cheloid keloid keloidal scar
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: For keloid patients: - history of keloid formation: presence of at least 1 major keloid (>0.5cm)at least 6 months old, diagnosed as such by plastic surgeon specialized in scarring - 18 years or older and capable of giving informed consent;For healthy controls: - previously undergone surgery of the trunk region (thorax, abdomen) resulting in a normal scar at least 5cm in length - normal scar should be at least 6 months old - no abnormal scarring in medical history - 18 years or older and capable of giving informed consent
Exclusion criteria
Exclusion criteria: - systemic illness - chronic use of systemic medication (e.g. corticosteroids, anti-inflammatory drugs such as aspirin)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Development of a human, in vitro, immunocompetent full-thickness tissue-engineered keloid scar model and identification of robust and relevant parameters to assess scar formation in vitro Keloid scar parameters: • epidermal and dermal thickness (histological analysis) • contraction • myofibroblast a-SMA expression (immunohistochemical staining) • wound healing mediator expression (ELISA) Immune cell parameters: • changes in monocyte and T cell phenotype after co-culture with keloid tissue compared to normal tissue. Flow cytometric analysis to identify transition into e.g.: macrophages, Th1, Th2, fibrocytes, endothelial cells etc.) | — |
Secondary
| Measure | Time frame |
|---|---|
| Validation of the in vitro keloid scar model with the aid of parameters identified above • Positive controls: therapeutics currently used for treating scars (e.g. 5FU, corticosteroids). Normalization (partial) of scar parameters is expected. • Negative controls: therapeutic known to be ineffective in scar treatment (e.g. vitamin D3). No normalization effect of scar parameters is expected. | — |
Countries
Netherlands