Advertisement
Research Article| Volume 48, ISSUE 6, P1211-1217, June 2013

Interleukin-10 regulates fetal extracellular matrix hyaluronan production

  • Author Footnotes
    1 Equally contributing authors.
    Alice King
    Footnotes
    1 Equally contributing authors.
    Affiliations
    Division of Pediatric, Thoracic and General Surgery, The Center for Molecular Fetal Therapy, Cincinnati Children’s Hospital and the University of Cincinnati College of Medicine, Cincinnati, OH
    Search for articles by this author
  • Author Footnotes
    1 Equally contributing authors.
    Swathi Balaji
    Footnotes
    1 Equally contributing authors.
    Affiliations
    Division of Pediatric, Thoracic and General Surgery, The Center for Molecular Fetal Therapy, Cincinnati Children’s Hospital and the University of Cincinnati College of Medicine, Cincinnati, OH
    Search for articles by this author
  • Louis D. Le
    Affiliations
    Division of Pediatric, Thoracic and General Surgery, The Center for Molecular Fetal Therapy, Cincinnati Children’s Hospital and the University of Cincinnati College of Medicine, Cincinnati, OH
    Search for articles by this author
  • Emily Marsh
    Affiliations
    Division of Pediatric, Thoracic and General Surgery, The Center for Molecular Fetal Therapy, Cincinnati Children’s Hospital and the University of Cincinnati College of Medicine, Cincinnati, OH
    Search for articles by this author
  • Timothy M. Crombleholme
    Affiliations
    Division of Pediatric Surgery, The Children's Hospital Colorado, Aurora, CO
    Search for articles by this author
  • Sundeep G. Keswani
    Correspondence
    Corresponding author. Division of General, Thoracic, and Fetal Surgery, The Center for Molecular Fetal Therapy, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229–3039.
    Affiliations
    Division of Pediatric, Thoracic and General Surgery, The Center for Molecular Fetal Therapy, Cincinnati Children’s Hospital and the University of Cincinnati College of Medicine, Cincinnati, OH
    Search for articles by this author
  • Author Footnotes
    1 Equally contributing authors.

      Abstract

      Background/Purpose

      Mid-gestational (E14.5) fetal wounds heal regeneratively with attenuated inflammation and high levels of hyaluronan (HA) in their extracellular matrix (ECM), whereas late-gestational (E18.5) fetal wounds heal with scarring. IL-10 plays an essential role in the fetal regenerative phenotype and is shown to recapitulate scarless wound healing postnatally. We hypothesize a novel role of IL-10 as a regulator of HA in the ECM.

      Methods

      Murine fetal fibroblasts (FFb) from C57Bl/6 and IL-10−/− mice were evaluated in vitro. Pericellular matrix (PCM) and HA synthesis were quantified using a particle exclusion assay and ELISA. The effects of hyaluronidase and hyaluronan synthase (HAS) inhibitor (4-methylumbelliferone[4-MU]) were evaluated. An ex vivo fetal forearm culture incisional wound model comparing mid-gestation and late-gestation fetuses was used to evaluate IL-10's effect on HA-rich ECM production with pentachrome and immunohistochemistry.

      Results

      FFb produce a robust HA-rich PCM which is IL-10 dependent and attenuated with hyaluronidase and HAS inhibition. Mid-gestation fetal wounds produce more ground substance and HA than late-gestation fetal wounds. IL-10 in late-gestation fetal wounds results in elevated ground substance levels and HA staining.

      Conclusions

      Our data demonstrate that IL-10 regulates an HA-rich ECM deposition, suggesting a novel non-immunoregulatory mechanism of IL-10 in mediating regenerative wound healing.

      Key words

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of Pediatric Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Longaker M.T.
        • Whitby D.J.
        • Adzick N.S.
        • et al.
        Studies in fetal wound healing, VI. Second and early third trimester fetal wounds demonstrate rapid collagen deposition without scar formation.
        J Pediatr Surg. 1990; 25 ([discussion 68-69]): 63-68
        • Krummel T.M.
        • Nelson J.M.
        • Diegelmann R.F.
        • et al.
        Fetal response to injury in the rabbit.
        J Pediatr Surg. 1987; 22: 640-644
        • Gallivan E.K.
        • Crombleholme T.M.
        • Moriarty K.P.
        Effect of fetal serum on fibroblast pericellular matrix formation.
        J Surg Res. 1996; 64: 128-131
        • Leung A.
        • Crombleholme T.M.
        • Keswani S.G.
        Fetal wound healing: implications for minimal scar formation.
        Curr Opin Pediatr. 2012; 24: 371-378
        • Adzick N.S.
        • Harrison M.R.
        • Glick P.L.
        • et al.
        Comparison of fetal, newborn, and adult wound healing by histologic, enzyme-histochemical, and hydroxyproline determinations.
        J Pediatr Surg. 1985; 20: 315-319
        • Gordon A.
        • Kozin E.D.
        • Keswani S.G.
        • et al.
        Permissive environment in postnatal wounds induced by adenoviral-mediated overexpression of the anti-inflammatory cytokine interleukin-10 prevents scar formation.
        Wound Repair Regen. 2008; 16: 70-79
        • Liechty K.W.
        • Kim H.B.
        • Adzick N.S.
        • et al.
        Fetal wound repair results in scar formation in interleukin-10-deficient mice in a syngeneic murine model of scarless fetal wound repair.
        J Pediatr Surg. 2000; 35 ([discussion 872–863]): 866-872
        • Peranteau W.H.
        • Zhang L.
        • Muvarak N.
        • et al.
        IL-10 overexpression decreases inflammatory mediators and promotes regenerative healing in an adult model of scar formation.
        J Invest Dermatol. 2008; 128: 1852-1860
        • Hiramatsu K.
        • Sasagawa S.
        • Outani H.
        • et al.
        Generation of hyaline cartilaginous tissue from mouse adult dermal fibroblast culture by defined factors.
        J Clin Invest. 2011; 121: 640-657
        • Iocono J.A.
        • Ehrlich H.P.
        • Keefer K.A.
        • et al.
        Hyaluronan induces scarless repair in mouse limb organ culture.
        J Pediatr Surg. 1998; 33: 564-567
        • Moore K.W.
        • de Waal Malefyt R.
        • Coffman R.L.
        • et al.
        Interleukin-10 and the interleukin-10 receptor.
        Annu Rev Immunol. 2001; 19: 683-765
        • Bogdan C.
        • Vodovotz Y.
        • Nathan C.
        Macrophage deactivation by interleukin 10.
        J Exp Med. 1991; 174: 1549-1555
        • Cadet P.
        • Rady P.L.
        • Tyring S.K.
        • et al.
        Interleukin-10 messenger ribonucleic acid in human placenta: implications of a role for interleukin-10 in fetal allograft protection.
        Am J Obstet Gynecol. 1995; 173: 25-29
        • Heyborne K.D.
        • McGregor J.A.
        • Henry G.
        • et al.
        Interleukin-10 in amniotic fluid at midtrimester: immune activation and suppression in relation to fetal growth.
        Am J Obstet Gynecol. 1994; 171: 55-59
        • Estes J.M.
        • Adzick N.S.
        • Harrison M.R.
        • et al.
        Hyaluronate metabolism undergoes an ontogenic transition during fetal development: implications for scar-free wound healing.
        J Pediatr Surg. 1993; 28: 1227-1231
        • Alaish S.M.
        • Yager D.
        • Diegelmann R.F.
        • et al.
        Biology of fetal wound healing: hyaluronate receptor expression in fetal fibroblasts.
        J Pediatr Surg. 1994; 29: 1040-1043
        • Roughley P.J.
        • Lamplugh L.
        • Lee E.R.
        • et al.
        The role of hyaluronan produced by Has2 gene expression in development of the spine.
        Spine (Phila Pa 1976). 2011; 36: E914-E920