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Updated: Jan 7, 2026

Isolation, Culture, and Characterization of Primary Dermal Fibroblasts from Human Keloid Tissue
Published on: July 28, 2023
KLF2 inhibits keloid progression by targeting PI3K/AKT-mediated MMP-2/9 signaling
Dan Yu1, AoLin Zhao2, ZhiGuo Wang2
1Department of Pathology, Taihe Hospital, Hubei University of Medicine, Shiyan City, 442000 Hubei Province China.
Abstract:
The anti-proliferation, anti-invasion, and anti-migration activities of KLF2 in keloid fibroblasts (KFs) and hypertrophic scar fibroblasts (HSFs) were investigated. KLF2 in normal skin (NF), keloid (KD), hypertrophic scar (HS) tissues, and cell lines was quantified using western blot and quantitative real-time polymerase chain reaction techniques. The processes of cell proliferation, migration, and invasion were observed in both KFs and HSFs, with pathway proteins linked to these processes pinpointed through western blot analysis. KLF2 in KD and HS tissues was lower than that in NF tissues. Enhancing KLF2 expression inhibited KF and HSF proliferation, migration, and invasion. MMP2, MMP-9, PI3K and p-Akt protein levels were inhibited in KFs with KLF2 overexpression. However, inhibition of PI3K and p-Akt protein levels was observed only in KLF2-overexpressed HSFs. In KFs with enhanced KLF2 expression, PI3K agonists eliminated the effect of KLF2 overexpression on cell migration and invasion. KLF2 inhibits the proliferation and migration of KFs by down-regulating MMP-2/9 through the PI3K/AKT pathway, suggesting that KLF2 may be a potential therapeutic target for KD. Hence, these findings offer novel perspectives on the function and molecular pathways of KLF2 in KD, as well as novel strategies for its clinical treatment.
Supplementary Information:
The online version contains supplementary material available at 10.1007/s10616-025-00885-6.
Insights
Krüppel-like factor 2 (KLF2) inhibits keloid fibroblast proliferation and migration. Upregulating KLF2 may offer new therapeutic strategies for keloid disorder by targeting the PI3K/AKT pathway.
Area of Science:
- Dermatology
- Molecular Biology
- Cell Biology
Background:
- Keloid disorder (KD) is characterized by excessive fibroblast proliferation, migration, and invasion.
- The role of Krüppel-like factor 2 (KLF2) in the pathogenesis of keloids and hypertrophic scars is not fully understood.
Purpose of the Study:
- To investigate the anti-proliferation, anti-invasion, and anti-migration activities of KLF2 in keloid fibroblasts (KFs) and hypertrophic scar fibroblasts (HSFs).
- To elucidate the molecular pathways involved in KLF2's function in keloid pathogenesis.
Main Methods:
- Quantification of KLF2 expression in normal skin, keloid, and hypertrophic scar tissues and cell lines using western blot and qRT-PCR.
- Assessment of fibroblast proliferation, migration, and invasion.
- Western blot analysis to identify key pathway proteins.
Main Results:
- KLF2 expression was significantly lower in keloid and hypertrophic scar tissues compared to normal skin.
- Overexpression of KLF2 inhibited proliferation, migration, and invasion in both KFs and HSFs.
- KLF2 overexpression downregulated MMP-2, MMP-9, PI3K, and p-Akt in KFs, and PI3K/AKT pathway proteins in HSFs.
Conclusions:
- KLF2 inhibits keloid fibroblast proliferation and migration by downregulating MMP-2/9 via the PI3K/AKT pathway.
- KLF2 represents a potential therapeutic target for keloid disorder.
- These findings provide novel insights into KLF2's function and molecular mechanisms in keloid pathogenesis, suggesting new clinical treatment strategies.
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