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绿头苍蝇幼虫丝光绿蝇中用于临床清创不愈合伤口的特定蛋白酶对细胞外基质成分的降解作用。

Degradation of extracellular matrix components by defined proteinases from the greenbottle larva Lucilia sericata used for the clinical debridement of non-healing wounds.

作者信息

Chambers L, Woodrow S, Brown A P, Harris P D, Phillips D, Hall M, Church J C T, Pritchard D I

机构信息

Immune Modulation Group, School of Pharmaceutical Sciences, Boots Science Building, University of Nottingham, UK.

出版信息

Br J Dermatol. 2003 Jan;148(1):14-23. doi: 10.1046/j.1365-2133.2003.04935.x.

Abstract

BACKGROUND

Larvae of the greenbottle fly Lucilia sericata are used routinely for the clinical treatment of difficult necrotic and infected wounds. Degradation by proteinases contained in larval excretory/secretory (ES) products is thought to contribute to wound debridement by removal of dead tissue. However, proteinase activity may also affect host tissue remodelling processes.

OBJECTIVES

To identify proteolytic enzymes derived from L. sericata ES products with activities against fibrin and extracellular matrix (ECM) components.

METHODS

Larval proteinase activities were assayed in vitro using class-specific substrates and inhibitors. Their action against fibrin and ECM components was examined using sodium dodecyl sulphate-polyacrylamide gel electrophoresis.

RESULTS

Three classes of proteolytic enzyme were detected in the secretions using fluorescein isothiocyanate-labelled casein as a model substrate. The predominant activity belonged to serine proteinases (pH optima 8-9) of two different subclasses (trypsin-like and chymotrypsin-like), with a weaker aspartyl proteinase (pH 5) and a metalloproteinase (pH 9) with exopeptidase characteristics also present. Using skin-relevant ECM components as substrates L. sericata ES products solubilized fibrin clots and degraded fibronectin, laminin and acid-solubilized collagen types I and III. Hydrolysis of ECM macromolecules was inhibited by preincubating ES products with phenylmethylsulphonyl fluoride but not 4-amidinophenylmethylsulphonyl fluoride, indicating that degradation was due to the 'chymotrypsin-like' serine proteinase.

CONCLUSIONS

These data suggest that a combination of L. sericata ES proteinases involving chymotrypsin-like and trypsin-like activities could potentially influence wound healing events when maggots are introduced into necrotic and infected wounds, with the chymotrypsin-like activity involved in the remodelling of ECM components.

摘要

背景

丝光绿蝇幼虫常用于临床治疗难愈的坏死性和感染性伤口。幼虫排泄/分泌(ES)产物中所含蛋白酶的降解作用被认为有助于通过清除坏死组织来实现伤口清创。然而,蛋白酶活性也可能影响宿主组织重塑过程。

目的

鉴定丝光绿蝇ES产物中具有针对纤维蛋白和细胞外基质(ECM)成分活性的蛋白水解酶。

方法

使用类别特异性底物和抑制剂在体外测定幼虫蛋白酶活性。通过十二烷基硫酸钠-聚丙烯酰胺凝胶电泳检测它们对纤维蛋白和ECM成分的作用。

结果

以异硫氰酸荧光素标记的酪蛋白作为模型底物,在分泌物中检测到三类蛋白水解酶。主要活性属于两种不同亚类(胰蛋白酶样和糜蛋白酶样)的丝氨酸蛋白酶(最适pH为8 - 9),还存在较弱的天冬氨酸蛋白酶(pH 5)和具有外肽酶特征的金属蛋白酶(pH 9)。以与皮肤相关的ECM成分作为底物,丝光绿蝇ES产物可溶解纤维蛋白凝块并降解纤连蛋白、层粘连蛋白以及I型和III型酸溶性胶原蛋白。通过将ES产物与苯甲基磺酰氟预孵育可抑制ECM大分子的水解,但与4 - 脒基苯甲基磺酰氟预孵育则无此效果,这表明降解是由“糜蛋白酶样”丝氨酸蛋白酶引起的。

结论

这些数据表明,当将蛆引入坏死性和感染性伤口时,丝光绿蝇ES蛋白酶中涉及糜蛋白酶样和胰蛋白酶样活性的组合可能会潜在地影响伤口愈合过程,其中糜蛋白酶样活性参与ECM成分的重塑。

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