Laboratory of Small Animal Surgery, Department of Veterinary Medicine, Iwate University, 3-18-8 Ueda, Morioka, Iwate 020-8550, Japan.
Am J Surg. 2011 Jun;201(6):809-18. doi: 10.1016/j.amjsurg.2010.06.017. Epub 2011 Mar 10.
Delayed wound healing is a significant clinical problem in patients who have had previous irradiation. This study investigated the effectiveness of Aloe vera (Av) on acute radiation-delayed wound healing.
The effect of Av was studied in radiation-exposed rats compared with radiation-only and control rats. Skin wounds were excised on the back of rats after 3 days of local radiation. Wound size was measured on days 0, 3, 6, 9, and 12 after wounding. Wound tissues were examined histologically and the expressions of transforming growth factor β-1 (TGF-β-1) and basic fibroblast growth factor (bFGF) were examined by immunohistochemistry and reverse-transcription polymerase chain reaction.
Wound contraction was accelerated significantly by Av on days 6 and 12 after wounding. Furthermore, the inflammatory cell infiltration, fibroblast proliferation, collagen deposition, angiogenesis, and the expression levels of TGF-β-1 and bFGF were significantly higher in the radiation plus Av group compared with the radiation-only group.
These data showed the potential application of Av to improve the acute radiation-delayed wound healing by increasing TGF-β-1 and bFGF production.
在既往接受过放射治疗的患者中,延迟性伤口愈合是一个重大的临床问题。本研究旨在探讨芦荟(Av)对急性放射性延迟性伤口愈合的作用。
研究了 Av 在接受放射治疗的大鼠中的作用,并与仅接受放射治疗和对照组大鼠进行了比较。在局部放射治疗后 3 天,切除大鼠背部皮肤伤口。在伤后 0、3、6、9 和 12 天测量伤口大小。对伤口组织进行组织学检查,并通过免疫组织化学和逆转录聚合酶链反应检测转化生长因子β-1(TGF-β-1)和碱性成纤维细胞生长因子(bFGF)的表达。
伤后第 6 天和第 12 天,Av 显著加速了伤口收缩。此外,与单纯放射组相比,Av 联合放射组的炎症细胞浸润、成纤维细胞增殖、胶原沉积、血管生成以及 TGF-β-1 和 bFGF 的表达水平均显著升高。
这些数据表明,Av 通过增加 TGF-β-1 和 bFGF 的产生,有可能应用于改善急性放射性延迟性伤口愈合。