Zm. Peled et al., The ontogeny of scarless healing II: EGF and PDGF-B gene expression in fetal rat skin and fibroblasts as a function of gestational age, ANN PL SURG, 47(4), 2001, pp. 417-424
Twenty years ago, surgeons noted the ability of early-gestation fetal skin
to heal in a scarless manner. Since that time, numerous investigators have
attempted to elucidate the mechanisms behind this phenomenon. As a result o
f this effort, it is now well established that many animals undergo a trans
ition late in development from scarless cutaneous healing to a scar-forming
, adultlike phenotype. The authors have been interested in the role played
by cytokines known to be involved in the adult wound-healing process and ho
w they relate to scarless repair. They therefore asked the following questi
on: Are genes for epidermal growth factor (EGF) and platelet-derived growth
factor-B (PDGF-B) expressed differentially as a function of gestational ag
e in fetal rat skin and dermal fibroblasts? To answer this question, skin f
rom fetal Sprague-Daw[ey rats (N = 56) at time points that represented both
the scarless and scar-forming periods of rat gestation was harvested. In a
ddition, fibroblasts derived from fetal rat skin were cultured in vitro at
similar times. These cells were expanded in culture and, when confluent, to
tal ribonucleic acid from both fibroblasts and whole skin was extracted and
subjected to Northern blot analysis with probes for EGF and PDGF-B. Result
s demonstrated that neither EGF nor PDGF-B gene expression changed markedly
as a function of gestational age in fetal fibroblasts alone. In whole skin
, however, both EGF and PDGF-B demonstrated a marked decrease in gene expre
ssion with increasing gestational age. Furthermore, the most striking decre
ase in gene expression for both cytokines came between 16 and 18 days of ge
station-the transition point between scarless and scar-forming repair in th
e fetal rat. These data suggest that EGF and PDGF may play a role in the me
chanism of scarless cutaneous repair. Moreover, it appears that fetal fibro
blasts are not the cell type responsible for this differential gene express
ion. These results raise questions about the unique cytokine milieu likely
to be present during the time of scarless healing and the cells that ultima
tely guide the mechanisms leading to skin regeneration.