Effects of botulinum toxin A on patient-specific keloid fibroblasts in vitro

Laryngoscope. 2014 Jun;124(6):1344-51. doi: 10.1002/lary.24456. Epub 2013 Nov 13.

Abstract

Objectives/hypothesis: To test whether therapeutic effects of botulinum toxin A on patient- specific keloid tissue can be reproduced on the cellular level. Specifically, effects on cell proliferation and expression of growth factors and cytokines relevant for wound healing were to be tested.

Study design: Experimental study including patient specific cell cultures of keloids.

Methods: Patient-specific keloid tissue was tested in a cell culture model for effects of botulinum toxin incubation on cell proliferation and expression of the following cytokines and growth factors: IL-6 (interleukin-6), VEGF (vascular endothelial growth factor), TGF-β (transforming growth factor-β).

Results: None of the tested parameters of human keloid tissue were affected by botulinum toxin A incubation.

Conclusion: The present study does not add evidence to suggest a significant therapeutic role of botulinum toxin injections for the treatment of keloids.

Level of evidence: N/A.

Keywords: Keloids; botulinum toxin; cytokines; fibroblasts.

MeSH terms

  • Adolescent
  • Adult
  • Botulinum Toxins, Type A / pharmacology*
  • Cell Proliferation / drug effects
  • Cells, Cultured
  • Cytokines / analysis
  • Cytokines / metabolism*
  • Enzyme-Linked Immunosorbent Assay
  • Female
  • Fibroblasts / drug effects*
  • Fibroblasts / metabolism
  • Humans
  • Interleukin-6 / analysis
  • Interleukin-6 / metabolism
  • Keloid / pathology*
  • Keloid / surgery
  • Male
  • Sampling Studies
  • Sensitivity and Specificity
  • Transforming Growth Factor beta1 / analysis
  • Transforming Growth Factor beta1 / metabolism
  • Vascular Endothelial Growth Factors / analysis
  • Vascular Endothelial Growth Factors / metabolism
  • Young Adult

Substances

  • Cytokines
  • Interleukin-6
  • Transforming Growth Factor beta1
  • Vascular Endothelial Growth Factors
  • Botulinum Toxins, Type A