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[血小板衍生生长因子基因修饰人工复合皮移植于大鼠创面的观察]

[Observation of the grafting of platelet-derived growth factor gene-modified artificial composite skin on rat wounds].

作者信息

Chen Xi, Tan Qian, Liang Zhi-Wei, Pu Yue-Pu, Lin Zi-Hao, Wu Jian-Ming

机构信息

Department of Burns and Plastic Surgery, Drum Tower Hospital of Nanjing University Medical school, Nanjing 210008, P.R. China.

出版信息

Zhonghua Shao Shang Za Zhi. 2005 Feb;21(1):33-6.

Abstract

OBJECTIVE

To observe the effects of the grafting of a platelet-derived growth factor gene-modified artificial composite skin on rat wounds with full thickness defect.

METHODS

Platelet derived growth factor-B (PDGF-B) eukaryotic expression plasmid was constructed, and the fibroblasts were transfected with it by liposome mediation. Artificial composite skins 1 and 2 were constructed respectively. The skin1 was composed of keratinocyte, porcine acellular dermal matrix and PDGF-B gene-transfected fibroblasts while the skin 2 contained keratinocyte, porcine acellular dermal matrix and fibroblasts. The two kinds of composite skin were grafted onto wounds on the rat back to form composite skin group 1 (C1) and 2 (C2), respectively, with 18 rats in each group. Eight rats with wounds without treatment served as control (C) group. The survival rate of the composite skin was observed at 2 post-operative weeks (POWs). The rat wounds were examined grossly on 2, 4 and 6 POWs for the calculation of wound contraction rate. Wound tissue samples were harvested for histological examination.

RESULTS

(1) Up to 2 POWs, 14 grafts in C1 group survived completely, 3 with partial survival and 1 failure. In C2 group, 10 skin grafts survived completely, 4 with partial survival and 4 failures. (2) A scab was formed in the wound at 2 POW in C group. The surface of the grafted skin in C1 group was smooth, elastic, and showed good anti-friction properly, and it was better in quality compared with that in other two groups at 6 POW. (3) The wound contraction rate of the grafts in C group of rats was higher than that in C1 and C2 groups at 2, 4 and 6 POWs, while that in C1 was lower than that in C2 group. (4) Capillary formation was more intense in the grafted skins in C1 group at 2 POWs, and the epithelia differentiated well into 7 to 10 layers of epithelial cells with compact and orderly arrangement and evenly distributed fibrous tissue at 6 POWs.

CONCLUSION

Repair of the wound with artificial composite skin containing PDGF-B gene could improve the quality of wound healing.

摘要

目的

观察血小板衍生生长因子基因修饰的人工复合皮移植对大鼠全层皮肤缺损创面的影响。

方法

构建血小板衍生生长因子-B(PDGF-B)真核表达质粒,通过脂质体介导转染成纤维细胞。分别构建人工复合皮1和人工复合皮2。复合皮1由角质形成细胞、猪脱细胞真皮基质和转染PDGF-B基因的成纤维细胞组成,复合皮2由角质形成细胞、猪脱细胞真皮基质和成纤维细胞组成。将两种复合皮分别移植到大鼠背部创面,形成复合皮组1(C1)和复合皮组2(C2),每组18只大鼠。8只未处理创面的大鼠作为对照组(C)。术后2周观察复合皮成活率。术后2、4和6周大体观察大鼠创面,计算创面收缩率。取创面组织标本进行组织学检查。

结果

(1)至术后2周,C1组14块移植皮完全存活,3块部分存活,1块失败。C2组10块皮片完全存活,4块部分存活,4块失败。(2)C组术后2周创面形成痂皮。C1组移植皮表面光滑、有弹性,抗摩擦性能良好,术后6周时质量优于其他两组。(3)大鼠C组创面移植皮在术后2、4和6周的收缩率高于C1组和C2组,而C1组低于C2组。(4)C1组移植皮在术后2周时毛细血管形成更密集,术后6周时上皮细胞分化良好,形成7至10层上皮细胞,排列紧密有序,纤维组织分布均匀。

结论

含PDGF-B基因的人工复合皮修复创面可提高创面愈合质量。

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