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Updated: Apr 18, 2026

Murine Dermal Fibroblast Isolation by FACS
Published on: January 7, 2016
Kruppel-like factor KLF4 facilitates cutaneous wound healing by promoting fibrocyte generation from myeloid-derived
Lingling Ou1,2, Ying Shi1,3, Wenqi Dong2
1Department of Pathology, Microbiology and Immunology, University of South Carolina School of Medicine, Columbia, SC, USA.
Abstract:
Pressure ulcers (PUs) are serious skin injuries whereby the wound healing process is frequently stalled in the inflammatory phase. Myeloid-derived suppressor cells (MDSCs) accumulate as a result of inflammation and promote cutaneous wound healing by mechanisms that are not fully understood. Recently, MDSCs have been shown to differentiate into fibrocytes, which serve as emerging effector cells that enhance cell proliferation in wound healing. We postulate that in wound healing MDSCs not only execute their immunosuppressive function to regulate inflammation but also stimulate cell proliferation once they differentiate into fibrocytes. In the current study, by using full-thickness and PU mouse models, we found that Kruppel-like factor 4 (KLF4) deficiency resulted in decreased accumulation of MDSCs and fibrocytes, and wound healing was significantly delayed. Conversely, KLF4 activation by the plant-derived product Mexicanin I increased the number of MDSCs and fibrocytes and accelerated the wound healing. Collectively, our study revealed a previously unreported function of MDSCs in cutaneous wound healing and identified Mexicanin I as a potential agent to accelerate PU wound healing.
Insights
Myeloid-derived suppressor cells (MDSCs) promote wound healing by differentiating into fibrocytes. Activating KLF4 with Mexicanin I increased MDSCs and fibrocytes, accelerating pressure ulcer healing.
Area of Science:
- Immunology
- Dermatology
- Regenerative Medicine
Background:
- Pressure ulcers (PUs) exhibit delayed wound healing, often stalled in the inflammatory phase.
- Myeloid-derived suppressor cells (MDSCs) accumulate during inflammation and influence cutaneous wound healing.
- MDSCs can differentiate into fibrocytes, which are implicated in enhancing cell proliferation during healing.
Purpose of the Study:
- To investigate the role of MDSCs in wound healing, specifically their differentiation into fibrocytes.
- To explore the function of Kruppel-like factor 4 (KLF4) in regulating MDSC and fibrocyte accumulation.
- To assess the therapeutic potential of Mexicanin I in accelerating pressure ulcer healing.
Main Methods:
- Utilized full-thickness and pressure ulcer mouse models.
- Investigated the effects of KLF4 deficiency on MDSC and fibrocyte accumulation and wound healing.
- Examined the impact of Mexicanin I, a plant-derived product, on MDSC and fibrocyte levels and wound closure.
Main Results:
- KLF4 deficiency led to reduced MDSC and fibrocyte accumulation, significantly delaying wound healing.
- Activation of KLF4 by Mexicanin I increased the number of MDSCs and fibrocytes.
- Mexicanin I treatment accelerated the wound healing process in the studied models.
Conclusions:
- MDSCs play a significant, previously unreported role in cutaneous wound healing through their immunosuppressive and proliferative functions.
- KLF4 is a key regulator of MDSC and fibrocyte accumulation in wound healing.
- Mexicanin I demonstrates potential as a therapeutic agent for accelerating pressure ulcer healing by modulating MDSCs and fibrocytes.
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