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(American Journal of Pathology. 2004;164:229-242.)
© 2004 American Society for Investigative Pathology

Increased Expression of ß6-Integrin in Skin Leads to Spontaneous Development of Chronic Wounds

Lari Häkkinen*, Leeni Koivisto*, Humphrey Gardner{dagger}, Ulpu Saarialho-Kere{ddagger}, Joseph M. Carroll§, Merja Lakso||, Heikki Rauvala||, Matti Laato**, Jyrki Heino{dagger}{dagger} and Hannu Larjava*

From the Department of Oral Biological and Medical Sciences,* Laboratory of Periodontal Biology, Faculty of Dentistry, University of British Columbia, Vancouver, Canada; Research Pathology Department, Biogen, Inc.{dagger} Cambridge, Massachusetts; the Department of Dermatology and Helsinki University Central Hospital,{ddagger} University of Helsinki, Helsinki, Finland; Genomic Pharmacology,§ Millenium Pharmaceuticals, Cambridge, Massachusetts; Viikki Transgenic Unit,|| University of Helsinki, Helsinki, Finland, the Department of Surgery,** Turku University Central Hospital, Turku, Finland; and the Department of Biology,{dagger}{dagger} University of Jyväskylä, Jyväskylä, Finland

Integrin {alpha}vß6 is an epithelial cell-specific receptor that is not normally expressed by resting epithelium but its expression is induced during wound healing. The function of {alpha}vß6-integrin in wound repair is not clear. In the present study, we showed that ß6-integrin expression was strongly up-regulated in the epidermis in human chronic wounds but not in different forms of skin fibrosis. To test whether increased ß6-integrin expression plays a role in abnormal wound healing we developed four homozygous transgenic mouse lines that constitutively expressed human ß6-integrin in the epithelium. The mice developed normally and did not show any histological abnormalities in the skin. The rate of experimental skin wound closure was unaltered and the wounds healed without significant scar formation. However, during breeding program 16.1 to 27.0% of transgenic mice developed spontaneous, progressing fibrotic chronic ulcers. None of the wild-type animals developed these lesions. The chronic lesions had areas with severe fibrosis and numerous activated macrophages and fibroblasts expressing transforming growth factor (TGF)-ß. The level of TGF-ß1 was significantly increased in the lesions as compared with normal skin. The findings suggest that increased {alpha}vß6-integrin in keratinocytes plays an active part in abnormal wound healing possibly through a mechanism involving increased activation of TGF-ß.





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