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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">ETM</journal-id>
<journal-title-group>
<journal-title>Experimental and Therapeutic Medicine</journal-title>
</journal-title-group>
<issn pub-type="ppub">1792-0981</issn>
<issn pub-type="epub">1792-1015</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/etm.2018.5863</article-id>
<article-id pub-id-type="publisher-id">ETM-0-0-5863</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>GSK126 (EZH2 inhibitor) interferes with ultraviolet A radiation-induced photoaging of human skin fibroblast cells</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>Qin</surname><given-names>Haiyan</given-names></name>
<xref rid="af1-etm-0-0-5863" ref-type="aff"/></contrib>
<contrib contrib-type="author"><name><surname>Zhang</surname><given-names>Guang</given-names></name>
<xref rid="af1-etm-0-0-5863" ref-type="aff"/></contrib>
<contrib contrib-type="author"><name><surname>Zhang</surname><given-names>Lianbo</given-names></name>
<xref rid="af1-etm-0-0-5863" ref-type="aff"/>
<xref rid="c1-etm-0-0-5863" ref-type="corresp"/></contrib>
</contrib-group>
<aff id="af1-etm-0-0-5863">Department of Plastic Surgery, China-Japan Union Hospital of Jilin University, Changchun, Jilin 130033, P.R. China</aff>
<author-notes>
<corresp id="c1-etm-0-0-5863"><italic>Correspondence to</italic>: Dr Lianbo Zhang, Department of Plastic Surgery, China-Japan Union Hospital of Jilin University, 126 Xiantai Street, Changchun, Jilin 130033, P.R. China, E-mail: <email>doctorzhanglianbo@163.com</email></corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>04</month>
<year>2018</year></pub-date>
<pub-date pub-type="epub">
<day>13</day>
<month>02</month>
<year>2018</year></pub-date>
<volume>15</volume>
<issue>4</issue>
<fpage>3439</fpage>
<lpage>3448</lpage>
<history>
<date date-type="received"><day>17</day><month>05</month><year>2016</year></date>
<date date-type="accepted"><day>24</day><month>03</month><year>2017</year></date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2018, Spandidos Publications</copyright-statement>
<copyright-year>2018</copyright-year>
</permissions>
<abstract>
<p>Polycomb group genes (PcG) encode chromatin modification proteins that are involved in the epigenetic regulation of cell differentiation, proliferation and the aging processes. The key subunit of the PcG complex, enhancer of zeste 2 polycomb repressive complex 2 subunit (EZH2), has a central role in a variety of mechanisms, such as the formation of chromatin structure, gene expression regulation and DNA damage. In the present study, ultraviolet A (UVA) was used to radiate human dermal fibroblasts in order to construct a photo-aged cell model. Subsequently, the cell viability assay, Hoechst staining, apoptosis detection using flow cytometry, senescence-associated &#x03B2;-galactosidase (SA-&#x03B2;-gal) staining and erythrocyte exclusion experiments were performed. GSK126, a histone methylation enzyme inhibitor of EZH2, was used as an experimental factor. Results suggested that GSK126 downregulated the mRNA expression levels of EZH2 and upregulated the mRNA expression levels of BMI-1. Notably, GSK126 affected the transcription of various photoaging-related genes and thus protected against photoaging induced by UVA radiation.</p>
</abstract>
<kwd-group>
<kwd>photoaging</kwd>
<kwd>polycomb group genes</kwd>
<kwd>ultraviolet A</kwd>
<kwd>human skin fibroblast</kwd>
<kwd>enhancer of zeste 2 polycomb repressive complex 2 subunit</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Aging is one of the most basic natural laws in the biological world. Skin aging is an important indicator of human aging that results from a combination of internal and external environmental factors (<xref rid="b1-etm-0-0-5863" ref-type="bibr">1</xref>). Aging caused by internal factors is called natural aging. Notably, the exogenous environment may also contribute to human skin aging. Skin aging may also be caused by ultraviolet (UV) radiation, which is called photoaging (<xref rid="b2-etm-0-0-5863" ref-type="bibr">2</xref>). Furthermore, ultraviolet A (UVA) is the ultraviolet light with the longest wavelength that can reach the dermal layer of the skin and is a major contributor of photoaging (<xref rid="b3-etm-0-0-5863" ref-type="bibr">3</xref>).</p>
<p>Typical characteristics of photoaging include deep and rough wrinkles, pigmentation spots, dry and loose skin atrophy, telangiectasia, photoaging purpura and precancerous lesions (<xref rid="b4-etm-0-0-5863" ref-type="bibr">4</xref>). Notably, photoaging may result in more severe outcomes than natural aging; for example, long-term ultraviolet radiation may trigger skin cancer (<xref rid="b5-etm-0-0-5863" ref-type="bibr">5</xref>). In general, molecular changes in photoaging are thought to be an enhancement and amplification of molecular changes associated with age-related skin aging (<xref rid="b6-etm-0-0-5863" ref-type="bibr">6</xref>).</p>
<p>Dermal fibroblasts are crucial cellular components involved in the structural integrity of the skin (<xref rid="b7-etm-0-0-5863" ref-type="bibr">7</xref>). They serve as the primary producer of the extracellular matrix scaffold within the dermis, including collagen, elastin and glycosaminoglycans (<xref rid="b8-etm-0-0-5863" ref-type="bibr">8</xref>). Studies have indicated that UV exposure from the sun causes apoptosis of dermal fibroblasts (photodamage) and contributes to the development of photoaging (<xref rid="b9-etm-0-0-5863" ref-type="bibr">9</xref>). Hyaluronic acid (HA), an extracellular matrix molecule synthesized by hyaluronic acid synthase enzymes (HAS), serves a role in regulating apoptosis in fibroblasts (<xref rid="b10-etm-0-0-5863" ref-type="bibr">10</xref>). Injection of HA fillers provides enrichment of one of the primary ECM compounds, deep hydration of the skin and strongly stimulates fibroblasts, which act on specific receptors cluster of differentiation (CD)44, HA-mediated cell motility and intercellular adhesion molecule-1 to synthesize novel scaffold compounds (<xref rid="b11-etm-0-0-5863" ref-type="bibr">11</xref>,<xref rid="b12-etm-0-0-5863" ref-type="bibr">12</xref>).</p>
<p>UV has been demonstrated to activate the MAPK signaling pathway and increase the expression of matrix metalloproteinases (MMPs), which promote degradation of collagen (<xref rid="b13-etm-0-0-5863" ref-type="bibr">13</xref>). Large-scale decomposition of collagen is the basis of photoaging (<xref rid="b14-etm-0-0-5863" ref-type="bibr">14</xref>,<xref rid="b15-etm-0-0-5863" ref-type="bibr">15</xref>).</p>
<p>UV light is absorbed by the skin molecules, and may produce a large number of harmful compounds, including hydrogen peroxide and superoxide anions, which are called reactive oxygen species (ROS). These promote oxidative damage to cell components, including cell walls, lipid membranes, mitochondria and DNA, and promote apoptosis, cellular aging and inflammation (<xref rid="b2-etm-0-0-5863" ref-type="bibr">2</xref>). ROS may also influence the photoaging process indirectly by affecting MAPK and transforming growth factor-&#x03B2; signaling (<xref rid="b9-etm-0-0-5863" ref-type="bibr">9</xref>). The mechanism of photoaging is complex and various regulatory signaling pathways have been associated with this process.</p>
<p>Polycomb group genes (PcG) encode chromatin modification proteins that control development and have key roles in the regulation mechanisms of cell proliferation, differentiation, aging and tumorigenesis (<xref rid="b16-etm-0-0-5863" ref-type="bibr">16</xref>). Because PcG relies on multiple protein complexes, it is called multiple comb inhibition complexes (PRCs). Polycomb repressive complex (PRC)1 and PRC2 are the active components of PcG (<xref rid="b17-etm-0-0-5863" ref-type="bibr">17</xref>).</p>
<p>In the PcG gene family, the subunit E(z) or EZH2 of the PRC2 complex serves a central role in gene regulation (<xref rid="b18-etm-0-0-5863" ref-type="bibr">18</xref>). EZH2 is involved in the formation of the chromatin structure, regulation of gene expression and growth control, and thus has pluripotency (<xref rid="b19-etm-0-0-5863" ref-type="bibr">19</xref>). Previous studies have indicated that the appearance of senescence-associated heterochromatic foci is associated with the increase of H3K9 methylation level in aging human fibroblasts (<xref rid="b20-etm-0-0-5863" ref-type="bibr">20</xref>).</p>
<p>The PRC1 complex subunit BMI-1 is a negative regulator of the inhibitor of CDK4/alternative reading frame (Ink4a/Arf) locus, which encodes cell cycle regulatory proteins and tumor suppressors, including P16Ink4a and P19Arf (<xref rid="b21-etm-0-0-5863" ref-type="bibr">21</xref>). However, little research exists on PcG epigenetic regulation in the photoaging process in human skin. Therefore, the present study aimed to investigate whether EZH2 and BMI-1 are involved in the regulation of UVA radiation-induced photoaging in human skin fibroblasts (HSFs). The effects of inhibitors on UVA radiation-induced photoaging in fibroblasts was investigated using the EZH2 inhibitor, GSK126. The results of the present study may provide a novel theoretical basis for the research and treatment of skin photoaging.</p>
</sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title/>
<sec>
<title>Cell culture</title>
<p>HSFs were purchased from CoBioer Biosciences Co., Ltd. (Nanjing, China). The cells were cultured in Dulbecco&#x0027;s modified Eagle medium (DMEM) (Gibco; Thermo Fisher Scientific, Inc., Waltham, MA, USA) supplemented with 10&#x0025; fetal bovine serum (ScienCell Research Laboratories, Inc., Carlsbad, CA USA), 1&#x0025; penicillin and 1&#x0025; streptomycin. The cells were incubated under 5&#x0025; CO<sub>2</sub> at 37&#x00B0;C.</p>
</sec>
<sec>
<title>Chemicals</title>
<p>GSK126 was purchased from Selleck Chemicals Scientific, Inc., Houston, TX, USA and dissolved in dimethyl sulfoxide. GSK126 was stored at &#x2212;20&#x00B0;C in a freezer and diluted with medium to a final concentration (2 &#x00B5;M) for experiments.</p>
<p>HSFs (1&#x00D7;10<sup>5</sup> cells/well) were seeded in 6-well plates with DMEM supplemented with 10&#x0025; fetal bovine serum, 1&#x0025; penicillin and 1&#x0025; streptomycin. Cells were incubated in an atmosphere containing 5&#x0025; CO<sub>2</sub> at 37&#x00B0;C for 24 h. The medium was replaced with different concentrations (0, 2, 4 and 8 &#x00B5;M) of GSK126. Once the cells were further incubated for 24 h at 37&#x00B0;C, the cells were collected for RNA extraction and further experiments.</p>
<p>HSFs (1&#x00D7;10<sup>5</sup> cells/well) were seeded in 6-well with DMEM containing 10&#x0025; fetal bovine serum, 1&#x0025; penicillin and 1&#x0025; streptomycin. The cells were incubated in an atmosphere containing 5&#x0025; CO<sub>2</sub> at 37&#x00B0;C for 24 h. Cells were divided into four groups: (&#x2212;), cells without UVA and GSK126; GSK126 (2 &#x00B5;M); UVA (10 J/cm<sup>2</sup>); and UVA (10 J/cm<sup>2</sup>)&#x002B;GSK126 (2 &#x00B5;M). The cell culture medium was replaced with an equal volume of sterile phosphate-buffered saline (PBS) in all groups (prior to radiation exposure in the irradiated groups). The radiation dose used was 10 J/cm<sup>2</sup> in the UVA (10 J/cm<sup>2</sup>) and UVA (10 J/cm<sup>2</sup>)&#x002B;GSK126 (2 &#x00B5;M) groups. The PBS was discarded at the end of UVA irradiation, media containing serum and antibiotics were added to the (&#x2212;) and UVA (10 J/cm<sup>2</sup>)&#x002B;GSK126 (2 &#x00B5;M) groups, media containing serum and antibiotics and 2 &#x00B5;M GSK126 was added to GSK126 (2 &#x00B5;M) and UVA (10 J/cm<sup>2</sup>)&#x002B;GSK126 (2 &#x00B5;M) groups, and cells were further incubated at 37&#x00B0;C for 24 h. Images of the cells were then captured with an optical microscope (magnification, &#x00D7;40) to observe the cell growth and collected for RNA extraction and further experiments.</p>
</sec>
<sec>
<title>UVA irradiation</title>
<p>The ZF-1 Three Ultraviolet analyzer (Shanghai HQ Instruments Co., Ltd., Shanghai, China) was used as a radiation source, the wavelength was set to 365 nm and an UV radiation meter (K&#x00FC;hnast Strahlungstechnik, Dresden, Germany) was used to measure the radiation dose. According to the experiment, the appropriate number of HSFs were inoculated onto the corresponding orifice plates and, 24 h later, the desired radiation dose (J/cm<sup>2</sup>) was selected for UV irradiation. The cell culture medium was replaced with an equal volume of sterile PBS prior to radiation exposure. The cells were placed under the UV analyzer for irradiation under sterile conditions and the irradiation height was &#x003C;2 cm. Following irradiation, PBS was replaced with fresh medium.</p>
</sec>
<sec>
<title>Cell viability assay</title>
<p>A cell counting kit-8 (CCK-8; Dojindo Molecular Technologies, Inc., Kumamoto, Japan) assay was used to determine cell viability, according to the manufacturer&#x0027;s instructions. It is based on dehydrogenase activity detection in viable cells. The formazan dye generated by dehydrogenases absorbs light at a wavelength of 450 nm. The amount of formazan dye in cells is directly proportional to the number of living cells.</p>
<p>HSFs were seeded into 96-well plates at a density of 0.5&#x00D7;10<sup>4</sup> cells/well, with 200 &#x00B5;l of culture medium per well in triplicate wells for each experimental group. When cells were adherent (24 h post seeding), they were divided into four different UVA treatment groups: 0, 2.5, 5 and 10 J/cm<sup>2</sup>. At specific time points after irradiation (0, 12 and 24 h), 20 &#x00B5;l of CCK-8 reagent was added to each well. After incubation for 1, 2, or 3 h at 37&#x00B0;C, absorbance was detected at 450 nm.</p>
</sec>
<sec>
<title>Hoechst staining</title>
<p>A Hoechst apoptosis staining kit (Beyotime Institute of Biotechnology, Haimen, China) was used to determine cellular apoptosis, according to the manufacturer&#x0027;s instructions. Under this staining, apoptotic nuclei demonstrate a dense white staining with fragmentation. Briefly, sterile cover slips were placed at the bottom of 6-well plates, and 0.3&#x00D7;10<sup>5</sup> cells in 2 ml of DMEM supplemented with 10&#x0025; fetal bovine serum, 1&#x0025; penicillin and 1&#x0025; streptomycin were added to each well. A total of 24 h after cell irradiation, the medium was removed and 0.5 ml of fixative solution was added. Cells were fixed for 10 min at room temperature. The cells were then washed twice with PBS for 3 min each time and 0.5 ml Hoechst 33258 staining solution was added. The cells were stained in a shaker for 5 min at room temperature and subsequently washed twice with PBS for 3 min each time. The cells were then carefully mounted onto a glass slide with a drop of fluorescence quenching mounting liquid. The cells were then observed under a fluorescence microscope.</p>
</sec>
<sec>
<title>Apoptosis detection by flow cytometry</title>
<p>A total of 1.0&#x00D7;10<sup>5</sup> HSFs in 2 ml of DMEM supplemented with 10&#x0025; fetal bovine serum, 1&#x0025; penicillin and 1&#x0025; streptomycin were added to each well of 6-well plates in triplicate wells for each experimental group. When cells were adherent for 24 h, they were exposed to different doses of irradiation (0, 2.5, 5 and 10 J/cm<sup>2</sup>). HSFs were transferred into 5-ml tubes and washed with PBS. An annexin V-FITC/PI apoptosis detection kit (Nanjing KGI Biological Technology Development Co., Ltd., Nanjing, China) was used to stain the nucleus according to the maunfacturer&#x0027;s instructions and the cells were resuspended in binding buffer (100 &#x00B5;l). Subsequently, cells were filtered into tubes through filter paper to remove cell clumps. Following this, 50 &#x00B5;l Annexin V-fluorescein isothiocyanate solution and 50 &#x00B5;l propidium iodide were added to each tube. The tubes containing the cells were then incubated in the dark at room temperature for 15 min. The cells were then analyzed by BD FACS Aria II SORP sorting flow cytometer (BD Biosciences, Franklin lake, NJ, USA). The excitation and emission wavelengths were 488 and 530 nm, respectively.</p>
</sec>
<sec>
<title>Senescence-associated &#x03B2;-galactosidase (SA-&#x03B2;-gal) staining</title>
<p>SA-&#x03B2;-gal activity was determined 24 h after UVA irradiation. A Senescence &#x03B2;-Galactosidase Staining Kit was performed, according to the manufacturer&#x0027;s instructions (Beyotime Institute of Biotechnology). A total of 0.3&#x00D7;10<sup>5</sup> cells in 2 ml of culture medium were added to each well of 6-well plates in triplicate for each experimental group. A total of 24 h after cell irradiation, cells were washed once with PBS at room temperature, and 1 ml &#x03B2;-gal staining fixative solution was added to each well. The cells were fixed for 15 min at room temperature. The fixative solution was discarded and the cells were washed three times with PBS, 3 min for each wash. Staining fluid (1 ml) was subsequently added to each well. A plastic wrap was used to seal the 6-well plates and cells were incubated overnight at 37&#x00B0;C. The following day, the cells were observed under an optical microscope.</p>
</sec>
<sec>
<title>Erythrocyte exclusion experiment (a particle exclusion assay)</title>
<p>Human peripheral blood (6 ml) was collected and the plasma and leukocyte layer were separated following centrifugation at 566 &#x00D7; g at 4&#x00B0;C for 5 min. Following this, erythrocytes were washed three times with PBS, 3 min for each wash at 4&#x00B0;C. The erythrocytes were fixed with 10&#x0025; formaldehyde solution (5:1; Nanjing KeyGen Biotech Co., Ltd., Nanjing, China) for 10 min at room temperature, then erythrocytes were washed three times with PBS, 3 min for each wash at 4&#x00B0;C and diluted to an erythrocyte suspension at a final concentration of 10<sup>7</sup> cells/ml. Cells were seeded in 6-well plates at 0.5&#x00D7;10<sup>4</sup> cells/well. Once the cells were irradiated for 24 h, 100 &#x00B5;l eythrocyte suspension was added to each well and the samples were incubated in an upright position for 5 min at 37&#x00B0;C. Fibroblasts were observed using a particle exclusion assay and images were captured using a Zeiss Axiovert phase-contrast microscope (<xref rid="b22-etm-0-0-5863" ref-type="bibr">22</xref>). Hyaluronidase (200 &#x00B5;l; 1 mg/ml; Sigma-Aldrich; Merck KGaA, Darmstadt, Germany) was added to the 0 J/cm<sup>2</sup> dose group, mixed gently, and incubated for 5 min at 37&#x00B0;C before fibroblasts were observed under a microscope and images were captured.</p>
</sec>
<sec>
<title>Reverse transcription-quantitative polymerase chain reaction (RT-qPCR)</title>
<p>Total RNA was isolated from HSFs using TRIzol (Invitrogen; Thermo Fisher Scientific, Inc.), according to the manufacturer&#x0027;s instructions, and quantified spectrophotometrically. Total RNA (1 &#x00B5;g) from each sample was subjected to first-strand cDNA synthesis using a PrimeScript&#x2122; RT reagent kit with gDNA Eraser (Takara Biotechnology Co., Ltd., Dalian, China), according to the kit&#x0027;s instructions. cDNA was generated after the removal of genomic DNA by treatment at 42&#x00B0;C for 2 min and subjected to the following thermocycling conditions: 37&#x00B0;C for 15 min, 85&#x00B0;C for 5 sec; and maintenance at 4&#x00B0;C.</p>
<p>A Takara PCR amplification kit (Takara Biotechnology Co., Ltd.) was used according to the manufacturer&#x0027;s protocol with a CFX Real-Time PCR Detection system (Bio-Rad Laboratories, Inc.) for qPCR. The fluorescent dye used was SYBR Green (Takara PCR amplification kit; Takara Biotechnology Co., Ltd.). The reaction conditions were as follows: Initial denaturation at 95&#x00B0;C for 3 min; and 45 cycles of denaturation at 95&#x00B0;C for 15 sec, annealing at 54&#x00B0;C for 20 sec and extension at 72&#x00B0;C for 30 sec. The primers used are demonstrated in <xref rid="tI-etm-0-0-5863" ref-type="table">Table I</xref>. Gene expression was normalized to the level of GAPDH in a given sample. The expression level of genes and gene alternative splicing products were calculated and analyzed using the 2<sup>&#x2212;&#x0394;&#x0394;Cq</sup> relative quantification method (<xref rid="b23-etm-0-0-5863" ref-type="bibr">23</xref>). Each experimental treatment was conducted in triplicate.</p>
</sec>
<sec>
<title>Statistical analysis</title>
<p>All data are presented as mean &#x00B1; standard deviation. Data was analyzed using SPSS software (version 22.0; IBM Corp., Armonk, NY, USA). Analysis of variance followed by Dunnett&#x0027;s test was performed. P&#x003C;0.05 was considered to indicate a statistically significant difference.</p>
</sec>
</sec>
</sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title/>
<sec>
<title>UVA radiation reduces fibroblast proliferation</title>
<p>As demonstrated in <xref rid="f1-etm-0-0-5863" ref-type="fig">Fig. 1</xref>, the fibroblast proliferation activity in the 2.5, 5 and 10 J/cm<sup>2</sup> dose groups decreased gradually with the increase of UVA radiation dose. The 10 J/cm<sup>2</sup> UVA radiation dose had the greatest effect on cell viability, indicating that 10 J/cm<sup>2</sup> of UVA radiation is able to markedly inhibit fibroblast proliferation (<xref rid="f1-etm-0-0-5863" ref-type="fig">Fig. 1</xref>).</p>
</sec>
<sec>
<title>UVA radiation promotes fibroblast apoptosis</title>
<p>Hoechst staining revealed that cells treated with UVA radiation demonstrated apoptotic nuclei, with a dense white dye or crushed nuclei shape (<xref rid="f2-etm-0-0-5863" ref-type="fig">Fig. 2A</xref>). Statistical analysis demonstrated that all doses of UVA radiation (2.5, 5 and 10 J/cm<sup>2</sup>) significantly promoted fibroblast apoptosis (P&#x003C;0.05) compared with the control group (0 J/cm<sup>2</sup>) in a dose-dependent manner. The 10 J/cm<sup>2</sup> dose promoted fibroblast apoptosis with the most significant effect (P&#x003C;0.01; <xref rid="f2-etm-0-0-5863" ref-type="fig">Fig. 2B</xref>). The 10 J/cm<sup>2</sup> UVA radiation dose demonstrated the most marked promotion of fibroblast apoptosis compared with the control group (<xref rid="f2-etm-0-0-5863" ref-type="fig">Fig. 2C and D</xref>). The detection of apoptosis by flow cytometry demonstrated that the number of all UVA radiation groups significantly increased compared to the control group (P&#x003C;0.05; <xref rid="f2-etm-0-0-5863" ref-type="fig">Fig. 2E</xref>).</p>
</sec>
<sec>
<title>UVA radiation induces fibroblast senescence</title>
<p>As demonstrated in <xref rid="f3-etm-0-0-5863" ref-type="fig">Fig. 3A</xref>, the blue precipitate indicated &#x03B2;-gal activity and the presence of senescent cells. UVA radiation induced changes in HSF cellular senescence. The 5 and 10 J/cm<sup>2</sup> dose radiation groups significantly induced cellular senescence compared with the control group (P&#x003C;0.05). The 10 J/cm<sup>2</sup> dose had the most significant effect on cellular senescence, whereas the 2.5 J/cm<sup>2</sup> radiation group had no significant effect on senescence compared with the control (0 J/cm<sup>2</sup>) group (<xref rid="f3-etm-0-0-5863" ref-type="fig">Fig. 3B</xref>).</p>
</sec>
<sec>
<title>UVA radiation reduces hyaluronic acid (HA) content</title>
<p>A particle exclusion assay demonstrated that UVA radiation decreased HA content around HSF cells. Compared with the control group (0 J/cm<sup>2</sup>), HSF cell exclusion to erythrocytes in the 10 J/cm<sup>2</sup> dose group decreased. The exclusion in the 0 J/cm<sup>2</sup> group disappeared after adding 100 &#x00B5;l hyaluronidase (1 mg/ml), indicating that the exclusion effect of red blood cells was caused by HA formation (<xref rid="f4-etm-0-0-5863" ref-type="fig">Fig. 4</xref>). As skin aging is predominantly a result of extracellular matrix reduction, of which, HA is one of the most important components, the decline of hyaluronan content is a sign of skin aging (<xref rid="b24-etm-0-0-5863" ref-type="bibr">24</xref>). Notably, fibroblasts are the primary generators of HA (<xref rid="b8-etm-0-0-5863" ref-type="bibr">8</xref>). In the present experiment, UVA radiation was indicated to reduce the synthesis of HA in fibroblasts, which demonstrated that a photoaging cell model was successfully established.</p>
</sec>
<sec>
<title>High-dose UVA radiation increases mRNA expression levels of BMI-1 and EZH2</title>
<p>RT-qPCR results demonstrated that, 24 h after UVA radiation of HSF cells, BMI-1 and EZH2 mRNA expression levels in the 10 J/cm<sup>2</sup> dose group were significantly upregulated (P&#x003C;0.05) compared with the control group (0 J/cm<sup>2</sup>; <xref rid="f5-etm-0-0-5863" ref-type="fig">Fig. 5</xref>). However, the other dose groups demonstrated no significant differences compared with the control group. The 10 J/cm<sup>2</sup> dose therefore had the most significant effect on fibroblast proliferation, promoting apoptosis, inducing senescence, reducing the surrounding HA content and upregulating the mRNA expression levels of BMI-1 and EZH2. Based on these results, the 10 J/cm<sup>2</sup> dose was selected as the UVA treatment dose for the photoaging model.</p>
</sec>
<sec>
<title>GSK126 inhibits EZH2 mRNA expression</title>
<p>GSK126 is a methyl transferase activity inhibitor that could selectively inhibit EZH2-methyl transferase activity. In the present study, the results demonstrated that GSK126 also inhibited the mRNA expression of EZH2. GSK126 at a concentration of 2 &#x00B5;M significantly inhibited <italic>EZH2</italic> expression compared with the control group (0 &#x00B5;M GSK126) at 12 and 24 h (P&#x003C;0.05). The mRNA expression of the <italic>EZH2</italic> was significantly downregulated after treatment of HSF cells for 12 and 24 h (P&#x003C;0.05; <xref rid="f6-etm-0-0-5863" ref-type="fig">Fig. 6</xref>). Therefore, 2 &#x00B5;M GSK126 was selected as the inhibitor concentration for further analyses.</p>
</sec>
<sec>
<title>GSK126 inhibits photoaging in fibroblasts</title>
<p>GSK126 inhibited the photoaging of fibroblasts as well as expression of the key genes in the PcG family. After treating cells for 48 h, cell growth state of the cells was observed under a microscope. It was demonstrated that the addition of 2 &#x00B5;M GSK126 did not significantly affect cell growth compared with the control group. However, a decrease in cell number, a poor growth state and UVA radiation-induced cellular senescence was observed in fibroblasts in the 10 J/cm<sup>2</sup> UVA irradiation group. Cell growth was largely unaffected in the UVA&#x002B;GSK126 group, suggesting that inhibitors may resist UVA radiation-induced fibroblast senescence (<xref rid="f7-etm-0-0-5863" ref-type="fig">Fig. 7A</xref>). RT-qPCR results demonstrated that the addition of GSK126 after UVA radiation significantly reduced the increase of EZH2 induced by UVA radiation (P&#x003C;0.05; <xref rid="f7-etm-0-0-5863" ref-type="fig">Fig. 7B</xref>). Following radiation, there was a significant increase in BMI-1 mRNA expression caused by the addition of GSK126 in the UVA&#x002B;GSK126 group compared with the UVA radiation group (P&#x003C;0.05; <xref rid="f7-etm-0-0-5863" ref-type="fig">Fig. 7C</xref>). This may be closely linked to GSK126 resisting fibroblast senescence.</p>
<p>The effect of UVA radiation and GSK126 on HA anabolic family-related gene expression was analyzed. RT-qPCR analysis demonstrated that after 10 J/cm<sup>2</sup> UVA radiation on HSF cells, HA synthase 1 (HAS1), HAS2, HAS3, CD44 and hyaluronidase (Hyal-1) were upregulated, with the highest expression observed for HAS1, compared with the control group without any treatment (P&#x003C;0.05; <xref rid="f8-etm-0-0-5863" ref-type="fig">Fig. 8A-E</xref>). After adding GSK126 inhibitors, the upregulation of HAS1 and Hyal-1 in the UVA group was significantly inhibited (P&#x003C;0.05; <xref rid="f8-etm-0-0-5863" ref-type="fig">Fig. 8A</xref>). However, HAS2, HAS3, CD44 in the UVA&#x002B;GSK126 group were significantly upregulated (P&#x003C;0.05; <xref rid="f8-etm-0-0-5863" ref-type="fig">Fig. 8B-E</xref>) compared with the UVA group, whereas Hyal-2 expression did not change significantly change (<xref rid="f8-etm-0-0-5863" ref-type="fig">Fig. 8F</xref>).</p>
<p>Following this, the effect of UVA radiation and GSK126 on HSF cell photoaging molecular pathways was investigated (<xref rid="f9-etm-0-0-5863" ref-type="fig">Fig. 9</xref>). RT-qPCR demonstrated that epidermal growth factor receptor (EGFR), smad2, smad4, P16 and matrix metalloproteinase-1 (MMP-1) mRNA expression levels were upregulated after 10 J/cm<sup>2</sup> UVA radiation on HSF cells. After the addition of GSK126, upregulation of smad2, smad4 and MMP-1 was significantly inhibited (P&#x003C;0.05; <xref rid="f9-etm-0-0-5863" ref-type="fig">Fig. 9C, D and F</xref>). However, the upregulation of P16 gene expression was further promoted with the addition of GSK126 (P&#x003C;0.05; <xref rid="f9-etm-0-0-5863" ref-type="fig">Fig. 9E</xref>). Addition of GSK126 had no significant effect on epidermal growth factor (EGF) and EGFR expression after UVA radiation (<xref rid="f9-etm-0-0-5863" ref-type="fig">Fig. 9A and B</xref>).</p>
</sec>
</sec>
</sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>Photoaging is the most common form of chronic sun-induced skin damage due to prolonged exposure. Dermal connective tissue changes induced by long-term UV irradiation lead to light skin damage and the appearance of aging (<xref rid="b25-etm-0-0-5863" ref-type="bibr">25</xref>). As the primary producers of the ECM scaffold, dermal fibroblasts are the basis of the occurrence of photoaging (<xref rid="b8-etm-0-0-5863" ref-type="bibr">8</xref>,<xref rid="b26-etm-0-0-5863" ref-type="bibr">26</xref>,<xref rid="b27-etm-0-0-5863" ref-type="bibr">27</xref>). Due to its long wavelength, UVA may reach the skin up to the dermis, which is the main cause of photoaging (<xref rid="b28-etm-0-0-5863" ref-type="bibr">28</xref>). Therefore, the present study utilized HSF cells, and UVA radiation of fibroblasts was used to establish an <italic>in vitro</italic> aging model to observe the effect of UVA radiation and GSK126 on HSF cell senescence. It was demonstrated that HSF cell proliferation activity decreased, the percentage of apoptotic cells increased significantly, cell senescence increased and HA content around HSF cells decreased (i.e. the cell phenotype changed considerably) after UVA radiation on fibroblasts at a dose of 10 J/cm<sup>2</sup>. Niu <italic>et al</italic> (<xref rid="b29-etm-0-0-5863" ref-type="bibr">29</xref>) and Lan <italic>et al</italic> (<xref rid="b30-etm-0-0-5863" ref-type="bibr">30</xref>) demonstrated that UVA radiation induced a significant decrease in fibroblast proliferation activity, which is consistent with the results of the present study.</p>
<p>In the study of the photoaging mechanism, it was previously demonstrated that UV radiation may lead to the apoptosis of a large number of dermal fibroblasts (light damage), and apoptosis promoted the development of photoaging (<xref rid="b9-etm-0-0-5863" ref-type="bibr">9</xref>,<xref rid="b31-etm-0-0-5863" ref-type="bibr">31</xref>). Hoechst staining and flow cytometry methods were utilized in the present study to determine whether UVA radiation was able to induce fibroblast apoptosis, which was more obvious at higher radiation doses. This demonstrated that UVA radiation may cause direct fibroblast photodamage, resulting in fibroblast cell apoptosis; however, determination of the molecular mechanisms involved requires further investigation.</p>
<p>UVA radiation may reduce fibroblast HA synthesis and promote the occurrence of aging. An erythrocyte exclusion experiment was performed in the present study and it was determined that the particle size exclusion effect of red blood cells surrounding HSF cells decreased after UVA radiation. The size exclusion effect to red blood cells in the 10 J/cm<sup>2</sup> dose group almost disappeared, indicating that UVA radiation may lead to the decrease of HA content surrounding HSF cells.</p>
<p>The increase in &#x03B2;-gal activity levels within senescent cells is an indicator of cellular senescence (<xref rid="b32-etm-0-0-5863" ref-type="bibr">32</xref>,<xref rid="b33-etm-0-0-5863" ref-type="bibr">33</xref>). Fibroblast senescence is the basis of photoaging and UVA/UVB radiation are able to induce fibroblast senescence. A study by Wang <italic>et al</italic> (<xref rid="b34-etm-0-0-5863" ref-type="bibr">34</xref>) used &#x03B2;-gal staining after UVA irradiation of HSFs for 24 h and demonstrated that the percentage of senescent cells increased from 13.14&#x00B1;1.80 to 56.72&#x00B1;2.04&#x0025;. In the present study, UVA radiation successfully induced fibroblast senescence. The results also demonstrated that UVA radiation induced a greater extent of HSF cell senescence at 10 J/cm<sup>2</sup> compared to lower doses.</p>
<p>In the present study, HSFs were subjected to UVA irradiation in order to induce apoptosis and senescence, thus decreasing cell proliferation. The most notable effect of UVA irradiation was observed at a dose of 10 J/cm<sup>2</sup>. In addition, HA around the cells at this dose disappeared, and therefore it was concluded that 10 J/cm<sup>2</sup> UVA radiation may successfully be applied to HSFs to establish an <italic>in vitro</italic> model of photoaging. It was also demonstrated that EZH2 and BMI-1 mRNA expression levels were upregulated significantly after 10 J/cm<sup>2</sup> of UVA radiation on HSF cells. Accordingly, it was speculated that the occurrence of HSF cell photoaging was closely related to the PcG family.</p>
<p>In the present study GSK126 was selected as the interfering factor of HSF photoaging, and it was demonstrated that fibroblasts restored growth after the addition of GSK126 following the UVA radiation-induced aging state. Furthermore, GSK126 significantly inhibited the upregulation of EZH2 mRNA expression induced by UVA radiation in photoaging HSF cells. It was suspected that the downregulation of EZH2 by GSK126 resulted in the decrease of H3K9 methylation levels and inhibited the formation of aging-associated heterochromatic loci (<xref rid="b20-etm-0-0-5863" ref-type="bibr">20</xref>,<xref rid="b35-etm-0-0-5863" ref-type="bibr">35</xref>), thus preventing fibroblast senescence.</p>
<p>BMI-1 is a negative regulator of the inhibitor of Ink4a/Arf locus (<xref rid="b36-etm-0-0-5863" ref-type="bibr">36</xref>). The overexpression of BMI-1 in BMI-1 deficient primary mouse embryonic fibroblasts results in downregulation of P16 gene expression, as well as promotion of cell immortalization and anti-aging (<xref rid="b37-etm-0-0-5863" ref-type="bibr">37</xref>). As a negative regulator of the cell cycle, the increase in P16 is closely associated with cellular aging (<xref rid="b36-etm-0-0-5863" ref-type="bibr">36</xref>). The present study demonstrated that both BMI-1 and P16 expression after UVA radiation of HSF cells in the photoaging model increased, while GSK126 further promoted the expression of BMI-1 and P16. It was hypothesized that the simultaneous increase of BMI-1 and P16 interfered with the cell aging process. However, further studies are required to determine the exact mechanism.</p>
<p>Dermis HA has a vital role in strong hydrophilic interactions, keeping the skin moist and reducing the aging process (<xref rid="b38-etm-0-0-5863" ref-type="bibr">38</xref>,<xref rid="b39-etm-0-0-5863" ref-type="bibr">39</xref>). The present study demonstrated that the expression of all three HAS and CD44 in the UVA radiation HSF cell photoaging model were upregulated, with HAS1 demonstrating the highest expression. GSK126 significantly reduced the upregulation of HAS1. The inhibitor also downregulated the expression of smad2 and smad4, whereas there was no significant difference in EGF and EGFR expression compared with UVA-treated cells. Based on these findings, it was hypothesized that GSK26 inhibits the CD44-EGFR-extracellular signal-regulated kinase (ERK) co-localization signal system by downregulating HAS1, smad2 and smad4, thus inhibiting the differentiation of fibroblasts into myofibroblasts and impeding scar repair. The upregulation of HAS2, HAS3 and CD44 promoted the synthesis and secretion of HA, as well as the proliferation and migration of fibroblasts, However, HAS2, HAS3 and CD44 upregulation inhibited apoptosis and induced the regeneration and adhesion of keratinocytes (<xref rid="b39-etm-0-0-5863" ref-type="bibr">39</xref>). Furthermore, HAS2 upregulation may enhance the ability of HSF cells to block apoptosis. HAS3 upregulation has been demonstrated to promote the synthesis of a large number of small molecular weight HA, accelerate blood circulation and metabolism, and reduce the damage of reactive oxygen species and other substances to cells (<xref rid="b10-etm-0-0-5863" ref-type="bibr">10</xref>).</p>
<p>MMPs are a class of enzymes that cause the reduction of the ECM. The increased activity of MMPs may reduce the expression of type I collagen, which is one of the causes of skin aging (<xref rid="b40-etm-0-0-5863" ref-type="bibr">40</xref>,<xref rid="b41-etm-0-0-5863" ref-type="bibr">41</xref>). The results of the present study demonstrated that MMP-1 gene expression was upregulated in UVA irradiated HSF cells in the photoaging model, indicating that the decomposition of collagen increased after UVA radiation. However, GSK126 significantly suppressed the upregulation of MMP-1 gene expression, thus reducing the degradation of collagen and resisting the effect of UVA radiation on fibroblast aging.</p>
<p>Sustained oxidative stress and the DNA damage response are closely related to cellular senescence (<xref rid="b42-etm-0-0-5863" ref-type="bibr">42</xref>). A previous study indicated that the nuclear factor (NF1)/smad4 transcriptional repressor protein complex was able to inhibit adenine nucleotide translocase 2 (ANT2) transcription-mediated oxidative shock and DNA damage response in aged fibroblasts (<xref rid="b43-etm-0-0-5863" ref-type="bibr">43</xref>). The results of the present study demonstrated that smad4 gene expression was upregulated in UVA irradiated HSF cells in the photoaging model. However, GSK126 significantly inhibited this effect, thereby reducing formation of the NF1/smad4 complex, promoting ANT2 transcription, reducing oxidative stress and the DNA damage response, and blocking the oxidative stress effects mediated by UVA radiation.</p>
<p>In conclusion, in the present study, PcG family control was closely related to UVA radiation-induced fibroblast photoaging. As a key gene, EZH2 had a vital role in the process of photoaging. GSK126 inhibited histone methylation catalytic activity and suppressed EZH2 gene expression. This inhibition may block UVA radiation-induced cell HSF aging through various mechanisms, such as reducing H3K9 methylation levels, inhibiting the formation of aging-associated heterochromatic loci, and interfering with cellular senescence by upregulating the expression of BMI-1 and P16 genes. Furthermore, GSK126 may differentially regulate the three kinds of HAS to inhibit the differentiation of fibroblasts into myofibroblasts, thus inhibiting scar repair, increasing the synthesis and secretion of HA, promoting the proliferation and migration of fibroblasts, accelerating blood circulation and metabolism and enhancing the ability of HSF cells against apoptosis. GSK1 also inhibited MMP-1 gene expression to reduce the degradation of collagen, inhibited Hyal-1 gene expression to reduce the degradation of HA, inhibited the expression of the smad4 gene to promote ANT2 transcription, reduced oxidative stress and DNA damage. However, the experimental study only measured gene expression. Therefore, analysis of the specific regulation modes and mechanisms of the PcG family is required for future studies.</p>
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<ack>
<title>Acknowledgements</title>
<p>The present study was supported by the National Natural Foundation of China (The Correlation Study between Chronic Delayed Wound Healing in Rats and Pseudomonas Aeruginosa Biofilm; grant no. 81372068).</p>
</ack>
<sec>
<title>Competing interests</title>
<p>The authors declare that they have no competing interests.</p>
</sec>
<ref-list>
<title>References</title>
<ref id="b1-etm-0-0-5863"><label>1</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Krutmann</surname><given-names>J</given-names></name><name><surname>Bouloc</surname><given-names>A</given-names></name><name><surname>Sore</surname><given-names>G</given-names></name><name><surname>Bernard</surname><given-names>BA</given-names></name><name><surname>Passeron</surname><given-names>T</given-names></name></person-group><article-title>The skin aging exposome</article-title><source>J Dermatol Sci</source><volume>85</volume><fpage>152</fpage><lpage>161</lpage><year>2017</year><pub-id pub-id-type="doi">10.1016/j.jdermsci.2016.09.015</pub-id><pub-id pub-id-type="pmid">27720464</pub-id></element-citation></ref>
<ref id="b2-etm-0-0-5863"><label>2</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Peres</surname><given-names>PS</given-names></name><name><surname>Terra</surname><given-names>VA</given-names></name><name><surname>Guarnier</surname><given-names>FA</given-names></name><name><surname>Cecchini</surname><given-names>R</given-names></name><name><surname>Cecchini</surname><given-names>AL</given-names></name></person-group><article-title>Photoaging and chronological aging profile: Understanding oxidation of the skin</article-title><source>J Photochem Photobiol B</source><volume>103</volume><fpage>93</fpage><lpage>97</lpage><year>2011</year><pub-id pub-id-type="doi">10.1016/j.jphotobiol.2011.01.019</pub-id><pub-id pub-id-type="pmid">21356598</pub-id></element-citation></ref>
<ref id="b3-etm-0-0-5863"><label>3</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Li</surname><given-names>W</given-names></name><name><surname>Zhou</surname><given-names>BR</given-names></name><name><surname>Hua</surname><given-names>LJ</given-names></name><name><surname>Guo</surname><given-names>Z</given-names></name><name><surname>Luo</surname><given-names>D</given-names></name></person-group><article-title>Differential miRNA profile on photoaged primary human fibroblasts irradiated with ultraviolet A</article-title><source>Tumour Biol</source><volume>34</volume><fpage>3491</fpage><lpage>500</lpage><year>2013</year><pub-id pub-id-type="doi">10.1007/s13277-013-0927-4</pub-id><pub-id pub-id-type="pmid">23832538</pub-id></element-citation></ref>
<ref id="b4-etm-0-0-5863"><label>4</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Gilchrest</surname><given-names>BA</given-names></name></person-group><article-title>Photoaging</article-title><source>J Invest Dermatol</source><volume>133</volume><fpage>E2</fpage><lpage>E6</lpage><year>2013</year><pub-id pub-id-type="doi">10.1038/skinbio.2013.176</pub-id><pub-id pub-id-type="pmid">23820721</pub-id></element-citation></ref>
<ref id="b5-etm-0-0-5863"><label>5</label><element-citation publication-type="book"><person-group person-group-type="author"><name><surname>Lavker</surname><given-names>RM</given-names></name></person-group><source>Cutaneous aging: Chronologic versus photoaging</source><source>Photodamage</source><person-group person-group-type="editor"><name><surname>Gilchrest</surname><given-names>B</given-names></name></person-group><edition>1st</edition><publisher-name>Wiley-Blackwell</publisher-name><publisher-loc>Cambridge, MA</publisher-loc><fpage>123</fpage><lpage>135</lpage><year>1995</year></element-citation></ref>
<ref id="b6-etm-0-0-5863"><label>6</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Helfrich</surname><given-names>YR</given-names></name><name><surname>Sachs</surname><given-names>DL</given-names></name><name><surname>Voorhees</surname><given-names>JJ</given-names></name></person-group><article-title>Overview of skin aging and photoaging</article-title><source>Dermatol Nurs</source><volume>20</volume><fpage>177</fpage><lpage>184</lpage><year>2008</year><pub-id pub-id-type="pmid">18649702</pub-id></element-citation></ref>
<ref id="b7-etm-0-0-5863"><label>7</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Thangapazham</surname><given-names>RL</given-names></name><name><surname>Darling</surname><given-names>TN</given-names></name><name><surname>Meyerle</surname><given-names>J</given-names></name></person-group><article-title>Alteration of skin properties with autologous dermal fibroblasts</article-title><source>Int J Mol Sci</source><volume>15</volume><fpage>8407</fpage><lpage>8427</lpage><year>2014</year><pub-id pub-id-type="doi">10.3390/ijms15058407</pub-id><pub-id pub-id-type="pmid">24828202</pub-id></element-citation></ref>
<ref id="b8-etm-0-0-5863"><label>8</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wong</surname><given-names>T</given-names></name><name><surname>McGrath</surname><given-names>JA</given-names></name><name><surname>Navsaria</surname><given-names>H</given-names></name></person-group><article-title>The role of fibroblasts in tissue engineering and regeneration</article-title><source>Br J Dermatol</source><volume>156</volume><fpage>1149</fpage><lpage>1155</lpage><year>2007</year><pub-id pub-id-type="doi">10.1111/j.1365-2133.2007.07914.x</pub-id><pub-id pub-id-type="pmid">17535219</pub-id></element-citation></ref>
<ref id="b9-etm-0-0-5863"><label>9</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Fisher</surname><given-names>GJ</given-names></name><name><surname>Kang</surname><given-names>S</given-names></name><name><surname>Varani</surname><given-names>J</given-names></name><name><surname>Bata-Csorgo</surname><given-names>Z</given-names></name><name><surname>Wan</surname><given-names>Y</given-names></name><name><surname>Datta</surname><given-names>S</given-names></name><name><surname>Voorhees</surname><given-names>JJ</given-names></name></person-group><article-title>Mechanisms of photoaging and chronological skin aging</article-title><source>Arch Dermatol</source><volume>138</volume><fpage>1462</fpage><lpage>1470</lpage><year>2002</year><pub-id pub-id-type="doi">10.1001/archderm.138.11.1462</pub-id><pub-id pub-id-type="pmid">12437452</pub-id></element-citation></ref>
<ref id="b10-etm-0-0-5863"><label>10</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname><given-names>Y</given-names></name><name><surname>Lauer</surname><given-names>ME</given-names></name><name><surname>Anand</surname><given-names>S</given-names></name><name><surname>Mack</surname><given-names>JA</given-names></name><name><surname>Maytin</surname><given-names>EV</given-names></name></person-group><article-title>Hyaluronan synthase 2 protects skin fibroblasts against apoptosis induced by environmental stress</article-title><source>J Biol Chem</source><volume>289</volume><fpage>32253</fpage><lpage>32265</lpage><year>2014</year><pub-id pub-id-type="doi">10.1074/jbc.M114.578377</pub-id><pub-id pub-id-type="pmid">25266724</pub-id></element-citation></ref>
<ref id="b11-etm-0-0-5863"><label>11</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Entwistle</surname><given-names>J</given-names></name><name><surname>Hall</surname><given-names>CL</given-names></name><name><surname>Turley</surname><given-names>EA</given-names></name></person-group><article-title>HA receptors: Regulators of signalling to the cytoskeleton</article-title><source>J Cell Biochem</source><volume>61</volume><fpage>569</fpage><lpage>577</lpage><year>1996</year><pub-id pub-id-type="doi">10.1002/(SICI)1097-4644(19960616)61:4&#x003C;569::AID-JCB10&#x003E;3.0.CO;2-B</pub-id><pub-id pub-id-type="pmid">8806080</pub-id></element-citation></ref>
<ref id="b12-etm-0-0-5863"><label>12</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ghersetich</surname><given-names>I</given-names></name></person-group><article-title>Management of aging skin</article-title><source>J Eur Acad Dermatol Venereol</source><volume>9</volume><fpage>51</fpage><year>1997</year><pub-id pub-id-type="doi">10.1016/S0926-9959(97)89045-9</pub-id></element-citation></ref>
<ref id="b13-etm-0-0-5863"><label>13</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Chen</surname><given-names>T</given-names></name><name><surname>Hou</surname><given-names>H</given-names></name><name><surname>Fan</surname><given-names>Y</given-names></name><name><surname>Wang</surname><given-names>S</given-names></name><name><surname>Chen</surname><given-names>Q</given-names></name><name><surname>Si</surname><given-names>L</given-names></name><name><surname>Li</surname><given-names>B</given-names></name></person-group><article-title>Protective effect of gelatin peptides from pacific cod skin against photoaging by inhibiting the expression of MMPs via MAPK signaling pathway</article-title><source>J Photochem Photobiol B</source><volume>165</volume><fpage>34</fpage><lpage>41</lpage><year>2016</year><pub-id pub-id-type="doi">10.1016/j.jphotobiol.2016.10.015</pub-id><pub-id pub-id-type="pmid">27768951</pub-id></element-citation></ref>
<ref id="b14-etm-0-0-5863"><label>14</label><element-citation publication-type="conference"><person-group person-group-type="author"><name><surname>Quan</surname><given-names>T</given-names></name><name><surname>Qin</surname><given-names>Z</given-names></name><name><surname>Xia</surname><given-names>W</given-names></name><name><surname>Shao</surname><given-names>Y</given-names></name><name><surname>Voorhees</surname><given-names>JJ</given-names></name><name><surname>Fisher</surname><given-names>GJ</given-names></name></person-group><article-title>Matrix-degrading metalloproteinases in photoaging</article-title><source>J Investig Dermatol Symp Proc</source><volume>14</volume><fpage>20</fpage><lpage>24</lpage><conf-date>2009</conf-date><pub-id pub-id-type="doi">10.1038/jidsymp.2009.8</pub-id><pub-id pub-id-type="pmid">19675548</pub-id></element-citation></ref>
<ref id="b15-etm-0-0-5863"><label>15</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Hsu</surname><given-names>LY</given-names></name><name><surname>Nien</surname><given-names>CY</given-names></name><name><surname>Huang</surname><given-names>WM</given-names></name><name><surname>Hsu</surname><given-names>SC</given-names></name><name><surname>Chang</surname><given-names>TC</given-names></name></person-group><article-title>Synthesis and protective effects of bis{4-[N,N-di-(carboxymethyl)amino]phenoxy}alkane derivatives on UVA-induced production of MMP-1 in human skin fibroblasts</article-title><source>Chem Pharm Bull (Tokyo)</source><volume>62</volume><fpage>867</fpage><lpage>874</lpage><year>2014</year><pub-id pub-id-type="doi">10.1248/cpb.c14-00071</pub-id><pub-id pub-id-type="pmid">25177015</pub-id></element-citation></ref>
<ref id="b16-etm-0-0-5863"><label>16</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Otte</surname><given-names>AP</given-names></name><name><surname>Kwaks</surname><given-names>TH</given-names></name></person-group><article-title>Gene repression by polycomb group protein complexes: A distinct complex for every occasion?</article-title><source>Curr Opin Genet Dev</source><volume>13</volume><fpage>448</fpage><lpage>454</lpage><year>2003</year><pub-id pub-id-type="doi">10.1016/S0959-437X(03)00108-4</pub-id><pub-id pub-id-type="pmid">14550408</pub-id></element-citation></ref>
<ref id="b17-etm-0-0-5863"><label>17</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Golbabapour</surname><given-names>S</given-names></name><name><surname>Majid</surname><given-names>NA</given-names></name><name><surname>Hassandarvish</surname><given-names>P</given-names></name><name><surname>Hajrezaie</surname><given-names>M</given-names></name><name><surname>Abdulla</surname><given-names>MA</given-names></name><name><surname>Hadi</surname><given-names>AH</given-names></name></person-group><article-title>Gene silencing and Polycomb group proteins: An overview of their structure, mechanisms andphylogenetics</article-title><source>OMICS</source><volume>17</volume><fpage>283</fpage><lpage>296</lpage><year>2013</year><pub-id pub-id-type="doi">10.1089/omi.2012.0105</pub-id><pub-id pub-id-type="pmid">23692361</pub-id></element-citation></ref>
<ref id="b18-etm-0-0-5863"><label>18</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Koubi</surname><given-names>M</given-names></name><name><surname>Chabannon</surname><given-names>C</given-names></name><name><surname>Duprez</surname><given-names>E</given-names></name></person-group><article-title>The biological complexity of Polycomb group proteins: The case of EZH2</article-title><source>Med Sci (Paris)</source><volume>33</volume><fpage>499</fpage><lpage>505</lpage><year>2017</year><comment>(In French)</comment><pub-id pub-id-type="doi">10.1051/medsci/20173305013</pub-id><pub-id pub-id-type="pmid">28612725</pub-id></element-citation></ref>
<ref id="b19-etm-0-0-5863"><label>19</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Gall Tro&#x0161;elj</surname><given-names>K</given-names></name><name><surname>Novak Kujundzic</surname><given-names>R</given-names></name><name><surname>Ugarkovic</surname><given-names>D</given-names></name></person-group><article-title>Polycomb repressive complex&#x0027;s evolutionary conserved function: The role of EZH2 status and cellular background</article-title><source>Clin Epigenetics</source><volume>8</volume><fpage>55</fpage><year>2016</year><pub-id pub-id-type="doi">10.1186/s13148-016-0226-1</pub-id><pub-id pub-id-type="pmid">27239242</pub-id></element-citation></ref>
<ref id="b20-etm-0-0-5863"><label>20</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Narita</surname><given-names>M</given-names></name><name><surname>N&#x0169;nez</surname> <given-names>S</given-names></name><name><surname>Heard</surname><given-names>E</given-names></name><name><surname>Narita</surname><given-names>M</given-names></name><name><surname>Lin</surname><given-names>AW</given-names></name><name><surname>Hearn</surname><given-names>SA</given-names></name><name><surname>Spector</surname><given-names>DL</given-names></name><name><surname>Hannon</surname><given-names>GJ</given-names></name><name><surname>Lowe</surname><given-names>SW</given-names></name></person-group><article-title>Rb-mediated matin formation and silencing of E2F target genes during cellular senescence</article-title><source>Cell</source><volume>113</volume><fpage>703</fpage><lpage>716</lpage><year>2003</year><pub-id pub-id-type="doi">10.1016/S0092-8674(03)00401-X</pub-id><pub-id pub-id-type="pmid">12809602</pub-id></element-citation></ref>
<ref id="b21-etm-0-0-5863"><label>21</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Jacobs</surname><given-names>JL</given-names></name><name><surname>van Lohuizen</surname><given-names>M</given-names></name></person-group><article-title>Polycomb repression: From cellular memory to cellular proliferation and cancer</article-title><source>Biochim Biophys Acta</source><volume>1602</volume><fpage>151</fpage><lpage>161</lpage><year>2002</year><pub-id pub-id-type="pmid">12020801</pub-id></element-citation></ref>
<ref id="b22-etm-0-0-5863"><label>22</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Bernert</surname><given-names>B</given-names></name><name><surname>Porsch</surname><given-names>H</given-names></name><name><surname>Heldin</surname><given-names>P</given-names></name></person-group><article-title>Hyaluronan synthase 2 (HAS2) promotes breast cancer cell invasion by suppression of tissue metalloproteinase inhibitor 1 (TIMP-1)</article-title><source>J Biol Chem</source><volume>286</volume><fpage>42349</fpage><lpage>42359</lpage><year>2011</year><pub-id pub-id-type="doi">10.1074/jbc.M111.278598</pub-id><pub-id pub-id-type="pmid">22016393</pub-id></element-citation></ref>
<ref id="b23-etm-0-0-5863"><label>23</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Livak</surname><given-names>KJ</given-names></name><name><surname>Schmittgen</surname><given-names>TD</given-names></name></person-group><article-title>Analysis of relative gene expression data using real-time quantitative PCR and the 2(-Delta Delta C(T)) method</article-title><source>Methods</source><volume>25</volume><fpage>402</fpage><lpage>408</lpage><year>2001</year><pub-id pub-id-type="doi">10.1006/meth.2001.1262</pub-id><pub-id pub-id-type="pmid">11846609</pub-id></element-citation></ref>
<ref id="b24-etm-0-0-5863"><label>24</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Nobile</surname><given-names>V</given-names></name><name><surname>Buonocore</surname><given-names>D</given-names></name><name><surname>Michelotti</surname><given-names>A</given-names></name><name><surname>Marzatico</surname><given-names>F</given-names></name></person-group><article-title>Anti-aging and filling efficacy of six types hyaluronic acid based dermo-cosmetic treatment: Double blind, randomized clinical trial of efficacy and safety</article-title><source>J Cosmet Dermatol</source><volume>13</volume><fpage>277</fpage><lpage>287</lpage><year>2014</year><pub-id pub-id-type="doi">10.1111/jocd.12120</pub-id><pub-id pub-id-type="pmid">25399620</pub-id></element-citation></ref>
<ref id="b25-etm-0-0-5863"><label>25</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kurban</surname><given-names>RS</given-names></name><name><surname>Bhawan</surname><given-names>J</given-names></name></person-group><article-title>Histologic changes in skin associated with aging</article-title><source>J Dermatol Surg Oncol</source><volume>16</volume><fpage>908</fpage><lpage>914</lpage><year>1990</year><pub-id pub-id-type="doi">10.1111/j.1524-4725.1990.tb01554.x</pub-id><pub-id pub-id-type="pmid">2229632</pub-id></element-citation></ref>
<ref id="b26-etm-0-0-5863"><label>26</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Quan</surname><given-names>T</given-names></name><name><surname>Wang</surname><given-names>F</given-names></name><name><surname>Shao</surname><given-names>Y</given-names></name><name><surname>Ritti&#x00E9;</surname><given-names>L</given-names></name><name><surname>Xia</surname><given-names>W</given-names></name><name><surname>Orringer</surname><given-names>JS</given-names></name><name><surname>Voorhees</surname><given-names>JJ</given-names></name><name><surname>Fisher</surname><given-names>GJ</given-names></name></person-group><article-title>Enhancing structural support of the dermal microenvironment activates fibroblasts, endothelial cells and keratinocytes in aged human skin in vivo</article-title><source>J Invest Dermatol</source><volume>133</volume><fpage>658</fpage><lpage>667</lpage><year>2013</year><pub-id pub-id-type="doi">10.1038/jid.2012.364</pub-id><pub-id pub-id-type="pmid">23096713</pub-id></element-citation></ref>
<ref id="b27-etm-0-0-5863"><label>27</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Werner</surname><given-names>S</given-names></name><name><surname>Krieg</surname><given-names>T</given-names></name><name><surname>Smola</surname><given-names>H</given-names></name></person-group><article-title>Keratinocyte-fibroblast interactions in wound healing</article-title><source>J Invest Dermatol</source><volume>127</volume><fpage>998</fpage><lpage>1008</lpage><year>2007</year><pub-id pub-id-type="doi">10.1038/sj.jid.5700786</pub-id><pub-id pub-id-type="pmid">17435785</pub-id></element-citation></ref>
<ref id="b28-etm-0-0-5863"><label>28</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Philips</surname><given-names>N</given-names></name><name><surname>Tuason</surname><given-names>M</given-names></name><name><surname>Chang</surname><given-names>T</given-names></name><name><surname>Lin</surname><given-names>Y</given-names></name><name><surname>Tahir</surname><given-names>M</given-names></name><name><surname>Rodriguez</surname><given-names>SG</given-names></name></person-group><article-title>Differential effects of ceramide on cell via-bility and extracellular matrix remodeling in keratinocytes and fibroblasts</article-title><source>Skin Pharmacol Physiol</source><volume>22</volume><fpage>151</fpage><lpage>157</lpage><year>2009</year><pub-id pub-id-type="doi">10.1159/000208168</pub-id><pub-id pub-id-type="pmid">19276645</pub-id></element-citation></ref>
<ref id="b29-etm-0-0-5863"><label>29</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Niu</surname><given-names>T</given-names></name><name><surname>Tian</surname><given-names>Y</given-names></name><name><surname>Cai</surname><given-names>Q</given-names></name><name><surname>Ren</surname><given-names>Q</given-names></name><name><surname>Wei</surname><given-names>L</given-names></name></person-group><article-title>Red light combined with blue light irradiation regulates proliferation and apoptosis in skin keratinocytes in combination with low concentrations of curcumin</article-title><source>PLoS One</source><volume>10</volume><fpage>e0138754</fpage><year>2015</year><pub-id pub-id-type="doi">10.1371/journal.pone.0138754</pub-id><pub-id pub-id-type="pmid">26382065</pub-id></element-citation></ref>
<ref id="b30-etm-0-0-5863"><label>30</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lan</surname><given-names>CC</given-names></name><name><surname>Ho</surname><given-names>PY</given-names></name><name><surname>Wu</surname><given-names>CS</given-names></name><name><surname>Yang</surname><given-names>RC</given-names></name><name><surname>Yu</surname><given-names>HS</given-names></name></person-group><article-title>LED 590 nm photomodulation reduces UVA-induced metalloproteinase-1 expression via upregulation of antioxidant enzyme catalase</article-title><source>J Dermatol Sci</source><volume>78</volume><fpage>125</fpage><lpage>132</lpage><year>2015</year><pub-id pub-id-type="doi">10.1016/j.jdermsci.2015.02.018</pub-id><pub-id pub-id-type="pmid">25816722</pub-id></element-citation></ref>
<ref id="b31-etm-0-0-5863"><label>31</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Li</surname><given-names>DX</given-names></name><name><surname>Deng</surname><given-names>TZ</given-names></name><name><surname>Lv</surname><given-names>J</given-names></name><name><surname>Ke</surname><given-names>J</given-names></name></person-group><article-title>Advanced glycation end products (AGEs) and their receptor (RAGE) induce apoptosis of periodontal ligament fibroblasts</article-title><source>Braz J Med Biol Res</source><volume>47</volume><fpage>1036</fpage><lpage>1043</lpage><year>2014</year><pub-id pub-id-type="doi">10.1590/1414-431X20143996</pub-id><pub-id pub-id-type="pmid">25387669</pub-id></element-citation></ref>
<ref id="b32-etm-0-0-5863"><label>32</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zhang</surname><given-names>JW</given-names></name><name><surname>Zhang</surname><given-names>SS</given-names></name><name><surname>Song</surname><given-names>JR</given-names></name><name><surname>Sun</surname><given-names>K</given-names></name><name><surname>Zong</surname><given-names>C</given-names></name><name><surname>Zhao</surname><given-names>QD</given-names></name><name><surname>Liu</surname><given-names>WT</given-names></name><name><surname>Li</surname><given-names>R</given-names></name><name><surname>Wu</surname><given-names>MC</given-names></name><name><surname>Wei</surname><given-names>LX</given-names></name></person-group><article-title>Autophagy inhibition switches low-dose camptothecin-induced premature senescence to apoptosis in human colorectal cancer cells</article-title><source>Biochem Pharmacol</source><volume>90</volume><fpage>265</fpage><lpage>275</lpage><year>2014</year><pub-id pub-id-type="doi">10.1016/j.bcp.2014.05.009</pub-id><pub-id pub-id-type="pmid">24858802</pub-id></element-citation></ref>
<ref id="b33-etm-0-0-5863"><label>33</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Yu</surname><given-names>A</given-names></name><name><surname>Zheng</surname><given-names>Y</given-names></name><name><surname>Zhang</surname><given-names>R</given-names></name><name><surname>Huang</surname><given-names>J</given-names></name><name><surname>Zhu</surname><given-names>Z</given-names></name><name><surname>Zhou</surname><given-names>R</given-names></name><name><surname>Jin</surname><given-names>D</given-names></name><name><surname>Yang</surname><given-names>Z</given-names></name></person-group><article-title>Resistin impairs SIRT1 function and induces senescence-associated phenotype in hepatocytes</article-title><source>Mol Cell Endocrinol</source><volume>377</volume><fpage>23</fpage><lpage>32</lpage><year>2013</year><pub-id pub-id-type="doi">10.1016/j.mce.2013.06.028</pub-id><pub-id pub-id-type="pmid">23827175</pub-id></element-citation></ref>
<ref id="b34-etm-0-0-5863"><label>34</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname><given-names>YN</given-names></name><name><surname>Wu</surname><given-names>W</given-names></name><name><surname>Chen</surname><given-names>HC</given-names></name><name><surname>Fang</surname><given-names>H</given-names></name></person-group><article-title>Genistein protects against UVB-induced senesc-ence-like characteristics in human dermal fibroblast by p66Shc down-regulation</article-title><source>J Dermatol Sci</source><volume>58</volume><fpage>19</fpage><lpage>27</lpage><year>2010</year><pub-id pub-id-type="doi">10.1016/j.jdermsci.2010.02.002</pub-id><pub-id pub-id-type="pmid">20211546</pub-id></element-citation></ref>
<ref id="b35-etm-0-0-5863"><label>35</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Aksoy</surname><given-names>O</given-names></name><name><surname>Chicas</surname><given-names>A</given-names></name><name><surname>Zeng</surname><given-names>T</given-names></name><name><surname>Zhao</surname><given-names>Z</given-names></name><name><surname>McCurrach</surname><given-names>M</given-names></name><name><surname>Wang</surname><given-names>X</given-names></name><name><surname>Lowe</surname><given-names>SW</given-names></name></person-group><article-title>The atypical E2F family member E2F7 couples the p53 and RB pathways during cellular senescence</article-title><source>Genes Dev</source><volume>26</volume><fpage>1546</fpage><lpage>1557</lpage><year>2012</year><pub-id pub-id-type="doi">10.1101/gad.196238.112</pub-id><pub-id pub-id-type="pmid">22802529</pub-id></element-citation></ref>
<ref id="b36-etm-0-0-5863"><label>36</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Dhawan</surname><given-names>S</given-names></name><name><surname>Tschen</surname><given-names>SI</given-names></name><name><surname>Bhushan</surname><given-names>A</given-names></name></person-group><article-title>Bmi-1 regulates the Ink4a/Arf locus to control pancreatic beta-cell proliferation</article-title><source>Genes Dev</source><volume>23</volume><fpage>906</fpage><lpage>911</lpage><year>2009</year><pub-id pub-id-type="doi">10.1101/gad.1742609</pub-id><pub-id pub-id-type="pmid">19390085</pub-id></element-citation></ref>
<ref id="b37-etm-0-0-5863"><label>37</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Jacobs</surname><given-names>JJ</given-names></name><name><surname>Kieboom</surname><given-names>K</given-names></name><name><surname>Marino</surname><given-names>S</given-names></name><name><surname>DePinho</surname><given-names>RA</given-names></name><name><surname>van Lohuizen</surname><given-names>M</given-names></name></person-group><article-title>The oncogene and Polycomb-group gene bmi-1 regulates cell proliferation and senescence through the ink4a locus</article-title><source>Nature</source><volume>397</volume><fpage>164</fpage><lpage>168</lpage><year>1999</year><pub-id pub-id-type="doi">10.1038/16476</pub-id><pub-id pub-id-type="pmid">9923679</pub-id></element-citation></ref>
<ref id="b38-etm-0-0-5863"><label>38</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lee</surname><given-names>BM</given-names></name><name><surname>Han</surname><given-names>DG</given-names></name><name><surname>Choi</surname><given-names>WS</given-names></name></person-group><article-title>Rejuvenating effects of facial Hydrofilling using Restylane vital</article-title><source>Arch Plast Surg</source><volume>42</volume><fpage>282</fpage><lpage>287</lpage><year>2015</year><pub-id pub-id-type="doi">10.5999/aps.2015.42.3.282</pub-id><pub-id pub-id-type="pmid">26015882</pub-id></element-citation></ref>
<ref id="b39-etm-0-0-5863"><label>39</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Simpson</surname><given-names>RM</given-names></name><name><surname>Wells</surname><given-names>A</given-names></name><name><surname>Thomas</surname><given-names>D</given-names></name><name><surname>Stephens</surname><given-names>P</given-names></name><name><surname>Steadman</surname><given-names>R</given-names></name><name><surname>Phillips</surname><given-names>A</given-names></name></person-group><article-title>Aging fibroblasts resist phenotypic maturation because of impaired hyaluronan-dependent CD44/epidermal growth factor receptor signaling</article-title><source>Am J Pathol</source><volume>176</volume><fpage>1215</fpage><lpage>1228</lpage><year>2010</year><pub-id pub-id-type="doi">10.2353/ajpath.2010.090802</pub-id><pub-id pub-id-type="pmid">20093489</pub-id></element-citation></ref>
<ref id="b40-etm-0-0-5863"><label>40</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname><given-names>Y</given-names></name><name><surname>Chen</surname><given-names>H</given-names></name><name><surname>Wang</surname><given-names>W</given-names></name><name><surname>Wang</surname><given-names>R</given-names></name><name><surname>Liu</surname><given-names>ZL</given-names></name><name><surname>Zhu</surname><given-names>W</given-names></name><name><surname>Lian</surname><given-names>S</given-names></name></person-group><article-title>N-terminal5-merpeptideanalog P165 of amyloid precursor protein inhibits UVA-induced MMP-1expression by suppressing the MAPK pathway in human dermal fibroblasts</article-title><source>Eur J Pharmacol</source><volume>734</volume><fpage>1</fpage><lpage>8</lpage><year>2014</year><pub-id pub-id-type="doi">10.1016/j.ejphar.2014.03.028</pub-id><pub-id pub-id-type="pmid">24685639</pub-id></element-citation></ref>
<ref id="b41-etm-0-0-5863"><label>41</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Chiang</surname><given-names>HM</given-names></name><name><surname>Chen</surname><given-names>HC</given-names></name><name><surname>Lin</surname><given-names>TJ</given-names></name><name><surname>Shih</surname><given-names>IC</given-names></name><name><surname>Wen</surname><given-names>KC</given-names></name></person-group><article-title>Michelia alba extract attenuates UVB-induced expression of matrix metalloproteinases via MAP kinase pathway in human dermal fibroblasts</article-title><source>Food Chem Toxicol</source><volume>50</volume><fpage>4260</fpage><lpage>4269</lpage><year>2012</year><pub-id pub-id-type="doi">10.1016/j.fct.2012.08.018</pub-id><pub-id pub-id-type="pmid">22922035</pub-id></element-citation></ref>
<ref id="b42-etm-0-0-5863"><label>42</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Hensley</surname><given-names>K</given-names></name><name><surname>Floyd</surname><given-names>RA</given-names></name></person-group><article-title>Reactive oxygen species and protein oxidation in aging: A look back, a look ahead</article-title><source>Arch Biochem Biophys</source><volume>397</volume><fpage>377</fpage><lpage>383</lpage><year>2002</year><pub-id pub-id-type="doi">10.1006/abbi.2001.2630</pub-id><pub-id pub-id-type="pmid">11795897</pub-id></element-citation></ref>
<ref id="b43-etm-0-0-5863"><label>43</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kretova</surname><given-names>M</given-names></name><name><surname>Sabova</surname><given-names>L</given-names></name><name><surname>Hodny</surname><given-names>Z</given-names></name><name><surname>Bartek</surname><given-names>J</given-names></name><name><surname>Kollarovic</surname><given-names>G</given-names></name><name><surname>Nelson</surname><given-names>BD</given-names></name><name><surname>Hubackova</surname><given-names>S</given-names></name><name><surname>Luciakova</surname><given-names>K</given-names></name></person-group><article-title>TGF-&#x03B2;/NF1/Smad4-mediated suppression of ANT2 contributes tooxidative stress in cellular senescence</article-title><source>Cell Signal</source><volume>26</volume><fpage>2903</fpage><lpage>2911</lpage><year>2014</year><pub-id pub-id-type="doi">10.1016/j.cellsig.2014.08.029</pub-id><pub-id pub-id-type="pmid">25220407</pub-id></element-citation></ref>
</ref-list>
</back>
<floats-group>
<fig id="f1-etm-0-0-5863" position="float">
<label>Figure 1.</label>
<caption><p>Effect of different doses of UVA radiation on fibroblast proliferation activity. Cultured human skin fibroblasts were treated with 0, 2.5, 5 or 10 J/cm<sup>2</sup> UVA irradiation, and incubated for 0, 12, 24 and 48 h. Data are presented as the mean &#x00B1; standard deviation of three separate experiments performed in triplicate, relative to the control group (0 J/cm<sup>2</sup>). UVA, ultraviolet A.</p></caption>
<graphic xlink:href="etm-15-04-3439-g00.tif"/>
</fig>
<fig id="f2-etm-0-0-5863" position="float">
<label>Figure 2.</label>
<caption><p>Effect of UVA radiation on fibroblast apoptosis. (A) Apoptosis in each radiation group was observed under a fluorescent microscope using Hoeschst apoptosis staining. Apoptotic nuclei demonstrated a dense white dye or crushed shape as indicated by the red arrows in a3 and a4. a1, 0 J/cm<sup>2</sup> group; a2, 2.5 J/cm<sup>2</sup> group; a3, 5 J/cm<sup>2</sup> group; a4, 10 J/cm<sup>2</sup> group. Magnification, &#x00D7;40. (B) Number of apoptotic cells in each UVA radiation group. (C) Detection of apoptosis in the Con non-irradiated (0 J/cm<sup>2</sup>) group by flow cytometry. The lower right quadrant of the non-irradiated group demonstrated a very small number of apoptotic cells. (D) Detection of apoptosis in the irradiated group. The lower-right quadrant of the irradiated group (10 J/cm<sup>2</sup>) demonstrated an increase in the number of apoptotic cells compared with the Con group. (E) Statistical analysis of the flow cytometry results. Data are presented as the mean &#x00B1; standard deviation. &#x002A;&#x002A;P&#x003C;0.01 and &#x002A;P&#x003C;0.05 vs. the control group (0 J/cm<sup>2</sup>). UVA, ultraviolet A; Con, control.</p></caption>
<graphic xlink:href="etm-15-04-3439-g01.tif"/>
</fig>
<fig id="f3-etm-0-0-5863" position="float">
<label>Figure 3.</label>
<caption><p>Effects of different doses of UVA radiation on aging of human skin fibroblasts. (A) Fibroblast senescence induced by different radiation doses. The dark blue precipitate indicates senescent cells indicated by the arrows in a2 and a4. a1, 0 J/cm<sup>2</sup>; a2, 2.5 J/cm<sup>2</sup>; a3, 5 J/cm<sup>2</sup>; a4, 10 J/cm<sup>2</sup>. Magnification, &#x00D7;40. (B) UVA radiation-induced fibroblast senescence. The &#x03B2;-gal staining positive and negative cells in each group were counted statistically. Data are presented as the mean &#x00B1; standard deviation. &#x002A;P&#x003C;0.05 vs. the control group (0 J/cm<sup>2</sup>). UVA, ultraviolet A; &#x03B2;-gal, &#x03B2;-galactosidase.</p></caption>
<graphic xlink:href="etm-15-04-3439-g02.tif"/>
</fig>
<fig id="f4-etm-0-0-5863" position="float">
<label>Figure 4.</label>
<caption><p>Effect of UVA radiation on the surrounding HA content of HSFs. The arrow indicates fibroblasts, surrounded by red blood cells. The formation of space around fibroblasts indicated the extent of fibroblast rejection of the surrounding erythrocytes and hyaluronan content around the HSF cells. (A) 0 J/cm<sup>2</sup>; (B) 5 J/cm<sup>2</sup>; (C) 10 J/cm<sup>2</sup> groups were indicated. Magnification, &#x00D7;100. The smaller box in (A) indicates the exclusion of erythrocytes around the fibroblasts following the addition of hyaluronidase. UVA, ultraviolet A; HA, hyaluronic acid; HSFs, human skin fibroblasts.</p></caption>
<graphic xlink:href="etm-15-04-3439-g03.tif"/>
</fig>
<fig id="f5-etm-0-0-5863" position="float">
<label>Figure 5.</label>
<caption><p>Effect of different doses of UVA radiation on the mRNA expression levels of (A) BMI-1 and (B) EZH2, key members of the polycomb group gene family. Data are presented as the mean &#x00B1; standard deviation. &#x002A;P&#x003C;0.05 vs. the control group (0 J/cm<sup>2</sup>). UVA, ultraviolet A; BMI-1, B lymphoma Mo-MLV insertion region 1 homolog; EZH2, enhancer of zeste 2 polycomb repressive complex 2 subunit.</p></caption>
<graphic xlink:href="etm-15-04-3439-g04.tif"/>
</fig>
<fig id="f6-etm-0-0-5863" position="float">
<label>Figure 6.</label>
<caption><p>Effect of different concentrations of GSK126 on EZH2 mRNA expression levels. Data are presented as the mean &#x00B1; standard deviation. &#x002A;P&#x003C;0.05 vs. the control group (0 &#x00B5;M GSK126). EZH2, enhancer of zeste 2 polycomb repressive complex 2 subunit.</p></caption>
<graphic xlink:href="etm-15-04-3439-g05.tif"/>
</fig>
<fig id="f7-etm-0-0-5863" position="float">
<label>Figure 7.</label>
<caption><p>(A) Fibroblast growth after being treated with UVA radiation and GSK126 after 24 h. a1, (&#x2212;); a2, GSK126 (2 &#x00B5;M); a3, UVA (10 J/cm<sup>2</sup>); a4, UVA (10 J/cm<sup>2</sup>)&#x002B;GSK126 (2 &#x00B5;M). Magnification, &#x00D7;40. (B) Effect of UVA radiation and GSK126 inhibitor on fibroblast mRNA expression levels of (B) EZH2 and (C) BMI-1. Data are presented as the mean &#x00B1; standard deviation. &#x002A;P&#x003C;0.05 vs. UVA (10 J/cm<sup>2</sup>). UVA, ultraviolet A; EZH2, enhancer of zeste 2 polycomb repressive complex 2 subunit; BMI-1, B lymphoma Mo-MLV insertion region 1 homolog; (&#x2212;), control group without UVA and GSK126.</p></caption>
<graphic xlink:href="etm-15-04-3439-g06.tif"/>
</fig>
<fig id="f8-etm-0-0-5863" position="float">
<label>Figure 8.</label>
<caption><p>Effect of UVA radiation and GSK126 inhibitor on fibroblast mRNA expression levels of (A) HAS1, (B) HAS2, (C) HAS3, (D) CD44, (E) Hyal-1 and (F) Hyal-2. Data are presented as the mean &#x00B1; standard deviation. &#x002A;P&#x003C;0.05 vs. UVA (10 J/cm<sup>2</sup>). UVA, ultraviolet A; HAS, HA, hyaluronic acid synthase; CD, cluster of differentiation; Hyal, hyaluronidase; (&#x2212;), control group without any treatment.</p></caption>
<graphic xlink:href="etm-15-04-3439-g07.tif"/>
</fig>
<fig id="f9-etm-0-0-5863" position="float">
<label>Figure 9.</label>
<caption><p>Effect of UVA radiation and GSK126 inhibitor on fibroblast mRNA expression levels of (A) EGF, (B) EGFR, (C) smad2, (D) smad4, (E) P16 and (F) MMP-1. Data are presented as the mean &#x00B1; standard deviation &#x002A;P&#x003C;0.05 vs. UVA (10 J/cm<sup>2</sup>). UVA, ultraviolet A; EGF, epidermal growth factor; EGFR, epidermal growth factor receptor; MMP, matrix metalloproteinase; (&#x2212;), control group without any treatment.</p></caption>
<graphic xlink:href="etm-15-04-3439-g08.tif"/>
</fig>
<table-wrap id="tI-etm-0-0-5863" position="float">
<label>Table I.</label>
<caption><p>Primers and conditions for polymerase chain reaction analysis.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="bottom">Gene</th>
<th align="center" valign="bottom">Direction</th>
<th align="center" valign="bottom">Primer sequences</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">EZH2</td>
<td align="left" valign="top">Forward</td>
<td align="left" valign="top">5&#x2032;-ATGCGACTGAGACAGCTCAA-3&#x2032;</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">Reverse</td>
<td align="left" valign="top">5&#x2032;-TGGGATGACTTGTGTTGGAA-3&#x2032;</td>
</tr>
<tr>
<td align="left" valign="top">BMI-1</td>
<td align="left" valign="top">Forward</td>
<td align="left" valign="top">5&#x2032;-TGGATCGGAAAGTAAACAAAGAC-3&#x2032;</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">Reverse</td>
<td align="left" valign="top">5&#x2032;-TGCATCACAGTCATTGCTGCT-3&#x2032;</td>
</tr>
<tr>
<td align="left" valign="top">HAS1</td>
<td align="left" valign="top">Forward</td>
<td align="left" valign="top">5&#x2032;-TACAACCAGAAGTTCCTGGG-3&#x2032;</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">Reverse</td>
<td align="left" valign="top">5&#x2032;-CTGGAGGTGTACTTGGTAGC-3&#x2032;</td>
</tr>
<tr>
<td align="left" valign="top">HAS2</td>
<td align="left" valign="top">Forward</td>
<td align="left" valign="top">5&#x2032;-GTGGATTATGTACAGGTTTGTGA-3&#x2032;</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">Reverse</td>
<td align="left" valign="top">5&#x2032;-TCCAACCATGGGATCTTCTT-3&#x2032;</td>
</tr>
<tr>
<td align="left" valign="top">HAS3</td>
<td align="left" valign="top">Forward</td>
<td align="left" valign="top">5&#x2032;-GAGATGTCCAGATCCTCAACAA-3&#x2032;</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">Reverse</td>
<td align="left" valign="top">5&#x2032;-CCCACTAATACACTGCACAC-3&#x2032;</td>
</tr>
<tr>
<td align="left" valign="top">Hyal-1</td>
<td align="left" valign="top">Forward</td>
<td align="left" valign="top">5&#x2032;-CCAAGGAATCATGTCAGGCCATCAA-3&#x2032;</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">Reverse</td>
<td align="left" valign="top">5&#x2032;-CCCACTGGTCACGTTCAGG-3&#x2032;</td>
</tr>
<tr>
<td align="left" valign="top">Hyal-2</td>
<td align="left" valign="top">Forward</td>
<td align="left" valign="top">5&#x2032;-GGCTTAGTGAGATGGACCTC-3&#x2032;</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">Reverse</td>
<td align="left" valign="top">5&#x2032;-CCGTGTCAGGTAATCTTTGAG-3&#x2032;</td>
</tr>
<tr>
<td align="left" valign="top">CD44</td>
<td align="left" valign="top">Forward</td>
<td align="left" valign="top">GCTATTGAAAGCCTTGCAGAG</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">Reverse</td>
<td align="left" valign="top">CGCAGATCGATTTGAATATAACC</td>
</tr>
<tr>
<td align="left" valign="top">EGF</td>
<td align="left" valign="top">Forward</td>
<td align="left" valign="top">AGTTTTTCTGAATGGGTCAAGG</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">Reverse</td>
<td align="left" valign="top">TCCAATTTATTGCCATTCCAG</td>
</tr>
<tr>
<td align="left" valign="top">EGFR</td>
<td align="left" valign="top">Forward</td>
<td align="left" valign="top">ATGAGATGGAGGAAGACGG</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">Reverse</td>
<td align="left" valign="top">CGGCAGGATGTGGAGAT</td>
</tr>
<tr>
<td align="left" valign="top">Smad2</td>
<td align="left" valign="top">Forward</td>
<td align="left" valign="top">GGAGCAGAATACCGAAGGCA</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">Reverse</td>
<td align="left" valign="top">CTTGAGCAACGCACTGAAGG</td>
</tr>
<tr>
<td align="left" valign="top">Smad4</td>
<td align="left" valign="top">Forward</td>
<td align="left" valign="top">ATGACTTTGAGGGACAGC</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">Reverse</td>
<td align="left" valign="top">GGAAGCCACAGGAATG</td>
</tr>
<tr>
<td align="left" valign="top">P16</td>
<td align="left" valign="top">Forward</td>
<td align="left" valign="top">GGAGCAGCATGGAGCCTTC</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">Reverse</td>
<td align="left" valign="top">CATCATCATGACCTGGATC</td>
</tr>
<tr>
<td align="left" valign="top">MMP-1</td>
<td align="left" valign="top">Forward</td>
<td align="left" valign="top">TGTGGTGTCTCACAGCTTCC</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">Reverse</td>
<td align="left" valign="top">CTTGCCTCCCATCATTCTTC</td>
</tr>
<tr>
<td align="left" valign="top">GAPDH</td>
<td align="left" valign="top">Forward</td>
<td align="left" valign="top">GTGAAGGTCGGAGTCAACG</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">Reverse</td>
<td align="left" valign="top">TGAGGTCAATGAAGGGGTC</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="tfn1-etm-0-0-5863"><p>EZH2, enhancer of zeste 2 polycomb repressive complex 2 subunit; BMI-1, B lymphoma Mo-MLV insertion region 1 homolog; HYAL, hyaluronidase; HAS, hyaluronan synthase; EGF, epidermal growth factor; EGFR, epidermal growth factor receptor; MMP-1, matrix metalloproteinase-1.</p></fn>
</table-wrap-foot>
</table-wrap>
</floats-group>
</article>
