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123 Alda-1,anAldehydeDehydrogenase2Agonist,ImprovesCutaneousWoundHealingbyActivatingEpidermalKeratinocytesViaAkt/GSK-3 b / b -CateninPathway

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L E T T E R T O T H E E D I T O R

Alda-1, an Aldehyde Dehydrogenase 2 Agonist, Improves Cutaneous Wound Healing by Activating Epidermal Keratinocytes Via Akt/GSK-3b/b-Catenin Pathway

Xinhang Dong

1

Mingzi Zhang

2

Xiaolei Jin

1

Received: 12 August 2021 / Accepted: 12 August 2021

ÓSpringer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery 2021

Level of Evidence V

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine Ratings, please refer to Table of Contents or online Instructions to Authors

www.springer.com/00266.

Dear sir,

We have read the recent article by Dr. Zhang et al. [1]

on investigating if Alda-1 might ameliorate wound healing.

This study concluded that Alda-1 could improve cutaneous wound healing in a full-thickness excisional wound model.

This experiment is meant for improving wound healing.

Here, we provide some thoughts on this study.

Firstly, Dr. Zhang et al. described that Alda-1 was unable to motivate angiogenesis in the wound bed. How- ever, there were no macroscopic indicators to assess angiogenesis in the wound. Laser doppler flowmetry and laser speckle contrast imaging could be used to evaluate the flaps’ survival area and blood flow, which were widely applied in animal experiments [2,

3]. Furthermore, we

would be very grateful if the authors could provide more detailed evaluation methods of Fig. 1a.

Secondly, many inflammatory cells were observed both in the Alda-1 group and DMSO group of H&E staining (Fig. 1e), which was not discussed in detail.

Finally, Dr. Zhang et al. pointed out that Alda-1 improved cutaneous wound healing by activating

epidermal keratinocytes via the Akt/GSK-3b/b-Catenin pathway. We are also interested in further studies on the application of Alda-1 in wound healing.

Declarations

Conflict of interest The authors declare that they have no conflicts of interest to disclose.

Human and Animal Rights This article does not contain any studies with human participants or animals performed by any of the authors.

Informed Consent For this type of study informed consent is not required.

References

1. Zhang S, Chen C, Ying J et al (2020) Alda-1, an aldehyde dehydrogenase 2 agonist, improves cutaneous wound healing by activating epidermal keratinocytes via Akt/GSK-3b/b-catenin pathway. Aesth Plast Surg 44(3):993–1005

2. Dong X, Liu H, Zhang M et al (2019) Postconditioning with inhaled hydrogen attenuates skin ischemia/reperfusion injury through the RIP-MLKL-PGAM5/Drp1 necrotic pathway. Am J Transl Res 11(1):499–508

3. Rajan V, Varghese B, Leeuwen T, Steenbergen W (2009) Review of methodological developments in laser Doppler flowmetry.

Lasers Med Sci 24(2):269–283

Publisher’s Note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

& Xiaolei Jin

professor.jin@yahoo.com

1 Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China

2 Department of Plastic Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China

123

Aesth Plast Surg

https://doi.org/10.1007/s00266-021-02536-5

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