Shin Soo Hye, Han Seung-Kyu, Jeong Seong-Ho, Kim Woo-Kyung
Department of Plastic Surgery, Korea University College of Medicine, Seoul, South Korea.
Int Wound J. 2014 Aug;11(4):398-403. doi: 10.1111/j.1742-481X.2012.01107.x. Epub 2012 Nov 1.
Oncostatin M (OSM) is a multifunctional cytokine found in a variety of pathologic conditions, which leads to excessive collagen deposition. Current studies demonstrate that OSM is also a mitogen for fibroblasts and has an anti-inflammatory action. It was therefore hypothesised that OSM may play an important role in healing of chronic wounds that usually involve decreased fibroblast function and persist in the inflammatory stage for a long time. In a previous in vitro study, the authors showed that OSM increased wound healing activities of diabetic dermal fibroblasts. However, wound healing in vivo is a complex process involving multiple factors. Thus, the purpose of this study was to evaluate the effect of OSM on diabetic wound healing in vivo. Five diabetic mice were used in this study. Four full-thickness round wounds were created on the back of each mouse (total 20 wounds). OSM was applied on the two left-side wounds (n = 10) and phosphate-buffered saline was applied on the two right-side wounds (n = 10). After 10 days, unhealed wound areas of the OSM and control groups were compared using the stereoimage optical topometer system. Also, epithelialisation, wound contraction and reduction in wound volume in each group were compared. The OSM-treated group showed superior results in all of the tested parameters. In particular, the unhealed wound area and the reduction in wound volume demonstrated statistically significant differences (P < 0·05). The results of this study indicate that topical application of OSM may have the potential to accelerate healing of diabetic wounds.
抑瘤素M(OSM)是一种在多种病理状况下发现的多功能细胞因子,它会导致胶原蛋白过度沉积。目前的研究表明,OSM也是成纤维细胞的促有丝分裂原,并且具有抗炎作用。因此,有人提出假设,OSM可能在慢性伤口愈合中发挥重要作用,慢性伤口通常涉及成纤维细胞功能下降,并长期处于炎症阶段。在之前的一项体外研究中,作者表明OSM可增强糖尿病皮肤成纤维细胞的伤口愈合活性。然而,体内伤口愈合是一个涉及多种因素的复杂过程。因此,本研究的目的是评估OSM对糖尿病伤口体内愈合的影响。本研究使用了五只糖尿病小鼠。在每只小鼠背部制造四个全层圆形伤口(共20个伤口)。在左侧的两个伤口上应用OSM(n = 10),在右侧的两个伤口上应用磷酸盐缓冲盐水(n = 10)。10天后,使用立体图像光学表面测量仪系统比较OSM组和对照组未愈合伤口的面积。此外,还比较了每组的上皮化、伤口收缩和伤口体积减少情况。OSM治疗组在所有测试参数中均显示出更好的结果。特别是,未愈合伤口面积和伤口体积减少显示出统计学上的显著差异(P < 0·05)。本研究结果表明,局部应用OSM可能具有加速糖尿病伤口愈合的潜力。