Background: Keloids represent the dysregulation of cutaneous wound healing caused by aberrant fibroblast activities. Adipose-derived stem cells have been recognized as a promising treatment for keloids. However, their molecular mechanisms have not been fully elucidated.
Methods: Skin biopsies were obtained from 10 keloid patients and 9 healthy volunteers. Fibroblasts isolated from all samples were divided into 2 groups, one co-cultured with adipose-derived stem cells, the other growing independently. Between each group, we compared the wound healing rate, fibroblasts’ survival rate, apoptosis rates, mRNA expressions and protein level of Col-1, Col-3, CTGF, P-4-HB.
Results: In our research, no significant differences between normal fibroblasts and keloid fibroblasts in terms of wound-healing rate, survival rate, or apoptosis rate were found at the baseline. Adipose-derived stem cells strongly suppressed keloid fibroblasts’ proliferative and invasive behavior, but negatively regulated keloid fibroblast apoptosis. The further measurement of key components in keloid formation showed that adipose-derived stem cells upregulated Col-3 and CTGF levels in normal fibroblasts but downregulated protein expression of CTGF and P-4-HB in keloid fibroblasts.
Conclusions: Adipose-derived stem cells had the potential to serve as a promising alternative for keloid treatment.

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This is a list of supplementary files associated with this preprint. Click to download.
Supplementary Figure 1. The patient’s joint function was gradually restored after autologous adipose tissue grafting.
Supplementary Figure 2. Morphological features of human adipose-derived stem cells. Human adipose-derived stem cells are plastic-adherent. Original magnification is 100☓.
Supplementary Figure 3. The flow cytometry showed that the cells were positive for CD105 and negative for HLA-DR, CD45, and CD34.
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Posted 19 Jan, 2021
Posted 19 Jan, 2021
Background: Keloids represent the dysregulation of cutaneous wound healing caused by aberrant fibroblast activities. Adipose-derived stem cells have been recognized as a promising treatment for keloids. However, their molecular mechanisms have not been fully elucidated.
Methods: Skin biopsies were obtained from 10 keloid patients and 9 healthy volunteers. Fibroblasts isolated from all samples were divided into 2 groups, one co-cultured with adipose-derived stem cells, the other growing independently. Between each group, we compared the wound healing rate, fibroblasts’ survival rate, apoptosis rates, mRNA expressions and protein level of Col-1, Col-3, CTGF, P-4-HB.
Results: In our research, no significant differences between normal fibroblasts and keloid fibroblasts in terms of wound-healing rate, survival rate, or apoptosis rate were found at the baseline. Adipose-derived stem cells strongly suppressed keloid fibroblasts’ proliferative and invasive behavior, but negatively regulated keloid fibroblast apoptosis. The further measurement of key components in keloid formation showed that adipose-derived stem cells upregulated Col-3 and CTGF levels in normal fibroblasts but downregulated protein expression of CTGF and P-4-HB in keloid fibroblasts.
Conclusions: Adipose-derived stem cells had the potential to serve as a promising alternative for keloid treatment.

Figure 1

Figure 2

Figure 3

Figure 4

Figure 5

Figure 6

Figure 7
This is a list of supplementary files associated with this preprint. Click to download.
Supplementary Figure 1. The patient’s joint function was gradually restored after autologous adipose tissue grafting.
Supplementary Figure 2. Morphological features of human adipose-derived stem cells. Human adipose-derived stem cells are plastic-adherent. Original magnification is 100☓.
Supplementary Figure 3. The flow cytometry showed that the cells were positive for CD105 and negative for HLA-DR, CD45, and CD34.
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