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伤口愈合仍然是一场“盲人摸象”的游戏。

[Wound healing is still a game of " blind men and an elephant"].

作者信息

Han C M

机构信息

Department of Burns, the Second Affiliated Hospital, Zhejiang University College of Medicine, Hangzhou 310009, China.

出版信息

Zhonghua Shao Shang Za Zhi. 2016 Oct 20;32(10):580-581. doi: 10.3760/cma.j.issn.1009-2587.2016.10.002.

DOI:10.3760/cma.j.issn.1009-2587.2016.10.002
PMID:27765087
Abstract

The wound healing includes non-healing and overhealing of the wounds. The results of wound healing are well known by people such as non-healing of the diabetic ulcer or hypertrophic scar after deep burn. In this issue, three papers involve in wound healing, one about autologous adipose-derived mesenchymal stem cells injected into wound or scar of rabbit ear, one about severe hypoxia and hypoalbuminemia inducing human hypertrophic scar derived fibroblast apoptosis in vitro, and another about the dysfunction of protein kinase B/mammalian target of rapamycin signaling pathway contributing to the pathophysiological characteristics of diabetic skin and non-healing wound. The basic problem of hypertrophic scar study is lacking an ideal animal model. Although rabbit ear model or red Duroc pig model has been used widely for study on hypertrophic scar, they can not fully represent human dermal fibrosis after deep trauma on the skin. I recommend recently published in to the readers. The author emphasizes that the wound healing study is still in the situation like the game of " blind men and an elephant" .

摘要

伤口愈合包括伤口不愈合和过度愈合。伤口愈合的结果为人们所熟知,比如糖尿病溃疡不愈合或深度烧伤后形成增生性瘢痕。在本期中,有三篇论文涉及伤口愈合,一篇是关于将自体脂肪间充质干细胞注射到兔耳伤口或瘢痕中,一篇是关于严重缺氧和低白蛋白血症在体外诱导人增生性瘢痕来源的成纤维细胞凋亡,另一篇是关于蛋白激酶B/雷帕霉素靶蛋白信号通路功能障碍导致糖尿病皮肤和不愈合伤口的病理生理特征。增生性瘢痕研究的基本问题是缺乏理想的动物模型。尽管兔耳模型或红色杜洛克猪模型已被广泛用于增生性瘢痕研究,但它们不能完全代表人类皮肤深度创伤后的真皮纤维化。我向读者推荐最近发表在 上的文章。作者强调,伤口愈合研究仍处于“盲人摸象”的状态。

相似文献

1
[Wound healing is still a game of " blind men and an elephant"].伤口愈合仍然是一场“盲人摸象”的游戏。
Zhonghua Shao Shang Za Zhi. 2016 Oct 20;32(10):580-581. doi: 10.3760/cma.j.issn.1009-2587.2016.10.002.
2
Advances in Research in Animal Models of Burn-Related Hypertrophic Scarring.烧伤相关增生性瘢痕动物模型的研究进展
J Burn Care Res. 2015 Sep-Oct;36(5):e259-66. doi: 10.1097/BCR.0000000000000167.
3
[Effects of local transplantation of autologous adipose-derived mesenchymal stem cells on the formation of hyperplastic scar on rabbit ears].[自体脂肪间充质干细胞局部移植对兔耳增生性瘢痕形成的影响]
Zhonghua Shao Shang Za Zhi. 2016 Oct 20;32(10):582-587. doi: 10.3760/cma.j.issn.1009-2587.2016.10.003.
4
Thermal injury model in the rabbit ear with quantifiable burn progression and hypertrophic scar.具有可量化烧伤进展和肥厚性瘢痕的兔耳热损伤模型
Wound Repair Regen. 2017 Apr;25(2):327-337. doi: 10.1111/wrr.12518. Epub 2017 May 16.
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The Role of Local Inflammation and Hypoxia in the Formation of Hypertrophic Scars-A New Model in the Duroc Pig.局部炎症和缺氧在肥厚性瘢痕形成中的作用——杜洛克猪的一种新模型。
Int J Mol Sci. 2022 Dec 24;24(1):316. doi: 10.3390/ijms24010316.
6
Novel methods for the investigation of human hypertrophic scarring and other dermal fibrosis.研究人类肥厚性瘢痕及其他皮肤纤维化的新方法。
Methods Mol Biol. 2013;1037:203-31. doi: 10.1007/978-1-62703-505-7_11.
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Systemic depletion of macrophages in the subacute phase of wound healing reduces hypertrophic scar formation.在伤口愈合亚急性期巨噬细胞的全身消耗可减少肥厚性瘢痕形成。
Wound Repair Regen. 2016 Jul;24(4):644-56. doi: 10.1111/wrr.12442. Epub 2016 Jun 14.
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The therapeutic potential of a C-X-C chemokine receptor type 4 (CXCR-4) antagonist on hypertrophic scarring in vivo.C-X-C趋化因子受体4(CXCR-4)拮抗剂对体内增生性瘢痕的治疗潜力。
Wound Repair Regen. 2014 Sep-Oct;22(5):622-30. doi: 10.1111/wrr.12208.
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Autologous adipose-derived regenerative cell therapy modulates development of hypertrophic scarring in a red Duroc porcine model.自体脂肪来源的再生细胞疗法可调节红色杜洛克猪模型中增生性瘢痕的形成。
Stem Cell Res Ther. 2017 Nov 15;8(1):261. doi: 10.1186/s13287-017-0704-1.
10
Is there an ideal animal model to study hypertrophic scarring?是否存在用于研究肥厚性瘢痕形成的理想动物模型?
J Burn Care Res. 2008 Mar-Apr;29(2):363-8. doi: 10.1097/BCR.0b013e3181667557.

引用本文的文献

1
Basic fibroblast growth factor reduces scar by inhibiting the differentiation of epidermal stem cells to myofibroblasts via the Notch1/Jagged1 pathway.碱性成纤维细胞生长因子通过Notch1/Jagged1信号通路抑制表皮干细胞向肌成纤维细胞分化,从而减少瘢痕形成。
Stem Cell Res Ther. 2017 May 16;8(1):114. doi: 10.1186/s13287-017-0549-7.