胶原三螺旋重复蛋白1抑制TGF-β1诱导的瘢痕组织Ⅰ型胶原的表达
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摘要
背景瘢痕疙瘩是具有瘢痕体质病人在伤口愈合过程中发生的良性皮肤肿瘤。有研究表明,转化生长因子(TGF-β)参与了瘢痕的形成过程。胶原三螺旋重复蛋白1(Cthrcl)作为一种新型的基因表达于受损动脉的外膜以及内膜。它作为细胞特异性TGF-β抑制剂,通过抑制Ⅰ型和Ⅲ型胶原沉积而增加细胞的迁移功能。然而,目前为止,在瘢痕组织和正常皮肤中,Cthrcl与TGF-β1的表达和调节机制没有得到很好的研究。
     目的探索Cthrc1在瘢痕形成过程中的基因调节和潜在功能。以及在瘢痕病理形成过程中与TGF-β1之间的关联。
     方法检测瘢痕组织与正常皮肤成纤维细胞中Cthrcl与TGF-β1的表达。并检测TGF-β1诱导下瘢痕成纤维细胞Ⅰ型胶原的表达与合成。应用重组Cthrcl检测其与TGF-β1之间的关联。
     结果瘢痕组织,中Cthrcl与TGF-β1的表达均高于正常皮肤组织。瘢痕成纤维细胞中,TGF-β1诱导Cthrc1表达增加呈浓度依赖性。TGF-β1刺激瘢痕成纤维细胞Ⅰ型胶原的表达与合成,重组Cthrc1可抑制上述效应。
     结论在瘢痕成纤维细胞中,TGF-β1表达增加并且重组Cthrc1可抑制TGF-β1诱导的Ⅰ型胶原的合成,表明Cthrc1可能作为瘢痕治疗潜在的治疗方法。
Background Keloids are benign skin tumours occurring during wound healing in genetically predisposed patients. There is evidence that transforming growth factor-beta (TGF-β) is involved in keloid formation. Collagen triple helix repeat containing-1 (Cthrcl) was identified as a novel gene expressed in the adventitia and neointima on arterial injury. It is indicated to be a cell type-specific inhibitor of TGF-β, which functionally increases cell migration while reducing collagen type I and III deposition. To our knowledge, however, expression and regulatory mechanisms of Cthrcl and TGF-β1 in keloid and normal skin has not been studied before.
     Objectives Cthrcl gene regulation and potential role in keloid formation were determined. And its correlation with TGF-β1 invovled in the keloid pathogenesis was examined in human fibroblasts of keloids and normal skins.
     Methods The expression of Cthrcl and TGF-β1were investigated in fibroblasts of keloid and normal skin. The collagen typeⅠexpression and collagen synthesis in keloid fibroblasts induced by TGF-β1 were examined. Then, recombinant Cthrclwas applied to assess its correlation with TGF-β1.
     Results Increased TGF-β1 and Cthrcl expression were examined in keloid compared with normal skin. Cthrcl expression increased in a concentration dependent manner induced by TGF-β1 in keloid fibroblasts. TGF-β1 stimulated collagen typeⅠexpression and collagen synthesis in keloid fibroblasts which can be reversed by recombinant Cthrcl.
     Conclusions TGF-β1 was upregulated in keloid fibroblasts and recombinant Cthrcl inhibited TGF-β1-stimulated collagen typeⅠsynthesis which suggested Cthrcl may be a potential therapeutic option for keloids.
引文
1 Naitoh M, Hosokawa N, Kubota H, et al. Upregulation of HSP47 and collagen type III in the dermal fibrotic disease, keloid. Biochem Biophs Res Commum 2001;280(5): 1316-1322.
    2 Santucci M, Borgognoni L, Reali UM, et al. Keloids and hypertrophic scars of Caucasians show distinctive morphologic and immunophenotypic profiles.Virchows Arch 2001;438(5):457-463.
    3 Luo S, Benathan M, Raffoul W, et al. Abnormal balance between proliferation and apoptotic cell death in fibroblasts derived from keloid lesions. Plast Reconstr Surg, 2001,107:87-96.
    4 Derynck R, Zhang YE. Smad-dependent and Smad-independent pathways in TGF-beta family signalling. Nature 2003; 425:577-84.
    5 Tuan TL, Nichter LS. The molecular basis of keloid and hypertrophic scar formation. Mol Med Today 1998; 4:19-24.
    6 Border WA, Noble NA. Transforming growth factor beta in tissue fibrosis. N Engl J Med 1994; 331:1286-92.
    7 Younai S, Nichter LS, Wellisz T, et al. Modulation of collagen synthesis by transforming growth factor-beta in keloid and hypertrophic scar fibroblasts. Ann Plast Surg 1994; 33: 148-51.
    8 Wang R, Ghahary A, Shen Q, et al. Hypertrophic scar tissues and fibroblasts produce more transforming growth factor-betal mRNA and protein than normal skin and cells. Wound Repair Regen 2000; 8:128-37.
    9 Hanasono MM, Kita M, Mikulec AA, et al. Autocrine growth factor production by fetal, keloid, and normal dermal fibroblasts. Arch Facial Plast Surg 2003; 5:26-30.
    10 Van Obberghen-Schilling E, Roche NS, Flanders KC, et al. Transforming growth factor beta 1 positively regulates its own expression in normal and transformed cells. J Biol Chem 1988; 263:7741-6.
    11 Tomasek JJ, Gabbiani G, Hinz B, et al. Myofibroblasts and mechano-regulation of connective tissue remodelling. Nat Rev Mol Cell Biol 2002; 3:349-63.
    12 Pyagay P, Heroult M, Wang Q, et al. Collagen triple helix repeat containing 1, a novel secreted protein in injured and diseased arteries, inhibits collagen expression and promotes cell migration. Circ Res.2005,96(2):261-8
    13 Koonin AJ. The aetology of keloids:a review of literature and a new hypothesis. S Afr Med J 2000; 38:913-916.
    14 Poochareon VN, Berman B. New therapies for the management of keloids. J Craniofac Surg 2003; 14:654-7.
    15 Niessen FB, Spauwen PH, Schalkwijk J, et al. On the nature of hypertrophic scars and keloids:a review. Plast Reconstr Surg 1999; 104:1435-58.
    16 LeClair RJ, Durmus T, Wang Q, et al. Cthrcl is a novel inhibitor of transforming growth factor-beta signaling and neointimal lesion formation. Circ Res 2007; 100:826-33.
    17 Coussens LM, Werb Z. Inflammation and cancer. Nature 2002; 420:860-7.
    18 Beachy PA, Karhadkar SS, Berman DM. Tissue repair and stem cell renewal in carcinogenesis. Nature 2004; 432:324-31.
    19 Turashvili G, Bouchal J, Baumforth K, et al. Novel markers for differentiation of lobular and ductal invasive breast carcinomas by laser microdissection and microarray analysis. BMC Cancer 2007; 7:55.
    20 Tang L, Dai DL, Su M, et al. Aberrant expression of collagen triple helix repeat containing 1 in human solid cancers. Clin Cancer Res 2006; 12:3716-22.
    21 Tano K, Mizuno R, Okada T, et al. MALAT-1 enhances cell motility of lung adenocarcinoma cells by influencing the expression of motility-related genes. FEBS Lett 2010.
    22 Wang L, Xiang YN, Zhang YH, et al. Collagen triple helix repeat containing-1 in the differential diagnosis of dermatofibrosarcoma protuberans and dermatofibroma. Br J Dermatol 2010.
    23 LeClair RJ, Durmus T, Wang Q, et al. Cthrcl is a novel inhibitor of transforming growth factor-beta signaling and neointimal lesion formation. Circ Res 2007; 100:826-33.
    24 Durmus T, LeClair RJ, Park KS, et al. Expression analysis of the novel gene collagen triple helix repeat containing-1 (Cthrcl). Gene Expr Patterns 2006; 6:935-40.
    25 LeClair R, Lindner V. The role of collagen triple helix repeat containing-1 in injured arteries, collagen expression, and transforming growth factor beta signaling. Trends Cardiovasc Med 2007; 17:202-5.
    26 LeClair RJ, Durmus T, Wang Q, et al. Cthrcl is a novel inhibitor of transforming growth factor-beta signaling and neointimal lesion formation. Circ Res.2007 Mar 30;100(6):826-33.
    27 Murray JC. Keloids and hypertrophic scars. Clin Dermatol 1994; 12:27-37.
    28 Williams RL, Armstrong DG Wound healing. New modalities for a new millennium. Clin Podiatr Med Surg 1998; 15:117-28.
    29 Bettinger DA, Yager DR, Diegelmann RF, et al. The effect of TGF-beta on keloid fibroblast proliferation and collagen synthesis. Plast Reconstr Surg 1996; 98:827-33.
    30 Lee TY, Chin GS, Kim WJ, et al. Expression of transforming growth factor beta 1,2, and 3 proteins in keloids. Ann Plast Surg 1999; 43:179-84.
    31 Falanga V. Chronic wounds:pathophysiologic and experimental considerations. J Invest Dermatol 1993; 100:721-5.
    32 Ono I, Yamashita T, Hida T, et al. Local administration of hepato-cyte growth factor gene enhances the regeneration of dermis in acute incisional wounds[J]. Surg Res,2004, 120(6):47-55.
    33 Liu W, Wang DR,Can YL. TGF-beta:a fibrotic factor in wound scarring and a potential target for anti-scarring gene therapy[J]. Corr Gene Ther,2004,4(1):123-136.
    1. Leask A, Abraham DJ. TGF-beta signaling and the fibrotic response[J]. FASEB J, 2004,18(3):816-827.
    2. Takehara k. Growth regulmion ofskin fibmblasts[J]. J Dermatol Sci,2000,24(S)70-77.
    3. Mori T, Kawara S, Shinozaki M, et al. Role and interaction Of connective tissue growth factor with transforming growth factor-8 in persistent fibrosis:a mouse fibrosis model[J]. J Cell Physiol,1999,18 (2) 153-159.
    4. Goldschmeding R, Aten J, Ito Y, et al. Connective tissue growth factor:just another factor in renal fibrosis[J]? Nephrol Dial Transplant,2000,15(3):296-299.
    5. Igarashi A, Nashiro K, Kikuchi K. Connective tissue growth factor gene expression in tissue sections from localized sclerodema, keloid, and other fibrotic skin disorders[J]. J Invest Dermatol,1996,106(4):729-733.
    6. 李世荣,刘剑毅,纪淑兴.体外培养人增生性瘢痕成纤维细胞胶原合成及结缔组织生长因子的表达[J].中华整形外科杂志,2004,20(2):123-127.
    7. 辛宏,颜光涛,陈洋藻.生物膜信号转导与细胞凋亡[J].生物化学与生物物理进展,2001,28(1):52-55.
    8. Jux JB, Kuechl EM, Hat L, et al. Fibroblast and endothelial apoptosis in systemic sclerosis[J]. Curt Opin Rheumatol,2003,15(6):756-760.
    9. Akasaka Y, Fujita K, Ishikawa Y, etal. Detection of apoptosis in keloids and a comparative study on apoptosis between keloids hypertrophic scars normal healed flat scars and dermatofibroma[J]. Wound Repair Regen,2001,9(6):501-506.
    10. Lues BM, Raffoul W. Abnormal balance between proliferation and apoptotic cell death in flbroblasts derived from keloid lesions[J]. Plast Rlast Reconstlr Surg,2001,107(1): 87-96.
    11. Fuaayama E, ChodoxT, OyamaA, et al. Keratinocytes promote proliferation and inhibit apoptosis of the underlying fibroblasts:an important rolein the pathogenesis of keloid[J]. J Invest Dermalol,2003,121(6):1326-1331.
    12. Messadi DV, LEA, Bere s, et al. Expression of apoptosis-associated gene by human dermal scar fibroblasts[J]。Wound Repair Regen,1999,7(6):511-517.
    13. Chen W, Fu XB, Ces L, et al. Development of gene microarray in screening differently expressed genes in keloid and normal-control skin[J]. Clin Med J(Engl), 2004,117(6):877-881.
    14. Chodon T, Sugihara T, Igawa HH, et al. Keloid-derived fibroblasts are refractory to Fas-mediatedapoptosis and neutralization of autocrine transforming growth factor-betal can abrogate this resistance [J]. Am J Pathol,2000,157(5):1661-1669.
    15. Lu F, Gao JH. Experimental gene therapy of keliod in vitro using recombinant adenovirus coding for Fas gene[J]. Zhongguo Xiufu Chongjian Waike Zazhi,2005, 19(1):35-38.
    16. Steinbreeh DS, Longaker MT, Mehrara BJ, et al. Fibroblast response to hypoxia: the relationship between angiogenesis and matrix regulation. J Surg Res,1999,84(2): 127.
    17. Semenza GL Surving ischemia:adaptive response mediated by hypoxia-inducible factor 1. J Clin Invest,2000,106(7):809.
    18.李伟人,岑瑛,胨波.病理性瘢痕中丙二醛含量的测定[J]. West China Mod. J, 2006,21(1),28.
    19. HinataK, Gervin A M, Jennifer zhang Y, etal. Divergent generegulation and gmwth efkct8 by NF—kappa B inepithelial andmesenchymal ceu8 ofhuman Bkin[J]. Oncogene.2003,22(13):19.
    20. Tredget EE, Wang R, She. O, et al. Transforming growth fator-beta mRNA and piotein inhypertrophic seal"tissu and fibroblasts:antagordsm; by IFN-alpha and IFN-gamma in vitro and in vivo. J Interferon Cytokine Res,2000,20(2):143.
    21. Liu Yan, Lu Shu-liang, Wang Zhi-Yong, et al. Effects of EGF on scalded rats depth of the wound fibroblasts[J]. Journal of Shanghai Second Medical University,2002,22(2): 134-136.
    22. Satish L, Babu M, Tran KT, et al. Keloid fibroblast responsiveness to epidermal growth factor and activation of downstream intracellular signaling pathways[J]. Would repair regen,2004,12(2):183-192.
    23. Xu Shao-jun, Ban Wei-han. Interferon alpha-2b local treatment of hypertrophic scars I. protein and collagen typelll procollagen gene expression in the role of research [N]. Hang zhou Medical College Journal,2002,10,23(5):189-191.
    24. Zhang Xuan-fen, Guo Shu-Zhong, Zhang Lin-xi, et al. Activity changes of protein kinase C in effect of interferon-gamma on wound healing and cicatrisation [J]. Chinese Journal of plastic Surgery,2006,22(6); 442-444.
    25. Xu Shao-jun, Wang Zhi-gang, Ban wei-ban. Keloid and normal skin fibroblasts White-lb and IL-6 response[J]. Burn plastic surgery magazine China,1998,14:23-25.
    26. Buhling F, Wille A, Rocken C, et al. Altered expression of membrane bound and soluble CD95/Fas contributes to the resistance of fibroti lung fibroblasts to FasL induced apoptosis[J]. Respir Rea,2005,17,6(1):37.
    27. Abraham DJ, Shiwen X, Black CM, et al. Tumor necrosis factor Ralph suppresses the induction of coonective tissue growth factor by transforming growth factor-beta in normal and scleroderma fibroblasts[J]. Boil Chem,2000,275(20):15220-15225.
    28. Akita S, Akino K, lmaizumi T, et al. A basic flbroblast growth factor improved the quality of skin grafting in burn patients[J].2005,31(7):855-858.
    29. Cheng Biao, Fu Xiao-bing, Sheng Zhi-yong,et al. Effects of exogenous bFGF on the depth of the wound scaled rats vascular endothelial cell proliferation and migration[J]. China reconstruct surgery magazines,2004,18(3):200.
    30. Yu Shung-kun, Huang Xian-yuan, Zhang Sheng-nan. Effec of bFGF on rats wound healing and angiogenesis[J]. The medical clinical research,2005,22(5):595-597.
    31. Reno F, Grazianelti P, Cannm HM. Effects of mechanical compression on hypertrophic scars:prostaglandin E2 release[J]. Burns,2011,27(3):215-218.
    32. Kossi J, Pehonen J, et al. Differential effet of hexoses and sucrose, and platelet—derived growth factor isoforms on cyclooxygenase-1 and-2 mRNA expression in keloid, hypertrophic scar and granulation tissue fibroblasts[J]. Arch Demmtol Res.2001,293(3):126-132.
    33.郑震华,杨继震.血管内皮生长因子的治疗应用[J].国外医学.生理病理科学与临床分册,1999,19(5):343-345.
    34.李晓明.血管内皮细胞生长囡了及其受体与肿瘤血管形成[J]。国外医学肿瘤学分册,1997,24(1):11-14.
    35. Liu YB, Gao JH, Duan HJ. Detection and analysis of Fas gene (exon 1-6) mutations in keloids[J]. Di Yi Jun Yi Da Xue Xue Bao,2002,22(1):61-63.
    36. Marneros AG, Norris JE, Watanabe S, et al. Genomescans provide evidence for keloid susceptibility loci on chromosomes 2q23 and 7p11[J]. J Invest Dermatol,2004,122(5): 1126-1133.
    37. Marneros AG, Krieg T. Keloids-clinical diagnosis, pathogenosis, and treatment options[J]. J Dtsch Dermatol Ges,2004,2(11):905-913.
    38. Wu WS, Wang FS, Yang KD, etal. Dexamethasone inductine of keloid regression through effective suppression of VEGF expression and keliod fibroblast proliferation[J]. J Invest Dermato,2006,126(6):1264-1271.
    39. Alam M, Sand AZ, Kneafsey B. New technique for injecting corticosteroid in keliod scarring[J]. Ann Plast surg,2006,56(4):468-469.
    40.陈国章,谢义德.曲安奈德联合平阳霉素治疗血管增生明显的瘢痕疙瘩45例[J].中国美容医学,2009,18(5):521-522.
    41. Blumenkramz MS, Claflin A, Hajek AS. Selection of therapeutic agents for intraocular proliferative disease[J]. Cell culture evaluation[J]. Arch ophthalmol,1984,102(4): 598-604.
    42. Somesh G, Amit K. Efficacy and Safety of intralesional 5-fluorouracil in the treatment of keloids[J]. Dermatology,2002,204(2):130-132.
    43.王公望.平阳霉素治疗瘢痕疙瘩35例临床体会[J].中国美容医学,2007,16(1):87.
    44. Talmi YP, Orenstein A, Wolf M, et al. Use of mitomycin C for treatment of keloid: preliminary report[J]. Otolaryngol Head Neck Surg,2005,132(4):598-601.
    45. Kim A, DiCarlo J, Cohen C, et al. Are keloids really"gliloids"? High-level expression of gli-1 oneogene in keloids[J]. J Am AcadDermatol,2001,45(5):707-711.
    46. Macaron N, Cohen C, Chen S, et al. Gli-1 Oneogene is highly expressed in granulomatous skin disorders, including sarcoidosis, granuloma annulare, and necrobiosis lipoidlea diabetieorum[J]. Arch Dermatol,2005,141(2):259-262.
    47. Barman B, Kaufman J. The effect of postoperative imiquimod 5% cream on the recurrence rate of excised keloids[J]. J Am Aead Dermatol,2002,42(4):209-211.
    48. Prado A, Andrades P, Benitez S, et al. Scar management after breast surgery: preliminary results of a prospective, radomized, and double-blind clinical study with aldara cream 5% (imiquimod)[J]. Plast Reconstr Surg,2005,115(3):966-972.
    49.沈春花,骆丹,朱洁,等.咪喹莫特对人皮肤成纤维细胞活性和凋亡的影响[J].临床皮肤科杂志,2007,36(3):148-151.
    50. Lee JP, Jalili RB, Tredget EE, et al. Antifibrogen effects of liposome-encapsulated IFN-alpha2b cream on skin wound in a fibrotic rabbit ear model[J]. J Interferon Cytokine Rea,2005,25(10):627-631.
    51. Lee JH, Kim SE, Lee AY. Effects of interferon-alph2 on keloid treatment with triamcinolone acetonide intrale-sional injection[J]. Int JDermatol,2008,47(2): 183-186.
    52.韩军涛,陈壁,张晓辉,等.转化生长因子-βⅡ型受体同源序列1对瘢痕疙瘩中成纤维细胞胶原合成的影响[J].中华创伤杂志,2000,16(8):485-487.
    53.罗艳,刘恒明.转化生长因子抗体作为激光泪道成形术后辅助用药的实验研究[J].医药导报,2006,25(3):189-192.
    54.罗艳,黄艳明,刘恒明.转化生长因子I 32抗体对体外培养人翼状胬肉成纤维细 胞增殖的影响[J].医药导报,2008,27(10):1176-1177.
    55.薛金伟,姜志刚,杨光,等.钙通道阻滞剂对体外培养神经瘢痕成纤维细胞增殖及胶原分泌的影响[J].中国组织工程研究与临床康复,2008,12(7):1239-1242.
    56. Xu D, Wu Y, Liao ZX, et al. Protective effect of verapamil on multiple hepatotoxic factors-induced liver fibrosis in rats[J]. Pharmacol Res,2007,55(4):280-286.
    57. Henness S, Wigley FM. Current drug therapy for sclerodema and secondary Raynaud's phenomenon:evidence-based review[J]. Curr Opin Rheumatol,2007,19(6):611-618.
    58. Brudnik J, Podolee RM, Wojas PA. Therapeutic problems connected with keloid treatment-new treatment possibilities[J]. Przegl Lek,2006,63(9):803-806.
    59. Mori H, Tanaka H, Kanada K, et al. Suppressive effects of tranilast on pulmonary fibrosis and activation ofalveola macrophages in mice treated with bleomyein:role of alveolar macrophages inthe fibrosis [J]. Jpn J Pharmacol,1995,67(4):279-289.
    60.陈连军,项蕾红,祝禄川,等.曲尼司特对人正常皮肤和瘢痕疙瘩成纤维细胞部分细胞因子表达的影响[J].临床皮肤科杂志,2006,35(8):497-499.
    61.熊灵,王革军,丁宝财,等.丹芎瘢痕涂膜的临床应用研究[J].中国冶金工业医学杂志,2004,21(2):102-104.
    62.王小影.丹参霜与超声波联合治疗预防增生性瘢痕[J].中华医学美学美容杂志,2006,12(12):366.
    63.江茵,李文,陈敏.川芎嗪对肺纤维化大鼠CTGF表达及胶原沉积的影响[J].中华全科医学,2008,12(6):1215-1216.
    64.赵文鲁,匡瑞霞,刘肃,等.积雪草甙对兔耳增生性瘢痕TGF-β1mRNA表达的影响[J].中国美容医学,2009,18(1):72-75.
    65. OSTERTAG JU, THEUNISSEN C C, NEUMANN A. Hypertrophic scars after therapy with CO2 laser for treatment of multiple cutaneous neurofibromas[J]. Dermatol Surg, 2002,28(3):296-298.
    66. LEE D K, SERKIN A L. Carbon dioxide laser and Apligraf for a painful plantar hypertrophic scar[J].Am Podiatr Med Assoc,2004,94(1):61-64
    67. Dalkowski A, FinnrEl S, Beutler C. Cryotherapyb modifies synthetic activity and differentiation of keloidal fibrobhsts in vitro[J]. Exp Dermatol,2003,12(5):673.
    68. Rusciani L, Paradisi A, Alfano C. Cryotherapy in the treatment of keloids[J]. J Drugs Dermatol,2006,5(7):591.
    69. Har—Phai Y, Amar M, Sabo E. Intralesional cryotherapy for enhancing the involution of hypertrophic scars and keloids[J]. Hast Reconstr Surg,2003,111(6):1841.
    70. MALAKER K, VIJAYRAGHAVAN K, HODSON I, et al. Retrospective analysis of treatment of unresectable keloids with primary radiation over 25 years [J]. Clin Oncol(R Coil Radi01),2004,16(4):290-298
    71. MALAKER K, ZAIDIM, FRANKA M R. Treatment of earlobe keloids using the cobalt 60 teletherapy unit[J]. Ann Hast Surg,2004,52(6):602-604
    72. Casta A M, Peyrol S, Pcrto LC, et al. Mechanical forces induce scar remodeling. Study in non-pressure-treated versus pressure-treated hypertrophic scars. [J]. Am J PathoL 1999,155(5):167.
    73. Reno F, Sabbatini M, Lombardi F, et al. In vitro mechanical compression induces apoptosis and regulates cytokines release in hypertronphic scars[J]. Wound Repair Regen,2003,11(5):331.
    74. Doekery JL, Nilson RZ. Treatment of hypertrophic and keloid gears with Sila stic gel Sheeting[J]. J Foot Ankle Surg.1994,33:110.
    75. Bouaud A, Garrigue MA, Machet L, et al. Effect of sonication parameters on transdrmal dermal delivery of insulin to hairless sats[J]. Control Release,2002, 81(1-2):35-42.
    76. Terahara T, Mitragotri S, Kost J, et al. Dependence of low-frequency sonophoresis on ultrasound parameters, distance of the horn and intensity[J]. Int J Pharm. 2002,235(1-2):35-42.
    77. Satish L, Lyons-weiler J, Hebda PA, et al. Gene expression patterns in isolated keloid fibroblasts[J]. Wound Repair Regen,2006,14:463-470.

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