Wound Healing-Promoting Effects of Apelin-13 in a CCD-1072Sk Fibroblast-Based In Vitro Model
DOI:
https://doi.org/10.58600/eurjther2780Keywords:
Apelin-13, CCD-1072Sk, fibroblast, fibrosis, scratch assay, wound healingAbstract
Objective: As an intricate process, wound healing involves contributions from numerous cell types. Fibroblasts critically support wound healing via sustaining the integrity of the extracellular matrix, promoting collagen synthesis, and driving contraction during proliferation and remodeling. A balanced inflammatory response is essential for this repair. The apelinergic system, comprising Apelin and APJ (apelin receptor)—abundantly found in the skin and scar fibroblasts—plays a significant regulatory role. This is among the first to reveal the role of exogenous Apelin-13 in wound healing using a scratch model in CCD-1072Sk fibroblast cell line.
Methods: The doses of 2 and 5-µg/ml Apelin-13 were chosen based on the cell viability assay result. After seeding cells in 24-well plates, the wound scratch model was applied once they reached approximately 90% confluency. Samples of the control (CTL), A-2, and A-5 groups were collected and analyzed at 0 h (hour) (baseline), 24 h, 48 h, and 72 h. After the wound scratch model, the wound gap area was checked at the relevant time points. ELISA analysis was performed for levels of TGF-β1, TNF-α, and IL-10. Apoptosis was analyzed with a fluorescent microscope using the Annexin V-FITC/PI method.
Results: In the viability assay, 2 and 5 µg/ml Apelin-13 doses were used. Wound closure decreased significantly at all time points in both Apelin groups vs. 0 h (p<0.001). Apoptosis increased significantly in A-2-48 and A-5-48 groups (p<0.001). TNF-α decreased in A-2 vs. CTL (p<0.001) and A-5-72 (p<0.001). TGF-β1 increased in A-5-72 vs. A-2-72 (p<0.05). IL-10 increased in all Apelin groups vs. CTL (p<0.001).
Conclusion: Apelin-13 promoted wound healing by balancing inflammation, enhancing fibroblast proliferation, migration, and reducing apoptosis. 2 µg/ml Apelin-13 showed notable effects, while 5 µg/ml was superior at certain time points. Apelin-13 appears to be a promising wound-healing agent.
References
Wilkinson HN, Hardman MJ (2020) Wound healing: Cellular mechanisms and pathological outcomes. Open Biol. 10(9):200223. https://doi.org/10.1098/rsob.200223
Peña OA, Martin P (2024) Cellular and molecular mechanisms of skin wound healing. Nat Rev Mol Cell Biol .25(8):599–616. https://doi.org/10.1038/s41580-024-00715-1
Burgess JL, Wyant WA, Abujamra BA, Kirsner RS, Jozic I (2021) Diabetic wound-healing science. Medicina (Kaunas) 57(10):1072. https://doi.org/10.3390/medicina57101072
Mayrovitz HN, Wong S, Mancuso C (2023) Venous, arterial, and neuropathic leg ulcers with emphasis on the geriatric population. Cureus. 15(4):e38123. https://doi.org/10.7759/cureus.38123
Boyko TV, Longaker MT, Yang GP (2018) Review of the Current Management of Pressure Ulcers. Adv Wound Care (New Rochelle). 1;7(2):57-67. https://doi.org/10.1089/wound.2016.0697
Ahmad N (2022) In vitro and in vivo characterization methods for evaluation of modern wound dressings. Pharmaceutics. 15(1):42. https://doi.org/10.3390/pharmaceutics15010042
Vang Mouritzen M, Jenssen H (2018) Optimized scratch assay for in vitro testing of cell migration with an automated optical camera. J Vis Exp. 138:e57691. https://doi.org/10.3791/57691
Bainbridge P (2013) Wound healing and the role of fibroblasts. J Wound Care. 22(8):407–412. https://doi.org/10.12968/jowc.2013.22.8.407
Addis R, Cruciani S, Santaniello S, et al (2020) Fibroblast proliferation and migration in wound healing by phytochemicals: Evidence for a novel synergic outcome. Int J Med Sci. 17(8):1030–1042. https://doi.org/10.7150/ijms.43986
Cialdai F, Risaliti C, Monici M (2022) Role of fibroblasts in wound healing and tissue remodeling on Earth and in space. Front Bioeng Biotechnol. 10:958381. https://doi.org/10.3389/fbioe.2022.958381
Akhtari N, Ahmadi M, Kiani Doust Vaghe Y, et al (2024) Natural agents as wound-healing promoters. Inflammopharmacology. 32(1):101–125. https://doi.org/10.1007/s10787-023-01318-6
Correa-Gallegos D, Jiang D, Rinkevich Y (2021) Fibroblasts as confederates of the immune system. Immunol Rev. 302(1):147–162. https://doi.org/10.1111/imr.12972
Ina K, Kusugami K, Kawano Y, et al (2005) Intestinal fibroblast-derived IL-10 increases survival of mucosal T cells by inhibiting growth factor deprivation- and Fas-mediated apoptosis. J immunol. 175(3):2000–2009. https://doi.org/10.4049/jimmunol.175.3.2000
Wong R, Tan T, Pang A, Srinivasan D (2025) The role of cytokines in wound healing: From mechanistic insights to therapeutic applications. Explor Immunol. 2025;5:1003183. https://doi.org/10.37349/ei.2025.1003183
Shi X, Young D, Zhou H, Wang X (2020) Transforming growth factor-β signaling in fibrotic diseases and cancer-associated fibroblasts. Biomolecules. 10(12):1666. https://doi.org/10.3390/biom10121666
Pakyari M, Farrokhi A, Maharlooei K, Ghahary A (2013) Critical role of transforming growth factor beta in different phases of wound healing. Adv Wound Care (New Rochelle). 2(5):215–224. https://doi.org/10.1089/wound.2012.0406
Shin K, Kenward C, Rainey K (2017) Apelinergic system structure and function. Compr Physiol. 8(1):407–450. https://doi.org/10.1002/cphy.c170028
Park J, Park Y, Kim Y, Jun Y, Lee U, Oh M (2023) Apelin as a new therapeutic target for COVID 19 treatment. QJM. 116(3):197–204. https://doi.org/10.1093/qjmed/hcac229
Robillard S, Trân K, Lachance S, et al (2023) Apelin prevents diabetes induced poor collateral vessel formation and blood flow reperfusion in ischemic limb. Front Cardiovasc Med. 10:1191891. https://doi.org/10.3389/fcvm.2023.1191891
Kidoya H, Naito H, Takakura N (2010) Apelin induces enlarged and nonleaky blood vessels for functional recovery from ischemia. Blood. 115(15):3166–3174. https://doi.org/10.1182/blood-2009-07-232306
Yamazaki S, Sekiguchi A, Uchiyama A, et al (2020) Apelin/APJ signaling suppresses the pressure ulcer formation in cutaneous ischemia reperfusion injury mouse model. Sci Rep. 10(1):1349. https://doi.org/10.1038/s41598-020-58452-2
Shi N, Wang Y, Xia Z, et al (2024) The regulatory role of the apelin/APJ axis in scarring: Identification of upstream and downstream mechanisms. Biochim Biophys Acta Mol Basis Dis. 1870(4):167125. https://doi.org/10.1016/j.bbadis.2024.167125
Kari S, Subramanian K, Altomonte A, Murugesan A, Yli Harja O, Kandhavelu M (2022) Programmed cell death detection methods: A systematic review and a categorical comparison. Apoptosis. 27(7–8):482–508. https://doi.org/10.1007/s10495-022-01735-y
Malakar D, Dey A, Basu A, Ghosh AK (2008) Antiapoptotic role of S adenosyl L methionine against hydrochloric acid induced cell death in Saccharomyces cerevisiae. Biochim Biophys Acta. 1780(7–8):937–947. https://doi.org/10.1016/j.bbagen.2008.03.014
Moela P, Motadi LR (2016) RBBP6: A potential biomarker of apoptosis induction in human cervical cancer cell lines. Onco Targets Ther. 9:4721–4735. https://doi.org/10.2147/OTT.S100964
Siriwattanasatorn M, Itharat A, Thongdeeying P, Ooraikul B (2020) In Vitro Wound Healing Activities of Three Most Commonly Used Thai Medicinal Plants and Their Three Markers. Evid Based Complement Alternat Med. 2020:6795383. https://doi.org/10.1155/2020/6795383
Sazonova EV, Chesnokov MS, Zhivotovsky B, Kopeina GS (2022) Drug toxicity assessment: cell proliferation versus cell death. Cell Death Discov. 8(1):417. https://doi.org/10.1038/s41420-022-01207-x
Lin T, Zhao Y, Guo S, et al (2022) Apelin 13 protects neurons by attenuating early stage post spinal cord injury apoptosis in vitro. Brain Sci. 12(11):1151. https://doi.org/10.3390/brainsci12111515
Samandari-Bahraseman MR, Elyasi L (2021) Apelin-13 protects human neuroblastoma SH-SY5Y cells against amyloid-beta induced neurotoxicity: Involvement of anti oxidant and anti apoptotic properties. J Basic Clin Physiol Pharmacol. 33(5):599–605. https://doi.org/10.1515/jbcpp-2020-0294
Martinotti S, Ranzato E (2020) Scratch wound healing assay. In: Methods Mol Biol. 2109:225–229. https://doi.org/10.1007/7651_2019_259
Zhou C, Zhang B, Yang Y, et al (2023) Stem cell derived exosomes: Emerging therapeutic opportunities for wound healing. Stem Cell Res Ther. 14(1):107. https://doi.org/10.1186/s13287-023-03345-0
Zhang BH, Guo CX, Wang HX, et al (2014) Cardioprotective effects of adipokine apelin on myocardial infarction. Heart Vessels. 29(5):679–689. https://doi.org/10.1007/s00380-013-0425-z
Zheng W, Wang J, Xie L, et al (2019) An injectable thermosensitive hydrogel for sustained release of apelin 13 to enhance flap survival in rat random skin flap. J Mater Sci Mater Med. 30(9):106. https://doi.org/10.1007/s10856-019-6306-y
Doğan A (2019) Apelin receptor (Aplnr) signaling promotes fibroblast migration. Tissue Cell. 56:98–106. https://doi.org/10.1016/j.tice.2019.01.003
Yokoyama Y, Sekiguchi A, Fujiwara C, et al (2018) Inhibitory regulation of skin fibrosis in systemic sclerosis by apelin/APJ signaling. Arthritis Rheumatol. 70(10):1661–1672. https://doi.org/10.1002/art.40533
Riwaldt S, Corydon TJ, Pantalone D, et al (2021) Role of apoptosis in wound healing and apoptosis alterations in microgravity. Front Bioeng Biotechnol. 9:679650. https://doi.org/10.3389/fbioe.2021.679650
Ishimaru Y, Sumino A, Kajioka D, et al (2017) Apelin protects against NMDA induced retinal neuronal death via an APJ receptor by activating Akt and ERK1/2, and suppressing TNF α expression in mice. J Pharmacol Sci. 133(1):34–41. https://doi.org/10.1016/j.jphs.2016.12.002
Li X, Gu C, Hu Q, Wang L, Zhang Y, Yu L (2024) Protective effect of apelin 13 in lens epithelial cells via inhibiting oxidative stress induced apoptosis. BMC Ophthalmol. 24(1):479. https://doi.org/10.1186/s12886-024-03746-6
Li S, Yuan S, Yang S, et al (2025) Apelin 13/APJ promotes neural stem cells to repair ischemic stroke. Tissue Cell. 95:102872. https://doi.org/10.1016/j.tice.2025.102872
Xu C, Nie X, Xu R, Zhou L, Wang D (2025) Protective effects of apelin 13 on nicotine induced H9c2 cardiomyocyte apoptosis and oxidative stress. Tob Induc Dis. 23:201400. https://doi.org/10.18332/tid/201400
Jang DI, Lee AH, Shin HY, et al (2021) The role of tumor necrosis factor alpha (TNF α) in autoimmune disease and current TNF α inhibitors in therapeutics. Int J Mol Sci 22(5):2794. https://doi.org/10.3390/ijms22052719
Raziyeva K, Kim Y, Zharkinbekov Z, Kassymbek K, Jimi S, Saparov A (2021) Immunology of acute and chronic wound healing. Biomolecules. 11(5):744. https://doi.org/10.3390/biom11050700
Huang SM, Wu CS, Chiu MH, et al (2019) High glucose environment induces M1 macrophage polarization that impairs keratinocyte migration via TNF-α: An important mechanism to delay the diabetic wound healing. J Dermatol Sci. 96(3):159–167. https://doi.org/10.1016/j.jdermsci.2019.11.004
Singampalli KL, Balaji S, Wang X, et al (2020) The role of an IL 10/hyaluronan axis in dermal wound healing. Front Cell Dev Biol. 8:636. https://doi.org/10.3389/fcell.2020.00636
Wang J, Xiang H, Lu Y, Wu T (2021) Role and clinical significance of TGF β1 and TGF βR1 in malignant tumors (Review). Int J Mol Med. 47(4). https://doi.org/10.3892/ijmm.2021.4888
Xiaojie W, Banda J, Qi H, et al (2022) Scarless wound healing: Current insights from the perspectives of TGF β, KGF 1, and KGF 2. Cytokine Growth Factor Rev. 66:26–37. https://doi.org/10.1016/j.cytogfr.2022.03.001
Peng Y, Wu S, Tang Q, Li S, Peng C (2019) KGF 1 accelerates wound contraction through the TGF β1/Smad signaling pathway in a double paracrine manner. J Biol Chem. 294(21):8361–8370. https://doi.org/10.1074/jbc.RA118.006189
Sziksz E, Pap D, Lippai R, et al (2015) Fibrosis related inflammatory mediators: Role of the IL 10 cytokine family. Mediators Inflamm. 2015:764641. https://doi.org/10.1155/2015/764641
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Istanbul Üniversitesi-Cerrahpasa
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