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Anthoinite, AlWO3(OH)3, from the Mt. Misobo Mine, Democratic Republic of the Congo, has triclinic symmetry with cell parameters a = 8.196(1) Å, b = 9.187(1) Å, c = 11.316(1) Å, β = 92.82(1)°, β = 94.08(1)°, γ = 90.23(1)°, space group I1̅, Z = 8. The structure was solved by applying ab initio structure solution methods (Reverse Monte Carlo/Simulated Annealing) to both X-ray and neutron powder diffraction data and was refined using the Rietveld method. The structure is built up of two types of M4(O,OH)16 planar tetrameric clusters of edge-sharing octahedra, one containing predominantly Al and the other predominantly W. The Al-rich and W-rich clusters interconnect via corner sharing to form stepped layers parallel to (001). The layers are held together by strong hydrogen bonding. The structure can be described as a rocksalt derivative structure, with the close-packed anion layers parallel to (012), and with Al and W atoms ordered into one third of the octahedral sites within the cubic close-packed anion lattice. The structure is complicated by partial disorder between Al and W in the tetrameric clusters and associated disorder in the H atom sites. Infrared and 27Al MAS NMR results are also presented for anthoinite. [ABSTRACT FROM AUTHOR]

Bi-Pb-chalcogenides of the aleksite series represent homologous mixed-layer compounds derived from tetradymite (Bi2Te2S). Considering tetradymite as composed of five-atom (Bi2Te2S) layers, the named minerals of the aleksite homologous series, aleksite (PbBi2Te2S2) and saddlebackite, (Pb2Bi2Te2S3) have been considered as phases formed by regular stacking of longer seven- and nine-atom layers. High-angle annular dark-field scanning transmission electron microscope (HAADF-STEM) imaging of thinned foils prepared in-situ on domains deemed homogeneous from electron probe microanalysis, STEM energy-dispersive X-ray spectrometry (EDS) element mapping and fast Fourier transforms (FFTs) from the images offer new insights into these structures. The hitherto-unnamed phase, PbBi4Te4S3, previously interpreted as regular intergrowths of five- and seven-atom layers, is characterized in terms of regular repeats of five- and seven-atom layers over distances of at least 350 nm, defining the (57), or 24H polytype. Imaging of other domains in the same lamella with identical composition at the electron microprobe scale reveals the presence of two additional polytypes: (5559), or 48H; and (557.559) or 72H. Unit cell dimensions for all three polytypes of PbBi4Te4S3 can be both measured and predicted from the HAADF STEM imaging and FFTs. STEM EDS mapping of each polytype confirm the internal structure of each layer. Lead and S occur within the centre of the layers, i.e., Te–Bi–S–Pb–S–Bi–Te in the seven-atom layer, Te–Bi–S–Pb–S–Pb–S–Bi–Te in the nine-atom layer, and so on. Polytypism is an intrinsic feature of the aleksite series, with each named mineral or unnamed phase, except the simple five-atom layer, defined by several alternative stacking sequences of different length, readily explaining the differing c values given in previous work. Homology is defined in terms of layer width and the stacking arrangement of those layers. Coherent structures of the same composition need not only be built of layers of adjacent size (i.e., five- and seven-atom layers) but, as exemplified by the (5559) polytype, may also contain non-adjacent layers, a finding not anticipated in previous work. New polysomes remain to be discovered in nature and each potentially exists as multiple polytypes. The present study further emphasizes the utility of HAADF STEM imaging and atomic-scale STEM EDS element mapping as an optimal tool for tracking stacking sequences and characterising structures in mixed-layer compounds. [ABSTRACT FROM AUTHOR]

The re-investigation of [Bi 2 O 2 (OH)](NO 3 ), dioxidodibismuth(III) hydroxide nitrate, on the basis of single-crystal X-ray diffraction data revealed an apparent structural phase transition of a crystal structure determined previously (space group Cmc 2 1 at 173 K) to a crystal structure with lower symmetry (space group Pna 2 1 at 100 K). The Cmc 2 1 → Pna 2 1 group-subgroup relationship between the two crystal structures is klassengleiche with index 2. In contrast to the crystal structure in Cmc 2 1 with orientational disorder of the nitrate anion, disorder does not occur in the Pna 2 1 structure. Apart from the disorder of the nitrate anion, the general structural set-up in the two crystal structures is very similar: [Bi 2 O 2 ] 2+ layers extend parallel to (001) and alternate with layers of (OH) - anions above and (NO 3 ) - anions below the cationic layer. Whereas the (OH) - anion shows strong bonds to the Bi III cations, the (NO 3 ) - anion weakly binds to the Bi III cations of the cationic layer. A rather weak O-H⋯O hydrogen-bonding inter-action between the (OH) - anion and the (NO 3 ) - anion links adjacent sheets along [001]., (© Weil et al. 2023.)

Chimeric antigen receptor (CAR)-T cell immunotherapy is a novel treatment that genetically modifies the patients' own T cells to target and kill malignant cells. However, identification of tumour-specific antigens expressed on multiple solid cancer types, remains a major challenge. P2X purinoceptor 7 (P2X7) is a cell surface expressed ATP gated cation channel, and a dysfunctional version of P2X7, named nfP2X7, has been identified on cancer cells from multiple tissues, while being undetectable on healthy cells. We present a prototype -human CAR-T construct targeting nfP2X7 showing potential antigen-specific cytotoxicity against twelve solid cancer types (breast, prostate, lung, colorectal, brain and skin). In xenograft mouse models of breast and prostate cancer, CAR-T cells targeting nfP2X7 exhibit robust anti-tumour efficacy. These data indicate that nfP2X7 is a suitable immunotherapy target because of its broad expression on human tumours. CAR-T cells targeting nfP2X7 have potential as a wide-spectrum cancer immunotherapy for solid tumours in humans., (© 2023. Springer Nature Limited.)

Synthetic and naturally occurring forms of tricopper orthotellurate, Cu II 3 Te VI O 6 (the mineral mcalpineite) have been investigated by 3D electron diffraction (3D ED), X-ray powder diffraction (XRPD), Raman and infrared (IR) spectroscopic measurements. As a result of the diffraction analyses, Cu II 3 Te VI O 6 is shown to occur in two polytypes. The higher-symmetric Cu II 3 Te VI O 6 -1C polytype is cubic, space group Ia3, with a = 9.537 (1) Å and V = 867.4 (3) Å 3 as reported in previous studies. The 1C polytype is a well characterized structure consisting of alternating layers of Cu II O 6 octahedra and both Cu II O 6 and Te VI O 6 octahedra in a patchwork arrangement. The structure of the lower-symmetric orthorhombic Cu II 3 Te VI O 6 -2O polytype was determined for the first time in this study by 3D ED and verified by Rietveld refinement. The 2O polytype crystallizes in space group Pcca, with a = 9.745 (3) Å, b = 9.749 (2) Å, c = 9.771 (2) Å and V = 928.3 (4) Å 3 . High-precision XRPD data were also collected on Cu II 3 Te VI O 6 -2O to verify the lower-symmetric structure by performing a Rietveld refinement. The resultant structure is identical to that determined by 3D ED, with unit-cell parameters a = 9.56157 (19) Å, b = 9.55853 (11) Å, c = 9.62891 (15) Å and V = 880.03 (2) Å 3 . The lower symmetry of the 2O polytype is a consequence of a different cation ordering arrangement, which involves the movement of every second Cu II O 6 and Te VI O 6 octahedral layer by (1/4, 1/4, 0), leading to an offset of Te VI O 6 and Cu II O 6 octahedra in every second layer giving an ABAB* stacking arrangement. Syntheses of Cu II 3 Te VI O 6 showed that low-temperature (473 K) hydrothermal conditions generally produce the 2O polytype. XRPD measurements in combination with Raman spectroscopic analysis showed that most natural mcalpineite is the orthorhombic 2O polytype. Both XRPD and Raman spectroscopy measurements may be used to differentiate between the two polytypes of Cu II 3 Te VI O 6 . In Raman spectroscopy, Cu II 3 Te VI O 6 -1C has a single strong band around 730 cm -1 , whereas Cu II 3 Te VI O 6 -2O shows a broad double maximum with bands centred around 692 and 742 cm -1 .

Stem cells have been shown to have potential as a new therapy for burns and promote wound healing through decreasing inflammation and increasing angiogenesis. Multipotent adult progenitor cells (MAPC® cells) are a subpopulation of bone marrow-derived stem cells with outstanding self-renewal and differentiation capacity. MAPC cells also secrete a wide range of cytokines which can affect cellular activities. This article aimed to examine the effects of MAPC cells treatment on burn injury repair using a mouse model of partial thickness burn injury. The immunomodulatory effect of MAPC cells was investigated in vitro using a simultaneous T-cell proliferation assay. Partial thickness burns were created on the dorsal surface of mice and MAPC cells were administered via intradermal injection to the wound margins 24 h post-burn injury. The burn tissues were analysed macroscopically to determine wound area and histologically assessed to determine wound width and rate of re-epithelialisation. Immunohistochemistry and ELISA were employed to assess cell proliferation, inflammation and angiogenesis and collagen deposition in the burn area. MAPC cells inhibit the proliferation of stimulated T cells in culture. Burns intradermally injected with MAPC cells showed a significant reduction in the macroscopic wound area, histologic wound width and had an increased rate of re-epithelialisation. Immunohistochemistry and ELISA analysis of burn tissues showed dampened inflammation evidenced by a reduction in neutrophilic infiltration and modulation of inflammatory cytokines. Angiogenesis within the burn area was also improved in MAPC cell treated mice. However, no significant effect of MAPC cell treatment was observed on extracellular matrix production. Treatment of burns with MAPC cells improved burn injury repair with reduced time to healing, decreased inflammation and increased angiogenesis. These findings demonstrate the promising effects of MAPC cells on burn injury repair and suggest MAPC cells as a candidate source for clinical cell therapies., (© 2021 The Wound Healing Society.)

Cryopreservation is an essential part of tissue banking and effective cryopreservation methods are critical for the development of cost-effective cell therapy products. Cell sheets are an attractive subset of cell therapy types, and cryopreservation has the potential to further drive down costs of allogeneic cell sheet therapy. This is currently a challenge as adhered cell monolayers are more susceptible to membrane damage during the freezing process. In this article, we investigate the performance of a surface-modified dressing for the cryopreservation of cells and strategies to improve cell recovery. Cryopreservation of multipotent adult progenitor cells (MAPC ® ) was performed on cells following their attachment to a surface for different periods of time. MAPC cells, given just 1 h to attach, washed off and were not recovered on the surface following thawing. Cells attached for longer periods, elongated further, and were more susceptible to damage from cryopreservation. A temporal window was identified that could allow cryopreservation on adherent surfaces where cells had attached to a surface without full elongation. By functionalizing the surface with coupled hyaluronic acid, cell spreading was initially retarded, thereby widening this temporal window. This approach demonstrates a novel method for enhancing the recovery of cryopreserved cell sheets on surfaces.

Healing of the skin and oral mucosa utilises similar mechanisms of tissue repair, however, scarring and the rate of wound closure is vastly superior in the oral cavity suggesting differences between these two environments. One key difference is the phenotype of dermal fibroblasts compared to fibroblasts of gingival tissues. Human gingival fibroblasts (hGFs) are undifferentiated cells with multi-differentiation and self-renewal capacities. This study aimed to examine if delivering hGFs or their secretome, contained in hGF-conditioned media (hGF-CM), would improve healing of the skin and recapitulate features of oral healing. Human fibroblasts, keratinocytes and endothelial cells were first treated with hGF-CM and showed improved migration, proliferation and angiogenic functions. A significant reduction in macroscopic wound area and histologic dermal wound width, as well as an increased rate of re-epithelialisation, were observed in both hGFs and hGF-CM treated murine excisional wounds. This improvement was associated with reduced inflammation, increased angiogenesis and elevated collagen deposition. These findings demonstrate that treatment of dermal wounds with either hGFs or hGF-CM may provide beneficial gingival-like properties to dermal wounds and may be a potential opportunity for improving healing of the skin.

The use of mesenchymal stem cells (MSC) for the treatment of cutaneous wounds is currently of enormous interest. However, the broad translation of cell therapies into clinical use is hampered by their efficacy, safety, manufacturing and cost. MSCs release a broad repertoire of trophic factors and immunomodulatory cytokines, referred to as the MSC secretome, that has considerable potential for the treatment of cutaneous wounds as a cell-free therapy. In this review, we outline the current status of MSCs as a treatment for cutaneous wounds and introduce the potential of the MSC secretome as a cell-free alternative for wound repair. We discuss the challenges and provide insights and perspectives for the future development of the MSC secretome as well as identify its potential clinical translation into a therapeutic treatment.

Pericytes are peri-vascular mural cells which have an important role in the homeostatic regulation of inflammatory and angiogenic processes. Flightless I (Flii) is a cytoskeletal protein involved in regulating cellular functions, but its involvement in pericyte activities during wound healing is unknown. Exacerbated inflammation and reduced angiogenesis are hallmarks of impaired diabetic healing responses, and strategies aimed at regulating these processes are vital for improving healing outcomes. To determine the effect of altering Flii expression on pericyte function, in vitro and in vivo studies were performed to assess the effect on healing, inflammation and angiogenesis in diabetic wounds. Here, we demonstrated that human diabetic wounds display upregulated expression of the Flii protein in conjunction with a depletion in the number of platelet derived growth factor receptor β (PDGFRβ) +/ neural glial antigen 2 (NG2) + pericytes present in the dermis. Human pericytes were found to be positive for Flii and attenuating its expression in vitro through siRNA knockdown led to enhanced proliferation, migration and angiogenic functions. Genetic knockdown of Flii in a streptozotocin-induced murine model of diabetes led to increased numbers of pericytes within the wound. This was associated with dampened inflammation, an increased rate of angiogenic repair and improved wound healing. Our findings show that Flii expression directly impacts pericyte functions, including proliferation, motility and angiogenic responses. This suggests that Flii regulation of pericyte function may be in part responsible for the changes in pericyte-related processes observed in diabetic wounds.

A new superstructure of the mineral camerolaite, Cu 6 Al 3 (OH) 18 (H 2 O) 2 [Sb(OH) 6 ](SO 4 ), has been refined in space group P\bar 1 with unit-cell parameters a P = 7.7660 (16), b P = 8.759 (4), c P = 11.306 (2) Å, α P = 108.67 (4), β P = 83.41 (3), γ P = 126.64 (2)°, V = 581.6 (3) Å 3 and Z = 1, with R 1 = 0.0951 (all data). This is the first refined example of a cyanotrichite-group mineral in which long-range order of interlayer anions produces a superstructure along b, although diffuse scattering has previously been reported that corresponds to short-range order. Though the structure shares with other members of the cyanotrichite group a structural unit in which ribbons of edge-sharing Cu and Al octahedra form layers || (001), the superstructure arises from regular alternation of [SO 4 ] and [Sb(OH) 6 ] polyhedra along rods that lie between the layers, and phase coupling between rods that maximizes the distance between [SO 4 ] groups of adjacent rods along a and c directions. This arrangement suggests an alternative nearly orthogonal choice of unit cell in F\bar 1 with parameters a F = 12.473 (26), b F = 8.759 (4), c F = 21.476 (7) Å, α F = 85.94 (4), β F = 95.91 (5), γ F = 92.34 (9)°, which is recommended for comparing this structural variety of camerolaite with other members of the group.

Much of current research investigates the beneficial properties of mesenchymal stem cells (MSCs) as a treatment for wounds and other forms of injury. In this review, we bring attention to and discuss the role of the pericyte, a cell type which shares much of the differentiation potential and regenerative properties of the MSC as well as specific roles in the regulation of angiogenesis, inflammation and fibrosis. Pericytes have been identified as dysfunctional or depleted in many disease states, and observing the outcomes of pericyte perturbation in models of disease and wound healing informs our understanding of overall pericyte function and identifies these cells as an important target in the development of therapies to encourage healing.

Culture surfaces that substantially reduce the degree of cell manipulation in the delivery of cell sheets to patients are described. These surfaces support the attachment, culture, and delivery of multipotent adult progenitor cells (MAPC). It was essential that the processes of attachment/detachment to the surface did not affect cell phenotype nor the function of the cultured cells. Both acid-based and amine-based surface coatings were generated from acrylic acid, propanoic acid, diaminopropane, and heptylamine precursors, respectively. While both functional groups supported cell attachment/detachment, amine coated surfaces gave optimal performance. X-ray photoelectron spectroscopy (XPS) showed that at a primary amine to carbon surface ratio of between 0.01 and 0.02, greater than 90% of attached cells were effectively transferred to a model wound bed. A dependence on primary amine concentration has not previously been reported. After 48 h of culture on the optimized amine surface, PCR, functional, and viability assays showed that MAPC retained their stem cell phenotype, full metabolic activity, and biological function. Consequently, in a proof of concept experiment, it was shown that this amine surface when coated onto a surgical dressing provides an effective and simple technology for the delivery of MAPC to murine dorsal excisional wounds, with MAPC delivery verified histologically. By optimizing for cell delivery using a combination of in vitro and in vivo techniques, we developed an effective surface for the delivery of MAPC in a clinically relevant format.

A new hydrated yttrium copper tellurite nitrate, yttrium(III) copper(II) bis-[trioxidotellurate(IV)] nitrate trihydrate, has been synthesized hydro-thermally in a Teflon-lined autoclave and structurally determined using synchrotron radiation. The new phase is the first example containing yttrium, copper and tellurium in one structure. Its crystal structure is unique, with relatively strongly bound layers extending parallel to (020), defined by YO8, CuO4 and TeO3 polyhedra, while the NO3 (-) anions and one third of the water mol-ecules lie between those layers. The structural unit consists of [Cu2(TeO3)4](4-) loop-branched chains of {Cu⋯Te⋯Cu⋯Te} squares running parallel to [001], which are linked further into layers only through Y(O,H2O)8 polyhedra. Weak 'secondary' Te bonds and O-H⋯O hydrogen-bonding inter-actions, involving water mol-ecules and layer O atoms, link the layers and inter-layer species. IR spectroscopic data are also presented.

Optimum healing of a cutaneous wound involves a well-orchestrated cascade of biological and molecular processes involving cell migration, proliferation, extracellular matrix deposition, and remodelling. When the normal biological process fails for any reason, this healing process can stall resulting in chronic wounds. Wounds are a growing clinical burden on healthcare systems and with an aging population as well as increasing incidences of obesity and diabetes, this problem is set to increase. Cell therapies may be the solution. A range of cell based approaches have begun to cross the rift from bench to bedside and the supporting data suggests that the appropriate administration of stem cells can accelerate wound healing. This review examines the main cell types explored for cutaneous wound healing with a focus on clinical use. The literature overwhelmingly suggests that cell therapies can help to heal cutaneous wounds when used appropriately but we are at risk of clinical use outpacing the evidence. There is a need, now more than ever, for standardised methods of cell characterisation and delivery, as well as randomised clinical trials.

The silico-phosphate mineral perhamite has been studied using a combination of electron and vibrational spectroscopy. SEM photomicrographs reveal that perhamite morphology consists of very thin intergrown platelets that can form a variety of habits. Infrared spectroscopy in the hydroxyl-stretching region shows a number of overlapping bands which are observed in the range 3581-3078 cm(-1). These wavenumbers enable an estimation to be made of the hydrogen bond distances in perhamite: 3.176(0), 2.880(5), 2.779(6), 2.749(3), 2.668(1) and 2.599(7)A. Intense Raman bands are observed in the region 1110-1130 and 966-996 cm(-1) and are assigned to the SiO(4) and PO(4) symmetric stretching modes. Other bands are observed in the range 1005-1096 cm(-1) and are attributed to the nu(3) antisymmetric bending modes of PO(4). Some low intensity bands around 874 cm(-1) were discovered and remain unclassified. Bands in the low-wavenumber region are assigned to the nu(4) and nu(2) out-of-plane bending modes of the OSiO and PO(4) units. Raman spectroscopy is a useful tool in determining the vibrational spectroscopy of mixed hydrated multi-anion minerals such as perhamite. Information on such a mineral would be difficult to obtain by other means.

The phosphate minerals hannayite, newberyite and struvite have been studied by Raman spectroscopy using a thermal stage. Hannayite and newberyite are characterised by an intense band at around 980cm(-1) assigned to the v(1) symmetric stretching vibration of the HPO(4) units. In contrast the symmetric stretching mode is observed at 942cm(-1) for struvite. The Raman spectra are characterised by multiple v(3) anti-symmetric stretching bands and v(2) and v(4) bending modes indicating strong distortion of the HPO(4) and PO(4) units. Hannayite and newberyite are defined by bands at 3382 and 3350cm(-1) attributed to HOPO(3) vibrations and hannayite and struvite by bands at 2990, 2973 and 2874 assigned to NH(4)(+) bands. Raman spectroscopy has proven most useful for the analysis of these 'cave' minerals where complex paragenetic relationships exist between the minerals.

Age-related impaired wound healing states lead to substantial morbidity and cost, with treatment in the USA resulting in an expenditure of over $9 billion per annum. Dehydroepiandrosterone (DHEA) is a ubiquitous adrenal hormone with immunomodulatory properties whose levels decline significantly with advanced age in humans. Conversion of DHEA locally to downstream steroid hormones leads to estrogenic and/or androgenic effects which may be important in age-related skin homeostasis, and which would avoid systemic adverse effects related to estrogen. We report that systemic DHEA levels are strongly associated with protection against chronic venous ulceration in humans. DHEA accelerated impaired healing in an impaired healing model (mice rendered hypogonadal) associated with increased matrix deposition and dampens the exaggerated inflammatory response. Such effects were mediated by local conversion of DHEA to estrogen, acting through the estrogen receptor, and vitro studies suggest a direct effect on specific pro-inflammatory cytokine production by macrophages via mitogen activated kinase (MAP) and phosphatidylinositol 3 (PI3) kinase pathways. In addition, we show that local injection of DHEA accelerates impaired healing in an ageing mouse colony. We suggest that exogenous application of DHEA accelerates impaired wound repair, results which may be applicable to the prophylaxis and treatment of human impaired wound healing states.

The mineral rhodonite an orthosilicate has been characterised by Raman spectroscopy. The Raman spectra of three rhodonites from Broken Hill, Pachapaqui and Franklin were compared and found to be similar. The spectra are characterised by an intense band at around 1000 cm(-1) assigned to the nu(1) symmetric stretching mode and three bands at 989, 974 and 936 cm(-1) assigned to the nu(3) antisymmetric stretching modes of the SiO(4) units. An intense band at around 667 cm(-1) was assigned to the nu(4) bending mode and showed additional bands exhibiting loss of degeneracy of the SiO(4) units. The low wave number region of rhodonite is complex. A strong band at 421.9 cm(-1) is attributed to the nu(2) bending mode. The spectra of the three rhodonite mineral samples are similar but subtle differences are observed. It is proposed that these differences depend upon the cationic substitution of Mn by Ca and/or Fe(2+) and Mg.

The mineral peisleyite has been studied using a combination of electron microscopy and vibrational spectroscopy. Scanning electron microscope (SEM) photomicrographs reveal that the peisleyite morphology consists of an array of small needle-like crystals of around 1 microm in length with a thickness of less than 0.1 microm. Raman spectroscopy in the hydroxyl stretching region shows an intense band at 3506 cm(-1) assigned to the symmetric stretching mode of the OH units. Four bands are observed at 3564, 3404, 3250 and 3135 cm(-1) in the infrared spectrum. These wavenumbers enable an estimation of the hydrogen bond distances 3.052(5), 2.801(0), 2.705(6) and 2.683(6)A. Two intense Raman bands are observed at 1023 and 989 cm(-1) and are assigned to the SO(4) and PO(4) symmetric stretching modes. Other bands are observed at 1356, 1252, 1235, 1152, 1128, 1098 and 1067 cm(-1). The bands at 1067 cm(-1) is attributed to AlOH deformation vibrations. Bands in the low wavenumber region are assigned to the nu(4) and nu(2) out of plane bending modes of the SO(4) and PO(4) units. Raman spectroscopy is a useful tool in determining the vibrational spectroscopy of mixed hydrated multianion minerals such as peisleyite. Information on such a mineral would be difficult to obtain by other means.

Characteristic of both chronic wounds and acute wounds that fail to heal are excessive leukocytosis and reduced matrix deposition. Estrogen is a major regulator of wound repair that can reverse age-related impaired wound healing in human and animal models, characterized by a dampened inflammatory response and increased matrix deposited at the wound site. Macrophage migration inhibitory factor (MIF) is a candidate proinflammatory cytokine involved in the hormonal regulation of inflammation. We demonstrate that MIF is upregulated in a distinct spatial and temporal pattern during wound healing and its expression is markedly elevated in wounds of estrogen-deficient mice as compared with intact animals. Wound-healing studies in mice rendered null for the MIF gene have demonstrated that in the absence of MIF, the excessive inflammation and delayed-healing phenotype associated with reduced estrogen is reversed. Moreover, in vitro assays have shown a striking estrogen-mediated decrease in MIF production by activated murine macrophages, a process involving the estrogen receptor. We suggest that estrogen inhibits the local inflammatory response by downregulating MIF, suggesting a specific target for future therapeutic intervention in impaired wound-healing states.

Impaired wound healing states in the elderly lead to substantial morbidity, mortality, and a cost to the US Health Services of over $9 billion per annum. In addition to intrinsic aging per se causing delayed healing, studies have suggested marked sex-differences in wound repair. We report that castration of male mice results in a striking acceleration of local cutaneous wound healing, and is associated with a reduced inflammatory response and increased hair growth. Using a hairless mouse model, we have demonstrated that testosterone reduction stimulates the healing response not through hair follicle epithelial/mesenchymal cell proliferation, but directly via effects on wound cell populations. We suggest that endogenous testosterone inhibits the cutaneous wound healing response in males and is associated with an enhanced inflammatory response. The mechanisms underlying the observed effects involve a direct upregulation of proinflammatory cytokine expression by macrophages in response to testosterone. Blockade of androgen action systemically, via receptor antagonism, accelerates healing significantly, suggesting a specific target for future therapeutic intervention in impaired wound healing states in elderly males.

Cutaneous wound healing is a complex process encompassing a number of overlapping events including leukocyte recruitment, matrix deposition, epithelialization, and ultimately resolution of inflammation with the formation of a mature scar. Morbidity associated with age-related delayed wound healing imposes an enormous social and financial burden; unless improved wound care strategies are developed the projected relative and absolute increase in the elderly population will further exacerbate this problem. In recent years insight has been gained into the impact of ageing on cellular and tissue responses, resulting from impaired cytokine signal transduction, unchecked inflammation, an altered balance of protein synthesis and degradation, and subsequent downstream effects on the rate and quality of the wound healing response. Further understanding of the complex interaction between the ageing cell and its microenvironment is essential in order to develop focussed therapeutic strategies to improve healing in the elderly.