Jagetia Ganesh Chandra, Rajanikant Golgod Krishnamurthy
Department of Radiobiology, Kasturba Medical College, Manipal, India.
Plast Reconstr Surg. 2005 Feb;115(2):515-28. doi: 10.1097/01.prs.0000148372.75342.d9.
Hemibody irradiation in multiple fractionated doses is frequently used for the treatment of various neoplastic disorders. It produces both acute and late effects on the skin and subcutaneous tissues that have profound implications in the healing of surgical wounds. Because of the crucial practical importance of hemibody radiation exposure associated with skin wounds, it is imperative to investigate the efficacy of cost-effective herbal products in the reconstruction of irradiated wounds. Therefore, the effect of pretreatment of curcumin was studied on the healing of excision wound in mice exposed to 2, 4, 6, or 8 Gy of hemibody gamma-radiation. A full-thickness skin wound was created by removing the skin flap of the dorsum of 8- to 10-week-old Swiss albino mice partially (lower half, below the rib cage) exposed to 2, 4, 6, or 8 Gy of gamma-radiation. The progression of wound contraction was monitored periodically by capturing video images of the wound, where the first image of each wound from different groups was obtained 1 day after wounding and that day was considered as day 0. Eight animals were used in each group at each exposure dose for wound contraction studies. Furthermore, the effect of curcumin on mean healing time after exposure of mice to 2, 4, 6, or 8Gy of hemibody gamma-radiation was also evaluated, where eight animals were used in each group at each exposure dose. Collagen, hexosamine, DNA, nitric oxide, and histologic profiles were also evaluated during the course of healing of excision wounds at days 4, 8, and 12 after irradiation treated or not with curcumin before exposure to 0 or 6 Gy of gamma-radiation. Six animals were used in each group at each interval for each biochemical parameter studied, except for histologic evaluations, where four animals were used in each group at each interval. Exposure of mice to different doses of gamma-radiation resulted in a dose-dependent delay in contraction and wound-healing time of excision wound, whereas curcumin pretreatment caused a significant elevation in the rate of wound contraction and a decrease in the mean wound-healing time. Treatment with curcumin before irradiation enhanced the synthesis of collagen, hexosamine, DNA, nitrite, and nitrate, and histologic assessment of wound biopsy specimens revealed improved collagen deposition and an increase in fibroblast and vascular densities. The authors' study demonstrates that curcumin pretreatment has a conducive effect on the irradiated wound and could be a substantial therapeutic strategy for ameliorating radiation-induced delay in wound repair in cases of radiation-induced skin injuries.
多分割剂量的半身照射常用于治疗各种肿瘤疾病。它会对皮肤和皮下组织产生急性和晚期影响,这对手术伤口的愈合有着深远的影响。由于与皮肤伤口相关的半身辐射暴露具有至关重要的实际意义,因此研究具有成本效益的草药产品在照射伤口修复中的功效势在必行。因此,研究了姜黄素预处理对接受2、4、6或8 Gy半身γ射线照射的小鼠切除伤口愈合的影响。通过切除8至10周龄瑞士白化小鼠背部(下半部分,肋骨以下)部分皮瓣,创建全层皮肤伤口,这些小鼠接受2、4、6或8 Gy的γ射线照射。通过拍摄伤口的视频图像定期监测伤口收缩的进展,每组伤口的第一张图像在受伤后1天获得,该日被视为第0天。在每个暴露剂量下,每组使用8只动物进行伤口收缩研究。此外,还评估了姜黄素对小鼠接受2、4、6或8 Gy半身γ射线照射后平均愈合时间的影响,在每个暴露剂量下,每组使用8只动物。在照射后第4、8和12天,在切除伤口愈合过程中,还评估了胶原蛋白、己糖胺、DNA、一氧化氮和组织学特征,照射前用或不用姜黄素处理,照射剂量为0或6 Gy。除组织学评估外,每组在每个间隔使用6只动物进行每个研究的生化参数检测,组织学评估每组在每个间隔使用4只动物。小鼠暴露于不同剂量的γ射线会导致切除伤口收缩和愈合时间出现剂量依赖性延迟,而姜黄素预处理会显著提高伤口收缩率并缩短平均伤口愈合时间。照射前用姜黄素治疗可增强胶原蛋白、己糖胺、DNA、亚硝酸盐和硝酸盐的合成,伤口活检标本的组织学评估显示胶原蛋白沉积改善,成纤维细胞和血管密度增加。作者的研究表明,姜黄素预处理对照射伤口有有益作用,对于改善辐射诱导的皮肤损伤病例中辐射引起的伤口修复延迟可能是一种重要的治疗策略。
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