Advertisement

Effects of silver nanoparticles on primary cell cultures of fibroblasts and keratinocytes in a wound-healing model

Abstract

Background

Nanoparticles are widely used in different technological fields, one of which is medicine. Because of their antibacterial properties, silver nanoparticles (AgNPs) are used in several types of wound dressings for the treatment of burns and nonhealing wounds, but their influence on each component of the wound-healing process remains unclear. In the present study, we evaluated the effects of AgNPs on normal human dermal fibroblasts (NHDFs) and normal human epidermal keratinocytes (NHEKs). Both cell types are important for wound healing, including with regard to inflammation, proliferation and tissue remodeling. Each phase of wound healing can be characterized by the secretion of cytokines, chemokines and growth factors.

Methods

The production of inflammatory parameters (tumor necrosis factor α [TNF-α], interleukin-6 [IL-6], IL-8 and IL-12 and cyclooxygenase-2 [COX-2]), angiogenesis parameters (vascular endothelial growth factor [VEGF], granulocyte macrophage colony-stimulating factor) and matrix metalloproteinases (MMP-1, MMP-2, MMP-3 and MMP-9) by NHDFs and NHEKs were examined by ELISA or Western blot after 24 and 48 hours of incubation with AgNPs.

Results

We found that AgNPs decreased some inflammatory cytokines (TNF-α and IL-12) and growth factors (VEGF) that were produced by NHDFs and NHEKs after 24 and 48 hours and decreased the expression of COX-2 after 24 hours but only at the highest concentration of AgNPs (25 parts per million).

Conclusions

The results indicate that NHEKs are more susceptible to the application of AgNPs than NHDFs, and AgNPs may be useful for medical applications for the treatment of wounds.

J Appl Biomater Funct Mater 2016; 14(2): e137 - e142

Article Type: ORIGINAL RESEARCH ARTICLE

DOI:10.5301/jabfm.5000268

OPEN ACCESS ARTICLE

Authors

Jana Franková, Veronika Pivodová, Hana Vágnerová, Jana Juráňová, Jitka Ulrichová

Article History

Disclosures

Financial support: The authors were financially supported by grants NPU LO 1304 and CZ.1.07/2.3.00/30.0004.
Conflict of interest: None of the authors has any financial interest related to this study to disclose.

This article is available as full text PDF.

Download any of the following attachments:

Introduction

Skin wound healing is a dynamic process that involves inflammation, a proliferation phase (i.e., the formation of granulation tissue and angiogenesis) and tissue remodeling (1). These 3 phases involve well-organized interactions between various tissues and cells. Wound healing begins immediately after injury and is controlled by several factors, including cytokines (antiinflammatory and proinflammatory), chemokines, growth factors and enzymes (2).

Disruption of the skin barrier leads to the production of proinflammatory cytokines, including interleukin-1 (IL-1) and tumor necrosis factor α (TNF-α) (3). TNF-α production can be blocked by cyclooxygenase-2 (COX-2) inhibitors. Clot formation initiates homeostasis, and macrophages begin to form granulation tissue and release cytokines (IL-1 and IL-6) and growth factors (fibroblast growth factor [FGF], transforming growth factor [TGF] and epidermal growth factor [EGF]). The production of these growth and chemotactic factors (e.g., IL-8) activate the migration and proliferation of keratinocytes. Macrophages promote angiogenesis and secrete vascular endothelial growth factor (VEGF) and FGF (4, 5). Tissue remodeling involves collagen formation by fibroblasts, and the final product is a scar. The last part of wound repair depends on a combination of tissue inhibitors and matrix metalloproteinases (MMPs). MMPs degrade the newly formed extracellular matrix and control the activity of cytokines and growth factors (6). Proinflammatory cytokines (e.g., TNF-α) have been identified as potent inductors of MMPs, and the overproduction of TNF-α can result in nonhealing wounds.

Silver compounds have been well known for centuries as antimicrobial agents and are widely used for the treatment of bacterial infections (7-8-9), burns and open wounds (10). Nonhealing wounds that are abundantly bacterially colonized can also be treated with silver compound (11). With the elimination of bacteria, the later stages of wound healing progress more effectively (12). Because of the importance of the inflammatory phase in wound healing, silver nanoparticles (AgNPs) have mostly been tested with regard to their inflammatory properties (13, 14). Wound dressings that contain AgNPs have been suggested to enhance wound healing by decreasing inflammation through the modulation of cytokines (15). Several wound dressings with AgNPs are used because of their antibacterial properties (12, 15, 16), but the influence of AgNPs on the complete mechanism of wound healing has not been extensively investigated.

In the present study, we evaluated the effects of AgNPs on the main cells that are involved in the wound-healing process: normal human dermal fibroblasts (NHDFs) and normal human epidermal keratinocytes (NHEKs). We examined the production of wound-healing parameters (interleukins, growth factors and MMPs) using an in vitro wound-healing model.

Materials and methods

Preparation and characterization of AgNPs

AgNPs were obtained from NanoTrade Company as commercial samples, and were prepared by dissolving AgNO3 in distilled water. After adding NaBH4 under magnetic stirring, the AgNPs were formed very quickly. They were characterized by ultraviolet-visible (UV-VIS) spectrum spectroscopy (from 200 nm to 800 nm) and transmission electron microscopy (TEM). The analysis was performed using a JEOL JEM 2011 transmission electron microscope at an accelerating voltage of 100 kV. Photographs were taken with a Morada or Keen View II digital camera, using the iTEM program (SIS, Olympus). Zeta Plus analyzer (Brookhaven) was used for the detection of the zeta potential.

Cell cultivation and maintenance

NHDFs and NHEKs were isolated from plastic surgery skin sections with approval from the ethics committee of the University Hospital Olomouc and the patients’ consent. The study was performed in accordance with the Code of Ethics of the World Medical Association. The morphology and origin of the cells were authenticated in the Histology Department of the University Hospital Olomouc.

NHDFs were cultured in Dulbecco’s modified Eagle’s medium supplemented with 10% fetal bovine serum (FBS) and 1% penicillin-streptomycin under standard culture conditions (5% CO2, 37°C). Cells were used between the second and third passages. For the experiments, the cells were seeded in 6-well plates at a final concentration of 0.5 × 106 cells/well.

NHEKs were cultured in keratinocyte basal medium-2 (KBM-2) supplemented with KGM-2 SingleQuots and 2% FBS for 3 days (17). After the incubation period, KBM-2 was substituted with EpiLife growth medium supplemented with the Human Keratinocyte Growth Supplement Kit, 100 mg/mL penicillin, 100 mg/L streptomycin and 250 µg/mL ampicillin, and incubated at 37°C in a 5% CO2 atmosphere. The medium was changed every other day until the keratinocytes reached 50%-60% confluence. Cells were used at the third passage. For the experiments, the cells were seeded in 6-well plates at a final concentration of 3 × 104 cells/well.

Scratch wound assay

Cells were seeded in 6-well plates at 0.5 × 106 cells/well for NHDF and 3 × 104 cells/well for NHEK, and grown to 100% confluence. After 1 day of culture, the scratch wound assay was performed using a 10-cm portion of a plastic pipette, making 1 scratch across each well. The cells were washed with phosphate-buffered saline, and AgNPs at different concentrations were added (0.25, 2.5 and 25 parts per million [ppm]), diluted in serum-free cultivation medium. The concentrations were chosen based on our previous experiments (data not shown). As a positive control, we used scratched cells without AgNPs.

The medium was collected for the enzyme-linked immunosorbent assay (ELISA) and Bio-Plex analyses, and the cells were lysed with RIPA buffer supplemented with protease inhibitors at specified times (24 and 48 hours) for the Western blot analysis.

Bio-Plex analysis

The healing mechanism is a complex system that is regulated by cytokines and growth factors. The levels of TNF-α, IL-6, IL-8, IL-10, IL-12, basic FGF, VEGF and granulocyte macrophage colony-stimulating factor (GM-CSF) were measured using a Bio-Plex cytokine assay (Human Group I 8-Plex Panel; Bio-Rad) according to the manufacturer’s instructions. The detection range was 0.18 to 37,000 pg/mL. All of the Bio-Plex results are expressed as the ratio between the concentrations of markers (pg/mL) in treated cells vs. the concentrations of markers (pg/mL) in the positive control.

ELISA

MMP-1, MMP-2, MMP-3 and MMP-9 in the cell supernatant were examined using the Human Quantikine ELISA Kit (R&D Systems, Minneapolis, MN, USA) at 24 and 48 hours according to the manufacturer’s instructions.

Western blot

Western blot was used for the detection of COX-2. Cell lysates were briefly ultrasonicated in a cleaning sonicator bath before being centrifuged for 10 minutes at 10,000 g at 4°C. The protein concentration was quantified by the Bradford method, and 50 μg of protein was loaded in each well with 10% sodium dodecyl sulfate–polyacrylamide gel for the analysis of COX-2 and β-actin. Gels were wet-transferred to polyvinylidene fluoride membranes. The membranes were blocked with 5% low-fat milk in Tris-buffered saline (TBS) with 0.1% Tween 20 for 2 hours at room temperature and washed with 0.1% Tween 20 TBS before incubation with primary antibodies overnight at 4°C. The dilutions of the antibodies were 1:500. The membranes were washed in TBS, and secondary antibody (goat antirabbit or rabbit antigoat) was added for 2 hours and imaged (18). A chemiluminescence system was applied to each membrane for 2 minutes. Excess substrate was removed, and the film was exposed to the membrane for 1-10 minutes. The films were then developed with a film processor.

Statistical analysis

All of the experiments were repeated at least 3 times using different donors in duplicate. The data are expressed as the means and standard deviation. Student’s t-test was used for the statistical analysis. Values of p<0.05 were considered statistically significant.

Results

Characterization of silver nanoparticles

Silver nanoparticles (1 mL) were diluted in 50 mL of water for the UV-VIS characterization (Fig. 1A). The silver colloid was characterized by strong absorption in the visible region (called the surface plasmon resonance band) at 400 nm. The position of the maximum and width of an absorption band provide information about the form, average size and size distribution of nanoparticles (NPs). The average size of AgNPs was 10 ± 5 nm (>50% of the NPs), confirmed by TEM (Fig. 1B). The pH of the AgNPs was 7.1, with a zeta potential of-22 mV.

Characterization of silver nanoparticles (AgNPs). (A) Ultraviolet-visible (UV-VIS) spectrum of AgNPs. (B) Transmission electron microscopy image of AgNPs.

Bio-Plex

Cytokines play an important role in the wound-healing process. We tested whether AgNPs are able to change the production of proinflammatory cytokines, antiinflammatory cytokines and growth factors after 24 and 48 hours. The secretion of these cytokines was detected by the Bio-Plex multiple-bead system. Only the levels of cytokines that were altered by AgNPs compared with the positive control cells are discussed. The production of TNF-α and VEGF by NHDFs and NHEKs decreased after 24 and 48 hours at all of the tested concentrations (Fig. 2A-D). AgNPs decreased the secretion of IL-12 by NHDFs at all of the tested concentrations after 24 and 48 hours compared with untreated cells. AgNPs also decreased the secretion of IL-12 by NHEKs after 48 hours at all of the tested concentrations (Fig. 3A, B). AgNPs (2.5 and 0.25 ppm) slightly increased the production of IL-12 by NHEK after 24 hours (Fig. 3A).

Production of VEGF by normal human epidermal keratinocytes (NHEKs) (A), VEGF by normal human dermal fibroblasts (NHDFs) (B), TNF-α by NHEKs (C) and TNF-α by NHDFs (D) in cell supernatants after 24 and 48 hours of incubation with silver nanoparticles (AgNPs). *p<0.05, vs. positive control (PC). ppm = parts per million.

Production of IL-12 by normal human epidermal keratinocytes (NHEKs) (A) and normal human dermal fibroblasts (NHDFs) (B) in cell supernatants after 24 and 48 hours of incubation with silver nanoparticles (AgNPs). *p<0.05, vs. positive control (PC). ppm = parts per million.

ELISA

Extracellular matrix remodeling is mainly influenced by MMPs through the removal of damaged tissue and decrease in the overproduction of extracellular matrix proteins. We evaluated the effects of AgNPs on the remodeling of wound healing in cell supernatants and detected the volume of MMP-1, MMP-2, MMP-3 and MMP-9. The production of MMP-2 by NHDFs was unchanged, and MMP-9 production was below the limit of detection (data not shown). MMP-3 levels in NHEKs decreased compared with positive control after 48 hours (Fig. 4B), whereas AgNPs increased the production of MMP-1 after 24 and 48 hours (Fig. 4A).

Production of MMP-1 (A) and MMP-3 (B) by normal human epidermal keratinocytes (NHEKs) in cell supernatants after 24 and 48 hours of incubation with silver nanoparticles (AgNPs). *p<0.05, vs. positive control (PC). ppm = parts per million.

Western blot

COX-2 is one of the most important proinflammatory mediators and is involved in acute inflammation. In the present study, we determined whether AgNPs influence the expression of COX-2 in NHEKs and NHDFs after AgNP application. The expression of COX-2 in NHEKs was monitored by Western blot. It decreased after the application of AgNPs after 24 hours at concentrations of 2.5 and 25 ppm (Fig. 5A). AgNPs at a concentration of 25 ppm decreased the expression of COX-2 in NHDFs after 24 hours (Fig. 5C).

(A) Expression of cyclooxygenase-2 (COX-2) in normal human epidermal keratinocytes (NHEKs) after 24 and 48 hours. The data are expressed as means and standard deviation from 3 independent experiments. (B) Representative Western blots of NHEKs. (C) Expression of COX-2 in normal human dermal fibroblasts (NHDFs) after 24 and 48 hours. The data are expressed as means and standard deviation from 3 independent experiments. (D) Representative Western blots of NHDFs. *p<0.05, vs. positive control (PC). ppm = parts per million.

Discussion

The aim of the present study was to determine the response of primary human keratinocytes and fibroblasts after incubation with AgNPs. Both types of cells (NHDFs and NHEKs) were isolated from skin sections and used for the evaluation of wound healing parameters in vitro after AgNP application.

For the characterization of AgNPs, we used TEM and UV-VIS spectroscopy. The optical spectrum of metal AgNPs at sizes of 2 to 100 nm is characterized by strong absorption in the visible region, called the surface plasmon resonance band (19, 20). The position of the plasmon resonance band describes the size and shape of NPs and is caused by movement of conduction electrons in the particles (21, 22). As the particle size increases, the surface plasmon resonance band of the optical absorption spectra of metal NPs shifts toward longer wavelengths (23). We detected the plasmon resonance band at 400 nm, corresponding to an average size of the AgNPs of 10 nm and indicating spherical NPs (confirmed by TEM).

AgNPs inhibit not only bacterial growth but also the production of proinflammatory cytokines. In normal tissue repair, especially without bacterial contamination, the inhibition of inflammatory cells and down-regulation of proinflammatory cytokines lead to earlier wound healing (14). Conversely, prolongation of the inflammatory phase of wound healing results in the formation of nonhealing wounds. Keratinocytes and fibroblasts produce growth factors (e.g., VEGF) (24) and proinflammatory cytokines (e.g., IL-8, IL-6, IL-12 and TNF-α) that subserve inflammatory and immunological reactions to irritants (25, 26). In the present study, we compared the influence of AgNPs on NHDFs and NHEKs (i.e., the most exposed cells during the wound-healing process). Our results suggest that NHEKs are more sensitive than NHDFs to the actions of AgNPs and decrease the production of proinflammatory cytokines (i.e., TNF-α and IL-12) and VEGF more significantly. No previous studies of which we are aware have evaluated the effects of AgNPs on NHDFs and NHEKs. However, Kalishwaralal et al (27) found that AgNPs may influence the production of VEGF in endothelial cells, similar to our observations with NHDFs and NHEKs. This finding is significant because these markers play central roles in some pathological conditions, such as wound healing and nonhealing wounds.

COX-2 is induced in cutaneous wound healing and expressed more intensively in injured skin than in normal tissue (28, 29). It is induced by various stimuli, including proinflammatory cytokines (e.g., TNF-α and IL-1), growth factors, and lipopolysaccharides (30, 31). Because of the antibacterial and antiinflammatory properties of AgNPs, we hypothesized that they may also decrease the production of COX-2 as a marker of inflammation. Indeed, we observed this effect on NHDFs and NHEKs after applying the 2 highest concentrations of AgNPs (2.5 and 25 ppm). Our experiments did not confirm the previous findings of Atieh et al (32). They found that fibroblasts appear to be more sensitive than keratinocytes to silver because it stimulates the proliferation of fibroblasts but inhibits keratinocyte proliferation in vitro. We presumed a connection between the production of proinflammatory cytokines (TNF-α) and expression of COX-2, but in the present study, the level of TNF-α produced by NHDFs and NHEKs decreased after the application of AgNPs, but the expression of COX-2 decreased only at the highest concentration of AgNPs (25 ppm).

MMPs are zinc-dependent endopeptidases and key molecules in the healing process and tissue remodeling. According to their structure and substrate specificity, MMPs can be divided into several groups (33). Usually, excessive amounts of MMPs can prevent wound closure (34). Keratinocytes predominantly secrete MMP-1 and MMP-3, and fibroblasts secrete MMP-2 and MMP-9 during the wound healing process (35). The association between MMPs, wound healing and inflammatory mediators is supported by other studies (36). Increases in the levels of TNF-α enhance the production of some MMPs. We observed the down-regulation of MMP-3 production by NHEKs after 24 hours, with concomitant down-regulation of TNF-α. These findings are consistent with the observation that when granulation tissue has formed, the levels of proinflammatory cytokines and MMPs decrease in normal wound healing (37). In the present study, MMP-2 and MMP-9 production was unaltered, but other authors (38) reported that NPs increased the production of MMP-2 and MMP-9 in monocytes.

In summary, AgNPs decreased the production of proinflammatory cytokines (TNF-α and IL-12) and VEGF by NHDFs and NHEKs and also decreased MMP production (MMP-3) by NHEKs after 24 hours at all of the tested concentrations. Based on these results, we suggest that AgNPs can support the wound-healing process.

Acknowledgement

The authors thank Dr. Bohumil Zálešák from the Department of Plastic and Aesthetic Surgery, University Hospital Olomouc. We would like to thank BioMed Proofreading LLC for English correction.

Disclosures

Financial support: The authors were financially supported by grants NPU LO 1304 and CZ.1.07/2.3.00/30.0004.
Conflict of interest: None of the authors has any financial interest related to this study to disclose.
References
  • 1. Schreml S Szeimies RM Prantl L Landthaler M Babilas P Wound healing in the 21st century. J Am Acad Dermatol 2010 63 5 866 881 Google Scholar
  • 2. Lee JH Kim HL Lee MH et al. Asiaticoside enhances normal human skin cell migration, attachment and growth in vitro wound healing model. Phytomedicine 2012 19 13 1223 1227 Google Scholar
  • 3. Weinstein DA Kirsner RS Refractory ulcers: the role of tumor necrosis factor-α. J Am Acad Dermatol 2010 63 1 146 154 Google Scholar
  • 4. Kondo T Ishida Y Molecular pathology of wound healing. Forensic Sci Int 2010 203 1-3 93 98 Google Scholar
  • 5. Bao P Kodra A Tomic-Canic M Golinko MS Ehrlich HP Brem H The role of vascular endothelial growth factor in wound healing. J Surg Res 2009 153 2 347 358 Google Scholar
  • 6. Fonder MA Lazarus GS Cowan DA Aronson-Cook B Kohli AR Mamelak AJ Treating the chronic wound: a practical approach to the care of nonhealing wounds and wound care dressings. J Am Acad Dermatol 2008 58 2 185 206 Google Scholar
  • 7. Arora S Jain J Rajwade JM Paknikar KM Cellular responses induced by silver nanoparticles: in vitro studies. Toxicol Lett 2008 179 2 93 100 Google Scholar
  • 8. Sondi I Salopek-Sondi B Silver nanoparticles as antimicrobial agent: a case study on E. coli as a model for Gram-negative bacteria. J Colloid Interface Sci 2004 275 1 177 182 Google Scholar
  • 9. Zhou JD Wang SH Liu R et al. Study of the biological effectiveness of a nanosilver-epidermal growth factor sustained-release carrier. Exp Ther Med 2013 5 4 1231 1235 Google Scholar
  • 10. Labouta HI Schneider M Interaction of inorganic nanoparticles with the skin barrier: current status and critical review. Nanomedicine (Lond) 2013 9 1 39 54 Google Scholar
  • 11. Gainza G Villullas S Pedraz JL Hernandez RM et al. Advances in drug delivery systems (DDSs) to release growth factors for wound healing and skin regeneration. Nanomed Nanotech Biol Med 2015 11 1551 1573 Google Scholar
  • 12. Wen X Zhen Y Wu J et al. In vitro and in vivo investigation of bacterial cellulose dressing containing uniform silver sulfadiazine nanoparticles for burn wound healing. Prog Nat Sci Mater 2015 25 197 203 Google Scholar
  • 13. Martínez-Gutierrez F Thi EP Silverman JM et al. Antibacterial activity, inflammatory response, coagulation and cytotoxicity effects of silver nanoparticles. Nanomedicine 2012 8 3 328 336 Google Scholar
  • 14. Zhang S Liu X Wang H et al. Silver nanoparticle-coated suture effectively reduces inflammation and improves mechanical strength at intestinal anastomosis in mice. J Pediatric Surg 2014 49 606 613 Google Scholar
  • 15. Das A Kumar A Patil NB et al. Preparation and characterization of silver nanoparticles loaded amorphous hydrogel of carboxymethylcellulose for infected wounds. Carbohydr Polym 2015 130 254 261 Google Scholar
  • 16. Bhowick S Koul V Assessment of PVA/silver nanocomposite hydrogel patch as antimicrobial dressing scaffold: Synthesis, characterization and biological evaluation. Mater Sci Eng C 2016 59 109 119 Google Scholar
  • 17. Minner F Herphelin F Poumay Y Study of epidermal differentiation in human keratinocytes cultured in autocrine conditions. Methods Mol Biol 2010 585 71 82 Google Scholar
  • 18. Zdarilová A Rajnochová Svobodová A Chytilová K Simánek V Ulrichová J Polyphenolic fraction of Lonicera caerulea L. fruits reduces oxidative stress and inflammatory markers induced by lipopolysaccharide in gingival fibroblasts. Food Chem Toxicol 2010 48 6 1555 1561 Google Scholar
  • 19. Litvin VA Minaev BF Spectroscopy study of silver nanoperticles fabrication using synthetic humic substances and their antimicrobial activity. Spectrochim Acta A Mol Bimol Spectrosc 2013 108 115 122 Google Scholar
  • 20. Guangnian X Xueliang Q Xiaolin Q et al. A facile method to prepare quickly colloidal silver nanoparticles. Rare Metal Mat Eng 2010 39 1532 1535 Google Scholar
  • 21. Slistan-Grijalva A Herrera-Urbina R Rivas-Silva JF et al. Classical theoretical characterization of the surface plasmon absorption band for silver spherical nanoparticles suspended in water and ethylene glycol. Physica 2005 E27 104 112 Google Scholar
  • 22. Lokina S Stephen A Kaviyarasan V et al. Cytotoxicity and antimicrobial activities of green synthesized silver nanoparticles. Eur J Med Chem 2014 76 256 263 Google Scholar
  • 23. Gade A Gaikwad S Duran N et al. Green synthesis of silver nanoparticles by Phoma glomerata. Micro 2014 59 52 59 Google Scholar
  • 24. Gohel MS Windhaber RAF Tarton JF et al. The ralationship between cytokine concentrations and wound healing in chronic venous ulceration. J Vas Surg 2008 48 1272 1277 Google Scholar
  • 25. Orlowski P Krzyzowska M Zdanowski R et al. Assessment of in vitro cellular response of monocyte and keratinocytes to tannic acid modified silver nanoparticles. Toxicol In Vitro 2013 27 1798 1808 Google Scholar
  • 26. Tsirogianni AK Moutsopoulos NM Moutsopoulus HM Wound healing: immunological aspects. Injury Int J Care Injured 2006 375 S5 S12 Google Scholar
  • 27. Kalishwaralal K Banumathi E Pandian S et al. Silver nanoparticles inhibit VEGF inducd cell proliferation and migration in bovine retinal endothelial cells. Colloid Surf B Biointerfaces 2009 73 51 57 Google Scholar
  • 28. Kalish BT Kieran MW Punder M et al. The growing role of eicosanoids in tissue regeneration, repair, and wound healing. Prostaglandins Other Lipid Mediat 2013 104-105 130 138 Google Scholar
  • 29. Choi YH Back KO Kim HJ et al. Pirfenidone attenuates IL-1β-induced COX-2 and PGE2 production in orbital fibroblasts through supression of NFκ-B activity. Exp Eye Res 2013 113 1 8 Google Scholar
  • 30. Cacciapaglia F Navarini L Menna P et al. Cardiovascular safety of anti-TNF-alpha therapie: facts and unsettled issues. Autoimmunity Rev 2011 10 631 635 Google Scholar
  • 31. Li Y Zhang J Ma H Chronic inflammation and gallbladder cancer. Cancer Lett 2014 345 242 248 Google Scholar
  • 32. Atieh BS Costagiola M Hayek SN et al. Effect of silver on burn wound infection control and healing: review of the literature. Burns 2007 33 139 148 Google Scholar
  • 33. Wang R Mo Y Zhang X et al. Matrix metalloproteinase-2 and -9 are induced differently by metal nanoparticles in human monocytes: the role of oxidative stress and protein tyrosine kinase activation. Toxicology Appl Pharm 2008 233 276 285 Google Scholar
  • 34. Cardoso CR Favoreto S Oliveira LL et al. Oleic acid modulation of the immune response in wound healing: a new approach for skin repair. Immunobiology 2011 216 409 415 Google Scholar
  • 35. Tandara AA Mustoe TA MMP- and TIMP- secretion by human cutaneous keratinocytes and fibroblasts - impact of coculture and hydration. J Plast Reconstr AES 2011 164 108 116 Google Scholar
  • 36. Hayden DM Forsyth CH Keshavarzian A The role of matrix metalloproteinases in intestinal epithelial wound healing during normal and inflammatory states. J Surg Res 2010 168 315 324 Google Scholar
  • 37. Eming S Smola H Hartmann B et al. The inhibition of matrix metalloproteinase activity in chronic wounds by a polyacrylate superabsorber. Biomaterials 2008 29 2932 2940 Google Scholar
  • 38. Wang R Mo Y ZHang X et al. Matrix metalloproteinase-2 and -9 induced differently by metal nanoparticles in human monocytes: the role of oxidative stress and protein tyrosine kinase activation. Toxicol Appl Pharm 2008 233 276 285 Google Scholar

Authors

Affiliations

  •  Department of Medical Chemistry and Biochemistry, Faculty of Medicine and Dentistry, Palacký University, Olomouc - Czech Republic
  •  Institute of Molecular and Translation Medicine, Faculty of Medicine and Dentistry, Palacký University, Olomouc - Czech Republic

Article usage statistics

The blue line displays unique views in the time frame indicated.
The yellow line displays unique downloads.
Views and downloads are counted only once per session.

No supplementary material is available for this article.