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Updated: Feb 21, 2026

Isolation, Culture, and Characterization of Primary Dermal Fibroblasts from Human Keloid Tissue
Published on: July 28, 2023
Mortalin deficiency suppresses fibrosis and induces apoptosis in keloid spheroids
Won Jai Lee1, Hyo Min Ahn2, Youjin Na2
1Institute for Human Tissue Restoration, Department of Plastic & Reconstructive Surgery, Yonsei University College of Medicine, Seoul, Korea.
Abstract:
Mortalin (Mot) is a mitochondrial chaperone of the heat shock protein 70 family and it's pro-proliferative and anti-apoptosis functions could be associated with keloid pathogenesis, and blocking of mortalin and its interaction with p53 might be a potential novel target for the treatment of keloid. Therefore, we generated mortalin-specific small hairpin (sh) RNAs (dE1-RGD/GFP/shMot) and introduced into keloid spheroids for examination of its apoptotic and anti-fibrotic effect. On keloid tissues, mortalin expression was higher than adjacent normal tissues and it's protein expressions were activated keloid fibroblasts (KFs). After primary keloid spheroid were transduced with dE1-RGD/GFP/shMot for knockdown of mortalin, expression of type I, III collagen, fibronectin, and elastin was significantly reduced and transforming growth factor-β1, epidermal growth factor receptor (EGFR), Extracellular Signal-Regulated Kinases 1 and 2 (Erk 1/2), and Smad 2/3 complex protein expression were decreased. In addition, increased TUNEL activities and cytochrome C were observed. Further, for examine of mortalin and p53 interaction, we performed immunofluorescence analysis. Knockdown of mortalin relocated p53 to the cell nucleus in primary keloid spheroids by dE1-RGD/GFP/shMot transduction. These results support the utility of knockdown of mortalin to induce apoptosis and reduce ECMs expression in keloid spheroid, which may be highly beneficial in treating keloids.
Insights
Blocking mortalin (Mot) in keloid fibroblasts reduces extracellular matrix proteins and promotes apoptosis. This suggests targeting mortalin is a promising therapeutic strategy for keloid treatment.
Area of Science:
- Cell Biology
- Dermatology
- Molecular Biology
Background:
- Mortalin (Mot), a mitochondrial chaperone, promotes cell proliferation and inhibits apoptosis, potentially contributing to keloid pathogenesis.
- Elevated mortalin expression is observed in keloid tissues and activated keloid fibroblasts (KFs).
Purpose of the Study:
- To investigate the therapeutic potential of mortalin knockdown in keloid treatment.
- To examine the effects of mortalin knockdown on apoptosis and extracellular matrix (ECM) production in keloid spheroids.
Main Methods:
- Generation of mortalin-specific small hairpin RNAs (shRNAs) (dE1-RGD/GFP/shMot).
- Transduction of primary keloid spheroids with dE1-RGD/GFP/shMot to achieve mortalin knockdown.
- Analysis of ECM components (collagens, fibronectin, elastin), signaling pathways (TGF-β1, EGFR, Erk1/2, Smad2/3), apoptosis markers (TUNEL, cytochrome C), and p53 localization via immunofluorescence.
Main Results:
- Mortalin knockdown significantly reduced the expression of type I and III collagen, fibronectin, and elastin in keloid spheroids.
- Knockdown of mortalin decreased the expression of TGF-β1, EGFR, Erk1/2, and Smad2/3 complex proteins.
- Increased TUNEL activity and cytochrome C levels indicated enhanced apoptosis.
- Mortalin knockdown led to the relocation of p53 to the nucleus in keloid spheroids.
Conclusions:
- Knockdown of mortalin effectively induces apoptosis and reduces ECM production in keloid spheroids.
- Targeting mortalin and its interaction with p53 presents a novel and potentially beneficial therapeutic strategy for keloid treatment.
Related Concept Videos
The Intrinsic Apoptotic Pathway
The Extrinsic Apoptotic Pathway

