Puspasari Ade, Harijanti Kus, Soebadi Bagus, Hendarti Hening Tuti, Radithia Desiana, Ernawati Diah Savitri
Department of Oral Medicine, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia.
J Oral Maxillofac Pathol. 2018 Jan-Apr;22(1):54-58. doi: 10.4103/jomfp.JOMFP_82_17.
A traumatic ulcer caused by diabetes mellitus (DM) is a lesion caused by an increase in advanced glycosylation end products (AGEs), which takes a long time to heal. AGEs cause angiogenesis, vasculogenesis and a decrease in leukocytes. Fibroblast proliferation and the number of glycosaminoglycans decline, thereby inhibiting the formation of granulation tissue, collagen deposition and platelet derivatives growth factor. The application of topical propolis extract gel to ulcers has an anti-inflammatory function, triggers angiogenesis and accelerates wound healing.
This study sought to establish whether the topical application of propolis extract gel can increase the expression of fibroblast growth factor-2 (FGF-2) and fibroblasts in the healing process of traumatic ulceration in diabetic Wistar rats ().
This was a genuinely experimental research design featuring posttest-only control groups. The simple random sampling technique involved 24 male DM Wistar rats with traumatic ulcers on the labial mucosa of the lower lip. The samples were divided into two groups: a control group whose members were administered hydroxypropyl methylcellulose gel 5% and a treatment group to which propolis extract gel was applied. The expression of FGF-2 and fibroblasts was observed on days 3, 5, 7 and 9 by means of histology and immunohistochemistry (hypothalamic-pituitary-adrenal) with Ab-Mo FGF-2.
The topical application of propolis extract gel increased the expression of FGF-2 and fibroblasts in the treatment group on days 5 and 7. There was a correlation between the increased expression of FGF-2 and the number of fibroblasts ( < 0.05).
The topical application of propolis extract gel increases the expression of FGF-2 and fibroblasts within the traumatic ulcer healing process in diabetic .
糖尿病(DM)所致创伤性溃疡是由晚期糖基化终末产物(AGEs)增加引起的病变,愈合时间较长。AGEs会导致血管生成、血管发生以及白细胞减少。成纤维细胞增殖和糖胺聚糖数量减少,从而抑制肉芽组织形成、胶原蛋白沉积和血小板衍生生长因子的生成。将局部蜂胶提取物凝胶应用于溃疡具有抗炎作用,可触发血管生成并加速伤口愈合。
本研究旨在确定局部应用蜂胶提取物凝胶是否能增加糖尿病Wistar大鼠创伤性溃疡愈合过程中成纤维细胞生长因子-2(FGF-2)和成纤维细胞的表达。
这是一项真正的实验性研究设计,采用仅后测对照组。简单随机抽样技术涉及24只下唇唇黏膜有创伤性溃疡的雄性糖尿病Wistar大鼠。样本分为两组:对照组给予5%羟丙基甲基纤维素凝胶,治疗组应用蜂胶提取物凝胶。在第3、5、7和9天,通过组织学和免疫组织化学(下丘脑-垂体-肾上腺)以及抗小鼠FGF-2抗体观察FGF-2和成纤维细胞的表达。
在第5天和第7天,治疗组局部应用蜂胶提取物凝胶增加了FGF-2和成纤维细胞的表达。FGF-2表达增加与成纤维细胞数量之间存在相关性(P<0.05)。
局部应用蜂胶提取物凝胶可增加糖尿病大鼠创伤性溃疡愈合过程中FGF-2和成纤维细胞的表达。