, we analyzed expression of markers critical for myofibroblast differentiation by immunohistochemistry and Western blotting. We found that both splice variant ED-A of fibronectin and a-smooth muscle actin were substantially reduced in CD18-/- mice at day 5 and 7 after wounding, respectively, indicating impaired myofibroblast differentiation. Interestingly, TGFb1 and its receptor TGF-bRII were also largely decreased. Since TGF-b1 is a key factor for granulation tissue formation and promotes wound contraction, we supplemented TGF-b1 by subcutaneously injecting two different doses (0.45 mg, 0.1 mg) into the wound margins at day 1, 3 and 5 after wounding of CD18-/- and wild-type mice. As a result, we observed a rescued wound closure in CD18-/-, similar to wild-type mice. Since in wounds of CD18-/- mice, defective migration leads to a severe reduction of neutrophils, we envisioned that infiltrating macrophages may not be able to phagocytose apoptotic CD18-/- neutrophils, thus, lacking their main stimulus to secrete TGF-b1. We demonstrated that in the absence of neutrophils, or in cocultures with CD18-/- neutrophils, TGF b1 release by macrophages was dramatically reduced due to defective phagocytic clearance of CD18-/- neutrophils, whereas proinflammatory cytokines were increased. Deviant from former views, our data demonstrate that growth factors released by neutrophils in a paracrine fashion are important for wound contraction and healing. It remains to be seen whether CD18 is also involved in migration of myofibroblast precursors.

Contact:
Dr Thorsten Peters, University of Ulm, Maienweg 12,
D-89081, Germany Tel: +49 731 5002 1823


The fate of human mesenchymal stem cells bone regeneration
Imaizumi T.1, Akino K.2, Hirano A.1, Akita S.1
1Nagasaki University, Department of Plastic Surgery,
2Nagasaki University, Department of Developmental and Reconstructive Medicine, Nagasaki, Japan


Bone marrow derived cells such as the human mesenchymal stem cells (hMSCs) successfully bone regenerated, however, there is little data on how and when the cells contribute to this event. As the hMSCs may be able to differentiate to mesenchymal lineage in each specific condition, further in vivo analysis is still lacking and the mechanisms are ambiguous. In order to elucidate the cell kinetics, proliferation and differentiation, the hMSCstransfected with Green Fluorescent Protein (GFP) DNA plasmid, further kinetics were investigated. GFP-transfected hMSCs were grafted with gelatin sponge (Gelform) in the 5-mm full-thickness cranial bone defects of nude rats. The defects were healed in the grafted GFP-transfected hMSCs by four weeks post-operatively in accordance to the previous experiment, which was identical to that of without GFP-transfection but hMSCs grafting. Superficial layer, independent of the adjacent rat bone edge, at day 7 demonstrated the strong immunoreactivities of both GFP and osteocalcin, which indicates the matured bone, with the cell nuclear antigens of 6-Diamidino-phenylindole, Dihydrochloride (DAPI). In the same layer, polyomavirus enhancer binding protein 2a (PEBP 2a) was also depicted as a core binding factor1 (cbfa1), an osteogenic transcription factor expressed in some cells among the interstitial fibroblast-like cells along with GFP immunoreactivities. Taken together, PEBP 2a transcription was co-localized with osteocalcin expressions and these expressions were all strongly GFP immunoreactive. Therefore, the grafted hMSCs were located in independent of the pre-existing rat bones and osteogenesis is regulated transcriptionally via PEBP 2a and osteocalcin by autogeneic regulation and the osteogenesis was enhanced with presence of osteogenic cytokines such as bone morphogenetic protein-2 (BMP-2) and basic fibroblast growth factor (bFGF).

Contact:
Dr Sadanori Akita, Nagasaki University, 1-7-1
Sakamoto, 8528501, Japan Tel: 81 95 849 7327


Upregulation of lysyl hydroxylase 2 b in wound healing leads to altered collagen cross-linking
Bogaerdt, van den A.J., Ulrich M.M.W., Verkerk M., Reijnen L., Vlig M. and Middelkoop E. Association of
Dutch Burn Centres, Beverwijk, The Netherlands


Hypertrophic scar formation in deep dermal wounds is vassociated with excessive collagen deposition and contraction. Besides increase collagen synthesis and decreased collagen degradation, the appearance of a different type of cross-linking, has been described in the literature in fibrosis of the skin. It was shown that collagen cross-linked by the hydroxyl-allysine route, the fibrotic type, is less assessable for degradation by MMP-1 than cross-links of the allysine route, the normal type of cross-linking in the skin. This type of cross-linking could therefore contribute to the process of collagen accumulation. Recently the key enzyme responsible for this type of cross-linking has been identified as lysyl hydroxylase type 2 (LH2 or PLOD2). This enzyme also influences fibril formation, over-expression of LH2 results in a decrease in fibril diameter. In this study we investigated the expression profile of LH2, collagen type I and III in time after wounding and determined the collagen cross-linking type of the scars in the experimental pig model. In pig full thickness wounds were created, the wounds were transplanted with a meshed (1:3) split skin autograft. At different time points after wounding biopsies were taken for evaluation. RNA levels were determined with real time RT-PCR. The type of cross-linking was determined in hydrolyzed samples by reverse-phase high performance liquid. The hydroxyl-allysine type
crosslink in tissue samples from scars is significantly higher than in normal pig skin. The expression level of LH2 is increased in the wound during the first three weeks after wounding. Collagen type I and III expression are increased as well during this period. Pico Sirius red staining of the scar shows an altered architecture of the collagen fibres. In normal skin the collagen bundles are thicker and randomly orientated (basket weave pattern) whereas in the scar the bundles are thinner and aligned parallel to each other. The spatial and temporal increase of LH2 expression coincides with the elevated collagen type I and III expression. This results in increased deposition of collagen fibers of the fibrotic type, which is less susceptible for degradation by collagenase.

Kontakt:
Dr Magda Ulrich, Association of Dutch Burn Centres, PO Box 1015,
1940 EA, The Netherlands, Tel: +31 251 27 55 06

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