Nano-Encapsulated Spicule System Enhances Delivery of Wharton’s Jelly MSC Secretome and Promotes Skin Rejuvenation: Preclinical and Clinical Evaluation
Round 1
Reviewer 1 Report
Comments and Suggestions for AuthorsThis study presents a novel third-generation delivery system in which Wharton’s Jelly mesenchymal stem cell (WJ-MSC) secretome is nano-encapsulated and spray-coated onto marine sponge-derived spicules to overcome the skin’s barrier. The secretome demonstrated strong regenerative potential in vitro, enhancing fibroblast and keratinocyte proliferation, migration, collagen synthesis, and antioxidant activity. In vivo mouse experiments confirmed significantly deeper dermal penetration of the labelled secretome when delivered via coated spicules. A two-week single-arm clinical trial in 21 participants showed increased dermal absorption, reduced pores, wrinkles, and pigmentation, with no reported adverse events. The novelty lies in integrating nano-coating of complex biologics with spicule-assisted microperforation, though clearer dosing parameters, replicate details, and stronger clinical design are needed to fully validate its translational potential .
- Suggestions to author for how to improve the language/grammar while keeping the scientific meaning intact:
- "Nano-Encapsulated Spicule Delivery Enhances Deliver of Wharton’s Jelly MSC Secretome and Skin Rejuvenation in Pre-clinical and Clinical Evaluation" Error: “Enhances Deliver” should be “Enhances Delivery”.
- “...with only transient irritation, consistent with previous reports of spicule-based enhancement. [38].” Error: Awkward punctuation — the reference should be placed before the period: “...enhancement [38].”
- “Adipogenesis was visualized by lipid droplet accumulation using Oil Red O staining... Osteogenesis was confirmed by calcium deposition detected with Alizarin Red S staining... Chondrogenesis was assessed by sulfated glycosaminoglycan accumulation using Alcian Blue staining.” Problem: Overuse of repetitive structure “was…by…using…” makes the sentence clunky. It could be simplified for clarity (not strictly wrong grammar, but poor style).
- “The designated treatment area included specific regions of the face as assigned by clinical staff.” Error: Redundant wording (“specific regions” and “as assigned” overlap). Could be simplified to “The designated treatment area was assigned by clinical staff.”
- “Nano-Encapsulated Spicule Delivery Enhances Deliver of Wharton’s Jelly MSC Secretome…” Already noted, but appears again in the Abstract heading/title → “Deliver” should be “Delivery”.
- “Transdermal penetration efficiency was significantly improved in the nano-coated spicule group compared with the uncoated secretome control.” Style issue: “improved in… compared with” is clumsy. Better grammar: “was significantly higher in the nano-coated spicule group than in the uncoated secretome control.”
- “Intrinsic contributors include cellular senescence and genetic predisposition, whereas extrinsic stressors, such as ultraviolet (UV) irradiation, oxidative stress, and environmental pollutants, accelerate the degenerative changes.” Issue: “the degenerative changes” is vague and ungrammatical here. Better: “accelerate degenerative changes.”
- “Spicules provide a minimally invasive and biocompatible alternative, enabling efficient penetration of therapeutic agents with favorable safety profiles.” Grammar: Awkward plural use — “penetration… with favorable safety profiles” is mismatched (penetration = singular, profiles = plural). Better: “…enabling efficient penetration of therapeutic agents with a favorable safety profile.”
- “making our findings the first evidence that this strategy can unlock its therapeutic potential in dermatologic applications” Awkward phrasing: “the first evidence” → should be “the first demonstration” or “the first evidence supporting…”
- “Following depilation of the dorsal skin 24-48 h prior to treatment, 50 μL of DiI-labeled samples was topically applied.”Grammar: “samples was” is incorrect. Should be “samples were.”
- “MSC Mesenchymal stem cell” Grammar: Should be plural → “Mesenchymal stem cells.”
- Figures suggestions
- Figure 2 Effects of WJ-MSC secretome on skin cell function; Replicates/statistics not specified : The legend says “mean ± SEM” but does not indicate n (how many biological replicates or independent experiments). Western blot presentation ;No molecular weight markers shown, The loading control (e.g., β-actin) is not visible in the figure, Quantification method (densitometry normalization) is not described in legend. Statistical test : The figure legend lacks the specific test used (only p-value symbols shown). Suggestion: Include uncropped blots in supplementary data, add loading controls, and indicate exact sample size/test.
- Figure 4 – Skin penetration of secretome-coated spicules (mouse); DiI is prone to false-positive labeling (it can diffuse). Authors should clarify how they confirmed that signal represents secretome, not free dye.
- Figure 5 – Enhanced skin absorption and skin parameter improvements (clinical); Device labeling error :The figure legend says “3D Raman spectroscopy (VivaScope, Germany)”. VivaScope is confocal reflectance microscopy, not Raman. This is a serious mislabeling of the imaging technique.
- Figure 6 – Reduction of wrinkles and pigmentation (clinical, 2 weeks); Missing raw values: Shows only % reduction, no absolute wrinkle index or pigmentation area values. Issue: No responder data: Does not show variability across subjects (e.g., whether all improved or just a subset). Suggestion: Add table of absolute values, show variability (e.g., box plot), and clarify blinding in methods/legend.
- Comments on scientific content:
- “Transdermal penetration efficiency was significantly improved in the nano-coated spicule group compared with the uncoated secretome control… Clinically, a single application enhanced dermal absorption and significantly reduced pore number, while two weeks of treatment decreased wrinkles and pigmentation.” These are key results but no reference or figure citation is provided in the abstract to support them (journals often expect [Figure X] or [Table Y] mention).
- “…limited penetration through the stratum corneum, which permits <5-10% absorption of most hydrophilic or macromolecular actives [5, 6].” The statement itself (that the stratum corneum allows “<5–10% absorption”) is an oversimplified and imprecise way to state skin permeability limits; more authoritative framing cites the 500-Dalton rule and transdermal delivery literature (i.e., small, lipophilic drugs penetrate much better than macromolecules), and percent absorption depends strongly on the compound, vehicle, and skin site. More importantly, the reference attributed (Ref. 5) in the manuscript (as listed in the reference section) is a paper about establishing a cobia gill cell line (fish cell line)—clearly unrelated to human skin penetration. That mismatch makes this statement both imprecise and incorrectly referenced. Reference: The classic “500 Dalton rule” for skin penetration is the appropriate conceptual reference (Bos & Meinardi, Experimental Dermatology, 2000). More recent authoritative review by Prausnitz & Langer (Nat. Biotechnol., 2008) summarizes limits of passive transdermal delivery and techniques to overcome them. These are the proper, high-quality citations for statements about skin permeability of macromolecules. Wiley Online Library+1.
- “Scanning electron microscopy revealed a uniformly smooth surface on uncoated spicules and a roughened surface with nanoparticulate deposits on coated spicules, consistent with deposition of secretome-derived nanocapsules.” No reference is cited to support that the rough deposits are indeed “secretome-derived nanocapsules.” This is an interpretation, but not proven here.
- “Previous studies have demonstrated that mesenchymal stem cell (MSC)-derived secretome exerts potent anti-inflammatory activity, promotes collagen production, and enhances wound healing, suggesting its potential as a cell-free therapy for skin aging [10–12].” No reference is cited to support that eg.,PMID: 39786588, PMID: 38991272
- “To the best of current knowledge, no peer-reviewed reports of spray-coated sponge spicules have been published.” This is a strong negative claim (asserting absence of prior peer-reviewed reports). Those statements are risky unless the authors performed a systematic literature search and explicitly document it. A quick literature scan reveals multiple publications on spicule-based delivery and on coating spicules with carriers (e.g., spicules combined with liposomes, mesoporous silica coatings, etc.). Unless the authors mean the specific combination of spray-coating with WJ-MSC secretome on spicules is unique, the blanket statement “no peer-reviewed reports” is likely overstated. Relevant literature showing related spicule coating/delivery approaches (examples). Papers describing spicule + liposome approaches, coated spicules for delivery, and mesoporous silica-coated spicules in peer-reviewed journals (the manuscript itself cites several). These papers show that spicule-based enhancement and coated spicule strategies have existing peer-reviewed precedent, so the authors’ absolute claim should be softened or restricted to the exact novelty (e.g., “spray-coating WJ-MSC secretome onto spicules” rather than “no peer-reviewed reports of spray-coated sponge spicules” generically).
- “First, the dosing parameters for both spicules and secretome were determined empirically, and further optimization of spicule density, penetration depth, and dosing frequency is still required.” Problem: No prior reference cited to show that spicule density or depth is known to affect delivery. This is common knowledge, but still should be referenced.
- “Encapsulation of bioactive factors can improve stability, control release, and protect sensitive proteins against degradation, thereby enhancing bioactivity during transdermal delivery.” No reference is cited to support that eg.,DOI: 10.3923/jpt.2017.14.23, DOI: 10.21608/ejchem.2023.224011.8285.
- “Perspectives for the future include: (i) defining optimal dosing regimens… (ii) expanding applications beyond anti-aging to wound healing, scar remodeling, and inflammatory skin disorders, and (iii) integrating this platform with personalized dermatology approaches…” Problem: No references are cited to support these potential applications (e.g., wound healing or scar remodeling).
- Secretome-alone penetration; In the Results section, the authors report that “with no difference between control and secretome alone (ns, p = 0.9050)” (lines 157–158), meaning the Wharton’s Jelly secretome by itself does not penetrate beyond the superficial epidermis. However, in the Discussion they state that “significantly greater dermal penetration was confirmed by DiI-labeling with secretome-coated spicules compared to secretome alone” (lines 246–247). This phrasing implies that the secretome alone had at least some penetration that was subsequently enhanced by spicules. The two statements contradict one another: one denies any difference from control, the other suggests there was a measurable baseline effect.
- Secretome dosing clarity; The Methods describe that “each preparation contained approximately 275,000 spicules coated with WJ-MSC secretome” (lines 348–349), which gives the impression of a defined and standardized dose. However, in the Discussion, the authors write that “the dosing parameters for both spicules and secretome were determined empirically, and further optimization … is still required” (lines 250–252). This contradiction suggests that while a fixed number of spicules per preparation was stated, the actual amount of secretome per spicule, release kinetics, or dosing rationale were not standardized. The inconsistency creates doubt about whether dosing was truly quantified or left uncertain.
- DiI labelling: “DiI-labeled WJ-MSC secretome was applied topically either alone or after coating onto spicules and fluorescence was assessed 4 h post-application … Quantification confirmed greater penetration in the secretome-coated spicule group versus control (p = 0.0152) and versus secretome alone (p = 0.0096)…”. The authors rely on DiI membrane dye fluorescence to claim deeper secretome penetration. However, lipophilic dyes like DiI are known to produce artifacts in extracellular vesicle/secretome tracking studies because they can (a) form dye aggregates, (b) transfer to recipient cell membranes independently of intact vesicles, and (c) produce background due to free dye or dye micelles. Without appropriate controls (e.g., dye-only controls, detergent-treated EVs, protein/eV-label controls, or orthogonal labeling), DiI signal alone cannot unambiguously prove intact secretome/EV penetration. That caveat weakens the conclusion that the cargo (EVs/secretome components) penetrated as intact biologics. References: Bao C, Xiang H, Chen Q, Zhao Y, Gao Q, Huang F, Mao L. A Review of Labeling Approaches Used in Small Extracellular Vesicles Tracing and Imaging. Int J Nanomedicine. 2023 Aug 11;18:4567-4588. doi: 10.2147/IJN.S416131. PMID: 37588627.
Author Response
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1. Summary |
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Thank you very much for taking the time to review this manuscript. The detailed responses, along with the corresponding revisions and corrections, are highlighted below. On behalf of all authors, we would like to sincerely thank you and the reviewers for the constructive comments and valuable suggestions on our manuscript entitled “Nano-Encapsulated Spicule Delivery Enhances Delivery of Wharton’s Jelly MSC Secretome and Skin Rejuvenation in Preclinical and Clinical Evaluation” (Manuscript ID: ijms-3914486), submitted to the International Journal of Molecular Sciences (Special Issue: Roles and Function of Extracellular Vesicles in Diseases: 3rd Edition). We have carefully revised the manuscript according to the reviewers’ and editorial office’s instructions. A detailed, point-by-point response to the reviewers’ comments is provided in the attached response file.
Comments 1: Institutional Review Board (IRB) Approval Dates
“This study involving human tissue and clinical evaluation was conducted in accordance with the Declaration of Helsinki and approved by the relevant Institutional Review Boards. Umbilical cords from healthy donors (< 40 years) were collected with informed consent under the approval of the Institutional Review Board of Samsung Medical Center (IRB No. 2016-07-102-037, approved on 9 August 2022). The single-arm, open-label clinical protocol was reviewed and approved by the Institutional Review Board of the Korea Institute of Dermatological Sciences (IRB Nos. KIDSIRB-2024-1116, KIDSIRB-2024-1105, and KIDSIRB-2024-1124, all approved on 21 August 2024), an organization accredited by the Ministry of Food and Drug Safety of the Republic of Korea.”
Comments 2: Conflict of Interest (COI) Statement [p.17, lines 532-535]
“Author Oh Young Bang has been affiliated with S&E Bio since 2019, Author Na Eun Lee since 2022, and Author Ji-Eun Kim since 2023. The remaining author declares that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.” Comments 3: Western Blot Raw Data Submission [p.16, lines 498-501]
Supplementary Materials: “The following supporting information can be downloaded at: https://www.mdpi.com/article/doi/s1, Figure S1: Localization of DiI-labeled WJ-MSC secretome coated spicules in mouse skin, Figure S2: Uncropped, full-length Western blot images corresponding to Figure 2.”
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2. Questions for General Evaluation |
Reviewer’s Evaluation |
Response and Revisions |
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Does the introduction provide sufficient background and include all relevant references? |
Yes |
We appreciate the reviewer’s positive evaluation |
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Are all the cited references relevant to the research? |
Yes |
Thank you for confirming that the cited references are appropriate. |
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Is the research design appropriate? |
Can be improved |
We agree with the reviewer’s comment. |
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Are the methods adequately described? |
Yes |
We are grateful that the reviewer found our methodology adequately described. |
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Are the results clearly presented? |
Can be improved |
We thank the reviewer for this comment. To further enhance clarity, we have specified the sample size (N) in the figure legends and ensured that all statistical analyses are clearly described. We believe that these additions improve the transparency of the presented results without altering the main findings. |
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Are the conclusions supported by the results? |
Can be improved |
We appreciate the reviewer’s feedback. We carefully re-checked the Discussion and Conclusion sections and confirmed that they are consistent with the presented data. To strengthen this alignment, we have made minor refinements in wording to explicitly highlight how the key findings support our conclusions, without changing the overall interpretation of the study. |
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3. Point-by-point response to Comments and Suggestions for Authors |
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Comment 1: Figure 2 Effects of WJ-MSC secretome on skin cell function; Replicates/statistics not specified : The legend says “mean ± SEM” but does not indicate n (how many biological replicates or independent experiments). Western blot presentation ;No molecular weight markers shown, The loading control (e.g., β-actin) is not visible in the figure, Quantification method (densitometry normalization) is not described in legend. Statistical test : The figure legend lacks the specific test used (only p-value symbols shown). Suggestion: Include uncropped blots in supplementary data, add loading controls, and indicate exact sample size/test. Response 1: Thank you for invaluable comments. We have uploaded the uncropped, untouched full original Western blot images corresponding to Figure 2 as Supplementary Figure S2. For the reviewers’ convenience, we provide a ‘Raw Data Summary’ compressed archive that compiles the complete raw data underlying all submitted figures. Figure 2. Effects of WJ-MSC secretome on skin cell function. (A) Proliferation of fibroblasts (HS68) and keratinocytes (HaCaT) treated with WJ-MSC secretome (0-3.9 mg/mL) for 24 h (n = 5 independent replicates per group). (B) Scratch wound healing of HaCaT cells after 18 h treatment with WJ-MSC secretome (n= 4 independent replicates per group). (C) UVB-irradiated fibroblasts (30 mJ/cm²) showing restored collagen (COL1A1,180~200kDa; COL3A1,110/140kDa) expression upon WJ-MSC secretome treatment. β-actin(43kDa) was used as a loading control; uncropped blots are provided in Supplementary Figure S2. TGF-β served as a positive control (n = 3 independent experiments). (D) Type I procollagen secretion in fibroblasts following WJ-MSC secretome treatment (n= 5 independent replicates). (E) Antioxidant activity assessed by Trolox equivalent antioxidant capacity (TEAC) assay (n = 5 independent replicates). Data are presented as mean ± SEM. *p < 0.05, **p < 0.01, ***p < 0.001, ****p < 0.0001. Comment 2: Figure 4. Skin penetration of secretome-coated spicules (mouse); DiI is prone to false-positive labeling (it can diffuse). Authors should clarify how they confirmed that signal represents secretome, not free dye. Response 2: We appreciate the reviewer’s insightful comment regarding the potential false-positive labeling associated with DiI. To ensure that the fluorescence signal represented secretome-associated particles rather than free DiI, the following precautions and validation steps were taken: Rigorous removal of unbound dye: After labeling, the DiI-stained secretome was purified by sequential ultrafiltration (100 kDa MWCO) followed by phosphate-buffered saline (PBS) washing steps (3×) to completely remove free dye. The final filtrate was visually inspected to confirm the absence of residual fluorescence. Negative control validation: As a control, DiI solution without secretome was subjected to the same coating and washing procedures and applied to the spicules. No detectable fluorescence was observed in this control, confirming that the signals in Figure 4 originated from the secretome-associated DiI. Co-localization confirmation: The fluorescence distribution pattern of DiI-labeled secretome coincided with the penetration path of spicules, supporting that the signal corresponded to secretome localized within microchannels rather than diffused dye. These additional details have been included in the revised Methods (Section 4.10. 13p, line 395-14p line 404) and mentioned in the Figure 4 legend for clarity. Comment 3: Figure 5. Enhanced skin absorption and skin parameter improvements (clinical); Device labeling error :The figure legend says “3D Raman spectroscopy (VivaScope, Germany)”. VivaScope is confocal reflectance microscopy, not Raman. This is a serious mislabeling of the imaging technique. Response 3: [15p line 444/Figure5] We sincerely thank the reviewer for pointing out this important labeling error. The instrument used was indeed confocal reflectance microscopy (VivaScope, Germany), not Raman spectroscopy. The figure legend has been corrected accordingly. Thank you for your careful review and valuable feedback. Comment 4: Figure 6 .Reduction of wrinkles and pigmentation (clinical, 2 weeks); Missing raw values: Shows only % reduction, no absolute wrinkle index or pigmentation area values. Issue: No responder data: Does not show variability across subjects (e.g., whether all improved or just a subset). Suggestion: Add table of absolute values, show variability (e.g., box plot), and clarify blinding in methods/legend. Response 4: We appreciate the reviewer’s comment. The variability across individual participants has been visualized using dot plots to represent each subject’s raw data points. This format clearly indicates inter-individual variation and responder distribution.
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4. Response to Comments on the Quality of English Language We appreciate the reviewer’s comment regarding language. Accordingly, the manuscript has undergone thorough English‑language editing by a native English‑speaking editor, and we have incorporated the revisions throughout the text.
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[1p, Title] Point 1: Nano-Encapsulated Spicule Delivery Enhances Deliver of Wharton’s Jelly MSC Secretome and Skin Rejuvenation in Preclinical and Clinical Evaluation |
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Response 1 Nano-Encapsulated Spicule Delivery Enhances Delivery of Wharton’s Jelly MSC Secretome and Skin Rejuvenation in Preclinical and Clinical Evaluation
[2p, line 39] Point 2: “…extrinsic stressors, such as ultraviolet (UV) irradiation, oxidative stress, and environmental pollutants, accelerate the degenerative changes [1].” Response 2 : “…extrinsic stressors, such as ultraviolet (UV) irradiation, oxidative stress, and environmental pollutants, accelerate degenerative changes [1].”
[2p, line 68] Point 3: “…enabling efficient penetration of therapeutic agents with favorable safety profiles.” |
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Response 3 “…enabling efficient penetration of therapeutic agents with a favorable safety profile.”
[12p, line 332-333] Point 4: “Adipogenesis was visualized by lipid droplet accumulation using Oil Red O staining... Osteogenesis was confirmed by calcium deposition detected with Alizarin Red S staining... Chondrogenesis was assessed by sulfated glycosaminoglycan accumulation using Alcian Blue staining.” Response 4 “Adipogenesis was visualized by Oil Red O staining, osteogenesis by Alizarin Red S staining, and chondrogenesis by Alcian Blue staining.”
[5p line 144- 145] Point 5: “…roughened surface with nanoparticulate deposits on coated spicules, consistent with deposition of secretome-derived nanocapsules (Figure 3B). Response 5 “…roughened surface with nanoparticulate deposits on coated ones, suggestive of secretome deposition (Figure 3B).”
[6p, line 170-172] Point 6:“…Quantification confirmed greater penetration in the secretome-coated spicule group versus control (p = 0.0152) and versus secretome alone (p = 0.0096), with no difference between control and secretome alone (ns, p = 0.9050).” Response 6“…Quantitative analysis confirmed that secretome-coated spicules achieved significantly greater penetration than either control (p = 0.0152) or secretome alone (p = 0.0096), whereas the secretome-alone group did not differ from the control (ns, p = 0.9050)” [9p, line 203] Point 7: “3D Raman spectroscopy (VivaScope, Germany)” Response 7 “3D confocal reflectance microscopy (VivaScope, Germany)”
[14p line 401] Point 8:“50 μL of DiI-labeled samples was topically applied” Response 8 “50 μL of the DiI‑labeled preparation”
[9p line 211-214] Point 9: Figure 6 (Wrinkle & Pigmentation) “Data are presented as mean ± SEM; **p < 0.01, **p < 0.001.” Response 9: “Data are presented as mean ± SEM (n = 21 participants). Absolute values for wrinkle index and pigmented area are provided in Supplementary Tables S1–S2. Statistical analyses were performed using paired t‑test or Wilcoxon signed‑rank test, as appropriate (two‑tailed); **p < 0.01; ***p < 0.001.”
5. Additional clarifications The Discussion section has been extensively revised to address the reviewers’ comments. Specifically, we have (i) added appropriate references and figure citations for the key findings on transdermal penetration and clinical outcomes; (ii) corrected the oversimplified statement on skin permeability by citing authoritative sources; (iii) clarified the interpretation of SEM data and the novelty claim regarding spray-coated spicules; (iv) provided supporting citations for dosing, coating parameters, and encapsulation rationale; (v) added discussion of DiI labeling limitations and the need for orthogonal validation methods; and (vi) expanded the methodological limitations and future directions with appropriate literature on dosing optimization, heterogeneity, and clinical trial design. Collectively, these revisions improve scientific accuracy, citation integrity, and conceptual clarity throughout the Discussion. |
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Thank you very much for your consideration of our work. We greatly appreciate your support and look forward to your feedback.
Sincerely,
Oh Young Bang, M.D., Ph.D.
Corresponding Author
Samsung Medical Center / Sungkyunkwan University
Seoul, Republic of Korea
Email: ohyoung.bang@samsung.com
Reviewer 2 Report
Comments and Suggestions for AuthorsLee et al. proposed that combining the Wharton's Jelly-derived mesenchymal stem cells (WJ-MSC) secretome and spicules obtained from marine sponges, could effectively penetrate the skin barrier and deliver clinically significant anti-aging benefits. In this study, they assessed their biological activity and dermal absorption in preclinical models, followed by a single-arm clinical.
The efficacy of conventional cosmeceuticals and topical formulations is limited due to their limited penetration through the stratum corneum, making this study of interest from a dermatological perspective.
Although this is an interesting and scientifically and clinically relevant study, there are numerous methodological and conceptual shortcomings that need to be addressed before publication. The Introduction is correct and perfectly introduces the topic to be addressed in the article, and the discussion clearly addresses all points of the results obtained. However, there are important points that need to be completed in the other two sections.
Results section: Please indicate in each of the figures how many independent experiments have been performed.
Point 2.1. Characterization of WJ-MSC secretome and secretome-derived EVs; 2.2. In vitro evaluation of the skin-rejuvenation potential of WJ-MSC secretome How many different samples of WJ-MSC were used in this study? If the test has been performed using only cells isolated from a single umbilical cord, this must be clearly stated because it cannot be extrapolated to the possibility that these results could be obtained with cells from another donor.
Furthermore, characterization of the factors contained in the secretome-coated spicules of WJ-MSCs is necessary.
Figure 1C: What is the control used here for the secretome analysis?
In section 2.2.3. Collagen production was assessed by Western blotting. How many independent experiments were used to quantify the COL1A1 and COL3A1?
In point 2.2.4. Antioxidant capacity, please add a brief comment on the meaning of this result.
Figure 4B and Supplementary Figure S1: It would be very helpful and much more interesting if you could present photos showing both the epidermis and the dermis from the same field of fluorescence.
Materials and methods:
4.1. WJ-MSC Master Cell Banking and Secretome Preparation: Adherent MSCs were expanded in MEM supplemented with 15% FBS. Please, add the exact composition of MEM media, i.e. glucose concentration, the presence or absence of nucleosides, and the use of L-glutamine or glutamax.
4.6. Cell Proliferation and Viability: HS68 fibroblasts and HaCaT keratinocytes were seeded in 96-well plates at a density of 3 × 10³ cells/well and treated with various concentrations of WJ-MSC secretome for 24 h. Please, add the WJ-MSC secretome concentration at the M&M section.
4.8. Collagen and Antioxidant Assays: Fibroblasts were irradiated with UVB (30 mJ/cm²) and subsequently treated with WJ-MSC secretome. Please, include the data of how long did you irradiated the fibroblast, and what is the concentration of WJ-MSC secretome.
4.9. Nano-Coated Spicules: Please add details of the amount of secretome and spicules used in the coating procedure. Also, how was the coating procedure carried out? Please, explain.
4.10. In Vivo Skin Penetration Assay: Pleas, add the protocol used to label with DiI the spicules coated with WJ-MSC secretome. What os the amount of spicules coated with WJ-MSC secretome contained in the 50 μL of DiI-labeled samples?
4.11. Formulation of Spicule-Based Essence: What is the emulsifier used? What is the oil phase composed of? Please explain this protocol so that other researchers can replicate it.
4.12. Study Design and Participants: 21 healthy adult female participants aged 34-66 years were included in the study. Were any inclusion and exclusion criteria applied in this clinical trial? They need to be explained.
Author Response
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Response to Reviewer 2 Comments
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1. Summary |
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Thank you very much for taking the time to review this manuscript. The detailed responses, along with the corresponding revisions and corrections, are highlighted below. On behalf of all authors, we would like to sincerely thank you and the reviewers for the constructive comments and valuable suggestions on our manuscript entitled “Nano-Encapsulated Spicule Delivery Enhances Delivery of Wharton’s Jelly MSC Secretome and Skin Rejuvenation in Preclinical and Clinical Evaluation” (Manuscript ID: ijms-3914486), submitted to the International Journal of Molecular Sciences (Special Issue: Roles and Function of Extracellular Vesicles in Diseases: 3rd Edition). We have carefully revised the manuscript according to the reviewers’ and editorial office’s instructions. A detailed, point-by-point response to the reviewers’ comments is provided in the attached response file. Comments 1: Institutional Review Board (IRB) Approval Dates
“This study involving human tissue and clinical evaluation was conducted in accordance with the Declaration of Helsinki and approved by the relevant Institutional Review Boards. Umbilical cords from healthy donors (< 40 years) were collected with informed consent under the approval of the Institutional Review Board of Samsung Medical Center (IRB No. 2016-07-102-037, approved on 9 August 2022). The single-arm, open-label clinical protocol was reviewed and approved by the Institutional Review Board of the Korea Institute of Dermatological Sciences (IRB Nos. KIDSIRB-2024-1116, KIDSIRB-2024-1105, and KIDSIRB-2024-1124, all approved on 21 August 2024), an organization accredited by the Ministry of Food and Drug Safety of the Republic of Korea.”
Comments 2: Conflict of Interest (COI) Statement [p.17, lines 517-520]
“Author Oh Young Bang has been affiliated with S&E Bio since 2021, Author Na Eun Lee since 2022, and Author Ji-Eun Kim since 2023. The remaining author declares that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.” Comments 3: Western Blot Raw Data Submission [p.16, lines 483-486]
Supplementary Materials: “The following supporting information can be downloaded at: https://www.mdpi.com/article/doi/s1, Figure S1: Localization of DiI-labeled WJ-MSC secretome coated spicules in mouse skin, Figure S2: Uncropped, full-length Western blot images corresponding to Figure 2.”
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2. Questions for General Evaluation |
Reviewer’s Evaluation |
Response and Revisions |
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Does the introduction provide sufficient background and include all relevant references? |
Yes |
We appreciate the positive evaluation. |
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Are all the cited references relevant to the research? |
Yes |
Thank you for confirming the relevance of the citations. |
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Is the research design appropriate? |
Yes |
We appreciate the reviewer’s assessment. |
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Are the methods adequately described? |
Must be improved |
We expanded the Methods (Sections 4.12-4.16) to report exact sample sizes (n) for each assay and for animal/clinical analyses, inclusion/exclusion criteria, randomization/blinding procedures where applicable, reagent/equipment details (models and key settings), and the full statistical workflow (tests, post‑hoc comparisons, software and versions). Figure legends were updated to include n and the specific statistical tests used. Uncropped blots and complete numerical datasets are provided in the Supplementary Materials (Supplementary Figures S1-S2; Tables S1-S2). |
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Are the results clearly presented? |
Can be improved |
We have reorganized and improved the presentation of the figures and tables in the Results section and corrected instrument terminology (VivaScope is now described as confocal reflectance microscopy). The figure legends specify the sample sizes (n) and the statistical tests used. To enhance transparency, we have added absolute clinical values and subject‑level variability (Supplementary Tables S1-S2). |
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Are the conclusions supported by the results? |
YES |
We appreciate the positive assessment. |
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3. Point-by-point response to Comments and Suggestions for Authors |
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Comments 1: Reviewer: Overall concern about Methods & Results clarity Results section: “Please indicate in each of the figures how many independent experiments have been performed.” Response 1: We thank the reviewer for this important request. We have updated all figure legends to report the exact number of independent replicates (n) and the statistical tests used. Fig. 2A (HS68 & HaCaT proliferation, 24 h): n = 5 per group; one‑way ANOVA with Tukey’s test. Fig. 2B (HaCaT scratch assay, 18 h): n = 4 per group; one‑way ANOVA with Tukey’s test. Fig. 2C (UVB fibroblasts WB, COL1A1/COL3A1): n = 3 independent experiments; densitometry normalized to β‑actin; one‑way ANOVA with Tukey’s test. Fig. 2D (Type I procollagen ELISA): n = 5; one‑way ANOVA with Tukey’s test. Fig. 2E (TEAC antioxidant assay): n = 5; one‑way ANOVA with Tukey’s test. Fig. 4B (mouse skin penetration, DiI): n = 3 mice per group; one‑way ANOVA with Tukey’s test; dye‑only control added in Supplementary Figure S1. |
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Comments 2: Section 2.1 & 2.2: Samples/Donors and scope “How many different samples of WJ‑MSC were used? |
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Comments 3: “Characterization of the factors contained in the secretome‑coated spicules is necessary.”
Comments 4: Figure 1C: “What is the control used here for the secretome analysis?”
Comments 5: In section 2.2.3. Collagen production was assessed by Western blotting. How many independent experiments were used to quantify the COL1A1 and COL3A1? Response 5: We appreciate the reviewer’s question. For Western blot quantification of COL1A1 and COL3A1, we performed n = 3 independent biological experiments, with densitometry normalized to β‑actin; uncropped blots are provided in Supplementary Figure S2. In a complementary assay, Type I procollagen in culture supernatants was quantified by ELISA with n = 5 independent replicates. These replicate numbers are now specified in the Figure 2 legend and Methods (4p, line 128 -132), and the raw values are available in the Supplementary materials (raw data summary). Comments 6: In point 2.2.4. Antioxidant capacity, please add a brief comment on the meaning of this result. Response 6: Thank you for the suggestion. We added a brief interpretation: the TEAC assay showed a dose‑dependent increase in antioxidant capacity, indicating enhanced ROS‑scavenging potential of the WJ‑MSC secretome. This activity is mechanistically relevant to oxidative stress-driven skin aging and is consistent with the observed increases in procollagen/collagen (Fig. 2D-E). We have revised the section [2.2.4. Antioxidant capacity] (page 4, lines 136-137) to include the requested details. Comments 7: Figure 4B and Supplementary Figure S1: It would be very helpful and much more interesting if you could present photos showing both the epidermis and the dermis from the same field of fluorescence. Response 7: We thank the reviewer for this helpful suggestion. The confocal micrographs we present already capture both the epidermis and the superficial dermis within the same field of view. To make this explicit, we used identical acquisition settings and scale bars across groups. Supplementary Figure S1 also includes representative images in which secretome‑coated spicules are visible within the epidermis (brightfield/reflectance channel, where available) together with DiI‑positive signal, as well as dye‑only controls processed in parallel. Taken together with the quantitative analysis in Figure 4B, these additions support the interpretation that the observed fluorescence originates from secretome carried by the coated spicules, rather than from dye‑related artifacts. Comments 8: 4.1. WJ-MSC Master Cell Banking and Secretome Preparation: Adherent MSCs were expanded in MEM supplemented with 15% FBS. Please, add the exact composition of MEM media, i.e. glucose concentration, the presence or absence of nucleosides, and the use of L-glutamine or glutamax. Response 8: We appreciate the reviewer’s request for the exact medium composition. We used α‑MEM with nucleosides (Gibco, Cat. No. 12571‑063) formulated with L‑glutamine (2.0 mM; 292 mg/L), D‑glucose (1.0 g/L; 5.56 mM), sodium pyruvate (1.0 mM; 110 mg/L), and ribo‑ and deoxyribonucleosides; the formulation contains Earle’s salts and ascorbic acid and does not contain phenol red [11p, line 286-289].” Comments 9: 4.6. Cell Proliferation and Viability: HS68 fibroblasts and HaCaT keratinocytes were seeded in 96-well plates at a density of 3 × 10³ cells/well and treated with various concentrations of WJ-MSC secretome for 24 h. Please, add the WJ-MSC secretome concentration at the M&M section. Response 9: [13p, line 329-331] We appreciate the reviewer’s suggestion. We have now specified the exact concentrations in Section 4.6 (Cell Proliferation and Viability) as follows: HS68 and HaCaT cells were treated for 24 h with WJ‑MSC secretome at 0, 1.6, 2.0, 2.8, and 3.9 mg/mL (protein‑equivalent), with the medium‑only condition serving as the 0 mg/mL control. This change has been incorporated into the Methods. Comments 10: 4.8. Collagen and Antioxidant Assays: Fibroblasts were irradiated with UVB (30 mJ/cm²) and subsequently treated with WJ-MSC secretome. Please, include the data of how long did you irradiated the fibroblast, and what is the concentration of WJ-MSC secretome. Response 10: [13p, line 351-355] We appreciate the reviewer’s comment. UVB exposure in our study was defined by fluence (30 mJ/cm²) rather than by a fixed time. The exposure duration was calculated from the measured irradiance at the plate surface (I, mW/cm²) using t (s) = dose (mJ/cm²) / irradiance (mW/cm²); in our setup, the irradiance was [I] mW/cm², yielding an exposure time of [t] s to deliver 30 mJ/cm². [“UVB was delivered at a fluence of 30 mJ/cm² using a PCL-3000 UVB irradiation system (Boteck, Korea), with the plate positioned approximately 15 cm from the light source. Irradiance at the well surface was measured using the device’s integrated radiometer, and the exposure time required to deliver 30 mJ/cm² was approximately 10 s. During irradiation, the culture medium was replaced with PBS, and the plates were uncovered (lids removed) to avoid UV attenuation; cells were immediately returned to complete medium thereafter.”] Comments 11: 4.9. Nano-Coated Spicules: Please add details of the amount of secretome and spicules used in the coating procedure. Also, how was the coating procedure carried out? Please, explain. Response 11: [13p. line 372-374] We appreciate the reviewer’s request for clarification. Details of the coating procedure have now been added to Section 4.9. Briefly, marine sponge-derived spicules (approximately 2.75 × 10⁵ spicules per preparation) were coated with WJ-MSC secretome (equivalent to 200 µg total protein) using a spray-coating method. The secretome suspension was atomized onto the spicules under gentle rotation (150 rpm) to ensure uniform coating, followed by air-drying at room temperature for 1 h under sterile conditions. The coated spicules were subsequently stored in airtight containers at room temperature until use. These details are now described in the Methods to improve reproducibility. Comments 12: 4.10. In Vivo Skin Penetration Assay: Pleas, add the protocol used to label with DiI the spicules coated with WJ-MSC secretome. What os the amount of spicules coated with WJ-MSC secretome contained in the 50 μL of DiI-labeled samples? Response 12: [13p, line 380- 14p, line 389] We appreciate the reviewer’s request for clarification. The DiI labeling protocol and quantitative details have been added to Section 4.10. Briefly, WJ-MSC secretome–coated spicules (~2.75 × 10⁵ spicules per batch) were labeled with DiI (5 µM, Invitrogen, USA) in PBS for 20 min at room temperature in the dark, followed by two washes with PBS to remove unbound dye. The labeled preparation was resuspended in 50 µL PBS, corresponding to approximately 2.75 × 10⁵ coated spicules containing 200 µg protein-equivalent secretome, and applied topically to the dorsal skin. These details have been incorporated into the Methods to ensure reproducibility. Comments 13: 4.11. Formulation of Spicule-Based Essence: What is the emulsifier used? What is the oil phase composed of? Please explain this protocol so that other researchers can replicate it. Response 13: [14p, line 394-403] The spicule-based essence was prepared using a two-phase oil-in-water (O/W) emulsification process. The aqueous phase contained the emulsifier (polyglyceryl-10 stearate, 2% w/w) and humectant (glycerin, 5% w/w) dissolved in purified water, while the oil phase consisted of caprylic/capric triglyceride (6% w/w) and squalane (3% w/w). Both phases were heated separately to 80 °C; the aqueous phase was homogenized at 6,000 rpm for 10 min, and the two phases were then combined under continuous stirring to form a uniform emulsion. The mixture was cooled to below 40 °C, at which point nano-coated spicules (2.75 × 10⁵ per preparation, coated with WJ-MSC secretome) were incorporated under aseptic conditions. The final formulation was filled into sterile airless containers and stored at ambient temperature until use. Comments 14: 4.12. Study Design and Participants: 21 healthy adult female participants aged 34-66 years were included in the study. Were any inclusion and exclusion criteria applied in this clinical trial? They need to be explained. Response 14: We thank the reviewer for this valuable comment. The inclusion and exclusion criteria have now been described in Section 4.12 (Study Design and Participants). Briefly, participants were healthy adult females aged 34-66 years with mild-to-moderate facial wrinkles or pigmentation and no active dermatologic disease. Exclusion criteria included pregnancy or lactation, ongoing dermatologic treatment, history of cosmetic procedures or laser therapy within the past 3-6 months, use of topical retinoids within the past 4 weeks, and known hypersensitivity to any component of the formulation. These details have been added to ensure clarity and reproducibility. |
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Thank you very much for your consideration of our work. We greatly appreciate your support and look forward to your feedback.
Sincerely,
Oh Young Bang, M.D., Ph.D.
Corresponding Author
Samsung Medical Center / Sungkyunkwan University
Seoul, Republic of Korea
Email: ohyoung.bang@samsung.com
Round 2
Reviewer 2 Report
Comments and Suggestions for AuthorsThe authors responded appropriately to the suggestions raised by this reviewer and the article is now ready for publication.
