Liu Yingkai, Lu Shuliang, Qing Chun, Liao Zhenjiang, Shi Jixiang
Department of Burns, Burn Institute of Shanghai, Ruijin Hospital, Shanghai Second Medical University, Shanghai 200025, P R China.
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2005 Jan;19(1):10-4.
To study the effects of dermal template on the biological behaviors of fibroblasts during wound healing.
A total of 120 rats were made full-thickness wound modes on the dorsum and divided into 4 groups, in group 1, the wounds were allowed to heal by contraction(ConT); in group 2, the wounds covered with full-thickness skin grafts (FTSG); in group 3, the wounds were with split thickness skin grafts (STSG); and in group 4, the wounds were covered by dermal regeneration template with overlying thin split-thickness autograft (ADMT). The specimens were obtained at one week, two weeks, four weeks, six weeks, and twelve weeks respectively. The expressions of alpha smooth muscle actin(alpha-SMA, characteristic of MFB), fibronectin (FN), integrin alpha2 beta1 and transforming growth factor beta1 (TGF-beta1) were examined by immunohistochemical analysis.
Positive expression of alpha-SMA, FN, integrin alpha2 beta1 and TGF-beta1 in ADMT groups was significantly lower than that in STSG group and ConT group, but higher than that in FTSG group (P < 0.05).
Dermal regeneration template can inhibit the transformation of FB to MFB and restrain the expression of FN, integrin alpha2 beta1, and TGF-beta1 in fibroblasts which might reduce the possibility of hypertrophic scarring, and improve wound healing.
研究真皮模板对伤口愈合过程中成纤维细胞生物学行为的影响。
将120只大鼠背部制成全层伤口模型,分为4组,第1组伤口通过收缩自行愈合(ConT);第2组伤口覆盖全厚皮片(FTSG);第3组伤口覆盖断层皮片(STSG);第4组伤口覆盖真皮再生模板并在其上覆盖薄断层自体皮片(ADMT)。分别在1周、2周、4周、6周和12周获取标本。通过免疫组织化学分析检测α平滑肌肌动蛋白(α-SMA,肌成纤维细胞特征性标志物)、纤连蛋白(FN)、整合素α2β1和转化生长因子β1(TGF-β1)的表达。
ADMT组中α-SMA、FN、整合素α2β1和TGF-β1的阳性表达明显低于STSG组和ConT组,但高于FTSG组(P<0.05)。
真皮再生模板可抑制成纤维细胞向肌成纤维细胞转化,抑制成纤维细胞中FN、整合素α2β1和TGF-β1的表达,这可能降低肥厚性瘢痕形成的可能性,并促进伤口愈合。