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在兔皮肤瘢痕模型中,抑制前胶原C蛋白酶可减少瘢痕肥大。

Inhibition of procollagen C-proteinase reduces scar hypertrophy in a rabbit model of cutaneous scarring.

作者信息

Reid Russell R, Mogford Jon E, Butt Richard, deGiorgio-Miller Alex, Mustoe Thomas A

机构信息

Northwestern University, Division of Plastic Surgery, Chicago, Illinois 60611, USA.

出版信息

Wound Repair Regen. 2006 Mar-Apr;14(2):138-41. doi: 10.1111/j.1743-6109.2006.00103.x.

Abstract

Hypertrophic scarring, which results from excessive collagen deposition at sites of dermal wound repair, can be functionally and cosmetically debilitating to the surgical patient. Pharmacological regulation of collagen synthesis and deposition is a direct approach to the control of scar tissue formation. One of the key steps in collagen stabilization is the cleavage of the C-terminal propeptide from the precursor molecule to form collagen fibrils, a reaction catalyzed by procollagen C-proteinase (PCP). We tested the ability of a PCP inhibitor to reduce hypertrophic scar formation in a rabbit ear model. After the placement of four, 7-mm dermal wounds on each ear, New Zealand white rabbits received PCP inhibitor subcutaneously in the left ear at four time points postwounding: days 7, 9, 11, 13 (early treatment; n=20 wounds) or days 11, 13, 15, 17 (late treatment; n=20 wounds). The right ear of each animal served as a control (vehicle alone). Wounds were harvested on postoperative day 28 and scar hypertrophy quantified by measurement of the scar elevation index. Early treatment of wounds with PCP inhibitor did not reduce scar formation compared with controls (p>0.05). However, late treatment resulted in a statistically significant reduction in the scar elevation index (p<0.01). Our results point not only to the potential use of PCP inhibitors to mitigate hypertrophic scarring but also to the temporal importance of drug delivery for antiscarring therapy.

摘要

肥厚性瘢痕形成于真皮伤口修复部位的胶原蛋白过度沉积,在功能和美观方面都会给手术患者带来损害。胶原蛋白合成和沉积的药理学调节是控制瘢痕组织形成的直接方法。胶原蛋白稳定化的关键步骤之一是从前体分子上切割C末端前肽以形成胶原纤维,这一反应由前胶原C蛋白酶(PCP)催化。我们在兔耳模型中测试了一种PCP抑制剂减少肥厚性瘢痕形成的能力。在每只耳朵上放置4个7毫米的真皮伤口后,新西兰白兔在受伤后的4个时间点(第7、第9、第11、第13天,早期治疗;n = 20个伤口)或第11、第13、第15、第17天(晚期治疗;n = 20个伤口)左耳皮下注射PCP抑制剂。每只动物的右耳作为对照(仅注射赋形剂)。术后第28天采集伤口,通过测量瘢痕隆起指数对瘢痕增生进行量化。与对照组相比,用PCP抑制剂早期治疗伤口并没有减少瘢痕形成(p>0.05)。然而,晚期治疗导致瘢痕隆起指数有统计学意义的降低(p<0.01)。我们的结果不仅表明PCP抑制剂在减轻肥厚性瘢痕方面的潜在用途,还表明抗瘢痕治疗中药物递送的时间重要性。

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