Pandit A, Ashar R, Feldman D
Department of Biomedical Engineering, University of Alabama at Birmingham, USA.
J Invest Surg. 1999 Mar-Apr;12(2):89-100. doi: 10.1080/089419399272647.
In this preliminary study, the wound healing response of full-thickness skin defects to transforming growth factor beta (TGF-beta) incorporated in a collagen scaffold was evaluated. The objectives of this study were (1) to compare the effects of TGF-beta on the cellular and tissue response and mechanical properties and (2) to determine the effects of a collagen scaffold on wound healing when compared to control. Three 3 x 3 cm, full-thickness defects were created on the dorsi of 15 New Zealand White rabbits. Each rabbit had a control (no treatment), collagen scaffold, and collagen scaffold with TGF-beta (2 microg/cm2). All the wounds were covered with a transparent polyurethane dressing. There were three periods of study (1, 2, and 3 weeks) with five rabbits in each period. The volume fraction of the tissue and cells was histomorphometrically determined for each wound. A greater inflammatory response was found in the collagen scaffold-treated group, but the fastest epithelialization and contraction rates were associated with TGF-beta and collagen. No significant differences in the mechanical strength between the different treatment groups were seen. Overall, TGF-beta delivered through a collagen scaffold enhanced the healing process and showed promise for future clinical applications.
在这项初步研究中,评估了全层皮肤缺损对掺入胶原蛋白支架中的转化生长因子β(TGF-β)的伤口愈合反应。本研究的目的是:(1)比较TGF-β对细胞和组织反应以及力学性能的影响;(2)与对照组相比,确定胶原蛋白支架对伤口愈合的影响。在15只新西兰白兔的背部制造了三个3×3厘米的全层缺损。每只兔子有一个对照组(不治疗)、一个胶原蛋白支架组和一个含TGF-β(2微克/平方厘米)的胶原蛋白支架组。所有伤口均用透明聚氨酯敷料覆盖。研究分为三个阶段(1周、2周和3周),每个阶段有5只兔子。通过组织形态计量学确定每个伤口的组织和细胞体积分数。在胶原蛋白支架治疗组中发现了更强的炎症反应,但最快的上皮化和收缩率与TGF-β和胶原蛋白有关。不同治疗组之间的力学强度没有显著差异。总体而言,通过胶原蛋白支架递送的TGF-β增强了愈合过程,并显示出未来临床应用的前景。