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Publication : TSG-6 released from intradermally injected mesenchymal stem cells accelerates wound healing and reduces tissue fibrosis in murine full-thickness skin wounds.

First Author  Qi Y Year  2014
Journal  J Invest Dermatol Volume  134
Issue  2 Pages  526-537
PubMed ID  23921952 Mgi Jnum  J:205792
Mgi Id  MGI:5546459 Doi  10.1038/jid.2013.328
Citation  Qi Y, et al. (2014) TSG-6 Released from Intradermally Injected Mesenchymal Stem Cells Accelerates Wound Healing and Reduces Tissue Fibrosis in Murine Full-Thickness Skin Wounds. J Invest Dermatol 134(2):526-37
abstractText  Proper activation of macrophages (Mphi) in the inflammatory phase of acute wound healing is essential for physiological tissue repair. However, there is a strong indication that robust Mphi inflammatory responses may be causal for the fibrotic response always accompanying adult wound healing. Using a complementary approach of in vitro and in vivo studies, we here addressed the question of whether mesenchymal stem cells (MSCs)-due to their anti-inflammatory properties-would control Mphi activation and tissue fibrosis in a murine model of full-thickness skin wounds. We have shown that the tumor necrosis factor-alpha (TNF-alpha)-stimulated protein 6 (TSG-6) released from MSCs in co-culture with activated Mphi or following injection into wound margins suppressed the release of TNF-alpha from activated Mphi and concomitantly induced a switch from a high to an anti-fibrotic low transforming growth factor-beta1 (TGF-beta1)/TGF-beta3 ratio. This study provides insight into what we believe to be a previously undescribed multifaceted role of MSC-released TSG-6 in wound healing. MSC-released TSG-6 was identified to improve wound healing by limiting Mphi activation, inflammation, and fibrosis. TSG-6 and MSC-based therapies may thus qualify as promising strategies to enhance tissue repair and to prevent excessive tissue fibrosis.
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