Waldeck Heather, Chung Amy S, Kao Weiyuan John
Department of Biomedical Engineering, College of Engineering, University of Wisconsin-Madison, Wisconsin, USA.
J Biomed Mater Res A. 2007 Sep 15;82(4):861-71. doi: 10.1002/jbm.a.31054.
The purpose of this study was to evaluate the biocompatibility and the efficacy in wound healing of a gelatin-based interpenetrating polymer network (IPN) containing poly(ethylene glycol) (PEG)-ylated RGD and soluble KGF-1 (RGD-IPN+KGF). IPNs were applied to full-thickness wounds on a rat model. Wound healing was assessed through histological grading of the host response and percent area contraction at 2 days, 1 week, 2 weeks, and 3 weeks. A control IPN containing unmodified gelatin (unmod-IPN) and a conventional clinical bandage were applied to similar wounds and also evaluated. During the first week of healing, the unmod-IPN and conventional dressing wound showed a greater amount of contraction than that of RGD-IPN+KGF. However, by 3 weeks the extent of wound contraction was comparable between treatments. The RGD-IPN+KGF treated wound demonstrated lower macrophage and fibroblast densities at 3 weeks as compared to unmod-IPN treated wounds. RGD-IPN+KGF acted as a tissue scaffold while preventing the entry of foreign bodies, advantages not seen with the conventional dressing. The extent of cellularity and extracellular matrix organization was higher for wounds healed with RGD-IPN+KGF than those healed with unmod-IPN. These results indicate that both soluble and immobilized bioactive factors can be incorporated into our IPN platform to enhance the rate and the quality of dermal wound healing.
本研究的目的是评估一种含有聚乙二醇(PEG)化RGD和可溶性KGF-1的明胶基互穿聚合物网络(IPN)(RGD-IPN+KGF)的生物相容性及其在伤口愈合中的功效。将IPN应用于大鼠模型的全层伤口。通过对宿主反应的组织学分级以及在第2天、1周、2周和3周时的面积收缩百分比来评估伤口愈合情况。将含有未修饰明胶的对照IPN(未修饰-IPN)和传统临床绷带应用于类似伤口并进行评估。在愈合的第一周,未修饰-IPN和传统敷料伤口的收缩量比RGD-IPN+KGF的更大。然而,到3周时,各治疗组之间的伤口收缩程度相当。与未修饰-IPN治疗的伤口相比,RGD-IPN+KGF治疗的伤口在3周时巨噬细胞和成纤维细胞密度较低。RGD-IPN+KGF起到组织支架的作用,同时防止异物进入,这是传统敷料所没有的优点。用RGD-IPN+KGF愈合的伤口的细胞密度和细胞外基质组织程度高于用未修饰-IPN愈合的伤口。这些结果表明,可溶性和固定化的生物活性因子都可以整合到我们的IPN平台中,以提高皮肤伤口愈合的速度和质量。