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. 2020 May 6;11:648. doi: 10.3389/fimmu.2020.00648

Table 1.

In vitro and ex vivo studies on the effect of human keratinocytes on dermal fibroblasts.

Ref Type of cells or samples Type of stimuli Identified mediators Experimental outcome
Dufour et al. (13) NEK, HDF, SScF;
K-CM;
HD full skin explant
TGF-β, IL-17A IL-1; TGF-β Keratinocytes enhance IL-6, IL-8, and MCP-1, production by HDF and SScF.
Keratinocytes enhance ECM turnover by enhancing MMP-1 and decreasing col-I.
IL-17A increases these effects
TGF-β reduces these effects
Fernando et al. (14) HaCaT, HDF;
HaCaT-CM
Particulate matter (PM)
fucosterol
Increase of inflammatory responses (TNFα, IL-1β, IL-6, MMP1, MMP2, elastase, PGE2) in fibroblasts treated with media from HaCaT exposed to CPM. Fucosterol reduced these effects
Zhao et al. (15) HaCaT; HDF;
EE
Transwell coculture
Hypertrophic scar biopsies
Dehydration HaCaT dehydration increases col-I and αSMA expression by HDF.
HMGB1 KO in HaCaT decreases HDF activation induced by dehydration. Cytoplasm accumulation of HMGB1 in hypertophic scar
McCoy et al. (16) SScK, NEK; HDF;
K-CM
Not-TGF-β SScK more than NEK enhance col-I and αSMA expression by HDF
Microarray data on differences between SScK and NEK
Carr et al. (17) NEK, HDF, HaCaT
Transwell coculture
K-CM
Differentiated and undifferentiated NEK IL-1 NEK enhances G-CSF production by HDF
Undifferentiated NEK have stronger effect than differentiated NEK
Brembilla et al. (18) NEK, HDF, SScF
K-CM
IL-22, TNFα NEK and SScK promote HDF production of MMP-1, MCP-1, and IL-8.
IL22 + TNFα enhances this effect
Zhong et al. (19) HaCaT, foreskin K,
foreskin F;
Differentiated-K
Transwell coculture
Epidermal explant
HD, keloids, hypertrophic scars biopsies
Low humidity/reduced hydration S100A8/A9 S100A8/A9 is more expressed in epidermis from keloids and hypertrophic scars than HD
HaCaT dehydration increases col-I and αSMA expression by HDF.
Effect mediated by epidermal S100A8/A9, which expression is induced by reduced hydration
Huang et al. (20) HaCaT, foreskin K, HDF
Keratinocyte-derived microvesicles (K-MV)
Keratinocyte-derived microvesicles (K-MV) K-MV enhance in HDF the expression of TGF-β-induced genes and of MMP-1, MMP-3, THBS1, IL-6, lumican; enhance HDF migration and matrix contraction, enhance HDF-dependent angiogenesis
Decrease in HDF the expression of cadherin-2
Gauglitz et al. (21) HDF
keloid and normal skin biopsies
2D-culture
S100A7
S100A15
Compared to healthy skin reduced expression of S100A7 and S100A15 in keloids epidermis with reciprocal expression of COL1A1, COL1A2, COL3A1.
S100A7 and S100A15 on HDF decrease COL1A1, COL1A2 and COL3A1, TGF-β1, TGF-β2, TGF-β3, laminin-β2 and α-SMA and HDF proliferation
Xu et al. (22) HaCaT, foreskin k, foreskin F; Differentiated-K
Transwell coculture
Epidermal explants
Reduced hydration ENaC, COX2, PGE2 HaCaT dehydration increases col-I and αSMA expression by HDF.
Effects mediated by ENaC, COX2, PGE2
Arai et al. (23) Foreskin-K, foreskin-F;
EE
DE (decellularized dermis)
Skin equivalent
EE-CM
IL-1α, IL-1β
PGE2 detected only in skin equivalent.
PGE2 expressed by DD enhances keratinocytes proliferation
EE-CM increases COX2, IL-6, and GM-CSF and decrease KGF expression in HDF
Nikitorowicz-Buniak et al. (24) HD and SSc skin, HDF, SScF;
HD, SSc epidermal and dermal explants;
HD, SSc epidermal explant CM
S100A9 S100A9 Increase of CCN2, S100A9, HGF in SSc epidermis compared to dermis and HD epidermis;
S100A9 enhances HDF and SScF proliferation, migration, and CTGF production
Li et al. (25) HaCaT, HDF
HaCaT-CM
Fibronectin HaCaT–CM enhances HDF migration
Varkey et al. (26) NEK; HDF
EE
DD (superficial (S)/or deep(D) HDF embedded in a GAG matrix)
Skin equivalent
In organotypic cultures, the levels of col-I and fibronectin were lower and levels of TGFα, PDGF, IL-1 higher compared to embedded HDF only
D-HDF produced higher levels of col-I higher levels of TGF-β activity and IL-6 compared to S-HDF
S-HDF produced higher MMP-1 levels
Sun et al. (27) HaCaT, fibroblast cell line CCD966SK
2D-culture
KGF, IL-19 IL-19 induces KGF expression in CCD966SK fibroblasts
KGF enhances the production of IL-19 in HaCaT and promotes higher proliferation and migration
Canady et al. (28) NEK, HDF, SScF, keloid fibroblasts, HD skin
skin explant
KGF, OSM KGF is increased in keloid and SSc fibroblasts and sera
KGF induces keratinocytes to release OSM leading to fibroblast activation
KGF increases the production of OSM, (fibroblast activator protein) FAP, col-I in cultured skin explants
Kolar et al. (29) HaCaT, NEK, HDF
EE; DE (collagen embedded HDF)
Skin equivalent
IL-6, IL-8, CXCL-1 NEK-organotypic cultures enhance the expression of FGF-7, FGF-5, FGF-2, CXCL-1, IL-6, IL-8 in HDF
Rock et al. (30) Female NEK and HDF
K-CM
E2; E2 and UVB E2 and E2 + UVB increase the production of EGF in NEK
Conditioned medium from E2 and E2 + UVB-exposed KCM enhances hyaluronan synthase 3 and versican V2 and proliferation of HDF
Simon et al. (31) K-from hypertrophic scars, NEK, HDF, hypertrophic scar F
EE or EE-CM
DE (F in a dermal matrix)
Skin equivalent
TIMP-1 Compared to NEK, K from hypertrophic scars increase dermal matrix thickness, by enhanced production of TIMP-1
Do et al. (32) Keloids-K, Keloid-F, NEK, HD
Transwell coculture
IL-18 K form keloids more than NEK produce IL-18, fibroblasts from keloids and HDF enhance IL-18 production by keratinocytes
IL-18 enhances col-I, IL-6, IL-8 production by HDF
Lai et al. (33) NEK, HDF
K-CM
Stratifin Conditioned medium from NEK enhances the production by HDF of MMP-1, MMP-3, MMP-12, versican, TN-C, ITGA1, CTNNA1, FN
NEK induce the upregulation of aminopeptidase N/CD13 in HDF as consequence of stratifin production
Tandara and Mustoe (34) NEK; HDF
Transwell coculture
K-CM
K-CM enhance the production of MMP-1, MMP-8, MMP-13, MMP-2, MMP-10, TIMP-1, and TIMP-2 by HDF.
NEK-hydration further increases the upregulation of MMPs and decreases TIMP-2
Koskela et al. (35) NEK, HDF,
EE
DE (HDF embedded in collagen)
Skin equivalent
TGF-β Compared to HDF alone, organotypic cocultures increase MMP-1, MMP-3, uPA and decrease CTGF, col I, col III, FN, TIMP-2, αSMA, PAI, in the presence or absence of TGF-β
Aden et al. (36) SSc and HD skin biopsies, HDF, SScF,
SSc or HD epidermis explant
DE (HDF embedded on collagen)
Skin equivalent
IL-1, TGF-β, ET-1 Altered keratinocyte differentiation in SSc biopsies
Compared to HD, SSc epidermal explants produce more IL-α resulting in enhanced gel contraction
SSc and HD explants have similar levels of ET-1 or TGFβ.
ET-1 and TGFβ have a role in CTGF production by HDF
Lim et al. (37) Keloids-K, keloids-F, NEK, HDF.
Monolayer, Transwell coculture
IL-6, IL-8, MCP1, TIMP-1, TIMP-2 detected in monocultures
Angiogenin, OSM, VEGF, IGF-binding protein-1, OPG, and TGF-β2 detected in keloids-K-keloids-F, but absent in NEK–HDF cocultures
Chavez-Munoz et al. (38) Differentiated and undifferentiated foreskin K, HDF
K-Exosomes
14-3-3 (stratifin) Exososomes generated from differentiated more than undifferentiated foreskin K enhance MMP-1 production by HDF. This effect is mediated by stratifin
Ghaffari et al. (39) NEK, HDF
Transwell coculture
keratinocyte-derived collagen-inhibitory factor of 30–50 kD (KD-CIF) Keratinocyte-released factors reduce col-I production by HDF by KD-CIF
Keratinocyte differentiation do not alter synthesis, release, or activity of KD-CIF
Wall et al. (40) NEK, HDF
DE (HDF) embedded in collagen gel
Skin equivalent
In comparison to HDF cultured in monolayers, the production of MMP2, MMP9, uPA, uPAR is increased in organotypic cocultures, with no significant changes in contractile responses
Tandara et al. (41) NEK, HDF
Transwell coculture
Compared to HDF cultured in monolayers, col-I production is decreased, and KGF production increased in Transwell cultures, more so in hydrated cultures.
Compared to NEK cultured in monolayers, TNF production is increased and IL-1 is decreased in Transwell cultures
Amjad et al. (42) NEK, HDF,
K-CM
DE (HDF collagen embedded)
Skin equivalent
NEK decrease TGFβ1 the production by HDF
Harrison et al. (43) NEK, HDF
Coculture
NEK conditioned medium and NEK coculture inhibit spontaneously, and IGF, bFGF-stimulated col-I production by HDF,
TNF reduce this inhibition
Ghaffari et al. (44) NEK, HDF
Transwell coculture
Stratifin Stratifin is produced only by NEK
Stratifin and NEK-conditioned medium enhance MMPs, adhesion molecules, PAI1. PAI2, THSP1, FN (and other detected by microarray) by HDF
Harrison et al. (45) NEK, HDF
HD epidermal explants
Coculture
K-CM
Both NEK-conditioned medium and HD epidermal explants decrease HDF proliferation
HD epidermal explants but not NEK-conditioned medium enhance FN production by HDF
Chinnathambi and Bickenbach (46) NEK and HDF
EE; DE (HDF collagen embedded)
skin equivalent
Compared to HDF cultured in monolayers, the production of MMP1 is increased and MMP-2 is decreased in organotypic cocultures
Ghahary et al. (47) NEK, HDF
Transwell coculture
Stratifin Compared to HDF cultured in monolayer, MMP1 is increased
Stratifin induces MMP-1
Stratifin expression is higher in differentiated NEK
Sawicki et al. (48) K-foreskin, HDF
Transwell coculture
Compared to NEK cultured alone, HDF enhance the production of MMP-9 and MMP-2 by K.
HDF cocultured with K produce MMP-9
TIMP-1, TIMP-2, and TIMP-3, but not, TIMP-4 levels are enhanced both in K and HDF when in coculture
Shephard et al. (49)
HaCaT, irradiated HDF
Coculture
Compared to HDF cultured in monolayer, the contractile activity and αSMA expression is increased in coculture
ET-1 enhances contraction and TGF-β enhances αSMA expression in cocultures
Shephard et al. (50) HaCaT, NEK, irradiated and not irradiated HDF
Coculture
Compared to HDF cultured alone, HDF in cocultures with HaCaT and NEK expresses more—ENA-78, and MCP-1, IL-6, LIF, G-CSF, M-CSF, COX2, PAI, and less Cathepsin K, Cathepsin L, Cathepsin L2
More col-I, col-IV, col-V, col-VI, hyaluran synthtease, lysine hydroxylase, transglutaminase 2, TN-C, decorin, syndecan 2, but less testican, tenascin XA, fibulin, thrombospondin
a SMA expression requires close proximity to keratinocytes
Ghahary et al. (51) NEK, HDF,
DE (HDF collagen embedded)
Transwell coculture
Stratifin Compared to HDF cultured alone, HDF in cocultures produce more MMP1 and enhance col-I digestion
Satish et al. (52)
K-foreskin, Hs68
Transwell coculture
CXCL11 CXCL11 (IP9) is induced by mechanical wounding in K
CXCL11 reduces EGF-induced fibroblast motility and enhance
EGF-induced keratinocytes motility
Funayama et al. (53) NEK, keloid-K, HDF, keloid-F; Transwell coculture Compared to NEK, keloid-K enhanced keloid-F proliferation, resistance to apoptosis (upregulation of Bcl-2) and TGF-β1 expression
Phan et al. (54) Keloids-K, keloids-F, NEK, HDF.
Transwell coculture
IGFBP-3 Compared to monocultures, HDF and keloid-F showed higher proliferation when cocultured with keloid-K. IGFBP-3 inhibition reduced keloid-F proliferation
Gron et al. (55) NEK, HDF
Coculture where NEK were grown on polycarbonate membrane coated with col-IV and added to HDF monolayers
Compared to HDF cultured alone, HDF in cocultures produce more HGF and KGF
No difference in HDF proliferation
Lim et al. (56) Keloids-K, keloids-F, NEK, HDF.
Transwell coculture
HDF cocultured with keloid-K increased soluble col-I and col-III.
Keloid-F cocultured with keloid-K increased both soluble and insoluble collagen
Lim et al. (57)
Keloids-K, keloids-F, HDF.
Transwell coculture
Keloid-k induce proliferation HDF more than NEK
Niessen et al. (58) Biopsies of normal and hypertrophic scars after breast surgery High IL-1α expression at month 3 predicts normal scar, no relationship between IL-1β and TNF expression. High levels of PDGF and bFGF at 12 months correlate with hypertrophic scar
Maas-Szabowski et al. (59) NEK, irradiated HDF,
DE
Coculture
Compared to HDF cultured alone, HDF in coculture expresses more KGF, IL-1α, IL-1β but less IL-8, TGF-β
Compared to NEK cultured alone, NEK in col culture express more IL-1α, IL-8, bFGF, GM-CSF
Zhang et al. (60) Skin explant culture
Coculture (NEK seeded onto stratified HDF embedded on sterile nylon membrane)
Compared to HDF cultured alone, HDF have enhanced expression of epimorphin particularly beneath the keratinocyte layer
Garner (61) NEK, HDF,
Coculture
Compared to HDF cultured alone, col-I is decreased in cocultures
Ralston et al. (62) NEK,
DE
Coculture
Coculture enhances matrix contraction and FN
Sato et al. (63) NEK, HDF,
DE
Coculture
IL-1α Compared to HDF cultured alone, PGE2 production is increased in cocultures via enhanced expression of COX-2 induced by IL-1α
Boxman et al. (64) NEK, HDF
K-CM
Compared to HDF cultured alone, IL-6, IL-8, production is higher and IL-1 lower in HDF exposed to NEK-conditioned medium
Chang et al. (65) NEK, HDF,
Transwell coculture
Compared to HDF cultured alone, col-I and GAG production is reduced in cocultures more so if NEK is hydrated
Lacroix et al. (66) NEK, HDF,
DE
Coculture
Compared to HDF cultured alone, col-I and FN production is increased in coculture
Boxman et al. (67) K-foreskin, HDF
Coculture
CM
IL-1α Compared to HDF cultured alone, IL-1α production is increased in cocultures and K-foreskin conditioned medium
Waelti et al. (68) NEK, irradiated HDF
Coculture
IL-1β Compared to HDF cultured alone, IL-6 production is increased in cocultures and NEK conditioned medium, effect mediated by IL-1β

The references are reported in inverse chronological order. αSMA, alpha-smooth muscle actin; bFGF, basic fibroblast growth factor; CCD966SK, fibroblast cell line; CCL, chemokine (C-C containing) motif; CCR, receptor; for CCL chemokines; CM, conditioned medium; Col, collagen; COX2, Cyclooxygenase 2; CTGF, connective tissue growth factor; CTNNA1, Catenin Alpha 1; CXCL, chemokine (C-X-C containing)motif ligand; DE, dermis equivalent; Differentiated-K, Differentiated keratinocytes; E2, estrogen; EE, epidermal equivalent; EGF, epidermal growth factor; ENaC, Epithelial sodium channel; ENA-78, Epithelial neutrophil-activating protein 78; ET-1, endothelin-1; FAP, fibroblast activation protein; FGF, fibroblast growth factor; FN, fibronectin; Foreskin K, newborn foreskin keratinocytes; G-CSF, granulocyte colony stimulating factor; GM-CSF, granulocyte-monocyte colony stimulating factor; HaCaT, human keratinocytes immortalized cell line; HD, healthy donor; HDF, healthy donor fibroblasts; HMGB1, high mobility group box-1; Hs68, foreskin fibroblasts cell line; IGF, insulin-like growth factor; IGFBP, insulin-like growth factor binding protein; IL, interleukin; ITGA1, alpha 1 subunit of integrin receptors; K-CM, keratinocytes conditioned medium; Keloids-F, keloids fibroblasts; Keloids-K, keloids keratinocytes; KGF, keratinocyte growth factor; K-MV, Keratinocyte-derived microvesicles; LIF, leukemia inhibitory factor; MCP-1, monocyte chemotactic protein-1; M-CSF, monocyte colony stimulating factor; MMP, metalloproteinase; NEK, healthy donor keratinocytes; OPG, osteoprotegerin; OSM, oncostatin M; PAI, plasminogen activator inhibitor; PDGF, platelet-derived growth factor; PGE2, Prostaglandin E2; S100A7, psoriasin; S100A8/A9, calprotectin; S100A15, koebnerisin; SSc, Systemic sclerosis; SSc-F, SSc fibroblasts; SSc-K, SSc keratinocytes; TGF, Transforming growth factor; THBS1, Thrombospondin 1; TN-C, tenascin C; TNFα, Tumor necrosis factor α; uPA, urokinase-type plasminogen activator; UVB, ultraviolet B radiation.