Department of Surgery, Division of Trauma and Emergency Surgery, University of Texas Health Science Center at San Antonio, San Antonio, Texas 78229-3900, USA.
J Surg Res. 2010 Jan;158(1):112-20. doi: 10.1016/j.jss.2008.07.034.
Healing of the burn wound is a critical component of the burn patient's successful recovery. While inflammation is a critical component of the healing process, it is unknown whether the inflammatory response differs between non-burn and burn wounds. To study this, mice were subjected to major burn injury or sham procedure. Wound cells were collected by implantation of polyvinyl alcohol sponges beneath the burn site in injured mice or beneath uninjured skin in sham mice (i.e., non-burn wound). Three days thereafter, skin, wound fluid, and infiltrating cells were collected for analysis. Significant levels of tumor necrosis factor (TNF)-alpha, interleukin (IL-6), monocyte chemoattractant protein (MCP)-1, and keratinocyte-derived chemokine (KC) were observed in burn wound tissue and the wound fluid from both non-burn and burn wounds. Burn injury induced 3-fold higher levels of KC and 50-fold higher levels of IL-6 in the wound fluid compared with non-burn injury. Significant numbers of the cells from both burn and non-burn wounds were CD11b(+), GR1(+), and F4/80(+), suggestive of a myeloid suppressor cell phenotype, whereas CD3(+) T-cells were negligible under both conditions. LPS induced TNF-alpha, IL-6, IL-10, MCP-1, KC, and nitric oxide production in both cell populations, however, IL-6, IL-10, MCP-1, and KC levels were suppressed in burn wound cell cultures. These findings indicate that significant differences in the wound inflammatory response exist between burn and non-burn cutaneous wounds and that the unique characteristics of the inflammatory response at the burn site may be an important contributing factor to post-burn wound healing complications.
烧伤创面的愈合是烧伤患者成功康复的关键组成部分。虽然炎症是愈合过程的关键组成部分,但尚不清楚非烧伤和烧伤创面的炎症反应是否不同。为了研究这一点,将小鼠进行大面积烧伤损伤或假手术处理。通过将聚乙烯醇海绵植入受伤小鼠的烧伤部位下方或假手术小鼠(即非烧伤创面)的未受伤皮肤下方来收集创面细胞。3 天后,收集皮肤、创面液和浸润细胞进行分析。在烧伤创面组织和来自非烧伤和烧伤创面的创面液中观察到显著水平的肿瘤坏死因子(TNF)-α、白细胞介素(IL)-6、单核细胞趋化蛋白(MCP)-1 和角质细胞衍生趋化因子(KC)。与非烧伤损伤相比,烧伤损伤诱导创面液中 KC 增加 3 倍,IL-6 增加 50 倍。来自烧伤和非烧伤创面的大量细胞均为 CD11b(+)、GR1(+) 和 F4/80(+),提示髓系抑制细胞表型,而在两种情况下 CD3(+)T 细胞均可忽略不计。LPS 诱导两种细胞群中 TNF-α、IL-6、IL-10、MCP-1、KC 和一氧化氮的产生,但在烧伤创面细胞培养物中抑制了 IL-6、IL-10、MCP-1 和 KC 水平。这些发现表明,烧伤和非烧伤皮肤创面的创面炎症反应存在显著差异,而烧伤部位炎症反应的独特特征可能是烧伤后创面愈合并发症的重要促成因素。