Volume 44 Issue 3
Mar.  2023
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Weimin LIU, Yiqun MA, Zhuo TIAN, Yang TANG. Regulatory Role of PI3K/Akt Signaling Pathway in Hypertrophic Scar[J]. Journal of Kunming Medical University, 2023, 44(3): 22-27. doi: 10.12259/j.issn.2095-610X.S20230313
Citation: Weimin LIU, Yiqun MA, Zhuo TIAN, Yang TANG. Regulatory Role of PI3K/Akt Signaling Pathway in Hypertrophic Scar[J]. Journal of Kunming Medical University, 2023, 44(3): 22-27. doi: 10.12259/j.issn.2095-610X.S20230313

Regulatory Role of PI3K/Akt Signaling Pathway in Hypertrophic Scar

doi: 10.12259/j.issn.2095-610X.S20230313
  • Received Date: 2022-10-18
    Available Online: 2023-03-02
  • Publish Date: 2023-03-25
  •   Objective  To explore the regulatory role of PI3K/Akt signaling pathway in the hypertrophic scar.   Methods  The rabbit ear hypertrophic scar model was established and randomly divided into four groups, including normal rabbit ear skin group (A), hypertrophic scar model group (B), DMSO-stimulated hypertrophic scar model group (C), and PI3K-specific inhibitor (LY294002) stimulated model group (D). Morphological changes of rabbit ear scar were observed by histopathology. The expression of phosphorylation of Akt[S473] and Akt[T308] was examined by immunohistochemistry and western blot. Immunofluorescence double staining was performed to assess the co-localization of p-Akt[S473] and p-Akt[T308]. The TUNEL assay was used to detect the fibroblasts’ apoptosis in skin tissues.   Results  Scar thickness and fibroblast count were significantly higher in the D group than that in the B and C groups, but the difference was not statistically significant between the B group and the C group. The results of immunohistochemistry and western blot assay confirmed that the expression of p-Akt[T308] and p-Akt[S473] were significantly higher in the B group than in the A group, but significantly lower in the D group than in the C group. The expression of p-Akt[T308] and p-Akt[S473] was significantly enhanced in the B group compared with the C group. Immunofluorescence double staining showed that p-Akt[T308] and p-Akt[S473] were mainly co-localized in the cytoplasm in scar tissue, and their co-expression was lower in the D group than in the B group. TUNEL assay results confirmed that the apoptosis level of fibroblast was significantly downregulated in skin tissue in the B group compared with the A group, and the apoptosis level of fibroblast was higher in the D group than in the C (P < 0.01).   Conclusion  Blocking the PI3K/Akt signaling pathway can accelerate fibroblast apoptosis by inhibiting Akt phosphorylation, and then alleviate hypertrophic scar formation.
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