BioMed Central, Stem Cell Research and Therapy, 1(5), 2014
DOI: 10.1186/scrt417
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Abstract Introduction The prevalence of nonhealing wounds is predicted to increase due to the growing aging population. Despite the use of novel skin substitutes and wound dressings, poorly vascularized wound niches impair wound repair. Mesenchymal stem cells (MSCs) have been reported to provide paracrine signals to promote wound healing, but the effect of human Wharton’s jelly-derived MSCs (WJ-MSCs) has not yet been described in human normal skin. The aim of this study is to examine the effects of human WJ-MSC paracrine signaling on normal skin fibroblasts in vitro , and in an in v ivo preclinical model. Methods Human WJ-MSCs and normal skin fibroblasts were isolated from donated umbilical cords and normal adult human skin. Fibroblasts were treated with WJ-MSC-conditioned medium (WJ-MSC-CM) or nonconditioned medium. Results Expression of genes involved in re-epithelialization ( transforming growth factor-β2 ), neovascularization ( hypoxia-inducible factor-1α ) and fibroproliferation ( plasminogen activator inhibitor-1 ) was upregulated in WJ-MSC-CM-treated fibroblasts ( P ≤ 0.05). WJ-MSC-CM enhanced normal skin fibroblast proliferation ( P ≤ 0.001) and migration ( P ≤ 0.05), and promoted wound healing in an excisional full-thickness skin murine model. Conclusions Under our experimental conditions, WJ-MSCs enhanced skin wound healing in an in vivo mouse model.