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Journal of Investigative Dermatology
Article
License: Elsevier Non-Commercial
Data sources: UnpayWall
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Journal of Investigative Dermatology
Article . 2015
License: Elsevier Non-Commercial
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Journal of Investigative Dermatology
Article . 2015 . Peer-reviewed
License: Elsevier Non-Commercial
Data sources: Crossref
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Ultrasonic Stimulation of Mouse Skin Reverses the Healing Delays in Diabetes and Aging by Activation of Rac1

Authors: Mark D. Bass; Mark D. Bass; Philip Stephens; Rebecca Brooks; Andrew Harrison; Blandine Bally; James A. Roper; +2 Authors

Ultrasonic Stimulation of Mouse Skin Reverses the Healing Delays in Diabetes and Aging by Activation of Rac1

Abstract

Chronic skin-healing defects are one of the leading challenges to lifelong well-being, affecting 2-5% of populations. Chronic wound formation is linked to age and diabetes and frequently leads to major limb amputation. Here we identify a strategy to reverse fibroblast senescence and improve healing rates. In healthy skin, fibronectin activates Rac1 in fibroblasts, causing migration into the wound bed, and driving wound contraction. We discover that mechanical stimulation of the skin with ultrasound can overturn healing defects by activating a calcium/CamKinaseII/Tiam1/Rac1 pathway that substitutes for fibronectin-dependent signaling and promotes fibroblast migration. Treatment of diabetic and aged mice recruits fibroblasts to the wound bed and reduces healing times by 30%, restoring healing rates to those observed in young, healthy animals. Ultrasound treatment is equally effective in rescuing the healing defects of animals lacking fibronectin receptors, and can be blocked by pharmacological inhibition of the CamKinaseII pathway. Finally, we discover that the migration defects of fibroblasts from human venous leg ulcer patients can be reversed by ultrasound, demonstrating that the approach is applicable to human chronic samples. By demonstrating that this alternative Rac1 pathway can substitute for that normally operating in the skin, we identify future opportunities for management of chronic wounds.

Keywords

Male, rac1 GTP-Binding Protein, Aging, Time Factors, Ultrasonic Therapy, RK, Dermatology, Biochemistry, Mice, Random Allocation, Cell Movement, Diabetes Mellitus, Animals, Humans, Molecular Biology, Cells, Cultured, Cell Proliferation, Mice, Knockout, Wound Healing, Cell Biology, Fibroblasts, Fibronectins, Mice, Inbred C57BL, Disease Models, Animal, Wounds and Injuries

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    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
40
Top 10%
Top 10%
Top 10%
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hybrid