BACKGROUND:Propolis is a natural product from honeybee hives traditionally utilized in complementary medicine for the treatment of skin wounds and ulcers. Although the efficacy in skin wound healing has been documented, the specific mechanisms underlying its therapeutic effects remain unclear.
PURPOSE:This study aimed to elucidate the mechanisms by which propolis facilitates wound healing and improves ulcer treatment. Specifically, we investigated the impact of Brazilian green propolis and its primary bioactive compound, artepillin C (ARC), on cell behavior and collagen metabolism in human dermal fibroblasts.
METHODS:In vitro culture models were used to evaluate the effects of propolis and ARC on fibroblast proliferation, migration, differentiation into myofibroblasts, collagen fibril formation, and collagen gel contraction.
RESULTS:Treatment with propolis increased extracellular deposition of type I and V collagen while reducing extracellular type III collagen, without affecting collagen mRNA expressions or Smad2 activation, a critical transcription factor known to regulate collagen synthesis. Additionally, propolis reduced the levels of matrix metalloproteinase (MMP)-2 and MMP-9, enzymes for collagen degradation, and simultaneously elevated tissue inhibitor of metalloproteinase (TIMP)-2, which inhibits MMPs activity. Propolis treatment also restricted collagen gel contraction, fibroblast migration, and differentiation into myofibroblasts. Furthermore, propolis suppressed the activation of signaling pathways involving Akt, NF-κB, p38, and ERK, known regulators of collagen metabolism and apoptosis resistance. Some of these biological effects of propolis were replicated by ARC.
CONCLUSION:Our findings suggest that Brazilian green propolis and ARC facilitate wound healing and may enhance ulcer treatment by modulating collagen metabolism and regulating fibroblast behavior.