Bioenergetic Evaluation of Site-specific Keloid and FKN Fibroblasts

dc.contributor.advisorKhumalo, Nonhlanhla
dc.contributor.advisorBayat, Ardeshir
dc.contributor.advisorLebeko, Maribanyana
dc.contributor.authorChalwa, Temwani
dc.date.accessioned2022-08-30T08:25:10Z
dc.date.available2022-08-30T08:25:10Z
dc.date.issued2019
dc.date.updated2022-07-20T08:44:46Z
dc.description.abstractExcessive scarring due to fibrosis from aberrant wound healing can lead to conditions such as Keloids or Folliculitis Keloidalis Nuchae (FKN). These fibroproliferative growths pose therapeutic challenges due to their complex aetiology that has been linked to multiple genetic and environmental factors, with frequent reoccurrence following therapy. Owing to reports on an increase in ATP and Fibroblast Activation Protein-1α production in keloids, the aim of this study was to investigate whether the disease phenotypes were linked to bioenergetic changes at a cellular level in these two conditions. Patient-derived tissue biopsies were used for fibroblast cell culture models, in which cell analysis was carried out to assess phenotype and different parameters of bioenergetic cellular behaviour. In addition to FKN and the intra- and peri-lesional Keloid patient fibroblasts, normal skin and non-hypertrophic (normo-trophic) scar fibroblasts were used as negative controls. The results show statistically significant and variable growth dynamics with increased proliferation and migration in keloid fibroblasts, while FKN fibroblasts showed a statistically significant increase in proliferation but had a similar migration profile to controls. The results further show that there is a statistically significant metabolic switch towards aerobic glycolysis in the fibroblasts from the disease conditions. During functional measurement of mitochondrial parameters, an increase in oxidative phosphorylation was exhibited in the disease conditions indicating their mitochondria were still functional. An increase in basal glycolysis with a concomitant increase in the cellular maximum glycolytic capacity was also demonstrated. Furthermore, protein analysis showed an upregulation in the expression of Fibroblast Activation Protein-1α in fibroblasts from both disease conditions This study begins to give novel insight into the bioenergetics of normal scars and scarring conditions such as FKN and, adds to the knowledge on the heterogeneity of fibroblasts derived from specific lesional sites within Keloids. These findings suggest that Keloids and FKN have a switch to a metabolic phenotype of aerobic glycolysis. This increase in glycolytic flux potentially proposes glycolytic inhibitors as a mechanistic basis for the treatment of these conditions.
dc.identifier.apacitationChalwa, T. (2019). <i>Bioenergetic Evaluation of Site-specific Keloid and FKN Fibroblasts</i>. (). ,Faculty of Health Sciences ,Division of Dermatology. Retrieved from http://hdl.handle.net/11427/36757en_ZA
dc.identifier.chicagocitationChalwa, Temwani. <i>"Bioenergetic Evaluation of Site-specific Keloid and FKN Fibroblasts."</i> ., ,Faculty of Health Sciences ,Division of Dermatology, 2019. http://hdl.handle.net/11427/36757en_ZA
dc.identifier.citationChalwa, T. 2019. Bioenergetic Evaluation of Site-specific Keloid and FKN Fibroblasts. . ,Faculty of Health Sciences ,Division of Dermatology. http://hdl.handle.net/11427/36757en_ZA
dc.identifier.ris TY - Master Thesis AU - Chalwa, Temwani AB - Excessive scarring due to fibrosis from aberrant wound healing can lead to conditions such as Keloids or Folliculitis Keloidalis Nuchae (FKN). These fibroproliferative growths pose therapeutic challenges due to their complex aetiology that has been linked to multiple genetic and environmental factors, with frequent reoccurrence following therapy. Owing to reports on an increase in ATP and Fibroblast Activation Protein-1α production in keloids, the aim of this study was to investigate whether the disease phenotypes were linked to bioenergetic changes at a cellular level in these two conditions. Patient-derived tissue biopsies were used for fibroblast cell culture models, in which cell analysis was carried out to assess phenotype and different parameters of bioenergetic cellular behaviour. In addition to FKN and the intra- and peri-lesional Keloid patient fibroblasts, normal skin and non-hypertrophic (normo-trophic) scar fibroblasts were used as negative controls. The results show statistically significant and variable growth dynamics with increased proliferation and migration in keloid fibroblasts, while FKN fibroblasts showed a statistically significant increase in proliferation but had a similar migration profile to controls. The results further show that there is a statistically significant metabolic switch towards aerobic glycolysis in the fibroblasts from the disease conditions. During functional measurement of mitochondrial parameters, an increase in oxidative phosphorylation was exhibited in the disease conditions indicating their mitochondria were still functional. An increase in basal glycolysis with a concomitant increase in the cellular maximum glycolytic capacity was also demonstrated. Furthermore, protein analysis showed an upregulation in the expression of Fibroblast Activation Protein-1α in fibroblasts from both disease conditions This study begins to give novel insight into the bioenergetics of normal scars and scarring conditions such as FKN and, adds to the knowledge on the heterogeneity of fibroblasts derived from specific lesional sites within Keloids. These findings suggest that Keloids and FKN have a switch to a metabolic phenotype of aerobic glycolysis. This increase in glycolytic flux potentially proposes glycolytic inhibitors as a mechanistic basis for the treatment of these conditions. DA - 2019_ DB - OpenUCT DP - University of Cape Town KW - Trichology and Cosmetic Science LK - https://open.uct.ac.za PY - 2019 T1 - Bioenergetic Evaluation of Site-specific Keloid and FKN Fibroblasts TI - Bioenergetic Evaluation of Site-specific Keloid and FKN Fibroblasts UR - http://hdl.handle.net/11427/36757 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/36757
dc.identifier.vancouvercitationChalwa T. Bioenergetic Evaluation of Site-specific Keloid and FKN Fibroblasts. []. ,Faculty of Health Sciences ,Division of Dermatology, 2019 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/36757en_ZA
dc.language.rfc3066eng
dc.publisher.departmentDivision of Dermatology
dc.publisher.facultyFaculty of Health Sciences
dc.subjectTrichology and Cosmetic Science
dc.titleBioenergetic Evaluation of Site-specific Keloid and FKN Fibroblasts
dc.typeMaster Thesis
dc.type.qualificationlevelMasters
dc.type.qualificationlevelMSc
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