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使用氧敏感应型涂抹式绷带对皮肤炎症进行无创监测。

Non-invasive monitoring of skin inflammation using an oxygen-sensing paint-on bandage.

作者信息

Li Zongxi, Navarro-Alvarez Nalu, Keeley Emily J, Nowell Nicholas H, Goncalves Beatriz M M, Huang Christene A, Evans Conor L

机构信息

Wellman Center for Photomedicine, Harvard Medical School, Massachusetts General Hospital, 149 13th Street, Charlestown, Massachusetts 02129, USA.

Center for Transplantation Sciences, Massachusetts General Hospital, 149 13th Street, Charlestown, Massachusetts 02129, USA.

出版信息

Biomed Opt Express. 2017 Sep 22;8(10):4640-4651. doi: 10.1364/BOE.8.004640. eCollection 2017 Oct 1.

Abstract

Inflammation involves a cascade of cellular and molecular mediators that ultimately lead to the infiltration of immune cells into the affected area. This inflammatory process in skin is common to many diseases including acne, infection, and psoriasis, with the presence or absence of immune cells a potential diagnostic marker. Here we show that skin inflammation can be non-invasively measured and mapped using a paint-on oxygen sensing bandage in an vivo porcine inflammation model. After injection of a known inflammatory agent, the bandage could track the increase, plateau, and decrease in oxygen consumption at the injury site over 7 weeks, as well as discern inflammation resultant from injection at various depths beneath the surface of the skin. Both the initial rate of pO change and the change in bandage pO at equilibration (CBP) were found to be directly related to the metabolic oxygen consumption rate of the tissue in contact. Healthy skin demonstrated an initial pO decrease rate of 6.5 [Formula: see text], and CBP of 84 [Formula: see text]. Inflamed skin had a significantly higher initial consumption rate of 55 [Formula: see text], and a larger CBP of 140 [Formula: see text]. The change in the bandage pO before and after equilibration with tissue was found to correlate well with histological evidence of skin inflammation in the animals.

摘要

炎症涉及一系列细胞和分子介质,最终导致免疫细胞浸润到受影响区域。皮肤中的这种炎症过程在包括痤疮、感染和牛皮癣在内的许多疾病中都很常见,免疫细胞的存在与否是一种潜在的诊断标志物。在这里,我们展示了在猪体内炎症模型中,使用一种可涂抹的氧传感绷带可以对皮肤炎症进行非侵入性测量和绘图。注射已知的炎症介质后,绷带可以追踪损伤部位在7周内耗氧量的增加、稳定和减少情况,还能辨别皮肤表面以下不同深度注射所导致的炎症。发现pO的初始变化率和平衡时绷带pO的变化(CBP)都与接触组织的代谢耗氧率直接相关。健康皮肤的pO初始下降率为6.5 [公式:见原文],CBP为84 [公式:见原文]。发炎皮肤的初始耗氧率显著更高,为55 [公式:见原文],CBP也更大,为140 [公式:见原文]。发现绷带与组织平衡前后pO的变化与动物皮肤炎症的组织学证据密切相关。

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