Abstract

The long term objective of the proposed research is to learn how to effectively use cellular therapy in regenerative medicine, especially as pertains to dermatology. In particular, our goal is to convert the identity of skin at the stump site of amputees to thick palmo/plantar (volar) type skin to enhance their use of prosthetics. Towards this clinical goal we first will define the basic genetic control of volar fibroblast skin identity Then we will define homeostatic mechanisms whereby non-volar tissue retains its identity. In so doing, we will optimize conditions for our final effort to use autologous fibroblasts to induce ectopic volar skin in volunteers. We will fully excise this ectopic acral skin as a proof-of-concep trial and a prelude to clinical optimization and use in amputees.

Public Health Relevance

Cellular therapy holds great promise in regenerative medicine. The long term goal of this grant is to help amputees who cannot frequently wear their prosthetics because of pain and skin break-down. In order to enhance their use of prosthetics, we will attempt to convert the identity of skin located at the stump to the same type as normally found at the palms and soles-thick skin which is naturally friction and irritant resistant.

  Funding Agency

Agency
National Institute of Health (NIH)
Institute
National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
Type
Research Project (R01)
Project #
5R01AR064297-03
Application #
8915611
Study Section
Arthritis, Connective Tissue and Skin Study Section (ACTS)
Program Officer
Tseng, Hung H
Project Start
2013-09-01
Project End
2018-07-31
Budget Start
2015-08-01
Budget End
2016-07-31
Support Year
3
Fiscal Year
2015
Total Cost
$358,247
Indirect Cost
$137,107

  Institution

Name
Johns Hopkins University
Department
Dermatology
Type
Schools of Medicine
DUNS #
001910777
City
Baltimore
State
MD
Country
United States
Zip Code
21205

  Publications

Aguh, Crystal; Dina, Yemisi; Talbot Jr, C Conover et al. (2018) Fibroproliferative genes are preferentially expressed in central centrifugal cicatricial alopecia. J Am Acad Dermatol 79:904-912.e1
Islam, Nasif; Garza, Luis A (2018) Adipose and Hair Function: An aPPARent Connection. J Invest Dermatol 138:480-482
Zhu, Amadeus S; Li, Ang; Ratliff, Tabetha S et al. (2017) After Skin Wounding, Noncoding dsRNA Coordinates Prostaglandins and Wnts to Promote Regeneration. J Invest Dermatol 137:1562-1568
Vandiver, Amy; Girardi, Nicholas; Alhariri, Jihad et al. (2017) Two cases of alopecia areata treated with ruxolitinib: a discussion of ideal dosing and laboratory monitoring. Int J Dermatol 56:833-835
Kim, Dongwon; Garza, Luis A (2017) The Negative Regulator CXXC5: Making WNT Look a Little Less Dishevelled. J Invest Dermatol 137:2248-2250
Nelson, Amanda M; Katseff, Adiya S; Ratliff, Tabetha S et al. (2016) Interleukin 6 and STAT3 regulate p63 isoform expression in keratinocytes during regeneration. Exp Dermatol 25:155-7
Nelson, Amanda M; Katseff, Adiya S; Resnik, Sydney R et al. (2016) Interleukin-6 Null Mice Paradoxically Display Increased STAT3 Activity and Wound-Induced Hair Neogenesis. J Invest Dermatol 136:1051-1053
Kim, Dongwon; Hossain, M Zulfiquer; Nieves, Ashley et al. (2016) To Control Site-Specific Skin Gene Expression, Autocrine Mimics Paracrine Canonical Wnt Signaling and Is Activated Ectopically in Skin Disease. Am J Pathol 186:1140-50
Nelson, Amanda M; Garza, Luis A (2015) Bad Hair Day: Testosterone and Wnts. J Invest Dermatol 135:2567-2569
Vandiver, Amy R; Irizarry, Rafael A; Hansen, Kasper D et al. (2015) Age and sun exposure-related widespread genomic blocks of hypomethylation in nonmalignant skin. Genome Biol 16:80

Showing the most recent 10 out of 19 publications