Epithelial-connective tissue interactions: Influence on scar formation

瘢痕形成仍然是一个重要的临床问题，没有足够的治疗方法。临床 观察和实验研究支持粘膜愈合更快、疤痕更少的观点。 而不是皮肤。这些观察结果有力地表明：1)成年人保持最低限度的治愈能力。 2)成人皮肤的愈合可以通过操纵来减少疤痕的形成。目前，这些机制 负责改善成人粘膜修复的定义并不明确。可能是关键的元素 享有特权的粘膜修复包括固有的上皮反应，成纤维细胞/结缔组织反应， 上皮室和上皮下室之间的相互动态相互作用。到目前为止， 上皮-上皮下相互作用可能指导愈合和瘢痕形成的概念已经得到 一点实验上的关注。这一建议的假设是上皮-结缔组织相互作用 在决定疤痕形成的过程中起着关键作用，这些相互作用在皮肤和粘膜中是不同的。这个 这项研究的直接目标是确定在上皮和上皮下层中唯一产生的元素 粘膜组织与皮肤伤口的对比。研究计划将利用三种模式 我们在小鼠(LAD)、人类(PTM)和 兔子()。目标1将利用蛋白质组和基因组分析来确定不同的因素 在黏膜和皮肤伤口部位表达。上皮和结缔组织中产生的因子 车厢将通过后续的本地化分析来确定。这一目标将利用新开发的 芝加哥蛋白质组学/生物信息学项目生物医学联盟(位于伊利诺伊州大学)，以及 其他地方的基因组分析设施，提供如何应对的新的全面分析 损伤在皮肤和粘膜上不同。Aim 2将使用体外测试来评估靶分子的能力 目标1中确定的调节与瘢痕形成和愈合相关的细胞功能，包括胶原蛋白 肌成纤维细胞的合成和形成。目标3将确定靶向因素是否可以减少瘢痕形成 增生性瘢痕形成的体内临床前模型。该项目的长期目标是开发一种 创新研究中心，将专注于识别和理解影响 疤痕，目的是开发有用的治疗策略，以减少成年人的疤痕形成。

Scar formation remains an important clinical problem for which inadequate treatment is available. Clinical observation and experimental studies support the idea that mucosa heals more rapidly and with less scarring than skin. These observations strongly suggest that 1) adults maintain the capacity to heal with minimal scar, and 2) adult skin healing can be manipulated to reduce scar formation. At present, the mechanisms responsible for the improved repair of adult mucosa are poorly defined. Elements that might be key to privileged mucosal repair include the innate epithelial response, the fibroblast/connective tissue response, and reciprocal dynamic interactions between the epithelial and subepithelial compartments. To date, the concept that epithelial-subepithelial interactions might guide healing and scarring outcomes has received little experimental attention. The hypothesis of this proposal is that epithelial-connective tissue interactions play a critical role in dictating scar formation, and that these interactions differ in skin and mucosa. The immediate goal of this research is to identify elements that are uniquely produced in epithelium and subepithelial tissue of mucosal versus skin wounds. The research plan will take advantage of three model systems of paired mucosal and skin repair that we have developed in mice (LAD), humans (PTM) and rabbits(TAM). Aim 1 will utilize proteomic and genomic analyses to identify factors that are differently expressed in mucosal and skin wound sites. Factors produced in epithelial and connective tissue compartments will be identified by follow-up localization analysis. This Aim will utilize the newly developed Chicago Biomedical Consortium for the Proteomics/Bioinformatics Project (located at U. Illinois), as well as genomic analysis facilities elsewhere to provide a novel comprehensive analysis of how the response to injury differs in skin and mucosa. Aim 2 will employ in vitro assays to assess the ability of target molecules identified in Aim 1 to modulate cellular functions related to scar formation and healing, including collagen synthesis and myofibroblast formation. Aim 3 will determine if target factors can reduce scar formation in an in vivo preclinical model of hypertrophic scar formation. The long-term goal of the project is to develop an innovative Research Center that will focus on identifying and understanding novel factors that modulate scarring, with a goal of developing useful therapeutic strategies to reduce scar formation in adults.