Evidence map›Paper›PMID 40147022›Full record

ArticleClinical and translational medicine2025

The antiprotease Spink7 promotes inflammation resolution by modulating multiple proteases activities during wound healing.

Na Zhao, Guojian Wang, Shuang Long, Xiaofan Lv, Xinze Ran, Junping Wang, Yongping Su, Tao Wang

Abstract read
In one paragraph

Article in Clinical and translational medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Na ZhaoInstitute of Combined Injury, Chongqing Engineering Research Center for Nanomedicine, School of Preventive Military Medicine, Army Medical University (Third Military Medical University), Chongqing, China.
Guojian WangInstitute of Combined Injury, Chongqing Engineering Research Center for Nanomedicine, School of Preventive Military Medicine, Army Medical University (Third Military Medical University), Chongqing, China.
Shuang LongInstitute of Combined Injury, Chongqing Engineering Research Center for Nanomedicine, School of Preventive Military Medicine, Army Medical University (Third Military Medical University), Chongqing, China.
Xiaofan LvInstitute of Combined Injury, Chongqing Engineering Research Center for Nanomedicine, School of Preventive Military Medicine, Army Medical University (Third Military Medical University), Chongqing, China.
Xinze RanInstitute of Combined Injury, Chongqing Engineering Research Center for Nanomedicine, School of Preventive Military Medicine, Army Medical University (Third Military Medical University), Chongqing, China.
Junping WangInstitute of Combined Injury, Chongqing Engineering Research Center for Nanomedicine, School of Preventive Military Medicine, Army Medical University (Third Military Medical University), Chongqing, China.
Yongping SuInstitute of Combined Injury, Chongqing Engineering Research Center for Nanomedicine, School of Preventive Military Medicine, Army Medical University (Third Military Medical University), Chongqing, China.
Tao WangInstitute of Combined Injury, Chongqing Engineering Research Center for Nanomedicine, School of Preventive Military Medicine, Army Medical University (Third Military Medical University), Chongqing, China.ORCID 0000-0003-0975-8072

Funding

China Postdoctoral Science Foundation 2023M734256National Natural Science Foundation of China 82172219National Natural Science Foundation of China 82203975Natural Science Foundation of Chongqing CSTB2022NSCQ-MSX1673
6 · The paper itself

Abstract

backgroundEffective control of inflammation is crucial for the healing of cutaneous wounds, but the molecular mechanisms governing inflammation resolution during wound closure are still not yet clear. Here, we describe a homeostatic mechanism that facilitates the inflammation resolution by timely regulating the targeted proteases activities through antiprotease Spink7 (serine peptidase inhibitor, kazal type 7).

methodsThe expression pattern of Spink7 was investigated by quantitative RT-PCR, immunohistochemistry (IHC) and in situ hybridization. In both Spink7 knockdown and knockout models, quantitative comparisons were made between the healing rate of wounds and histopathological morphometric analysis. Microarrays, multiple chemokine assays, IHC, immunofluorescence, protease activity measurement were performed to explore the underlying mechanisms of Spink7 knockout in impaired wound healing. Radiation-wound combined injury (R-W-CI) model was employed to evaluate the therapeutic effects of Spink7 manipulation.

resultsOur study demonstrates that Spink7 is significantly upregulated in the differentiated epidermal granular keratinocytes of proliferative phase during murine wound closure. Both local knockdown of Spink7 levels in wounds using siRNA gel and systemic knockout of Spink7 using KO mice resulted in delayed wound closure with sustained neutrophil infiltration. Loss of Spink7 leads to augmented inflammatory responses, increased production of multiple chemokines/cytokines, and impaired M2 polarization of macrophages in wound healing. Furthermore, loss of Spink7 results in elevated proteolytic activities of uPA, MMP2/9 and KLK5/7 in proliferative phase. However, inhibiting KLK5/7 downstream PAR2 activation exacerbates the phenotype of KO mice. In R-W-CI model, further significant induction of Spink7 is observed in wounds with insufficient inflammatory response. Local suppression of Spink7 promotes wound healing in the R-W-CI model by augmenting inflammation.

conclusionsMaintaining an endogenous balance between Spink7 and its target proteases is a crucial checkpoint for regulating inflammation resolution during healing. Therefore, manipulating levels of Spink7 might be an effective treatment for impaired wounds caused by inflammatory dysregulation.

Indexed as

InflammationPeptide HydrolasesSerine Peptidase Inhibitors, Kazal TypeWound HealingAnimalsDisease Models, AnimalMaleMiceMice, Inbred C57BLMice, KnockoutPeptide HydrolasesSerine Peptidase Inhibitors, Kazal Typeinflammation resolutionproteasesradiation‐wound combined injurySpink7wound healing

Identifiers

PMID40147022
PMCPMC11949503

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.