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壳聚糖-海藻酸盐膜可加速伤口愈合。

Chitosan-alginate membranes accelerate wound healing.

作者信息

Caetano Guilherme Ferreira, Frade Marco Andrey Cipriani, Andrade Thiago Antônio Moretti, Leite Marcel Nani, Bueno Cecilia Zorzi, Moraes Ângela Maria, Ribeiro-Paes João Tadeu

机构信息

Biotecnology Post Graduate Program, Institute of Biomedical Sciences, University of São Paulo (USP), São Paulo, São Paulo, Brazil.

Department of Internal Medicine, Division of Dermatology, Ribeirão Preto School of Medicine, University of São Paulo (USP), Ribeirão Preto, São Paulo, Brazil.

出版信息

J Biomed Mater Res B Appl Biomater. 2015 Jul;103(5):1013-22. doi: 10.1002/jbm.b.33277. Epub 2014 Sep 15.

Abstract

The purpose of this study was to evaluate the efficacy of chitosan-alginate membrane to accelerate wound healing in experimental cutaneous wounds. Two wounds were performed in Wistar rats by punching (1.5 cm diameter), treated with membranes moistened with saline solution (CAM group) or with saline only (SL group). After 2, 7, 14, and 21 days of surgery, five rats of each group were euthanized and reepithelialization was evaluated. The wounds/scars were harvested for histological, flow cytometry, neutrophil infiltrate, and hydroxyproline analysis. CAM group presented higher inflammatory cells recruitment as compared to SL group on 2(nd) day. On the 7(th) day, CAM group showed higher CD11b(+) level and lower of neutrophils than SL group. The CAM group presented higher CD4(+) cells influx than SL group on 2(nd) day, but it decreased during the follow up and became lower on 14(th) and 21(st) days. Higher fibroplasia was noticed on days 7 and 14 as well as higher collagenesis on 21(st) in the CAM group in comparison to SL group. CAM group showed faster reepithelialization on 7(th) day than SL group, although similar in other days. In conclusion, chitosan-alginate membrane modulated the inflammatory phase, stimulated fibroplasia and collagenesis, accelerating wound healing process in rats.

摘要

本研究的目的是评估壳聚糖-海藻酸盐膜在实验性皮肤伤口中促进伤口愈合的效果。通过打孔(直径1.5厘米)在Wistar大鼠身上制造两个伤口,分别用生理盐水湿润的膜(CAM组)或仅用生理盐水(SL组)进行处理。在手术2、7、14和21天后,每组处死5只大鼠并评估再上皮化情况。收集伤口/瘢痕进行组织学、流式细胞术、中性粒细胞浸润和羟脯氨酸分析。与SL组相比,CAM组在第2天炎症细胞募集更多。在第7天,CAM组CD11b(+)水平较高,中性粒细胞数量低于SL组。CAM组在第2天CD4(+)细胞流入量高于SL组,但在随访过程中减少,在第14天和第21天低于SL组。与SL组相比,CAM组在第7天和第14天纤维增生更明显,在第21天胶原生成更多。CAM组在第7天再上皮化比SL组更快,不过在其他天数两者相似。总之,壳聚糖-海藻酸盐膜调节了炎症期,刺激了纤维增生和胶原生成,加速了大鼠的伤口愈合过程。

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