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Decellularized Adipose Matrix Rejuvenates Photoaged Skin through Immune Microenvironment Modulation
Jialiang Zhou1,2, Shengjie Jiang2, Liyun Wang2
1Department of Stomatology, Xin Hua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China.
BME Frontiers
|August 5, 2025
Summary
Decellularized adipose matrix (DAM) rejuvenates photoaged skin by shifting immune cells towards a healing state (M2 macrophages). This novel approach repairs skin structure and function, offering a promising antiaging strategy.
Area of Science:
- Biomaterials Science
- Immunology
- Dermatology
Background:
- Photoaging, caused by UV exposure, leads to skin damage and chronic inflammation.
- Current treatments focus on structural repair, neglecting immune modulation for skin regeneration.
- There's a need for biomaterials that restore extracellular matrix and regulate immune responses.
Purpose of the Study:
- To investigate the therapeutic potential of decellularized adipose matrix (DAM) for photoaged skin.
- To explore DAM's ability to modulate the skin's immune microenvironment.
- To assess DAM's impact on fibroblast function and skin rejuvenation.
Main Methods:
- Established a photoaged mouse model using UVB irradiation.
- Prepared DAM via physicochemical decellularization.
- Evaluated DAM's effects on macrophage polarization and fibroblast function in vitro.
- Developed and tested a hyaluronic acid-DAM hydrogel (HA/DAM) in vivo.
Main Results:
- DAM promoted M1 to M2 macrophage polarization in vitro.
- M2-conditioned medium enhanced fibroblast resistance to oxidative stress, migration, and ECM synthesis.
- In vivo, HA/DAM increased dermal thickness and collagen density.
- HA/DAM restructured the immune microenvironment via M2 macrophage polarization.
Conclusions:
- DAM effectively induces M2 macrophage polarization and rescues photoaged fibroblast function.
- This immune modulation offers a novel strategy for skin antiaging.
- DAM demonstrates significant clinical potential for skin rejuvenation.
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