Keratin-Mediated Selective Inhibition in Proliferation and Selective Apoptosis of Keloid Fibroblasts

Hyeon Jeong Kang1, Woo Gyeong Kim2, Seong Yeong An2

  • 1Department of Maxillofacial Biomedical Engineering, College of Dentistry, Kyung Hee University, Seoul 02447, Republic of Korea.

Biomaterials Research
|July 23, 2025
PubMed

Insights

Human hair keratin (HK) selectively targets keloid fibroblasts, inhibiting their growth and reducing scar tissue formation. This biomaterial shows promise for treating keloids with minimal impact on healthy skin cells.

Area of Science:

  • Biomaterials Science
  • Dermatology
  • Wound Healing

Background:

  • Keloids are pathological scars resulting from excessive fibroblast activity and extracellular matrix (ECM) deposition, often driven by transforming growth factor-β1 (TGF-β1).
  • Existing keloid treatments have limited efficacy and selectivity, leading to high recurrence rates.
  • There is a need for novel therapeutic biomaterials that can selectively target scar-forming cells.

Purpose of the Study:

  • To investigate the potential of human hair-derived keratin (HK) as a selective anti-fibrotic agent for keloid treatment.
  • To evaluate the effects of HK on keloid fibroblasts (KFs) versus normal dermal fibroblasts (DFs) in various in vitro models.
  • To elucidate the underlying mechanisms of HK's anti-fibrotic and pro-apoptotic actions.

Main Methods:

  • Utilized 2D monolayers, 3D spheroids, co-culture models, and collagen gel contraction assays.
  • Assessed the impact of 0.5% HK on KF and DF proliferation, viability, migration, and ECM production.
  • Analyzed apoptotic signaling pathways and performed transcriptomic profiling to identify molecular targets.

Main Results:

  • HK selectively inhibited KF proliferation, viability, and migration while sparing DFs.
  • In 3D models, HK significantly reduced KF-driven spheroid expansion and collagen matrix contraction, even under TGF-β1 stimulation.
  • HK induced apoptosis in KFs by up-regulating pro-apoptotic proteins (Bax, caspase-3, CYCS) and down-regulating anti-apoptotic proteins (Bcl-2, XIAP).
  • Transcriptomic analysis revealed HK's modulation of ECM-receptor interaction, focal adhesion, and aminoacyl-tRNA biosynthesis pathways in KFs.

Conclusions:

  • Human hair keratin (HK) demonstrates selective anti-fibrotic and pro-apoptotic effects on pathological keloid fibroblasts.
  • HK modulates key pathways involved in fibrotic remodeling and cellular survival, offering a targeted approach to keloid treatment.
  • Keratin holds significant potential as a therapeutic biomaterial for managing keloid scarring.

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