Chloe Lallyett, PhD, is a Science Teacher, Parrs Wood High School, Manchester, United Kingdom; Ching-Yan Chloé Yeung, PhD, is a Postdoctorate Fellow, Institute of Sports Medicine Copenhagen, Denmark; Rie Harboe Nielson, MD, PhD, is a Physician, Department of Rheumatology, Aarhus University Hospital, Denmark; Leo A. H. Zeef, PhD, is Experimental Officer, University of Manchester, United Kingdom; David Chapman-Jones, LLM(Med), PhD, is Professor of Healthcare and Director, Institute of Healthcare Policy and Practice, University of the West of Scotland, United Kingdom; Michael Kjaer, MD, PhD, is Professor of Sports Medicine, University of Copenhagen, Denmark; and Karl E. Kadler, PhD, is Professor of Biochemistry, University of Manchester, United Kingdom.
Adv Skin Wound Care. 2018 Jul;31(7):322-327. doi: 10.1097/01.ASW.0000533722.06780.03.
Targeted electrical energy applied to wounds has been shown to improve wound-healing rates. However, the mechanisms are poorly understood. The aim of this study was to identify genes that are responsive to electrical stimulation (ES) in healthy subjects with undamaged skin.
To achieve this objective, study authors used a small, noninvasive ES medical device to deliver a continuous, specific, set sequence of electrical energy impulses over a 48-hour period to the skin of healthy volunteers and compared resultant gene expression by microarray analysis.
Application of this specific ES resulted in differential expression of 105 genes, the majority of which were down-regulated. Postmicroarray analyses revealed there was commonality with a small number of genes that have previously been shown to be up-regulated in skin wounds, including venous leg ulcers.
The specific sequence of ES applied continuously for 48 hours to the skin of healthy patients has the effect of modifying expression in a number of identified genes. The identification of the differential expression in this subset of genes in healthy subjects provides new potential lines of scientific inquiry for identifying similar responses in subjects with slow or poorly healing wounds.
已证实靶向施加于伤口的电能可提高伤口愈合率。然而,其机制尚未完全明了。本研究旨在确定健康且皮肤无损的受试者对电刺激(ES)有反应的基因。
为了实现这一目标,研究人员使用一种小型、非侵入性的 ES 医疗设备,在 48 小时内将连续、特定、设定好的电能脉冲传递到健康志愿者的皮肤,并通过微阵列分析比较由此产生的基因表达。
这种特定 ES 的应用导致 105 个基因的差异表达,其中大多数呈下调。微阵列分析后揭示,有一小部分基因具有共性,它们之前已被证明在皮肤伤口中上调,包括静脉性腿部溃疡。
连续 48 小时将特定 ES 序列施加于健康患者的皮肤会影响许多已鉴定基因的表达。在健康受试者中这组特定基因的差异表达的鉴定为识别在愈合缓慢或不良的伤口患者中类似反应提供了新的科学探究方向。