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Updated: Feb 14, 2026

In Vitro Model of Human Cutaneous Hypertrophic Scarring using Macromolecular Crowding
Published on: May 1, 2020
β-Adrenergic Receptor Trafficking, Degradation, and Cell Surface Expression Are Altered in Dermal Fibroblasts from
Amina El Ayadi1, Anesh Prasai1, Ye Wang1
1Department of Surgery, University of Texas Medical Branch, Galveston, Texas, USA; Shriners Hospitals for Children-Galveston, Galveston, Texas, USA.
Abstract:
Burn trauma elevates catecholamines for up to 2 years and causes hypertrophic scarring. Propranolol, a nonspecific β1-, β2-adrenergic receptor (AR) inverse agonist, counters the hypermetabolic response to elevated catecholamines and may decrease hypertrophic scarring by an unknown mechanism. We investigated the effect of burn injury on β1-, β2-, and β3-AR expression, trafficking, and degradation in human dermal fibroblasts from hypertrophic scar [HSF], non-scar fibroblasts, and normal fibroblasts. We also investigated the modulation of these events by propranolol. Catecholamine-stimulated cAMP production was lower in HSFs and non-scar fibroblasts than in normal fibroblasts. β1- and β2-AR cell surface expression was lowest in HSFs, but propranolol increased cell surface expression of these receptors. Basal β2-AR ubiquitination was higher in HSFs than non-scar or normal fibroblasts, suggesting accelerated receptor degradation. β-AR degradation was mainly driven by lysosomal-specific polyubiquitination at Lys-63 in normal fibroblasts and HSFs, which was abrogated by propranolol. Propranolol also targeted β-AR to the proteasome in HSFs. Confocal imaging showed a lack of β2-AR-GFP trafficking to lysosomal compartments in catecholamine-stimulated HSFs. These data suggest that burn trauma alters the expression, trafficking, and degradation of β-ARs in dermal fibroblasts, which may then affect fibroblast responses to propranolol.
Insights
Burn trauma alters adrenergic receptor (AR) expression and trafficking in skin fibroblasts. Propranolol may improve hypertrophic scarring by modulating these altered AR pathways.
Area of Science:
- Cellular and Molecular Biology
- Dermatology
- Pharmacology
Background:
- Burn trauma causes prolonged elevation of catecholamines, potentially leading to hypertrophic scarring.
- Propranolol, a beta-adrenergic receptor (AR) inverse agonist, may mitigate hypertrophic scarring via unknown mechanisms.
- Understanding AR regulation in fibroblasts is crucial for developing effective burn scar treatments.
Purpose of the Study:
- To investigate the impact of burn injury on beta-1, beta-2, and beta-3 AR expression, trafficking, and degradation in human dermal fibroblasts.
- To examine how propranolol modulates these AR-related processes in fibroblasts from normal skin, non-scar areas, and hypertrophic scars.
- To elucidate the role of AR signaling in the development of hypertrophic scarring post-burn.
Main Methods:
- Comparison of catecholamine-stimulated cAMP production in normal, non-scar, and hypertrophic scar fibroblasts (HSFs).
- Assessment of beta-1 and beta-2 AR cell surface expression and basal beta-2 AR ubiquitination in different fibroblast types.
- Analysis of beta-AR degradation pathways (lysosomal vs. proteasomal) and receptor trafficking using confocal imaging and propranolol treatment.
Main Results:
- Catecholamine-stimulated cAMP production was reduced in HSFs and non-scar fibroblasts compared to normal fibroblasts.
- HSFs exhibited lower basal cell surface expression of beta-1 and beta-2 ARs, which propranolol treatment increased.
- Propranolol abrogated lysosomal degradation of beta-ARs and promoted proteasomal targeting in HSFs, while HSFs showed impaired beta-2-AR trafficking to lysosomes.
Conclusions:
- Burn trauma significantly alters beta-adrenergic receptor expression, ubiquitination, and degradation in dermal fibroblasts.
- Propranolol influences beta-AR trafficking and degradation pathways, suggesting a potential mechanism for its therapeutic effect on hypertrophic scarring.
- These findings highlight the dysregulation of beta-AR signaling in hypertrophic scarring and offer insights into propranolol's action.
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