Curcumin Protects Human Dermal Fibroblasts Exposed to Hydrogen Peroxide by Regulating Autophagy Level and Reactive Oxygen Species Generation

Wound treatment with curcumin prevents hypertrophic scarring and promotes remodeling by inhibiting fibroblast activation and regulating collagen deposition

More and more attention is paid to the prevention of hypertrophic scars (HS). This study aimed to investigate the mechanisms of topical curcumin application in alleviating HS secondary to wounds. Human dermal fibroblasts (HDFs) were cultured with transforming growth factor-β1 and varying concentrations of curcumin for 48 h. The proliferation activity, apoptosis and migration of HDFs were detected by CCK-8 assay, EdU assay, flow cytometry and wound healing assay, respectively. The expression of proteins implicated in fibroblast activation and collagen deposition was determined by Western blotting (WB). Curcumin (25 μmol/L, 28 days) was applied to rabbit ear wounds, and hypertrophic scarring was evaluated grossly and microscopically. We found that curcumin inhibited the proliferation and migration of HDFs and promoted cell apoptosis in a concentration-dependent manner. Curcumin at 10 and 25 μmol/L concentrations reduced the expression of Ki-67 and α-smooth muscle actin and increased cleaved caspase-3 expression and Bax/Bcl-2 ratio. Although the protein levels of collagen-I (COL-I), COL-III, matrix metalloproteinase-2 (MMP-2) and tissue inhibitor of metalloproteinase-1 (TIMP-1) were down-regulated, COL-III/COL-I and MMP-2/TIMP-1 ratios were maintained. Curcumin decreased the Manchester scar scale score, scar elevation index and collagen volume fraction of rabbit ear scars. Immunohistochemical results were generally consistent with the WB data. Unlike suppression of TIMP-1 in the entire region of the scar, curcumin reduced MMP-2 expression only in the edge part, which might be related to the alteration of cell polarity and orientation of fibroblasts. In conclusion, curcumin facilitates high-quality scars after wound healing by regulating fibroblast activation and collagen deposition.

Extremely Rapid Gelling Curcumin Silk-Tyrosine Crosslinked Hydrogels

Systemic chemotherapy is still the first-line treatment for cancer, and it's associated with toxic side effects, chemoresistance, and ultimately cancer recurrence. Rapid gelling hydrogels can overcome this limitation by providing localized delivery of anti-cancer agents to solid tumors. Silk hydrogels are extremely biocompatible and suitable for anti-cancer drug delivery, but faster gelling formulations are needed. In this study, we introduce a rapid gelling hydrogel formulation (<3 min gelling time) due to chemical crosslinking between silk fibroin and curcumin, initiated by the addition of minute quantities of horseradish peroxidase (HRP) and hydrogen peroxide (H2O2). The novel observation in this study is that curcumin, while being a free-radical scavenger, also participates in accelerating silk di-tyrosine crosslinking in the presence of HRP and H2O2. Using UV-Vis, rheology, and time-lapse videos, we convincingly show that curcumin accelerates silk di-tyrosine crosslinking reaction in a concentration-dependent manner, and curcumin remains entrapped in the hydrogel post-crosslinking. FTIR results show an increase in secondary beta-sheet structures within hydrogels, with increasing concentrations of curcumin. Furthermore, we show that curcumin-silk di-tyrosine hydrogels are toxic to U2OS osteosarcoma cells, and most cancer cells are dead within short time scales of 4 h post-encapsulation.

Development of Antioxidant-Active Sericin-Curcumin-Loaded Sodium Alginate/Polyvinyl Alcohol Films Crosslinked with Calcium Chloride as a Promising Wound Dressing Application

Silk sericin (SS) and curcumin (Cur) possess significant antioxidant properties, making them highly beneficial for wound healing applications. This study aimed to develop SS-Cur-loaded sodium alginate/polyvinyl alcohol (SA/PVA) films crosslinked with calcium chloride, creating a biomaterial with enhanced stability and antioxidant properties. Wound dressings containing SS-Cur were fabricated by mixing SA and PVA at different ratios of 1:1, 1:2, 1:4, and 1:6. The resulting films were then crosslinked with calcium chloride in an ethanol solution to enhance film integrity. These films were characterized using several techniques, revealing that the presence of ethanol in calcium chloride affected film properties, including the gel fraction, swelling, film thickness, and FTIR analysis. The presence of ethanol in calcium chloride revealed the highest drug content in the SA/PVA films. In vitro release studies demonstrated sustained release of SS-Cur from all formulations. Cytotoxicity and antioxidant activity tests showed that SS-Cur-loaded SA/PVA films with ethanol in calcium chloride increased cell viability and enhanced antioxidant effects in L929 cells. In conclusion, this study demonstrates that the presence of ethanol in the crosslinking solution improved the functionality of SS-Cur-loaded SA/PVA films, making them promising candidates for wound healing and soft tissue regeneration.

Ninety Sixth-Hour Impact of Scalding Burns on End Organ Damage, Systemic Oxidative Stress, and Wound Healing in Rats Treated With Three Different Types of Dressings

In this study, we investigated the effects of 3 different burn dressing treatments, including experimental, silver, and modern dressing materials, on systemic oxidative stress in rats with severe scald burns within the first 96 h. The rats were divided into five groups: a burn group (n = 10), a polylactic membrane group (n = 10), a silver sulfadiazine group (n = 10), a curcumin group (n = 10), and a control group (n = 10), consisting of equal numbers of female and male rats. In the first 4 groups, 30% of the rats' total body surface area was scalded at 95°C. The burn group was not treated. Each group was treated with group-name dressing material. The control group was neither treated nor burned. The rats were sacrificed, and blood and tissue samples were obtained at the 96th hour when severe effects of oxidative stress developed postburns. Systemic inflammatory biomarkers and oxidative stress parameters were examined. In addition, apoptosis and organ damage in liver, kidney, lung, and skin tissues were evaluated biochemically and histopathologically. When the parameters were statistically analyzed, we found that the systemic levels of oxidative stress and inflammatory damage to liver, kidney, and lung tissues were lower in the 3 treated groups than in the burn group. We believe that the dressing material's efficacy in the treatment of severe burns may be dependent on its ability to combat oxidative stress and inflammation.

Curcumin alleviates hypertrophic scarring by inhibiting fibroblast activation and regulating tissue inflammation

BACKGROUND

Hypertrophic scar (HS) that can lead to defects in appearance and function is often characterized by uncontrolled fibroblast proliferation and excessive inflammation. Curcumin has been shown to have anti-inflammatory and anti-oxidative effects and to play an anti-fibrotic role by interfering transforming growth factor-β1 (TGF-β1)/Smads signaling pathways.

AIM

To study the effect and mechanism of curcumin on HS from the perspective of fibroblast activity and inflammation regulation.

METHODS

Cell proliferation, migration and the expression of α-smooth muscle actin (α-SMA) of TGF-β1-induced human dermal fibroblasts (HDFs) treated by curcumin were evaluated using Cell Counting Kit-8 assay, 5-ethynyl-2'-deoxyuridine staining, Transwell assay, Western blotting and immunofluorescence, respectively. The expression of TGF-β1/Smad3 pathway-related molecules (TGF-β1, TGFβ-R1/2, p-Smad3, Smad4) was detected by Western blotting. In a rabbit ear model, hematoxylin and eosin and Masson's staining were conducted to assess scar elevation and collagen deposition, and immunohistochemistry was performed to detect the activation of fibroblasts and infiltration of inflammatory cells.

RESULTS

Curcumin inhibited proliferation, migration and α-SMA expression of HDFs in a dose-dependent manner. Curcumin (25 μm mol/L) did not regulate the expression of endogenous TGF-β1, but suppressed Smad3 phosphorylation and nuclear translocation, leading to lower α-SMA expression. Curcumin also reduced hypertrophic scarring of rabbit ear, accompanied by the inhibited TGF-β1/Smad3 pathway, inflammatory infiltration and M2 macrophage polarization.

CONCLUSION

Curcumin plays an anti-scar role through regulating fibroblast activation and tissue inflammation. Our findings provide scientific reference for the clinical use of curcumin in the treatment of HS.