A recombinant signalling‐selective activated protein C that lacks anticoagulant activity is efficacious and safe in cutaneous wound preclinical models.

Various preclinical and clinical studies have demonstrated the robust wound healing capacity of the natural anticoagulant activated protein C (APC). A bioengineered APC variant designated 3K3A‐APC retains APC's cytoprotective cell signalling actions with <10% anticoagulant activity. This study was a...

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Publicado en:Wound Repair & Regeneration Vol. 32; no. 1; pp. 90 - 104
Autores principales: Zhao, Ruilong, Xue, Meilang, Lin, Haiyan, Smith, Margaret, Liang, Helena, Weiler, Hartmut, Griffin, John H., Jackson, Christopher J.
Formato: pictorial research tables/charts Journal Article
Publicado: Wiley-Blackwell Jan/Feb2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan/Feb2024
      vid: 32
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1111/wrr.13148
        175055566
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        atl: A recombinant signalling‐selective activated protein C that lacks anticoagulant activity is efficacious and safe in cutaneous wound preclinical models.
      aug:
        au:
          Zhao, Ruilong
          Xue, Meilang
          Lin, Haiyan
          Smith, Margaret
          Liang, Helena
          Weiler, Hartmut
          Griffin, John H.
          Jackson, Christopher J.
        affil: Sutton Laboratory, Kolling Institute of Medical Research, Sydney New South Wales,, Australia
      sug:
        subj:
          Skin Injuries
          Wounds and Injuries Drug Therapy
          Recombinant Proteins Therapeutic Use
          Anticoagulants Therapeutic Use
          Drug Efficacy Evaluation
          Wound Healing Evaluation
          Drug Evaluation, Preclinical
          Wound Care
          Human
          Funding Source
          Animal Studies
          Mice
          Swine
          Matrix Metalloproteinases
          Fibroblasts
          Histological Techniques
          Models, Biological
          Cell Culture Techniques
          Comparative Studies
          Models, Statistical
          Anticoagulants Administration and Dosage
          Administration, Topical
      ab: Various preclinical and clinical studies have demonstrated the robust wound healing capacity of the natural anticoagulant activated protein C (APC). A bioengineered APC variant designated 3K3A‐APC retains APC's cytoprotective cell signalling actions with <10% anticoagulant activity. This study was aimed to provide preclinical evidence that 3K3A‐APC is efficacious and safe as a wound healing agent. 3K3A‐APC, like wild‐type APC, demonstrated positive effects on proliferation of human skin cells (keratinocytes, endothelial cells and fibroblasts). Similarly it also increased matrix metollaproteinase‐2 activation in keratinocytes and fibroblasts. Topical 3K3A‐APC treatment at 10 or 30 μg both accelerated mouse wound healing when culled on Day 11. And at 10 μg, it was superior to APC and had half the dermal wound gape compared to control. Further testing was conducted in excisional porcine wounds due to their congruence to human skin. Here, 3K3A‐APC advanced macroscopic healing in a dose‐dependent manner (100, 250 and 500 μg) when culled on Day 21. This was histologically corroborated by greater collagen maturity, suggesting more advanced remodelling. A non‐interference arm of this study found no evidence that topical 3K3A‐APC caused either any significant systemic side‐effects or any significant leakage into the circulation. However the female pigs exhibited transient and mild local reactions after treatments in week three, which did not impact healing. Overall these preclinical studies support the hypothesis that 3K3A‐APC merits future human wound studies.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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