Comparison of Mouse Matrix Metalloproteinase 13 Expression in Free-Electron Laser and Scalpel Incisions During Wound Healing  Nanjun Wu, E. Duco Jansen,

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Comparison of Mouse Matrix Metalloproteinase 13 Expression in Free-Electron Laser and Scalpel Incisions During Wound Healing  Nanjun Wu, E. Duco Jansen, Jeffrey M. Davidson  Journal of Investigative Dermatology  Volume 121, Issue 4, Pages 926-932 (October 2003) DOI: 10.1046/j.1523-1747.2003.12497.x Copyright © 2003 The Society for Investigative Dermatology, Inc Terms and Conditions

Figure 1 Relative tensile strengths of healing incisions versus time. Values at each time point represent the mean ratios of tensile strength of paired FEL and scalpel wounds in individual, wild-type animals at each time point (N=5). Asterisks indicate a significant difference in tensile strength between FEL and scalpel wounds at that time point (*p<0.05, **p<0.01). At days 10, 14, and 22, the FEL wounds show lower tensile strength than scalpel incisions. At days 45 and 62 tensile strength was not significantly different between the two lesions. Journal of Investigative Dermatology 2003 121, 926-932DOI: (10.1046/j.1523-1747.2003.12497.x) Copyright © 2003 The Society for Investigative Dermatology, Inc Terms and Conditions

Figure 2 Patterns of MMP-13 promoter activity within FEL and scalpel wounds in transgenic mice. The signals of luciferase bioluminescence from the FEL and scalpel wound area of a representative mouse were quantified, and the total photon counts were plotted with respect to days after injury. The signals of luciferase from FEL and scalpel wounds showed a similar temporal pattern of promoter activity. (A) MMP-13 promoter activity in MMP-13 transgenic mice. There were two phases of MMP-13 promoter activity: the first peak was at around 15 d, and the second peak was at 37 d after injury. FEL incisions showed higher luciferase activity than scalpel incisions during wound healing. (B) Collagen promoter activity in COL1A2 transgenic mice. The peak collagen promoter activity was at 10 d after injury, and the signal decreased dramatically at 14 d after injury. After 18 d, almost no signal was detected. Data from additional animals are available (supplementary figure). Journal of Investigative Dermatology 2003 121, 926-932DOI: (10.1046/j.1523-1747.2003.12497.x) Copyright © 2003 The Society for Investigative Dermatology, Inc Terms and Conditions

Figure 3 Localization of MMP-13 mRNA in FEL wounds from transgenic mice. Sections of mouse skin at 15 d and 37 d after injury were hybridized with digoxigenin-labeled antisense riboprobes derived from mouse MMP-13 cDNA and counterstained with fast green. EP, epidermis; W, wound site. (A) At 15 d during the first expression peak of MMP-13 promoter activity, MMP-13 mRNA was localized to the dermal fibroblasts near the epidermis (arrow). (B) At 37 d, during the second peak of MMP-13 promoter activity, in situ hybridization showed the bulk of MMP-13 expression had shifted to the deep dermis, muscle, and fascia. Panels C and D illustrate regions of the regenerating panniculus carnosus that expressed MMP-13 mRNA at day 37 after injury. MMP-13 signals were detected on cells on the tip of migrating muscle as well as muscle cells behind the leading edge (panel D). Panel E is the negative control. Panel F is a high magnification view of the upper dermis in panel A. A spindle-shaped fibroblastic cell with positive signal is indicated by the arrow. Scale bars: A, B, E, 50 μm; C, D, F, 10 μm. Journal of Investigative Dermatology 2003 121, 926-932DOI: (10.1046/j.1523-1747.2003.12497.x) Copyright © 2003 The Society for Investigative Dermatology, Inc Terms and Conditions

Figure 4 Immunostaining of MMP-13 in the FEL wound. Sections of FEL incisional tissues at day 15 (A, B) and day 37 (C, D) postinjury were stained with polyclonal anti-MMP-13 antibody. In the IgG control (E), there was no detectable labeling for MMP-13. At day 15 (A), there was a greater extent of MMP-13 expression near the epidermis. At 37 d (C, shown at higher magnification in D), most MMP-13 expression was located in the deep dermis. Scale bars: A, C, 50 μm; B, D, 10 μm. Journal of Investigative Dermatology 2003 121, 926-932DOI: (10.1046/j.1523-1747.2003.12497.x) Copyright © 2003 The Society for Investigative Dermatology, Inc Terms and Conditions

Figure 5 Connective tissue organization in laser and surgical incisions. Sections of scalpel (A, B, C) and FEL (D, E, F) incisional wounds from day 10 (A, D), 36 (B, E), and 45 (C, F) postinjury were stained with Masson's trichrome. Scalpel incisions show more intense collagen staining and lower cellularity than FEL wounds at days 10, 36, and 45, but by day 45 the amount of collagen appeared similar between FEL and scalpel incisions (C, F). Scale bars: 100 μm. Journal of Investigative Dermatology 2003 121, 926-932DOI: (10.1046/j.1523-1747.2003.12497.x) Copyright © 2003 The Society for Investigative Dermatology, Inc Terms and Conditions

Figure 6 Detection of macrophages in FEL and scalpel wounds. Sections of FEL (A, B) and scalpel (C, D) incisional tissues at day 2 (A, C) and day 7 (B, D) postinjury were stained with monoclonal antimacrophage antibody. In the IgG control (E), there was no detectable labeling for macrophage. There were more macrophages in FEL (A, B) than scalpel (C, D) wound areas at the same time point. Panel F shows the mean macrophage numbers per high power field (N=10) for the FEL and scalpel wounds at days 2 and 7. Scale bars: 100 μm. Journal of Investigative Dermatology 2003 121, 926-932DOI: (10.1046/j.1523-1747.2003.12497.x) Copyright © 2003 The Society for Investigative Dermatology, Inc Terms and Conditions

Figure 7 MMP-13 stimulation by bFGF in transgenic mice. A mixture of 2 μg (c) or 10 μg (d) of bFGF in 10 μL PBS and 50 μL pluronic gel were subcutaneously injected into intact dorsal skin. The controls (a, b) were given with a mixture of water and pluronic gel. At 2 d after injection (A), there was no detectable signal in the bFGF injection sites. At 3 d after injection (B), bFGF injection sites (c, d) showed higher signals than controls (a, b), and at 4 d (C) the signals were weaker than day 3. There was a high level of constitutive MMP-13 promoter activity in the tail, snout, and paws. Journal of Investigative Dermatology 2003 121, 926-932DOI: (10.1046/j.1523-1747.2003.12497.x) Copyright © 2003 The Society for Investigative Dermatology, Inc Terms and Conditions