Department of Pharmacology and Toxicology, Defence Research and Development Establishment, Gwalior, Madhya Pradesh, India.
Int Wound J. 2013 Aug;10(4):441-54. doi: 10.1111/j.1742-481X.2012.01003.x. Epub 2012 Jun 4.
Sulphur mustard (SM) is a bifunctional alkylating agent that causes cutaneous blistering in humans and animals. In this study, we have presented closer views on pathogenesis of SM-induced skin injury in a mouse model. SM diluted in acetone was applied once dermally at a dose of 5 or 10 mg/kg to Swiss albino mice. Skin was dissected out at 0, 1, 3, 6, 12, 24, 48, 72 and 168 hours, post-SM exposure for studying histopathological changes and immunohistochemistry of inflammatory-reparative biomarkers, namely, transforming growth factor alpha (TGF-α), fibroblast growth factor (FGF), endothelial nitric oxide synthase (eNOS) and interlukin 6 (IL-6). Histopathological changes were similar to other mammalian species and basal cell damage resembled the histopathological signs observed with vesication in human skin. Inflammatory cell recruitment at the site of injury was supported by differential expressions of IL-6 at various stages. Time-dependent expressions of eNOS played pivotal roles in all the events of wound healing of SM-induced skin lesions. TGF-α and FGF were strongly associated with keratinocyte migration, re-epithelialisation, angiogenesis, fibroblast proliferation and cell differentiation. Furthermore, quantification of the tissue leukocytosis and DNA damage along with semiquantitative estimation of re-epithelialisation, fibroplasia and neovascularisation on histomorphologic scale could be efficiently used for screening the efficacy of orphan drugs against SM-induced skin injury.
硫芥(SM)是一种双功能烷化剂,可导致人类和动物的皮肤起疱。在本研究中,我们在小鼠模型中更详细地研究了 SM 诱导的皮肤损伤的发病机制。将 SM 用丙酮稀释后,以 5 或 10mg/kg 的剂量一次局部涂于瑞士白化小鼠的皮肤上。在暴露于 SM 后 0、1、3、6、12、24、48、72 和 168 小时,将皮肤取出进行组织病理学变化和炎症修复生物标志物的免疫组织化学研究,即转化生长因子α(TGF-α)、成纤维细胞生长因子(FGF)、内皮型一氧化氮合酶(eNOS)和白细胞介素 6(IL-6)。组织病理学变化与其他哺乳动物物种相似,基底细胞损伤类似于人类皮肤起疱时观察到的组织病理学征象。损伤部位的炎症细胞募集得到了不同阶段 IL-6 差异表达的支持。eNOS 的时间依赖性表达在 SM 诱导的皮肤损伤愈合的所有事件中都发挥了关键作用。TGF-α 和 FGF 与角质形成细胞迁移、再上皮化、血管生成、成纤维细胞增殖和细胞分化密切相关。此外,组织白细胞增多和 DNA 损伤的定量以及再上皮化、纤维增生和新生血管形成的半定量估计在组织形态学尺度上可有效地用于筛选针对 SM 诱导的皮肤损伤的孤儿药物的疗效。