Wang Lin-Lin, Zhao Rui, Liu Chang-Sheng, Liu Min, Li Shan-Shan, Li Jiao-Yong, Jiang Shu-Kun, Zhang Miao, Tian Zhi-Ling, Wang Meng, Zhang Meng-Zhou, Guan Da-Wei
Department of Forensic Pathology, China Medical University School of Forensic Medicine, Shenyang 110122, PR China.
Institute of Forensic Science, Anshan Municipal People's Procuratorate, PR China.
J Forensic Leg Med. 2016 Apr;39:138-46. doi: 10.1016/j.jflm.2016.01.027. Epub 2016 Jan 30.
Wound age estimation is a classic but still modern theme in forensic practice. More experiments on different types of wound are needed to further improve its accuracy. In this study, mouse skin excisional wounds were created to simulate dermal defective injury. The neutrophil and macrophage infiltration, fibroblast and fibrocyte accumulation as well as their myofibroblastic transformation were examined. In addition, some wound healing-related molecules, including IL-1β, IL-6, TNF-α, IFN-γ, MCP-1, CXCL12, VEGF-A, EGF, KGF, pro-col Iα2 and pro-col IIIα1, were quantified by Western blotting and real-time quantitative PCR. Neutrophils and macrophages profoundly infiltrated in the wound at 12 h-1 d and 3 d-10 d respectively. Fibroblasts and fibrocytes accumulated in the wound from 3 d, and transformed into contractile myofibroblasts from 5 d post injury. The transformation ratios of fibroblasts and fibrocytes were highest at 7 d-10 d and 10 d respectively (over 50%). MCP-1 and CXCL12 increased from 12 h to 5 d, and IL-1β, TNF-α and pro-col IIIα1 up to 7 d. IL-6 and VEGF-A increased from 12 h to 1 d-10 d. Pro-col Iα2 increased from 7 d to 21 d. IFN-γ decreased from 12 h to 10 d. By comprehensive analysis of these factors from the perspective of morphometrics, protein and gene expressions, this study provided us with fundamental information for wound age estimation, especially in the wounds with full-thickness defection.
伤口年龄估计是法医实践中的一个经典但仍具现代意义的主题。需要对不同类型的伤口进行更多实验,以进一步提高其准确性。在本研究中,制作小鼠皮肤切除伤口以模拟真皮缺损损伤。检测了中性粒细胞和巨噬细胞浸润、成纤维细胞和成纤维细胞积累以及它们的肌成纤维细胞转化。此外,通过蛋白质印迹法和实时定量PCR对一些与伤口愈合相关的分子进行了定量,包括IL-1β、IL-6、TNF-α、IFN-γ、MCP-1、CXCL12、VEGF-A、EGF、KGF、前胶原Iα2和前胶原IIIα1。中性粒细胞和巨噬细胞分别在伤后12小时至1天和3天至10天大量浸润伤口。成纤维细胞和成纤维细胞从第3天开始在伤口中积累,并在伤后5天转化为收缩性肌成纤维细胞。成纤维细胞和成纤维细胞的转化率分别在7天至10天和10天最高(超过50%)。MCP-1和CXCL12从12小时至5天增加,IL-1β、TNF-α和前胶原IIIα1增加至7天。IL-6和VEGF-A从12小时至1天至10天增加。前胶原Iα2从7天至21天增加。IFN-γ从12小时至10天减少。通过从形态计量学、蛋白质和基因表达的角度对这些因素进行综合分析,本研究为伤口年龄估计,特别是全层缺损伤口的年龄估计提供了基础信息。