Su YH,Xia WZ,Huang X,et al.Research advances in the treatment of keloid with glucocorticoids[J].Chin J Burns Wounds,2023,39(9):886-890.DOI: 10.3760/cma.j.cn501225-20230602-00198.
Citation: Su YH,Xia WZ,Huang X,et al.Research advances in the treatment of keloid with glucocorticoids[J].Chin J Burns Wounds,2023,39(9):886-890.DOI: 10.3760/cma.j.cn501225-20230602-00198.

Research advances in the treatment of keloid with glucocorticoids

doi: 10.3760/cma.j.cn501225-20230602-00198
Funds:

General Program of National Natural Science Foundation of China 82272264, 82072177

Shanghai Clinical Research Center of Plastic and Reconstructive Surgery Supported by Science and Technology Commission of Shanghai Municipality 22MC1940300

More Information
  • As a first-line classical drug, glucocorticoids are used in most combination treatment regimens of keloid. However, there are issues such as poor treatment efficacy and recurrence of keloid after keloid was treated with glucocorticoids, which seriously affect the therapeutic effect. In recent years, many studies have explored the factors influencing the efficacy of glucocorticoids in treating keloid and the action mechanism of glucocorticoids from different perspectives. Based on this, this paper reviews the mechanism and the factors influencing the efficacy of glucocorticoids in treating keloid, and explores ways to improve the treatment efficacy of glucocorticoids, aiming to provide thoughts for improving glucocorticoid-related diagnostic and therapeutic strategies.

     

  • [1]
    中国整形美容协会瘢痕医学分会常务委员会专家组.中国瘢痕疙瘩临床治疗推荐指南[J].中国美容整形外科杂志,2018,29(5):前插3-前插14.DOI: 10.3969/j.issn.1673-7040.2018.05.001.
    [2]
    OgawaR.The most current algorithms for the treatment and prevention of hypertrophic scars and keloids: a 2020 update of the algorithms published 10 years ago[J].Plast Reconstr Surg,2022,149(1):79e-94e.DOI: 10.1097/PRS.0000000000008667.
    [3]
    LeeHJ,JangYJ.Recent understandings of biology, prophylaxis and treatment strategies for hypertrophic scars and keloids[J].Int J Mol Sci,2018,19(3):711.DOI: 10.3390/ijms19030711.
    [4]
    SchmidtS,RainerJ,PlonerC,et al.Glucocorticoid-induced apoptosis and glucocorticoid resistance: molecular mechanisms and clinical relevance[J].Cell Death Differ,2004,11 Suppl 1:S45-55.DOI: 10.1038/sj.cdd.4401456.
    [5]
    ShengM,ChenY,LiH,et al.The application of corticosteroids for pathological scar prevention and treatment: current review and update[J/OL].Burns Trauma,2023,11:tkad009[2023-06-02].https://pubmed.ncbi.nlm.nih.gov/36950503/.DOI: 10.1093/burnst/tkad009.
    [6]
    ShimbaA,IkutaK.Control of immunity by glucocorticoids in health and disease[J].Semin Immunopathol,2020,42(6):669-680.DOI: 10.1007/s00281-020-00827-8.
    [7]
    WuWS,WangFS,YangKD,et al.Dexamethasone induction of keloid regression through effective suppression of VEGF expression and keloid fibroblast proliferation[J].J Invest Dermatol,2006,126(6):1264-1271.DOI: 10.1038/sj.jid.5700274.
    [8]
    WangQ,ZhongY,LiZ,et al.Multitranscriptome analyses of keloid fibroblasts reveal the role of the HIF-1α/HOXC6/ERK axis in keloid development[J/OL].Burns Trauma,2022,10:tkac013[2023-06-02].https://pubmed.ncbi.nlm.nih.gov/35547861/.DOI: 10.1093/burnst/tkac013.
    [9]
    SyedF,SinghS,BayatA.Superior effect of combination vs. single steroid therapy in keloid disease: a comparative in vitro analysis of glucocorticoids[J].Wound Repair Regen,2013,21(1):88-102.DOI: 10.1111/j.1524-475X.2012.00862.x.
    [10]
    RutkowskiD,SyedF,MatthewsLC,et al.An abnormality in glucocorticoid receptor expression differentiates steroid responders from nonresponders in keloid disease[J].Br J Dermatol,2015,173(3):690-700.DOI: 10.1111/bjd.13752.
    [11]
    Ramos-RamírezP,TlibaO.Glucocorticoid receptor β (GRβ): beyond its dominant-negative function[J].Int J Mol Sci,2021,22(7):3649.DOI: 10.3390/ijms22073649.
    [12]
    YangY,LiuL,WuX,et al.CO2 fractional laser-assisted transdermal delivery of silk nanofiber carriers in a rabbit ear hypertrophic scar model[J/OL].Burns Trauma,2022,10:tkac040[2023-06-02].https://pubmed.ncbi.nlm.nih.gov/36380852/.DOI: 10.1093/burnst/tkac040.
    [13]
    PhataleV,VaipheiKK,JhaS,et al.Overcoming skin barriers through advanced transdermal drug delivery approaches[J].J Control Release,2022,351:361-380.DOI: 10.1016/j.jconrel.2022.09.025.
    [14]
    SmithJC,BooneBE,OpalenikSR,et al.Gene profiling of keloid fibroblasts shows altered expression in multiple fibrosis-associated pathways[J].J Invest Dermatol,2008,128(5):1298-1310.DOI: 10.1038/sj.jid.5701149.
    [15]
    YinQ,LouterJ,NiessenFB,et al.Intralesional corticosteroid administration in the treatment of keloids: a scoping review on injection methods[J].Dermatology,2023,239(3):462-477.DOI: 10.1159/000529220.
    [16]
    AndrewsJP,MarttalaJ,MacarakE,et al.Keloids: the paradigm of skin fibrosis-pathomechanisms and treatment[J].Matrix Biol,2016,51:37-46.DOI: 10.1016/j.matbio.2016.01.013.
    [17]
    XuH,ZhuZ,HuJ,et al.Downregulated cytotoxic CD8+ T-cell identifies with the NKG2A-soluble HLA-E axis as a predictive biomarker and potential therapeutic target in keloids[J].Cell Mol Immunol,2022,19(4):527-539.DOI: 10.1038/s41423-021-00834-1.
    [18]
    SartawiZ,BlackshieldsC,FaisalW.Dissolving microneedles: applications and growing therapeutic potential[J].J Control Release,2022,348:186-205.DOI: 10.1016/j.jconrel.2022.05.045.
    [19]
    KohE,FreedmanBR,RamazaniF,et al.Controlled delivery of corticosteroids using tunable tough adhesives[J].Adv Healthc Mater,2023,12(3):e2201000.DOI: 10.1002/adhm.202201000.
    [20]
    TanC,TanWD,SrivastavaR,et al.Dissolving triamcinolone-embedded microneedles for the treatment of keloids: a single-blinded intra-individual controlled clinical trial[J].Dermatol Ther (Heidelb),2019,9(3):601-611.DOI: 10.1007/s13555-019-00316-3.
    [21]
    YangY,XiaL,NingX,et al.Enhanced drug permeation into human keloid tissues by sonophoresis-assisted microneedling[J].SLAS Technol,2021,26(6):660-666.DOI: 10.1177/24726303211024568.
    [22]
    TheocharidisG,ThomasBE,SarkarD,et al.Single cell transcriptomic landscape of diabetic foot ulcers[J].Nat Commun,2022,13(1):181.DOI: 10.1038/s41467-021-27801-8.
    [23]
    刘欣健,崔正军,张树堂,等.曲安奈德联合5-氟尿嘧啶与单独曲安奈德治疗瘢痕疙瘩效果的荟萃分析[J].中华烧伤杂志,2020,36(12):1191-1198.DOI: 10.3760/cma.j.cn501120-20190930-00390.
    [24]
    LaRangerR,Karimpour-FardA,CostaC,et al.Analysis of keloid response to 5-fluorouracil treatment and long-term prevention of keloid recurrence[J].Plast Reconstr Surg,2019,143(2):490-494.DOI: 10.1097/PRS.0000000000005257.
    [25]
    中国整形美容协会瘢痕医学分会.瘢痕早期治疗全国专家共识(2020版)[J].中华烧伤杂志,2021,37(2):113-125.DOI: 10.3760/cma.j.cn501120-20200609-00300.
    [26]
    YuanB,UptonZ,LeavesleyD,et al.Vascular and collagen target: a rational approach to hypertrophic scar management[J].Adv Wound Care (New Rochelle),2023,12(1):38-55.DOI: 10.1089/wound.2020.1348.
    [27]
    OgawaR,AkitaS,AkaishiS,et al.Diagnosis and treatment of keloids and hypertrophic scars-Japan Scar Workshop consensus document 2018[J/OL].Burns Trauma,2019,7:39[2023-06-02].https://pubmed.ncbi.nlm.nih.gov/31890718/.DOI: 10.1186/s41038-019-0175-y.
    [28]
    WenandeE,AndersonRR,HaedersdalM.Fundamentals of fractional laser-assisted drug delivery: an in-depth guide to experimental methodology and data interpretation[J].Adv Drug Deliv Rev,2020,153:169-184.DOI: 10.1016/j.addr.2019.10.003.
    [29]
    光电技术治疗皮肤创伤性瘢痕专家共识(2018版)编写组.光电技术治疗皮肤创伤性瘢痕专家共识(2018版)[J].中华烧伤杂志,2018,34(9):593-597.DOI: 10.3760/cma.j.issn.1009-2587.2018.09.007.
    [30]
    CavaliéM,SillardL,MontaudiéH,et al.Treatment of keloids with laser-assisted topical steroid delivery: a retrospective study of 23 cases[J].Dermatol Ther,2015,28(2):74-78.DOI: 10.1111/dth.12187.
    [31]
    TawaranurakN,PliensiriP,TawaranurakK.Combination of fractional carbon dioxide laser and topical triamcinolone vs intralesional triamcinolone for keloid treatment: a randomised clinical trial[J].Int Wound J,2022,19(7):1729-1735.DOI: 10.1111/iwj.13775.
    [32]
    HuangH,WangW.Molecular mechanisms of glucocorticoid resistance[J].Eur J Clin Invest,2023,53(2):e13901.DOI: 10.1111/eci.13901.
    [33]
    QuaxRA,ManenschijnL,KoperJW,et al.Glucocorticoid sensitivity in health and disease[J].Nat Rev Endocrinol,2013,9(11):670-686.DOI: 10.1038/nrendo.2013.183.
    [34]
    LiJ,Hlavka-ZhangJ,ShrimpJH,et al.PRC2 inhibitors overcome glucocorticoid resistance driven by NSD2 mutation in pediatric acute lymphoblastic leukemia[J].Cancer Discov,2022,12(1):186-203.DOI: 10.1158/2159-8290.CD-20-1771.
    [35]
    LiLB,LeungDY,MartinRJ,et al.Inhibition of histone deacetylase 2 expression by elevated glucocorticoid receptor beta in steroid-resistant asthma[J].Am J Respir Crit Care Med,2010,182(7):877-883.DOI: 10.1164/rccm.201001-0015OC.
    [36]
    XavierAM,AnunciatoAK,RosenstockTR,et al.Gene expression control by glucocorticoid receptors during innate immune responses[J].Front Endocrinol (Lausanne),2016,7:31.DOI: 10.3389/fendo.2016.00031.
    [37]
    SevillaLM,Jiménez-PanizoA,Alegre-MartíA,et al.Glucocorticoid resistance: interference between the glucocorticoid receptor and the MAPK signalling pathways[J].Int J Mol Sci,2021,22(18):10049.DOI: 10.3390/ijms221810049.
    [38]
    ZhuH,LiJ,LiY,et al.Glucocorticoid counteracts cellular mechanoresponses by LINC01569-dependent gluco-corticoid receptor-mediated mRNA decay[J].Sci Adv,2021,7(9):eabd9923.DOI: 10.1126/sciadv.abd9923.
  • Relative Articles

    [1]Mu Zelan, Teng Yongxiang, Zhang Jian, Bai Nan, Fu Yanjie. Research advances on the roles of metabolic remodeling and protein acylation modification in keloids[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2024, 40(6): 589-593. doi: 10.3760/cma.j.cn501225-20231207-00229
    [2]Liu Zhennan, Zhou Yuemin, Liu Ruoxuan, Li Yaling, Li Qing, Zhang Ting, Zhang Shuman. Clinical effects of pulsed dye laser dynamically combined with triamcinolone acetonide in the treatment of keloids[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2022, 38(9): 822-829. doi: 10.3760/cma.j.cn501225-20220620-00249
    [3]Zhang Mengyuan, Ding Gaofeng, He Qiong, Liu Jinling, Wang Tong, Zhang Baolin. Bibliometric and visual analysis of current status and trends of international research on keloids[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2021, 37(3): 263-270. doi: 10.3760/cma.j.cn501120-20200226-00093
    [4]Jia Chiyu, Chen Lingxi. Tumor characteristics of keloid[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2021, 37(4): 301-305. doi: 10.3760/cma.j.cn501120-20200529-00289
    [5]Liu Xinjian, Cui Zhengjun, Zhang Shutang, Su Weiguo, Meng Qingnan, Guo Pengfei, Wei Aizhou, Zhou Jian, Wang Changyin, Zou Shibo, Sun Jialin, Wang Xu. Meta-analysis of the effects of triamcinolone acetonide alone and in combination with 5-fluorouracil for treating keloids[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2020, 36(12): 1191-1198. doi: 10.3760/cma.j.cn501120-20190930-00390
    [6]Guo Qige, Yao Min. Advances in the research of drug intralesional injection therapy in keloid[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2018, 34(6): 415-418. doi: 10.3760/cma.j.issn.1009-2587.2018.06.024
    [7]Fan Youfen, Cui Shengyong, Zhang Chun, Xu Xiaomin. Investigation of acquired drug-resistant genes and strains relationship in Pseudomonas aeruginosa isolated from burn patients[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2018, 34(2): 83-87. doi: 10.3760/cma.j.issn.1009-2587.2018.02.005
    [8]Liu Shan, Wang Chen, Fu Yuexian. Analysis of drug resistance of Acinetobacter baumannii in wound of children with traffic injury and its relationship with antibiotic use[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2017, 33(7): 404-409. doi: 10.3760/cma.j.issn.1009-2587.2017.07.002
    [9]Chen Junjie, Wu Xiaojing, Zhang Zhenyu, Chen Zhixing, Cen Ying. Study of the correlation between the expression of angiotensin Ⅱ and its receptors and collagen deposition in human keloid[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2016, 32(11): 653-657. doi: 10.3760/cma.j.issn.1009-2587.2016.11.004
    [11]Song Mei, Liu Yi. Analysis on polymorphism at-509C/T site of TGF-β1 gene in patients with keloids[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2014, 30(6): 482-486. doi: 10.3760/cma.j.issn.1009-2587.2014.06.004
    [12]XU Xiang, XU Jing-hong, WANG Hui-ming. Advances in the research of the effect of toll-like receptor in the formation of keloid[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2013, 29(4): 378-381. doi: 10.3760/cma.j.issn.1009-2587.2013.04.013
    [14]WANG Da-li, ZHU Jing-jing, DENG Cheng-liang, WANG Bo, YU Li-mei. Identification of biological characteristics of human keloid-derived stem cells[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2011, 27(3): 210-214. doi: 10.3760/cma.j.issn.1009-2587.2011.03.016
    [15]LIU Sijun, XIE You-fu, DAI Li-bing, DU Gao-wei. Expression of secretions of hypothalamus-pituitary-adrenal axis in human hypertrophic scar[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2011, 27(6): 432-435. doi: 10.3760/cma.j.issn.1009-2587.2011.06.007
    [16]CHEN Zhong-yong, WANG Shi-liang, PENG Xi, WANG Feng-jun, ZHAO Yun, WANG Pei. Role of corticotropin releasing factor receptor 2 antisense oligodeoxynucleotide of hypothalamus in hypermetabolism in rats with severe burn[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2008, 24(6): 414-417.
    [18]HE Xiao-jie, HAN Chun-mao. Study on the expression of tenascin-C in keloid and hyperplastic scar[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2004, 20(2): 79-81.
    [19]LIU Wang, JIANG You-hui, LI You-liang, LIN Zi-hao, JIANG Hua, TAN Qian, ZHANG Jian-lin, WANG Zi-min. Experimental study on p53 gene mutation in keloid fibroblasts[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2004, 20(2): 85-87.
  • Created with Highcharts 5.0.7Amount of accessChart context menuAbstract Views, HTML Views, PDF Downloads StatisticsAbstract ViewsHTML ViewsPDF Downloads2024-042024-052024-062024-072024-082024-092024-102024-112024-122025-012025-022025-03020406080
    Created with Highcharts 5.0.7Chart context menuAccess Class DistributionFULLTEXT: 20.4 %FULLTEXT: 20.4 %META: 70.3 %META: 70.3 %PDF: 9.2 %PDF: 9.2 %FULLTEXTMETAPDF
    Created with Highcharts 5.0.7Chart context menuAccess Area Distribution其他: 7.4 %其他: 7.4 %其他: 0.5 %其他: 0.5 %Bacoor: 0.1 %Bacoor: 0.1 %Saitama: 0.1 %Saitama: 0.1 %三亚: 0.4 %三亚: 0.4 %上海: 2.5 %上海: 2.5 %东莞: 0.5 %东莞: 0.5 %临汾: 0.1 %临汾: 0.1 %临沂: 0.4 %临沂: 0.4 %六安: 0.5 %六安: 0.5 %兰州: 0.8 %兰州: 0.8 %内江: 0.1 %内江: 0.1 %北京: 3.3 %北京: 3.3 %南京: 0.9 %南京: 0.9 %南宁: 0.3 %南宁: 0.3 %南昌: 1.2 %南昌: 1.2 %合肥: 0.8 %合肥: 0.8 %哈尔滨: 0.1 %哈尔滨: 0.1 %哥伦布: 0.1 %哥伦布: 0.1 %嘉兴: 0.1 %嘉兴: 0.1 %圣保罗: 0.1 %圣保罗: 0.1 %大连: 0.4 %大连: 0.4 %天津: 1.1 %天津: 1.1 %太原: 0.7 %太原: 0.7 %娄底: 0.1 %娄底: 0.1 %宁波: 0.1 %宁波: 0.1 %安庆: 0.1 %安庆: 0.1 %安康: 0.3 %安康: 0.3 %宜春: 0.3 %宜春: 0.3 %宣城: 0.9 %宣城: 0.9 %常州: 0.4 %常州: 0.4 %广州: 0.7 %广州: 0.7 %开封: 0.1 %开封: 0.1 %张家口: 2.2 %张家口: 2.2 %成都: 1.2 %成都: 1.2 %扬州: 0.3 %扬州: 0.3 %昆明: 2.2 %昆明: 2.2 %曲靖: 0.1 %曲靖: 0.1 %朝阳: 0.4 %朝阳: 0.4 %杭州: 1.3 %杭州: 1.3 %柳州: 0.1 %柳州: 0.1 %桂林: 0.3 %桂林: 0.3 %梧州: 0.3 %梧州: 0.3 %武汉: 0.8 %武汉: 0.8 %比勒陀利亚: 1.1 %比勒陀利亚: 1.1 %汕头: 0.4 %汕头: 0.4 %沈阳: 0.3 %沈阳: 0.3 %法尔肯施泰因: 0.1 %法尔肯施泰因: 0.1 %泰州: 0.3 %泰州: 0.3 %洛斯安第斯: 0.4 %洛斯安第斯: 0.4 %洛杉矶: 0.1 %洛杉矶: 0.1 %洛阳: 0.4 %洛阳: 0.4 %济南: 1.1 %济南: 1.1 %济源: 0.1 %济源: 0.1 %海口: 0.4 %海口: 0.4 %深圳: 0.8 %深圳: 0.8 %温州: 0.8 %温州: 0.8 %漯河: 0.7 %漯河: 0.7 %澄迈: 0.4 %澄迈: 0.4 %珠海: 0.3 %珠海: 0.3 %白银: 0.3 %白银: 0.3 %石家庄: 0.4 %石家庄: 0.4 %纽瓦克: 0.1 %纽瓦克: 0.1 %绍兴: 0.1 %绍兴: 0.1 %舟山: 0.1 %舟山: 0.1 %芒廷维尤: 41.6 %芒廷维尤: 41.6 %芜湖: 0.5 %芜湖: 0.5 %芝加哥: 0.4 %芝加哥: 0.4 %苏州: 0.3 %苏州: 0.3 %蚌埠: 0.3 %蚌埠: 0.3 %衡阳: 0.3 %衡阳: 0.3 %西宁: 0.8 %西宁: 0.8 %西安: 0.3 %西安: 0.3 %西雅图: 0.3 %西雅图: 0.3 %贵阳: 0.1 %贵阳: 0.1 %运城: 0.3 %运城: 0.3 %连云港: 0.1 %连云港: 0.1 %邯郸: 0.3 %邯郸: 0.3 %郑州: 0.5 %郑州: 0.5 %酒泉: 0.1 %酒泉: 0.1 %重庆: 4.5 %重庆: 4.5 %铁岭: 0.3 %铁岭: 0.3 %银川: 0.4 %银川: 0.4 %长沙: 2.9 %长沙: 2.9 %长治: 0.1 %长治: 0.1 %阳江: 0.1 %阳江: 0.1 %青岛: 1.8 %青岛: 1.8 %马鞍山: 0.1 %马鞍山: 0.1 %齐齐哈尔: 0.1 %齐齐哈尔: 0.1 %其他其他BacoorSaitama三亚上海东莞临汾临沂六安兰州内江北京南京南宁南昌合肥哈尔滨哥伦布嘉兴圣保罗大连天津太原娄底宁波安庆安康宜春宣城常州广州开封张家口成都扬州昆明曲靖朝阳杭州柳州桂林梧州武汉比勒陀利亚汕头沈阳法尔肯施泰因泰州洛斯安第斯洛杉矶洛阳济南济源海口深圳温州漯河澄迈珠海白银石家庄纽瓦克绍兴舟山芒廷维尤芜湖芝加哥苏州蚌埠衡阳西宁西安西雅图贵阳运城连云港邯郸郑州酒泉重庆铁岭银川长沙长治阳江青岛马鞍山齐齐哈尔

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(1)

    Article Metrics

    Article views (532) PDF downloads(70) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return