Shen J Y, Ma Q, Yang Z B, Gong J J, Wu Y S
Department of Burns and Plastic Surgery, General Hospital of Ningxia Medical University, Yinchuan 750004, China.
Zhonghua Shao Shang Za Zhi. 2017 Sep 20;33(9):562-567. doi: 10.3760/cma.j.issn.1009-2587.2017.09.008.
To observe the effects of arnebia root oil on wound healing of rats with full-thickness skin defect, and to explore the related mechanism. Eighty SD rats were divided into arnebia root oil group and control group according to the random number table, with 40 rats in each group, then full-thickness skin wounds with area of 3 cm×3 cm were inflicted on the back of each rat. Wounds of rats in arnebia root oil group and control group were treated with sterile medical gauze and bandage package infiltrated with arnebia root oil gauze or Vaseline gauze, respectively, with dressing change of once every two days. On post injury day (PID) 3, 7, 14, and 21, 10 rats in each group were sacrificed respectively for general observation and calculation of wound healing rate. The tissue samples of unhealed wound were collected for observation of histomorphological change with HE staining, observation of expressions of vascular endothelial growth factor (VEGF) and basic fibroblast growth factor (bFGF) with immunohistochemical staining, and determination of mRNA expressions of VEGF and bFGF with real time fluorescent quantitive reverse transcription polymerase chain reaction. Data were processed with analysis of variance of factorial design, test, and Bonferroni correction. (1) On PID 3, there were a few secretions in wounds of rats in the two groups. On PID 7, there were fewer secretions and more granulation tissue in wounds of rats in arnebia root oil group, while there were more secretions and less granulation tissue in wounds of rats in control group. On PID 14, most of the wounds of rats in arnebia root oil group were healed and there was much red granulation tissue in unhealed wounds, while part of wounds of rats in control group was healed and there were a few secretions and less granulation tissue in unhealed wounds. On PID 21, wounds of rats in arnebia root oil group were basically healed, while there were still some unhealed wounds of rats in control group. (2) On PID 3 and 7, the wound healing rates of rats in arnebia root oil group were (39±5)% and (46±4)% respectively, which were close to (34±3)% and (44±4)% of rats in control group (with values respectively 0.807 and 0.481, values above 0.05). On PID 14 and 21, the wound healing rates of rats in arnebia root oil group were (76±4)% and (90±3)% respectively, which were significantly higher than (60±6)% and (73±5)% of rats in control group (with values respectively 2.308 and 3.072, <0.05 or <0.01). (3) On PID 3, 7, and 14, granulation tissue, fibroblasts, and nascent capillaries in unhealed wound tissue of rats in the two groups both gradually increased, and more ranulation tissue, fibroblasts, and nascent capillaries were seen in unhealed wound tissue of rats in arnebia root oil group. On PID 21, granulation tissue, fibroblasts, and nascent capillaries in unhealed wound tissue of rats in the two groups both gradually decreased. (4) On PID 3, 7, and 14, the numbers of VEGF positive cells and bFGF positive cells in unhealed wound tissue of rats in the two groups both gradually increased; there were more VEGF positive cells and bFGF positive cells in unhealed wound tissue of rats in arnebia root oil group than those in control group. On PID 21, positive expressions of VEGF and bFGF both decreased in unhealed wound tissue of rats in the two groups. (5) On PID 3, 7, and 14, mRNA expressions of VEGF in unhealed wound tissue of rats in arnebia root oil group were higher than those of control group (with values from 2.967 to 4.173, values below 0.01). On PID 21, mRNA expression of VEGF in unhealed wound tissue of rats in arnebia root oil group was lower than that of control group (=-4.786, <0.001). From PID 3 to 21, mRNA expressions of bFGF in unhealed wound tissue of rats in arnebia root oil group were higher than those of control group (with values from 2.326 to 4.702, <0.05 or <0.01). Arnebia root oil can promote wound healing of rats with full-thickness skin defect, which may relate to increasing expressions of VEGF and bFGF.
观察紫草油对大鼠全层皮肤缺损创面愈合的影响,并探讨其相关机制。将80只SD大鼠按随机数字表法分为紫草油组和对照组,每组40只,然后在每只大鼠背部造成面积为3 cm×3 cm的全层皮肤创面。紫草油组和对照组大鼠创面分别用浸有紫草油纱布或凡士林纱布的无菌医用纱布和绷带包扎,每两天换药1次。于伤后第3、7、14、21天,每组分别处死10只大鼠进行大体观察并计算创面愈合率。采集未愈合创面组织样本,行HE染色观察组织形态学变化,免疫组织化学染色观察血管内皮生长因子(VEGF)和碱性成纤维细胞生长因子(bFGF)的表达,实时荧光定量逆转录聚合酶链反应检测VEGF和bFGF的mRNA表达。数据采用析因设计的方差分析、t检验及Bonferroni校正处理。(1)伤后第3天,两组大鼠创面均有少量分泌物。伤后第7天,紫草油组大鼠创面分泌物减少,肉芽组织增多,而对照组大鼠创面分泌物增多,肉芽组织减少。伤后第14天,紫草油组大鼠大部分创面愈合,未愈合创面有较多红色肉芽组织,而对照组部分创面愈合,未愈合创面有少量分泌物和较少肉芽组织。伤后第21天,紫草油组大鼠创面基本愈合,而对照组仍有部分大鼠创面未愈合。(2)伤后第3天和第7天,紫草油组大鼠创面愈合率分别为(39±5)%和(46±4)%,与对照组大鼠的(34±3)%和(44±4)%相近(t值分别为0.807和0.481,P值均大于0.05)。伤后第14天和第21天,紫草油组大鼠创面愈合率分别为(76±4)%和(90±3)%,显著高于对照组大鼠的(60±6)%和(73±5)%(t值分别为2.308和3.072,P<0.05或P<0.01)。(3)伤后第3、7、14天,两组大鼠未愈合创面组织中的肉芽组织、成纤维细胞和新生毛细血管均逐渐增多,紫草油组大鼠未愈合创面组织中可见更多的肉芽组织、成纤维细胞和新生毛细血管。伤后第21天,两组大鼠未愈合创面组织中的肉芽组织、成纤维细胞和新生毛细血管均逐渐减少。(4)伤后第3、7、14天,两组大鼠未愈合创面组织中VEGF阳性细胞数和bFGF阳性细胞数均逐渐增多;紫草油组大鼠未愈合创面组织中VEGF阳性细胞数和bFGF阳性细胞数多于对照组。伤后第21天,两组大鼠未愈合创面组织中VEGF和bFGF的阳性表达均降低。(5)伤后第3、7、14天,紫草油组大鼠未愈合创面组织中VEGF的mRNA表达高于对照组(t值为2.967~4.173,P值均小于0.01)。伤后第21天,紫草油组大鼠未愈合创面组织中VEGF的mRNA表达低于对照组(t=-4.786,P<0.001)。伤后第3天至第21天,紫草油组大鼠未愈合创面组织中bFGF的mRNA表达高于对照组(t值为2.326~4.702,P<0.05或P<0.01)。紫草油可促进大鼠全层皮肤缺损创面愈合,其机制可能与增加VEGF和bFGF的表达有关。