Duan Hong-jie, Gao Jian-hua, Shen Guang-yu
Department of Burns and Plastic Surgery, 187th Hospital of the People Liberation Army, Haikou 571159, China.
Zhonghua Zheng Xing Wai Ke Za Zhi. 2003 Mar;19(2):95-7.
To investigate whether there are abnormal fibroblasts in the surrounding skin of keloids for better understanding of the etiological feature of keloids.
Fresh samples were used for cell culture. Flow cytometry was used for analyzing cell cycles of fibroblasts derived from keloids and the surrounding skin. Proliferative cell proportions were compared between every two groups. P53 exon 4, 5 and 6 were amplified by PCR. DNA was sequenced to examine the structure of the destination gene.
The proliferative cell proportion of the fibroblasts derived from the surrounding skin is not so high as that from the verge of keloids, but is higher than the normal skin fibroblasts derived from other part of the keloid patients or persons without keloids (P < 0.05). Mutations (point and frameshift mutations) of P53 exon 4 (6/6) and exon 5(2/6) in fibroblasts derived from the surrounding skin of keloids were identified. Fibroblasts derived from keloids have the same mutations as its surrounding skin.
There are abnormal fibroblasts in the surrounding skin of keloids. It may be the consequence of keloid infiltrative growth and a reason of easy recurrence of keloid after therapy.
研究瘢痕疙瘩周围皮肤中是否存在异常成纤维细胞,以更好地了解瘢痕疙瘩的病因特征。
使用新鲜样本进行细胞培养。采用流式细胞术分析瘢痕疙瘩及其周围皮肤来源的成纤维细胞的细胞周期。比较每两组之间的增殖细胞比例。通过聚合酶链反应(PCR)扩增P53基因的第4、5和6外显子。对DNA进行测序以检查目的基因的结构。
瘢痕疙瘩周围皮肤来源的成纤维细胞的增殖细胞比例不如瘢痕疙瘩边缘来源的成纤维细胞高,但高于瘢痕疙瘩患者其他部位或无瘢痕疙瘩者的正常皮肤成纤维细胞(P<0.05)。在瘢痕疙瘩周围皮肤来源的成纤维细胞中鉴定出P53基因第4外显子(6/6)和第5外显子(2/6)的突变(点突变和移码突变)。瘢痕疙瘩来源的成纤维细胞与其周围皮肤具有相同的突变。
瘢痕疙瘩周围皮肤中存在异常成纤维细胞。这可能是瘢痕疙瘩浸润性生长的结果,也是瘢痕疙瘩治疗后易复发的原因。