[Frontiers in Bioscience 12, 2849-2868, May 1, 2007]

Wound re-epithelialization: modulating kerationcyte migration in wound healing

Raja, K. Sivamani1, Miki Shirakawa Garcia1, R. Rivkah Isseroff1,2

1Department of Dermatology, University of California, Davis, School of Medicine, Davis, California, 95616, USA, 2Dermatology Service, Department of Veterans Affairs, Northern California Health Care System, Mather, CA 95655, USA

TABLE OF CONTENTS

1. Abstract
2. Introduction
3. Cell attachments: Desmosomes, Hemidesmosomes, Integrins
4. Keratins
5. Growth Factors and Cytokines
5.1. EGF family
5.2. FGF family
5.3. TGF-beta family
5.4. Other growth factors
5.5. Dependence on Extracellular Matrix
5.6. Cytokines
6. Chemokines
7. Eicosanoids
8. Oxygen
9. Antimicrobial Peptides
7. Matrix Metalloproteinases
11. Other Mediators
11.1. Acetylcholine and muscarinic and nicotinic receptors
11.2. Electric fields
11.3. Catecholamines and beta-adrenergic receptors
12. Conclusion and Perspective
13. References

1. ABSTRACT

An essential feature of a healed wound is the restoration of an intact epidermal barrier through wound epithelialization, also known as re-epithelialization. The directed migration of keratinocytes is critical to wound epithelialization and defects in this function are associated with the clinical phenotype of chronic non-healing wounds. A complex balance of signaling factors and surface proteins are expressed and regulated in a temporospatial manner that promote keratinocyte motility and survival to activate wound re-epithelialization. The majority of this review focuses on the mechanisms that regulate keratinocyte migration in the re-epithelialization process. This includes a review of cell attachments via desmosomes, hemidesmosomes, and integrins, the expression of keratins, the role of growth factors, cytokines and chemokines, eicosanoids, oxygen tension, antimicrobial peptides, and matrix metalloproteinases. Also reviewed are recently emerging novel mediators of keratinocyte motility including the role of electric fields, and signaling via the acetylcholine and beta-adrenergic receptors. These multiple regulators impact the ability of keratinocytes to migrate from the wound edge or other epidermal reservoirs to efficiently re-epithelialize a breach in the integrity of the epidermis. New discoveries will continue to uncover the elegant network of events that result in restoration of epidermal integrity and complete the wound repair process.