Wound healing is a complex process involving multiple cellular events, including cell proliferation, migration, and tissue
remodeling. A disintegrin and metalloprotease 12 (ADAM12) is a membrane-anchored metalloprotease, which has been implicated
in activation–inactivation of growth factors that play an important role in wound healing, including heparin-binding epidermal
growth factor (EGF)-like growth factor (HB-EGF) and insulin growth factor (IGF) binding proteins. Here, we report that expression
of ADAM12 is fivefold upregulated in the nonhealing edge of chronic ulcers compared to healthy skin, based on microarrays
of biopsies taken from five patients and from healthy controls (
p = 0.013). The increase in ADAM12 expression in chronic ulcers was confirmed by quantitative real-time polymerase chain reaction
(RT-PCR). Moreover, immunohistochemical analysis demonstrated a pronounced increase in the membranous and intracellular signal
for ADAM12 in the epidermis of chronic wounds compared to healthy skin. These findings, coupled with our previous observations
that lack of keratinocyte migration contributes to the pathogenesis of chronic ulcers, prompted us to evaluate how the absence
of ADAM12 affects the migration of mouse keratinocytes. Skin explants from newborn ADAM12
−/− or wild-type (WT) mice were used to quantify keratinocyte migration out of the explants over a period of 7 days. We found
a statistically significant increase in the migration of ADAM12
−/− keratinocytes compared to WT control (
p = 0.0014) samples. Taken together, the upregulation of ADAM12 in chronic wounds and the increased migration of keratinocytes
in the absence of ADAM12 suggest that ADAM12 is an important mediator of wound healing. We hypothesize that increased expression
of ADAM12 in chronic wounds impairs wound healing through the inhibition of keratinocyte migration and that topical ADAM12
inhibitors may therefore prove useful for the treatment of chronic wounds.
Keywords ADAM12 - Chronic ulcers - Wound healing - Keratinocyte migration
Asheesh Harsha and Olivera Stojadinovic contributed equally.