Division of Plastic Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung 80708, Taiwan.
Department of Anesthesia, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung 80708, Taiwan.
Int J Mol Sci. 2017 Dec 22;19(1):34. doi: 10.3390/ijms19010034.
Burn scar pain is considered as neuropathic pain. The anti-inflammation and anti-neuroinflammation effects of adipose-derived stem cells (ASCs) were observed in several studies. We designed a study using a murine model involving the transplantation of autologous ASCs in rats subjected to burn injuries. The aim was to detect the anti-neuroinflammation effect of ASC transplantation and clarify the relationships between ASCs, scar pain, apoptosis and autophagy.
We randomized 24 rats into 4 groups as followings: Group A and B, received saline injections and autologous transplantation of ASCs 4 weeks after sham burn, respectively; Group C and D, received saline injections and autologous transplantation 4 weeks after burn injuries. A designed behavior test was applied for pain evaluation. Skin tissues and dorsal horn of lumbar spinal cords were removed for biochemical analysis.
ASC transplantation significantly restored the mechanical threshold reduced by burn injury. It also attenuated local inflammation and central neuroinflammation and ameliorated apoptosis and autophagy in the spinal cord after the burn injury.
In a rat model, autologous ASC subcutaneous transplantation in post-burn scars elicited anti-neuroinflammation effects locally and in the spinal cord that might be related to the relief of post-burn neuropathic pain and attenuated cell apoptosis. Thus, ASC transplantation post-burn scars shows the potential promising clinical benefits.
烧伤瘢痕痛被认为是神经病理性疼痛。已有多项研究观察到脂肪源性干细胞(ASCs)的抗炎和抗神经炎症作用。我们设计了一项研究,使用涉及在烧伤大鼠中移植自体 ASC 的鼠模型。目的是检测 ASC 移植的抗神经炎症作用,并阐明 ASC、瘢痕痛、细胞凋亡和自噬之间的关系。
我们将 24 只大鼠随机分为 4 组:A 组和 B 组在假烧伤后 4 周分别接受生理盐水注射和自体 ASC 移植;C 组和 D 组在烧伤后 4 周接受生理盐水注射和自体 ASC 移植。设计了行为测试进行疼痛评估。取出皮肤组织和腰椎脊髓背角进行生化分析。
ASC 移植显著恢复了烧伤损伤引起的机械阈值降低。它还减轻了局部炎症和中枢神经炎症,并改善了烧伤后脊髓中的细胞凋亡和自噬。
在大鼠模型中,烧伤后瘢痕内自体 ASC 皮下移植引起的局部和脊髓内的抗神经炎症作用可能与减轻烧伤后神经病理性疼痛和减轻细胞凋亡有关。因此,烧伤后瘢痕内的 ASC 移植显示出有希望的临床益处。