Low-energy CO2 fractional laser treatment for post-burn scars via activating Wnt/β-catenin pathway in scar epithelial cells in rats
CSTR:
Author:
Affiliation:

Clc Number:

Fund Project:

  • Article
  • |
  • Figures
  • |
  • Metrics
  • |
  • Reference
  • |
  • Related
  • |
  • Cited by
  • |
  • Materials
  • |
  • Comments
    Abstract:

    Objective To investigate the role of scar epithelial cells and its potential molecular mechanisms in the efficacy of low-energy CO2 fractional laser treating post-burn scars. Methods The model of post-major burn scars on the back of rat was established. Three rats with post-major burn scars received 30 mJ low-energy CO2 fractional laser treatment to detect the activation of scar epidermal cells. Epidermal tissue of scars was isolated for RNA sequencing to screen activated pathways. Subsequently, 18 rats with post-major burn scars were randomly divided into 3 groups (n=6): the control group without laser treatment, the laser group receiving 30 mJ CO2 fractional laser treatment, and the laser+inhibitor group receiving laser treatment and intra-scar injection of IWR-1 (a Wnt/β-catenin pathway inhibitor), to verify the activation status and effects of the selected pathways. Hematoxylin-eosin staining, Masson staining, and Western blotting were used to detect the proliferation of epithelial cells and fibroblasts, the activation of Wnt/β-catenin pathway, as well as the improvement of scar profiles. Results After low-energy laser treatment, there was a significant increase in the number of Ki67-positive, proliferating cell nuclear antigen (PCNA)-positive, cytokeratin 19 (CK19)-positive, and p63-positive cells in the scar epithelial tissue. RNA sequencing coupled with literature analysis identified Wnt/β-catenin pathway as a potential candidate pathway. In the confirmatory experiment, compared to the control group, the Wnt/β-catenin pathway was activated in scar epithelial cells in the laser group 5 d post-laser intervention. After 30 d laser intervention, dermal collagen exhibited a more loosened arrangement, with reduced dermal thickness and significantly less α-smooth muscle actin (α-SMA)-positive fibroblasts compared to the control group. CollagenⅠ, collagen Ⅲ, and the relative ratio of collagen Ⅰ to Ⅲ in the laser group were at a lower level than those in the control group. Administration of the Wnt/β-catenin pathway inhibitor blocked the activation of the Wnt/β-catenin pathway induced by low-energy laser, the proliferation of scar epithelial cells and the improvement of scar profiles. Conclusion Low-energy CO2 fractional laser treatment can activate the Wnt/β-catenin pathway of scar epithelial cells, thereby activating epithelial cells and yielding significant scar improvements.

    Reference
    Related
    Cited by
Related Videos

Share
Article Metrics
  • Abstract:
  • PDF:
  • HTML:
  • Cited by:
History
  • Received:April 30,2024
  • Revised:June 02,2024
  • Adopted:
  • Online: January 17,2025
  • Published: January 20,2025
Article QR Code