Tissue Eng Regen Med.  2019 Dec;16(6):585-593. 10.1007/s13770-019-00215-w.

Wound Healing Potential of Low Temperature Plasma in Human Primary Epidermal Keratinocytes

Affiliations
  • 1Department of Rehabilitation Medicine, Hangang Sacred Heart Hospital, Burn Institute, College of Medicine, Hallym University, 55 Beodeunaru-ro, Yeongdeungpo-gu, Seoul 07247, Republic of Korea.
  • 2Department of Rehabilitation Medicine, Hangang Sacred Heart Hospital, College of Medicine, Hallym University, 55 Beodeunaru-ro, Yeongdeungpo-gu, Seoul 07247, Republic of Korea. chseomd@gmail.com
  • 3Division of Rheumatology, Department of Internal Medicine, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul 03722, Republic of Korea.
  • 4Department of Pediatrics, Hangang Sacred Heart Hospital, Hallym University, 55 Beodeunaru-ro, Yeongdeungpo-gu, Seoul 07247, Republic of Korea. hoppdoctor@hanmail.net

Abstract

BACKGROUND
Low temperature plasma (LTP) was recently shown to be potentially useful for biomedical applications such as bleeding cessation, cancer treatment, and wound healing, among others. Keratinocytes are a major cell type that migrates directionally into the wound bed, and their proliferation leads to complete wound closure during the cutaneous repair/regeneration process. However, the beneficial effects of LTP on human keratinocytes have not been well studied. Therefore, we investigated migration, growth factor production, and cytokine secretion in primary human keratinocytes after LTP treatment.
METHODS
Primary cultured keratinocytes were obtained from human skin biopsies. Cell viability was measured with the EZ-Cytox cell viability assay, cell migration was evaluated by an in vitro wound healing assay, gene expression was analyzed by quantitative real-time polymerase chain reaction, and protein expression was measured by enzyme-linked immunosorbent assays and western blotting after LTP treatment.
RESULTS
Cell migration, the secretion of several cytokines, and gene and protein levels of angiogenic growth factors increased in LTP-treated human keratinocytes without associated cell toxicity. LTP treatment also significantly induced the expression of hypoxia inducible factor-1α (HIF-1α), an upstream regulator of angiogenesis. Further, the inhibition of HIF-1α expression blocked the production of angiogenic growth factors induced by LTP in human keratinocytes.
CONCLUSION
Our results suggest that LTP treatment is an effective approach to modulate wound healing-related molecules in epidermal keratinocytes and might promote angiogenesis, leading to improved wound healing.

Keyword

Low temperature plasma; Keratinocyte; Cytokine; Growth factor; Wound healing

MeSH Terms

Anoxia
Biopsy
Blotting, Western
Cell Migration Assays
Cell Movement
Cell Survival
Cytokines
Enzyme-Linked Immunosorbent Assay
Gene Expression
Hemorrhage
Humans*
In Vitro Techniques
Intercellular Signaling Peptides and Proteins
Keratinocytes*
Plasma*
Real-Time Polymerase Chain Reaction
Skin
Wound Healing*
Wounds and Injuries*
Cytokines
Intercellular Signaling Peptides and Proteins
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