Department of Burn & Plastic Surgery, the First Affiliated Hospital of PLA General Hospital, Beijing, China.
PLoS One. 2014 Feb 20;9(2):e88348. doi: 10.1371/journal.pone.0088348. eCollection 2014.
BACKGROUND: Severe burns are a common and highly lethal trauma. The key step for severe burn therapy is to promote the wound healing as early as possible, and reports indicate that mesenchymal stem cell (MSC) therapy contributes to facilitate wound healing. In this study, we investigated effect of human umbilical cord MSCs (hUC-MSCs) could on wound healing in a rat model of severe burn and its potential mechanism. METHODS: Adult male Wistar rats were randomly divided into sham, burn, and burn transplanted hUC-MSCs. GFP labeled hUC-MSCs or PBS was intravenous injected into respective groups. The rate of wound closure was evaluated by Image Pro Plus. GFP-labeled hUC-MSCs were tracked by in vivo bioluminescence imaging (BLI), and human-specific DNA expression in wounds was detected by PCR. Inflammatory cells, neutrophils, macrophages, capillaries and collagen types I/III in wounds were evaluated by histochemical staining. Wound blood flow was evaluated by laser Doppler blood flow meter. The levels of proinflammatory and anti-inflammatory factors, VEGF, collagen types I/III in wounds were analyzed using an ELISA. RESULTS: We found that wound healing was significantly accelerated in the hUC-MSC therapy group. The hUC-MSCs migrated into wound and remarkably decreased the quantity of infiltrated inflammatory cells and levels of IL-1, IL-6, TNF-α and increased levels of IL-10 and TSG-6 in wounds. Additionally, the neovascularization and levels of VEGF in wounds in the hUC-MSC therapy group were markedly higher than those in other control groups. The ratio of collagen types I and III in the hUC-MSC therapy group were markedly higher than that in the burn group at indicated time after transplantation. CONCLUSION: The study suggests that hUC-MSCs transplantation can effectively improve wound healing in severe burned rat model. Moreover, these data might provide the theoretical foundation for the further clinical application of hUC-MSC in burn areas.
背景:严重烧伤是一种常见且高度致命的创伤。严重烧伤治疗的关键步骤是尽早促进伤口愈合,有报道称间充质干细胞(MSC)治疗有助于促进伤口愈合。在这项研究中,我们研究了人脐带 MSC(hUC-MSC)对严重烧伤大鼠模型伤口愈合的影响及其潜在机制。
方法:成年雄性 Wistar 大鼠随机分为假手术、烧伤和烧伤移植 hUC-MSC 组。将 GFP 标记的 hUC-MSC 或 PBS 静脉注射到相应组。通过 Image Pro Plus 评估伤口闭合率。通过体内生物发光成像(BLI)跟踪 GFP 标记的 hUC-MSC,并通过 PCR 检测伤口中人特异性 DNA 的表达。通过组织化学染色评估伤口中的炎症细胞、中性粒细胞、巨噬细胞、毛细血管和 I/III 型胶原。通过激光多普勒血流计评估伤口血流。通过 ELISA 分析伤口中促炎和抗炎因子、VEGF、I/III 型胶原的水平。
结果:我们发现 hUC-MSC 治疗组的伤口愈合明显加快。hUC-MSC 迁移到伤口中,显著减少了浸润的炎症细胞数量和 IL-1、IL-6、TNF-α的水平,并增加了 IL-10 和 TSG-6 的水平。此外,hUC-MSC 治疗组的新生血管形成和 VEGF 水平明显高于其他对照组。hUC-MSC 治疗组在移植后指定时间的 I/III 型胶原比例明显高于烧伤组。
结论:该研究表明,hUC-MSC 移植可有效改善严重烧伤大鼠模型的伤口愈合。此外,这些数据可能为 hUC-MSC 在烧伤区域的进一步临床应用提供理论基础。
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