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PLGA 与血管内皮生长因子的联合作用促进非糖尿病和糖尿病伤口的愈合。

Combined effects of PLGA and vascular endothelial growth factor promote the healing of non-diabetic and diabetic wounds.

机构信息

Louvain Drug Research Institute (LDRI) Advanced Drug Delivery and Biomaterials, Université Catholique de Louvain, Brussels, Belgium.

Institut de Recherche Expérimentale et Clinique (IREC) Pole of Pharmacology, Université Catholique de Louvain, Brussels, Belgium.

出版信息

Nanomedicine. 2015 Nov;11(8):1975-84. doi: 10.1016/j.nano.2015.07.006. Epub 2015 Jul 31.


DOI:10.1016/j.nano.2015.07.006
PMID:26238081
Abstract

UNLABELLED: Growth factor therapies to induce angiogenesis and thereby enhance the blood perfusion, hold tremendous potential to address the shortcomings of current impaired wound care modalities. Vascular endothelial growth factor stimulates (VEGF) wound healing via multiple mechanisms. Poly(lactic-co-glycolic acid) (PLGA) supplies lactate that accelerates neovascularization and promotes wound healing. Hence, we hypothesized that the administration of VEGF encapsulated in PLGA nanoparticles (PLGA-VEGF NP) would promote fast healing due to the sustained and combined effects of VEGF and lactate. In a splinted mouse full thickness excision model, compared with untreated, VEGF and PLGA NP, PLGA-VEGF NP treated wounds showed significant granulation tissue formation with higher collagen content, re-epithelialization and angiogenesis. The cellular and molecular studies revealed that PLGA-VEGF NP enhanced the proliferation and migration of keratinocytes and upregulated the expression of VEGFR2 at mRNA level. We demonstrated the combined effects of lactate and VEGF for active healing of non-diabetic and diabetic wounds. FROM THE CLINICAL EDITOR: The study of wound healing has been under a tremendous amount of research over recent years. In diabetic wounds, vasculopathy leading to localized ischemia would often result in delayed 
wound healing. In this article, the authors encapsulated vascular endothelial growth factor stimulates (VEGF) in PLGA nanoparticles and studies the potential pro-healing effects. It was found that the combination of these two components provided synergistic actions for healing. The encouraging results should provide a basis for combination therapy in the future.

摘要

未加标签:生长因子疗法可诱导血管生成,从而增强血液灌注,为解决当前受损的伤口护理方式的不足提供了巨大的潜力。血管内皮生长因子(VEGF)通过多种机制刺激伤口愈合。聚(乳酸-共-乙醇酸)(PLGA)提供促进新血管生成和促进伤口愈合的乳酸。因此,我们假设包封在 PLGA 纳米颗粒中的 VEGF(PLGA-VEGF NP)的给药将由于 VEGF 和乳酸的持续和联合作用而促进快速愈合。在有夹板的小鼠全厚度切除模型中,与未治疗组、VEGF 和 PLGA NP 相比,PLGA-VEGF NP 治疗的伤口表现出明显的肉芽组织形成,具有更高的胶原蛋白含量、再上皮化和血管生成。细胞和分子研究表明,PLGA-VEGF NP 增强了角质形成细胞的增殖和迁移,并在 mRNA 水平上调了 VEGFR2 的表达。我们证明了乳酸和 VEGF 的联合作用可促进非糖尿病和糖尿病伤口的主动愈合。

临床编辑按:近年来,伤口愈合的研究受到了极大的关注。在糖尿病伤口中,血管病变导致局部缺血往往会导致伤口愈合延迟。在本文中,作者将血管内皮生长因子刺激(VEGF)包封在 PLGA 纳米颗粒中,并研究了其潜在的促愈合作用。结果发现,这两种成分的组合具有协同作用。令人鼓舞的结果应为未来的联合治疗提供基础。

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[2]
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[3]
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[9]
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