PMID- 33062677 OWN - NLM STAT- MEDLINE DCOM- 20210503 LR - 20220417 IS - 2314-6141 (Electronic) IS - 2314-6133 (Print) VI - 2020 DP - 2020 TI - Wubeizi Ointment Suppresses Keloid Formation through Modulation of the mTOR Pathway. PG - 3608372 LID - 10.1155/2020/3608372 [doi] LID - 3608372 AB - BACKGROUND: Wubeizi (Rhus chinensis Mill.) ointment has been shown as an effective treatment for keloids. However, the protective mechanisms of Wubeizi ointment are not fully understood. The mammalian target of rapamycin (mTOR) has been demonstrated to be associated with keloid pathogenesis. In the present study, we investigated if Wubeizi ointment suppressed keloid formation through the modulation of key molecules of the rapamycin (mTOR) pathway including phosphatase and tensin homolog (PTEN), phosphatidylinositol 3-kinase (PI3K), and protein kinase B (Akt). METHODS: A keloid mouse model and human keloid-derived fibroblasts were developed and treated with Galla chinensis. Immunohistochemistry, western blot, and reverse transcription-PCR were used to detect PI3K, PTEN, Akt, and mTOR in keloid tissues and keloid fibroblasts. The apoptosis and proliferation rate of keloid fibroblasts was, respectively, analyzed by flow cytometry according to the MTT assay. Statistical analysis was done using SPSS version 20.0. For two variable comparisons, a two independent samples t-test was used. For multiple variable comparisons, data were analyzed by one-way analysis of variance (ANOVA) followed by pairwise q-tests. RESULTS: Our in vivo and in vitro studies showed that Wubeizi ointment suppressed keloid formation through inhibition of fibroblast proliferation and promotion of fibroblast apoptosis. The underlying basis involves downregulation of p-Akt and p-mTOR as well as upregulation of PTEN. CONCLUSION: These findings may contribute to a better understanding of the mechanisms of Wubeizi ointment for treating keloids. CI - Copyright (c) 2020 Zhiming Tang et al. FAU - Tang, Zhiming AU - Tang Z AUID- ORCID: 0000-0002-3037-1000 AD - The First Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou, China. AD - Department of Dermatology, Xuzhou Hospital Affiliated to Nanjing University of Traditional Chinese Medicine, Xuzhou, China. FAU - Cao, Yi AU - Cao Y AUID- ORCID: 0000-0003-2471-211X AD - Department of Dermatology, The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China. FAU - Ding, Jicun AU - Ding J AUID- ORCID: 0000-0001-7163-8296 AD - Department of Burns and Plastic Surgery, Xuzhou Central Hospital, Xuzhou, China. FAU - Zhai, Xiaoxiang AU - Zhai X AUID- ORCID: 0000-0003-1527-1236 AD - Department of Dermatology, Shanghai Seventh People's Hospital, Shanghai, China. FAU - Jing, Mengqing AU - Jing M AUID- ORCID: 0000-0001-9431-6396 AD - Department of Dermatology, Xuzhou Hospital Affiliated to Nanjing University of Traditional Chinese Medicine, Xuzhou, China. FAU - Wang, Mengmeng AU - Wang M AUID- ORCID: 0000-0001-8699-4496 AD - Department of Dermatology, Xuzhou Hospital Affiliated to Nanjing University of Traditional Chinese Medicine, Xuzhou, China. FAU - Lu, Lu AU - Lu L AUID- ORCID: 0000-0002-1231-5494 AD - Department of Dermatology, Xuzhou Hospital Affiliated to Nanjing University of Traditional Chinese Medicine, Xuzhou, China. LA - eng PT - Journal Article DEP - 20200930 PL - United States TA - Biomed Res Int JT - BioMed research international JID - 101600173 RN - 0 (Drugs, Chinese Herbal) RN - 0 (Ointments) RN - 0 (wubeizi) RN - EC 2.7.1.1 (mTOR protein, mouse) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) SB - IM MH - Adult MH - Animals MH - Apoptosis/drug effects MH - Cell Proliferation/drug effects MH - Cells, Cultured MH - Drugs, Chinese Herbal/*pharmacology MH - Female MH - Fibroblasts/drug effects MH - Humans MH - Keloid/*metabolism/pathology MH - Male MH - Mice MH - Mice, Nude MH - Ointments MH - Proto-Oncogene Proteins c-akt/genetics/*metabolism MH - Signal Transduction/*drug effects MH - TOR Serine-Threonine Kinases/genetics/*metabolism MH - Young Adult PMC - PMC7545458 COIS- The authors declare that there is no conflict of interest regarding the publication of this paper. EDAT- 2020/10/17 06:00 MHDA- 2021/05/04 06:00 PMCR- 2020/09/30 CRDT- 2020/10/16 05:56 PHST- 2020/06/12 00:00 [received] PHST- 2020/08/13 00:00 [revised] PHST- 2020/09/16 00:00 [accepted] PHST- 2020/10/16 05:56 [entrez] PHST- 2020/10/17 06:00 [pubmed] PHST- 2021/05/04 06:00 [medline] PHST- 2020/09/30 00:00 [pmc-release] AID - 10.1155/2020/3608372 [doi] PST - epublish SO - Biomed Res Int. 2020 Sep 30;2020:3608372. doi: 10.1155/2020/3608372. eCollection 2020.