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Updated: Feb 15, 2026

Isolation, Culture, and Characterization of Primary Dermal Fibroblasts from Human Keloid Tissue
Published on: July 28, 2023
Conditioned Medium Obtained from Amnion-Derived Mesenchymal Stem Cell Culture Prevents Activation of Keloid
Chigusa Sato1,2, Yuhei Yamamoto1,2, Emi Funayama1,2
1Sapporo, Japan.
Background:
Mesenchymal stem cells are a valuable cell source in regenerative medicine, and conditioned medium obtained from mesenchymal stem cells reportedly inhibits inflammation. Keloids are characterized by abnormal fibrosis, caused by fibroblasts in response to inflammation. In this study, the authors evaluated whether conditioned medium obtained from amnion-derived mesenchymal stem cells suppressed activation of keloid fibroblasts.
Methods:
Keloid (n = 7), mature (n = 5), and normal (n = 5) fibroblasts were harvested from patients. Fibroblasts were stimulated with transforming growth factor (TGF)-β, and the effects of conditioned medium obtained from amnion-derived mesenchymal stem cells on cell proliferation, activation, and expression of extracellular matrix-related genes were analyzed. The effect of concentrating the conditioned medium by ultrafiltration on fibroblast activation was also analyzed.
Results:
Conditioned medium obtained from amnion-derived mesenchymal stem cells significantly up-regulated proliferation of mature fibroblasts but tended to suppress that of keloid fibroblasts. Conditioned medium obtained from amnion-derived mesenchymal stem cells significantly suppressed the TGF-β-induced up-regulation of α-smooth muscle actin in keloid and normal fibroblasts and collagen I in keloid fibroblasts, but not in mature fibroblasts. The conditioned medium obtained from amnion-derived mesenchymal stem cells concentrated by ultrafiltration and the filtrate significantly suppressed TGF-β-induced α-smooth muscle actin expression.
Conclusion:
Conditioned medium obtained from amnion-derived mesenchymal stem cells prevents proliferation and activation of keloid fibroblasts and is a promising keloid treatment for administration as a topical agent.
Clinical Question/Level Of Evidence:
Therapeutic, V.
Insights
Amnion-derived mesenchymal stem cell conditioned medium shows potential for keloid treatment by inhibiting fibroblast proliferation and activation. This regenerative medicine approach offers a promising topical therapy for abnormal scarring.
Area of Science:
- Regenerative Medicine
- Cell Biology
- Dermatology
Background:
- Mesenchymal stem cells (MSCs) are crucial in regenerative medicine.
- MSC-conditioned medium (MSC-CM) is known to possess anti-inflammatory properties.
- Keloids result from abnormal fibrosis driven by fibroblast activation due to inflammation.
Purpose of the Study:
- To investigate the efficacy of amnion-derived MSC-CM in suppressing keloid fibroblast activation.
- To assess the impact of MSC-CM on fibroblast proliferation and extracellular matrix gene expression.
Main Methods:
- Fibroblasts from keloid, mature, and normal tissues were cultured.
- Cells were stimulated with transforming growth factor-beta (TGF-β).
- Effects of MSC-CM, including concentrated forms, on fibroblast proliferation, activation markers (α-smooth muscle actin), and collagen I expression were analyzed.
Main Results:
- MSC-CM tended to suppress keloid fibroblast proliferation while up-regulating mature fibroblast proliferation.
- MSC-CM significantly inhibited TGF-β-induced α-smooth muscle actin expression in keloid and normal fibroblasts.
- MSC-CM suppressed TGF-β-induced collagen I expression in keloid fibroblasts.
Conclusions:
- Amnion-derived MSC-CM effectively inhibits keloid fibroblast proliferation and activation.
- MSC-CM demonstrates potential as a topical therapeutic agent for keloid treatment.
- This finding supports the use of MSC-derived products in managing fibrotic disorders.
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