Journal of Comprehensible Results

Wijesinghe, D. S., Brentnall, M., Mietla, J. A., Hoeferlin, L. A., Diegelmann, R. F., Boise, L. H., & Chalfant, C. E. (2014)
Ceramide kinase is required for a normal eicosanoid response and the
subsequent orderly migration of fibroblasts
Journal of Lipid Research,55(7), 1298-1309

(Translated by Jeetika Sainani)

Significance

Wound healing is a process in our body that consists of four different stages called hemostasis (or bleeding), inflammation, proliferation, and remodeling. Hemostasis occurs when blood clots, or clumps of blood in a gel-like form, are formed to close the wound and control the bleeding of a wound. Inflammation occurs next and the purpose of this stage is to clear the wound site of bacteria or other debris that may negatively affect the wound further. Proliferation is the next stage that encompasses the migration and proliferation of fibroblasts to the wound site. The wound is filled up and covered by epithelium, or epithelial cells which are cells that line up on the surfaces of our bodies, once it is free of debris. The formation of new blood vessels occurs as well. The last stage called remodeling, or maturation, occurs when the epithelium is completely formed and new tissues previously formed are strengthened.

Fibroblasts, cells in our connective tissues, migrate and proliferate towards the end of the inflammatory stage when the proliferation stage begins. An important component of the migration of fibroblasts includes the response of eicosanoids. Eicosanoids are inflammatory lipids, fat-like substances found in the blood and cells in our bodies, produced by arachidonic acid that play a role in the initiation of the inflammatory process. Arachidonic acid is an unsaturated fatty acid, which is a molecule that makes up fats in human or animal bodies and contains one or more double bonds. This acid can be converted into eicosanoids, which is why it was investigated in this article as a possible effector in the initiation of the proliferation stage.

Wijesinghe et. al. 2014 investigated the role of the enzyme ceramide kinase in the response of eicosanoids and the migration of fibroblasts during the wound-healing process. Although this enzyme is active at a lower level without the presence of a wound, the enzyme's function is increased when inflammation occurs following a wound. Ceramide kinase catalyzes a reaction that creates a sphingolipid called ceramide-1-phosphate, which is also involved in the healing process. Sphingolipids are lipids that specifically consist of long chains that may link to fatty acids. Without complex processes like migration or inflammation, for example, wound healing would not be completed in an orderly manner and the movement of the molecules mentioned ensures that all components of the injury, such as the tissues or the bleeding, are taken care of. This investigation was done by imposing mechanically induced trauma on fibroblasts of mice that possessed the gene for ceramide kinase and fibroblasts that underwent the genetic loss of ceramide kinase as a comparison.

Contents



Visualization of the four different stages of wound healing. From https://www.biodermis.com/what-are-the-stages-of-wound-healing-s/221.htm