Effects of simulated bleeding in an in vitro nasal fibroblast wound healing model
| dc.contributor.author | Beule, A. | |
| dc.contributor.author | Athanasiadis, T. | |
| dc.contributor.author | Field, J. | |
| dc.contributor.author | Hosemann, W. | |
| dc.contributor.author | Wormald, P. | |
| dc.contributor.author | Tan, L. | |
| dc.date.issued | 2010 | |
| dc.description.abstract | Background: We investigated the effect of simulated bleeding on plasminogen activity, matrix metalloproteinase (MMP) expression, and wound healing using a human fibroblast model. Methods: Nasal fibroblasts from three chronic rhinosinusitis (CRS) patients with nasal polyps and three controls were grown in culture and a standardized injury was created using a punch. To mimic bleeding, fibroblasts were stimulated with plasminogen (100 μg/mL), plasminogen + tranexamic acid (TA; 100 μg/mL) or media only. At 24, 48, and 72 hours after injury, we measured urokinase plasminogen activator (uPA) and tissue-type plasminogen activator (tPA) activities and inactive and active MMP-2 and -9 expression. Results: Injury stimulated the nasal fibroblasts to express uPA and tPA and active and inactive MMP-2 and -9. In CRS patients, plasminogen significantly decreased MMP-9 expression after 48 hours (p < 0.04). In untreated fibroblasts, we observed a decrease in active MMP-9 expression, whereas plasminogen increased active MMP-9 expression after 48 hours (p < 0.04). At 24 hours, active MMP-9 expression was reduced by plasminogen ± TA (p < 0.02). Plasminogen also stimulated uPA expression in CRS patient fibroblasts after 48 hours (p < 0.04). Fibroblast proliferation occurred when exposed to plasminogen and was strongly modulated by uPA and inactive and active MMP-2. The quality of wound healing was affected by inactive MMP-2, uPA and tPA, simulation, and inhibition of bleeding. Conclusion: Activation of the plasminogen pathway and inactive MMP-2 expression tended to increase both proliferation of nasal fibroblasts and MMP-9 expression as a marker for deterioration of the quality of wound healing. | |
| dc.description.statementofresponsibility | Beule Achim Georg, Athanasiadis Theodore, Field John, Hosemann Werner, Wormald Peter-John and Tan Lor Wai | |
| dc.identifier.citation | American Journal of Rhinology and Allergy, 2010; 24(3):186-191 | |
| dc.identifier.doi | 10.2500/ajra.2010.24.3452 | |
| dc.identifier.issn | 1945-8924 | |
| dc.identifier.issn | 1945-8932 | |
| dc.identifier.orcid | Wormald, P. [0000-0001-7753-7277] | |
| dc.identifier.uri | http://hdl.handle.net/2440/60647 | |
| dc.language.iso | en | |
| dc.publisher | Ocean Side Publications Inc | |
| dc.rights | Website © 2010 Publishing Technology. Article copyright remains with the publisher, society or author(s) as specified within the article. | |
| dc.source.uri | https://doi.org/10.2500/ajra.2010.24.3452 | |
| dc.subject | Bleeding | |
| dc.subject | chronic rhinosinusitis | |
| dc.subject | endoscopic sinus surgery | |
| dc.subject | fibroblasts | |
| dc.subject | matrix metalloproteinases | |
| dc.subject | plasminogen | |
| dc.subject | tranexamic acid | |
| dc.subject | wound healing model | |
| dc.title | Effects of simulated bleeding in an in vitro nasal fibroblast wound healing model | |
| dc.type | Journal article | |
| pubs.publication-status | Published |