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Comparison of efficacy of topical phenytoin with hypericin in second-degree burn wound healing: an experimental study in rats.

作者信息

Sayar Hamide, Gergerlioglu Nursadan, Seringec Nurten, Ozturk Perihan, Bulbuloglu Ertan, Karabay Gulten

机构信息

Department of Pathology, Faculty of Medicine, Kahramanmaras Sutcu Imam University, Kahramanmaras, Turkey.

Department of Pathology, Faculty of Medicine, Selcuk University, Konya, Turkey.

出版信息

Med Sci Monit Basic Res. 2014 Apr 3;20:36-46. doi: 10.12659/MSMBR.890337.


DOI:10.12659/MSMBR.890337
PMID:24694757
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3983098/
Abstract

BACKGROUND: This experiment was performed to compare the effects of Phenytoin (PHT) and Hypericin (HP) cream on healing of burn wounds in rats. MATERIAL AND METHODS: Twenty rats were divided into 3 groups and second-degree burn wounds were created. The burn wounds in the first, second, and third groups were covered twice daily with PHT cream, HP cream, and saline (control), respectively. At the end of days 3, 7, 14, and 21, full-thickness skin biopsies were done for histopathologic and immunohistochemical analyses. RESULTS: Histopathologic evaluations at the 14th day showed that re-epithelialization scores were greater in the HP group than the PHT group, but on day 21, re-epithelialization scores were higher in the PHT group than the HP group. Collagen content on days 3 and 14 in the PHT group was found to be higher than in the HP group. Well-vascularized granulation tissue on day 7 in the PHT group was higher than in other groups. HP and PHT groups had a significant increase in VEGF and TGF-b expression in burn wound healing area compared to the control group on all days. CONCLUSIONS: Topical application of HP can promote re-epithelialization in burn wounds to shorten the wound healing time for superficial burns. Phenytoin, on the other hand, contributes to healing by increasing vascularized granulation tissue and collagen synthesis through re-epithelialization. The increased VEGF and TGF-b expression following PHT and HP treatment strongly indicate that PHT and HP treatment promotes VEGF and TGF-b production and action in the burn wound area.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2ac/3983098/4579b1f3458b/medscimonitbasicres-20-36-g005.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2ac/3983098/c9239ef3f401/medscimonitbasicres-20-36-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2ac/3983098/6736467b81fc/medscimonitbasicres-20-36-g002.jpg
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本文引用的文献

[1]
Immunosuppressive effects of hypericin on stimulated human leukocytes: inhibition of the arachidonic acid release, leukotriene B(4) and Interleukin-Iα production, and activation of nitric oxide formation.

Phytomedicine. 1996-5

[2]
Development of animal model for studying deep second-degree thermal burns.

J Biomed Biotechnol. 2012

[3]
Evaluation of the effects of polarized light (λ400-200 nm) on the healing of third-degree burns in induced diabetic and nondiabetic rats.

Photomed Laser Surg. 2011-9

[4]
Wound bed preparation and complementary and alternative medicine.

Adv Skin Wound Care. 2011-5

[5]
Evaluation of chitosan gel containing liposome-loaded epidermal growth factor on burn wound healing.

Int Wound J. 2011-4-12

[6]
Effect of topical phenytoin on burn wound healing in rats.

Indian J Exp Biol. 2011-1

[7]
A novel wound healing ointment: a formulation of Hypericum perforatum oil and sage and oregano essential oils based on traditional Turkish knowledge.

J Ethnopharmacol. 2010-12-3

[8]
A review of the antibacterial activity of Hypericum perforatum L.

J Ethnopharmacol. 2010-7-24

[9]
Investigations on the in vivo wound healing potential of Hypericum perforatum L.

J Ethnopharmacol. 2009-10-13

[10]
St. John's wort - an overview.

Forsch Komplementmed. 2009-6

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