*These authors contributed equally to this work.
BACKGROUND AND PURPOSESirtuin1 (SIRT1), the founding member of mammalian class III histone deacetylases, is reported to be a drug target involved in fibrotic diseases. However, whether it is an effective drug target in hypertrophic scar treatment is still not known.
EXPERIMENTAL APPROACHIn the present study, we observed that SIRT1 localized to both the epidermis and the dermis of skin tissues by immunohistochemistry. After knock-down of SIRT1 by shRNA or up-regulating SIRT1 by resveratrol, the expression of α-SMA, Col1 and Col3 in fibroblasts were detected by western blots. A mouse excision wound healing model was used to observe the changes in collagen fibre associated with the different expression levels of SIRT1.
KEY RESULTSSIRT1 expression was inhibited in hypertrophic scar tissue. The down-regulation of SIRT1 resulted in an increased expression of α-SMA, Col1 and Col3 in hypertrophic scar-derived fibroblasts. In contrast, the up-regulation of SIRT1 not only inhibited the expression of α-SMA, Col1 and Col3 in hypertrophic scar-derived fibroblasts but also blocked the activation of TGFβ1-induced normal skin-derived fibroblasts. In the mouse model of wound healing, the deletion of SIRT1 resulted in denser collagen fibres and a more disordered structure, whereas resveratrol treatment led to a more organized and thinner collagen fibre, which was similar to that observed during normal wound healing.
CONCLUSIONS AND IMPLICATIONSThe results revealed that SIRT1 negatively regulates TGFβ1-induced fibroblast activation and inhibits excessive scar formation and is, therefore, a promising drug target for hypertrophic scar formation.
IntroductionHypertrophic scars are characterized by the excessive production and deposition of extracellular matrix (ECM) proteins. They usually develop after burn injury, trauma and surgery, and cause not only cosmetic but also functional problems (Gurtner et al., 2008;Hsu et al., 2010;Gauglitz et al., 2011;Tyack et al., 2012). Although extensively studied, the mechanism of hypertrophic scar formation is still currently unclear, and treatment remains a great challenge. It is widely accepted that the major characteristic of hypertrophic scars is the excessive deposition of collagen-based ECM proteins. Under normal conditions, the dynamic balance between the synthesis and degradation of collagen is regulated by matrix metalloproteinase, tissue inhibitor of metalloproteinase and various cytokines, such as TGFβ1. The balance is broken after skin injuries, which leads to increased synthesis and deposition of collagen, and the skin then recovers and becomes normal after wound healing (Sternlicht and Werb, 2001;Park et al., 2004;Armour et al., 2007). However, prolonged inflammation and other chronic stimuli may result in the overproduction of collagen, finally leading to hypertrophic scar formation (Armour et al., 2007;van der Veer et al., 2009).Among the various cell types in skin, fibroblasts are responsible for the synthesis of collagen and othe...