Burn wound healing can be characterized as overheating, manifested by hypertrophic scar formation after burn injury (1). The treatment of deep burn wounds is a great challenge due to scar formation and poor functioning after wound healing (2). The proliferation of human dermis fibroblasts (HDFs) induced in the dermis exerts a crucial effect on burn wound repair (2,3) and maintains the extracellular matrix (ECM) synthesis to elevate scar quality (2,4). When skin is injured, HDFs are activated to restore tissue integrity. ECM metabolism is the major factor of burn wound repair quality and outcomes (5). However, the regulatory mechanism in the burn wound healing process has not been specifically reported.Long non-coding RNAs (lncRNAs) are classified as a group of important regulators involved in multiple biological processes (6-8). As reported, lncRNAs exert vital effects on wound healing after thermal injury. For instance, the lncRNA LET induces cell proliferative ability and suppresses fibroblast apoptosis during burn wound healing (9). Additionally, the lncRNA AC067945.2 represses collagen levels and promotes ECM synthesis by fibroblasts in the wound healing process (10). According to the literature, a microarray analysis illustrated that TPT1-AS1 is downregulated in denatured dermal tissues (3). However, there has been no report on how TPT1-AS1 exerts its regulatory function in burn wound healing. Thus, the aim of the present study was to investigate the biological role of TPT1-AS1 in HDFs after thermal injury.MicroRNAs (miRNAs) are small endogenous RNAs that regulate gene expression post-transcriptionally (11,12). In addition, lncRNAs exert their influences by serving as competing endogenous RNAs (ceRNAs) for miRNAs to derepress messenger RNAs (mRNAs) (13). For example, the lncRNA ZFAS1 regulates proliferation, apoptosis and the inflammatory response via the miR-2682-5p/ADAMTS9 axis in rheumatoid arthritis (14). Furthermore, the MEG3/miR-93/Nrf2 axis represses high glucose-induced apoptosis in retinal pigment epithelium cells (15). Hence, whether TPT1-AS1 exerts its regulatory function via the ceRNA pattern in the burn wound healing process was investigated in the present study.The present study primarily focused on the biological function of TPT1-AS1 in HDFs after burn injury. It was hypothesized that TPT1-AS1 may exert its regulatory effect as a ceRNA in HDFs by interacting with miRNA. The findings revealed that TPT1-AS1 mitigated cell injury and promoted ECM synthesis by interacting with microRNA 324-5p (miR-324-5p) and targeting cyclin-dependent kinase 16 (CDK16) in HDFs after thermal injury. The present study findings may provide a potential novel insight for clinical burn wound treatment.
Materials and methods
Cell culture and treatment
Human dermal fibroblasts (ATCC®, PCS-201-012™) were provided by American Type Culture Collection. and cultured in RPMI-1640 medium (Gibco; Thermo Fisher Scientific, Inc.) containing 10% fetal bovine serum (FBS; Gibco; Thermo Fisher Scientific, Inc.) in an incubator with a 5% CO2 atmosphere at 37˚C. The use of HDFs was approved by the ethics committee of The First Affiliated Hospital of Nanchang University before the study. To establish a cellular heat-injury model, HDFs were challenged in 52˚C water for 30 sec (2,9,16), while cells in the control group were maintained in 37˚C water for the same duration. In succession, cells were cultivated in the incubator at normal temperatures.
Cell transfection
For cell transfection, short harpin RNA (shRNA) against CDK16 (sh-CDK16#1, CCACUGAGGACAUCAACAA; and sh-CDK16#2, GGAGAUCAGACUGGAACAU), a negative control (sh-NC; scrambled; AGCCUAACCUAGAACACAG), the TPT1-AS1 overexpression vector (pcDNA3.1-TPT1-AS1), an empty vector (pcDNA3.1-empty), miR-324-5p mimics (miR-324-5p), and miRNA negative control (NC mimics, scrambled) were synthesized by Shanghai GenePharma Co., Ltd. Using LipoFiter™ liposomal transfection reagent (Hanbio Biotechnology Co., Ltd.), HDFs were transfected with 40 nM sh-CDK16#1/2, 10 nM miR-324-5p mimic or 2 µg pcDNA3.1 vector upon reaching 60-70% confluence in 6-well plates. Twenty-four hours after transfection, the cells were collected for thermal injury or further analysis.
Total RNA was extracted with TRIzol® reagent (Thermo Fisher Scientific, Inc.), and the concentration and purity were assessed with a NanoDrop ND-2000 spectrophotometer (Thermo Fisher Scientific, Inc.). The RNA was reverse transcribed to cDNA with Taqman™ miRNA or a mRNA reverse transcription kit (Thermo Fisher Scientific, Inc.). The reaction conditions were as follows: 37˚C for 25 min, followed by 85˚C for 5 min. SYBR ® Premix ExTaq™ II kit (Takara Bio, Inc.) was used to perform the PCR analysis on an ABI 7500 Real-Time PCR System. The thermocycling conditions were: Pre-denaturation at 90˚C for 3 min, denaturation at 90˚C for 20 sec, annealing at 60˚C for 20 sec, and extension at 72˚C for 40 sec, for a total of 40 cycles. The samples were prepared in duplicate. GAPDH or U6 was used as the internal reference. The relative expression levels were calculated with the 2-ΔΔCq method (17). The following primer sequences were used: TPT1-AS1 forward, 5'-CTATCCTTGCCCATCTTCCT-3'; TPT1-AS1 reverse, 5'-TCTACCGGAGCAATTGGAG-3'; miR-324-5p forward, 5'-TCGGCAGGCGCAUCCCCUAG-3'; miR-324-5p reverse, 5'-CACTCAACTGGTGTCGTGGA-3'; CDK16 forward, 5'-CTCTGCACCAGAGATTGTG-3', CDK16 reverse, 5'-CATACGCACTCTCACTGGA-3'; GAPDH forward, 5'-TCATTTCCTGGTATGACAACGA-3'; GAPDH reverse, 5'-GGTCTTACTCCTTGGAGGC-3'; U6 forward, 5'-CAATACAGAGAAAGTTAGCACG-3', and U6 reverse, 5'-AATGCTTCAAAGAGTTGTGC-3'.
Primary HDFs were seeded at a density of 1x104 cells/well in 96-well plates and maintained for 24 h for cell transfection. The viability of the transfected cells and non-transfected cells was measured by MTT assay 24, 48 and 72 h post-transfection. The optical density at 490 nm was measured and utilized to plot a proliferation curve.
Flow cytometric analysis
For the cell cycle analysis, trypsin-digested primary HDFs were seeded into 6-well plates at a density of 5x104 cells/well and cultured for 24 h. The HDFs were then harvested, centrifuged for 5 min (4˚C; 1,000 x g), and fixed with 70% ethanol at 4˚C for 24 h. The fixed HDFs were treated with propidium iodide (PI; Clontech Laboratories, Inc.) at room temperature for 30 min. Finally, the cell cycle was evaluated with a FACSCanto flow cytometer and CellQuest software version 5.1 (both obtained from BD Biosciences). The assays were performed in three triplicates. For the cell apoptosis analysis, HDFs (1x105) were seeded in 24-well plates and cultivated for 24 h. Annexin V-fluorescein isothiocyanate (FITC) and PI (Clontech Laboratories, Inc.) were added to the cell cultures and incubated at room temperature for 10 min in the dark. Finally, the FACSCanto flow cytometer was used to assess the cell apoptosis rate. Annexin V-positive and PI-negative cells were considered as apoptotic cells.
Western blot analysis
Total protein was extracted with RIPA lysis buffer (cat. no. R0020; Beijing Solarbio Science & Technology Co., Ltd.) after the HDFs were washed with PBS. After high-speed centrifugation at 1,000 x g for 10 min at 4˚C, the bicinchoninic acid (BCA) method was used to quantify the protein in the supernatant using a BCA protein quantification kit (Shanghai Yeasen Biotechnology Co., Ltd.). An equal amount of protein (20 µg) was prepared for 10% SDS-PAGE, after which the proteins were transferred to a nitrocellulose membrane (EMD Millipore) with Western transfer buffer (Beyotime Institute of Biotechnology). Each sample was prepared in triplicate. The membranes were blocked with QuickBlock™ blocking buffer (Beyotime Institute of Biotechnology) at room temperature for 15 min, allowed to interact overnight with primary antibodies against cyclin A1 (cat. no. ab53699; 1:500), cyclin D1 (cat. no. ab16663; 1:200), cyclin E1 (cat. no. ab33911; 1:1,000), CDK4 (cat. no. ab108357; 1:1,000), Bcl-2 (cat. no. ab32124; 1:1,000), Bax (cat. no. ab32503; 1:1,000), cleaved caspase-3 (cat. no. ab13847; 1:500), collagen I (cat. no. ab34710; 1:1,000), α-smooth muscle actin (α-SMA; cat. no. ab7817; 1:3,000), CDK16 (cat. no. ab181208; 1:1,000) or GAPDH (cat. no. ab8245; 1:500) (all from Abcam) at 4˚C and then cultured with IgG H&L (HRP) secondary antibody (cat. no. ab205718; 1:2,000) for 2 h. The antibodies were all purchased from Abcam. BeyoECL Plus (Beyotime Institute of Biotechnology) and film (Carestream Health, Inc.) were applied to visualize the western blots in the dark. Quantum One software version 4.6.8 (Bio-Rad Laboratories, Inc.) was used to analyze the relative protein levels using GAPDHas an internal control.
Bioinformatics analysis
The subcellular localization of the lncRNA TPT1-AS1 was predicted by the lncLocator website (http://www.csbio.sjtu.edu.cn/bioinf/lncLocator/). Additionally, the binding site between TPT1-AS1 and miR-324-5p was acquired through ‘StarBase’ (http://starbase.sysu.edu.cn). The binding site of miR-324-5p in the 3' untranslated region (3'UTR) of CDK16 was obtained from TargetScan (http://www.targetscan.org/vert_72/).
Subcellular fractionation assay
Cytoplasmic and nuclear extracts were obtained from HDFs by Invitrogen PARIS nuclear and cytoplasmic extraction kit (cat. no. AM1921; Invitrogen; Thermo Fisher Scientific, Inc.). RNA isolated from the nucleus or cytoplasm using the Invitrogen PARIS kit (cat. no. AM1921; Invitrogen; Thermo Fisher Scientific, Inc.) was subjected to RT-qPCR analysis. The levels of U6 (nuclear control), GAPDH (cytoplasmic control), and TPT1-AS1 were determined.
Luciferase reporter assay
For the luciferase reporter assay, wild-type (Wt) or mutant (Mut) luciferase reporter vectors TPT1-AS1 (or the 3'UTR of CDK16) were established in firefly luciferase-expressing pmirGLO vector (Promega Corporation), termed TPT1-AS1-Wt, TPT1-AS1-Mut, CDK16-Wt and CDK16-Mut, respectively. HDFs were co-transfected with the 50 nM of miR-324-5p mimics or NC mimics, 200 ng of Wt or Mut luciferase reporter constructs and a Renilla vector using LipoFiter™ liposomal transfection reagent. Forty-eight hours after transfection, the luciferase activity was measured with a luciferase reporter assay kit (Promega Corporation).
Statistical analysis
Statistical analysis was performed using GraphPad Prism 7 software (GraphPad Software, Inc.), and the data are expressed as the means ± standard deviation (S.D.). All experiments were repeated three times. Differences between two groups were assessed for significance by Student's t test, and differences of multiple groups were assessed by ANOVA followed by Tukey's post hoc test. P<0.05 was considered to indicate a statistically significant difference.
Results
TPT1-AS1 relieves cell injury and induces ECM synthesis in thermally injured HDFs
Firstly, TPT1-AS1 expression level was measured in HDFs under heat stimulation. According to the RT-qPCR results, the levels of TPT1-AS1 were decreased after thermal injury in HDFs (Fig. 1A). Subsequently, the transfection efficiency of TPT1-AS1 in HDFs was confirmed using RT-qPCR analysis (Fig. 1B). In order to investigate the biological role of TPT1-AS1 in HDFs after thermal injury, the efficacy of the TPT1-AS1 transfection and overexpression in HDFs was verified (Fig. 1C). MTT assays showed that TPT1-AS1 overexpression reversed the thermal injury-induced decrease in HDF viability (Fig. 1D). The flow cytometry results suggested that thermal injury caused a significant increase in the proportion of cells at the G0/G1 stage and a decrease in the proportion of cells at the S stage, which indicated that thermal injury induced cell cycle arrest at the G0/G1 stage. The upregulation of TPT1-AS1 evidently attenuated cycle arrest at the G0/G1 phase (Fig. 1E). The western blot analysis showed that the levels of cyclin A1, cyclin D1, cyclin E1 and CDK4 were significantly decreased in the heated HDFs, while TPT1-AS1 overexpression increased the levels of cell cycle-associated factors (Fig. 1F). The flow cytometry analysis suggested that the apoptosis rate of the HDFs was increased by thermal injury and then significantly suppressed by TPT1-AS1 overexpression (Fig. 1G-H). Furthermore, the western blot analysis demonstrated that the protein levels of Bax and cleaved caspase-3 were significantly higher, whereas the level of Bcl-2 was decreased in the heated HDFs. However, TPT1-AS1 overexpression reversed the changes in the levels of apoptosis-associated proteins in thermally injured HDFs (Fig. 1I). Additionally, the western blot analysis revealed that, in terms of ECM synthesis, the heat stimulation-induced decrease in the protein levels of α-SMA and collagen I were recovered by the overexpression of TPT1-AS1 in the HDFs (Fig. 1J).
Figure 1
TPT1-AS1 is expressed at low levels and attenuates cell cycle arrest and apoptosis, but promotes ECM synthesis in the HDFs after thermal injury. (A) RT-qPCR was used to measure TPT1-AS1 levels in HDFs after thermal injury. (B) The overexpression efficiency of TPT1-AS1 in HDFs alone was determined using RT-qPCR. (C) RT-qPCR detected TPT1-AS1 expression level in the HDFs after heat stimulation. (D) MTT assay of HDF viability during TPT1-AS1 overexpression and heating. (E) Cell cycle progression was examined by flow cytometry after TPT1-AS1 overexpression in thermally injured HDFs. (F) Levels of cell cycle-associated proteins were verified in heated HDFs via western blot analysis. (G and H) Flow cytometry confirmed the apoptosis rate of the HDFs with TPT1-AS1 overexpression after thermal injury. (I) Western blot analysis validated the levels of apoptosis-associated markers in the heat-stimulated HDFs with upregulated TPT1-AS1. (J) Levels of ECM synthesis-associated proteins in the heat-treated HDFs were analyzed by western blot analysis after TPT1-AS1 upregulation. *P<0.05; **P<0.01; ***P<0.001; #P<0.05. TPT1-AS1, TPT1-antisense RNA 1; RT-qPCR, reverse transcription-quantitative PCR; ECM, extracellular matrix; HDFs, human dermal fibroblasts; NC, negative control.
TPT1-AS1 is a sponge of miR-324-5p
In order to further probe the regulatory mechanism of TPT1-AS1, the subcellular localization of TPT1-A1 was predicted with lncLocator. The results showed the cytoplasmic localization of TPT1-AS1 (Fig. 2A). A subcellular fractionation assay also validated the cytoplasm as the primary location of TPTI-AS1, which indicated TPT1-AS1as a post-transcriptional regulator of gene expression (Fig. 2B). Then, miR-324-5p was screened as a potential downstream target of TPT1-AS1 with the ‘StarBase’ database (conditions; Low clip and low degradome) and verified its high expression in thermally injured HDFs via RT-qPCR (Fig. 2C). Subsequently, the miR-324-5p overexpression efficiency was verified in the HDFs (Fig. 2D). Moreover, the transfection efficiency of miR-324-5p mimics in heated HDFs was also confirmed by RT-qPCR analysis (Fig. 2E). The binding sequence of miR-324-5p in TPT1-AS1 was predicted. A luciferase reporter assay was performed to validate the binding capacity of miR-324-5p and TPT1-AS1. miR-324-5p upregulation decreased the luciferase activity of TPT1-AS1-Wt in the HDFs, while no evident change was observed for the TPT1-AS1-Mut group (Fig. 2F).
Figure 2
TPT1-AS1 binds to miR-324-5p. (A) Bioinformatics analysis predicted TPT1-AS1 subcellular localization in HDFs. (B) Subcellular fractionation assay revealed TPT1-AS1 localization in the HDFs. (C) miR-324-5p was predicted via ‘StarBase’, and its expression in heated HDFs was examined with RT-qPCR. (D) RT-qPCR was used to measure the transfection efficacy of miR-324-5p mimics in HDFs alone. (E) The overexpression efficiency of miR-324-5p was measured using RT-qPCR analysis in heated HDFs. (F) The binding ability of TPT1-AS1 and miR-324-5p was predicted with ‘StarBase’ and identified through a luciferase reporter assay. **P<0.01; ***P<0.001. miR, microRNA; TPT1-AS1, TPT1-antisense RNA 1; HDFs, human dermal fibroblasts; RT-qPCR, reverse transcription-quantitative PCR; Mut, mutant; Wt, wild-type; NC, negative control.
CDK16 is directly targeted by miR-324-5p
In order to further verify the hypothesis of the ceRNA regulatory pattern, 3 mRNAs (CDK16, KLF7 and SEPT3), were screened through overlapping prediction results of the microT, PicTar and TargetScan databases (Table SI). The RT-qPCR results illustrated that only CDK16 was significantly downregulated in the HDFs in response to miR-324-5p overexpression (Fig. 3A). The western blotting results showed that CDK16 protein levels were decreased by upregulating miR-324-5p (Fig. 3B). The target fragment of miR-324-5p at the 3'UTR of CDK16 is shown in Fig. 3C. A luciferase reporter experiment showed that the luciferase activity of the wild-type CDK16 3'UTR vector was significantly decreased in the presence of the miR-324-5p mimics, while no evident change was shown in the luciferase activity of the mutant CDK16 3'UTR (Fig. 3D). Furthermore, CDK16 was expressed at low levels in the heat-stimulated HDFs according to the RT-qPCR results (Fig. 3E). A luciferase reporter assay also demonstrated that no evident change in the luciferase activity of the CDK16 promoter after miR-324-5p was overexpressed (Fig. 3F).
Figure 3
CDK16 is a target of miR-324-5p. (A) Putative mRNAs were obtained via bioinformatics analysis, and RT-qPCR was used to measure the expression of candidate mRNAs in response to miR-324-5p mimics. (B) Western blot analysis of the protein level of CDK16 after miR-324-5p upregulation. (C) The target sequence of miR-324-5p in the 3’UTR of CDK16 was obtained from TargetScan. (D) A luciferase reporter experiment verified the binding ability of CDK16 and miR-324-5p. (E) RT-qPCR analysis of CDK16 expression levels in HDFs after thermal injury. (F) A luciferase reporter assay was used to detect the luciferase activity of the CDK16 promoter after HDF transfection with miR-324-5p mimics. **P<0.01. CDK16, cyclin-dependent kinase 16; miR, microRNA; RT-qPCR, reverse transcription-quantitative PCR; UTR, untranslated region; NC, negative control; HDFs, human dermal fibroblasts; Mut, mutant; Wt, wild-type.
TPT1-AS1 alleviates cell injury and promotes ECM synthesis via the miR-324-5p/CDK16 axis in thermally injured HDFs
The knockdown efficiency of CDK16 in HDFs was verified (Fig. 4A). The expression of CDK16 was detected using RT-qPCR analysis. The results showed that CDK16 expression was increased under TPT1-AS1 overexpression and then knocked down by the co-transfection of sh-CDK16#1/#2 (Fig. 4B). Furthermore, CDK16 knockdown rescued the pcDNA3.1/TPT1-AS1-mediated increase in the viability of the heat-treated HDFs (Fig. 4C). Flow cytometry revealed that TPT1-AS1 attenuated cycle arrest at the G0/G1 phase and caused a decrease in the proportion of cells at the S stage, which were reversed by CDK16 silencing (Fig. 4D). Moreover, knocking down CDK16 reversed the inhibition of TPT1-AS1 overexpression on cell cycle-associated proteins in the thermally injured HDFs (Fig. 4E). CDK16 silencing counteracted the suppressive effect of TPT1-AS1 overexpression on the apoptosis of HDFs upon heat stimulation (Fig. 4F and G). In addition, the protein levels of Bax and cleaved caspase-3 were decreased, while the level of Bcl-2 was elevated by TPT1-AS1 overexpression in the heated HDFs; these outcomes were reversed by CDK16 knockdown (Fig. 4H). The promotive effect of upregulated TPT1-AS1 on ECM synthesis in the heat-stimulated HDFs was recovered after CDK16 downregulation (Fig. 4I).
Figure 4
Silencing CDK16 abolishes the effects of TPT1-AS1 overexpression in thermally injured HDFs. (A) The silencing efficiency of CDK16 after the transfection of sh-CDK16#1/#2 in HDFs alone was detected by RT-qPCR analysis. (B) RT-qPCR was used to measure CDK16 expression in HDFs after the indicated treatment. (C) MTT confirmed the viability of the HDFs under the indicated treatment. (D) Flow cytometry was used to analyze cell cycle progression in each group. (E) Expression levels of cell cycle-associated markers were validated by western blot analysis after the indicated stimulation. (F and G) The apoptotic ability of HDFs under each stimulation was assessed via flow cytometric analysis. (H) Levels of apoptosis-associated proteins under the indicated treatments were evaluated by western blotting. (I) Western blot analysis was used to measure the levels of extracellular matrix synthesis-associated markers in each group. *P<0.05; **P<0.01; #P<0.05. TPT1-AS1, TPT1-antisense RNA 1; HDFs, human dermal fibroblasts; RT-qPCR, reverse transcription-quantitative PCR; sh-, short hairpin RNA-; NC, negative control; CDK16, cyclin-dependent kinase 16.
Discussion
HDF cell function and ECM synthesis exert crucial impacts on wound healing after thermal injury. Collagen biosynthesis after injury is one of the major indicators for predicting the outcome of healing (18). Fibroblasts express and secrete α-SMA protein during wound healing, which supports contraction. Collagen I and α-SMA are two major indicators of ECM synthesis (19). In addition, HDF activation facilitates the restoration of tissue integrity (18). As previously reported, microarray analysis showed that TPT1-AS1 expression is downregulated in denatured dermal tissues (3). The present study initially demonstrated that TPT1-AS1 was significantly downregulated in the heat-stimulated HDFs. Gain-of-function assays showed that TPT1-AS1 promoted cell viability in the thermally injured HDFs. Moreover, the percentage of cells at each cell cycle stage indicated that TPT1-AS1 inhibited cell cycle arrest at the G0/G1 phase of heated HDFs. The levels of cell cycle-associated proteins (cyclin A1, cyclin D1, cyclin E1 and CDK4) were significantly decreased in the heated HDFs, an outcome that was reversed by TPT1-AS1 overexpression. TPT1-AS1 also decreased the cell apoptosis rate of the heated HDFs. The decrease in the protein levels of Bcl-2 or the increase in the levels of Bax and cleaved caspase-3 caused by thermal injury was reversed by the overexpression of TPT1-AS1. Furthermore, the increase in the protein levels of collagen I and α-SMA induced by heat stimulation was rescued by TPT1-AS1 upregulation.Moreover, the cytoplasmic localization of TPT1-AS1 defined its posttranscriptional regulation of gene expression. As previously reported, lncRNAs can serve as ceRNAs that post-transcriptionally regulate gene expression by competitively binding to miRNAs (20). Previous research has revealed that TPT1-AS1 serves as a decoy of certain miRNAs, such as miR-23a-5p (21) and miRNA-770-5p. Thus, it is proposed that the lncRNA TPT1-AS1, acting as a ceRNA, has a regulatory function by sponging miRNA and targeting mRNA in HDFs. Through a bioinformatics analysis, miR-324-5p was predicted to bind with TPT1-AS1. According to previous reports, miR-324-5p is upregulated in osteoarthritis (22) and hyperglycemia or hyperlipidemia (23). In the present study, the RT-qPCR analysis indicated that miR-324-5p was highly expressed in the heat-treated HDFs. Furthermore, a luciferase reporter assay revealed that TPT1-AS1 bound abundantly to miR-324-5p.The evidence suggests that lncRNAs act as ‘sponges’ by competitively binding to common miRNAs, attenuating the repression of miRNAs on mRNAs (24-26). In order to verify the ceRNA regulatory network, the targets of miR-324-5p were identified. CDK16 was predicted as a putative target of miR-324-5p in the bioinformatics analysis. According to the literature, CDK16 has not been previously reported in diseases, including burn wounds. The present study found that CDK16 was expressed at low levels in HDFs after thermal injury. Mechanistically, CDK16 was targeted by miR-324-5p at positions 36-42 of the 3'UTR, and TPT1-AS1 upregulated CDK16 expression by sponging miR-324-5p. The mRNA and protein levels of CDK16 were also negatively regulated by miR-324-5p in the HDFs. Functional interactions in ceRNA networks aid in coordinating multiple biological processes and, when perturbed, facilitate disease pathogenesis (27). Thus, a series of rescue assays were performed. The results indicated that CDK16 silencing reversed the promotion of TPT1-AS1 overexpression and cell viability and ECM synthesis, the suppression of cell cycle arrest at the G0/G1 phase and attenuated cell apoptosis. Thus, TPT1-AS1 contributes to cell viability, increases ECM synthesis, and inhibits cell cycle arrest and apoptosis to relieve the thermal injury of HDFs by upregulating CDK16 expression.In summary, the present study is the first to demonstrate that TPT1-AS1 and CDK16 were upregulated in the HDFs after thermal injury and that miR-324-5p led to their significant downregulation in HDFs after thermal injury. TPT1-AS1 alleviated cell injury and induced ECM synthesis after thermal injury via the miR-324-5p/CDK16 axis. The present study suggested that TPT1-AS1 exerts a protective effect in the burn wound healing process. These findings may provide a novel target for burn wound therapy clinically.
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