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An activin receptor-like kinase 5 inhibitor reduces collagen deposition in a rat dermal incision wound healing model.

AbstractBACKGROUND:
Excessive dermal scarring is characterized by an overabundant deposition of extracellular matrix caused by fibrosis. The purpose of this study was to modify a rodent model of cutaneous healing for use in the development of compounds to minimize scarring, and to test the model with a small molecule inhibitor of transforming growth factor-β type I receptor, activin receptor-like kinase 5, because this class of inhibitors has been demonstrated to be effective in minimizing fibrosis in other organs.
METHODS:
The rodent model of cutaneous healing consists of uniform full-thickness incisional dermal wounds in rats. Wounds were allowed to heal by secondary intention, generally over a 14-day period. The usefulness of the model was tested by the application of an activin receptor-like kinase 5 inhibitor, CP-639180. Activin receptor-like kinase 5 inhibition antagonizes the transforming growth factor-β pathway, and was used to determine whether there was an effect on collagen deposition in wounds. The compound was applied once per day for 7 days starting at postwounding day 0 or 7 (early or late treatment regimens). Wounds were analyzed histologically for collagen deposition and biochemically for quantification of collagen changes.
RESULTS:
Early and late treatment regimens with the activin receptor-like kinase 5 inhibitor significantly reduced collagen deposition without impairing wound healing.
CONCLUSIONS:
Application of a small molecular inhibitor of activin receptor-like kinase 5 appears to significantly reduce collagen deposition in rat dermal wounds as reported here for the first time. Activin receptor-like kinase 5 inhibition may offer a novel approach to reducing proliferative scars in humans because collagen accumulation is a core event in scarring.
AuthorsFeng Bian, James Render, Xiao-Dan Ren, Christopher Chio, Kam Chan, Mark Boys, Deepak S Lala, David Pocalyko
JournalPlastic and reconstructive surgery (Plast Reconstr Surg) Vol. 128 Issue 5 Pg. 451e-459e (Nov 2011) ISSN: 1529-4242 [Electronic] United States
PMID22030504 (Publication Type: Comparative Study, Journal Article)
Chemical References
  • Receptors, Transforming Growth Factor beta
  • Transforming Growth Factor beta
  • Collagen
  • Protein Serine-Threonine Kinases
  • Receptor, Transforming Growth Factor-beta Type I
  • TGFBR1 protein, human
  • Tgfbr1 protein, rat
Topics
  • Animals
  • Cell Proliferation (drug effects)
  • Cicatrix (prevention & control)
  • Collagen (drug effects, metabolism)
  • Dermatologic Surgical Procedures
  • Disease Models, Animal
  • Enzyme-Linked Immunosorbent Assay
  • Immunohistochemistry
  • Male
  • Protein Serine-Threonine Kinases (antagonists & inhibitors)
  • Random Allocation
  • Rats
  • Rats, Sprague-Dawley
  • Real-Time Polymerase Chain Reaction
  • Receptor, Transforming Growth Factor-beta Type I
  • Receptors, Transforming Growth Factor beta (antagonists & inhibitors)
  • Reference Values
  • Skin (drug effects)
  • Transforming Growth Factor beta (antagonists & inhibitors, pharmacology)
  • Wound Healing (drug effects, physiology)
  • Wounds and Injuries (drug therapy, surgery)

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