Zheng G Y, Zhan J H, Luo J H, Cheng X
Department of Burns, the First Affiliated Hospital of Nanchang University, Nanchang 330006, China.
Zhonghua Shao Shang Za Zhi. 2018 Jun 20;34(6):380-385. doi: 10.3760/cma.j.issn.1009-2587.2018.06.013.
To explore effect of alprostadil on wound healing of scalded rats and the mechanism. According to random number table method, forty-eight Sprague Dawley rats were divided into sham scald group, simple scald group, lithium chloride group, and alprostadil group, with 12 rats in each group. Rats in sham injury group were sham injured on the back, and rats in the other three groups were inflicted with 30% total body surface area deep partial thickness scald on the back.Immediately after scald, rats in sham scald group and simple scald group were injected with 1 mL saline through caudal vein, and rats in lithium chloride group and alprostadil group were injected respectively with 1 mL lithium chloride and alprostadil through caudal vein. Saline, lithium chloride, and alprostadil were injected once in a day and lasted for 14 days. General wound appearance and wound healing rate on post scald day (PSD) 7, 10, 14 were observed and calculated. Expressions of protein and mRNA of Wnt1 and β-catenin on PSD 14 were detected. Data were processed with analysis of variance of factorial design, one-way analysis of variance, Student Newman Keuls test, test, and Bonferroni correction. (1) On PSD 7, wounds of scalded rats in each group formed dry eschar and had little exudation. On PSD 10, wounds of rats in simple scald group were covered with eschar, with little exudation, and wounds of rats in lithium chloride group were covered with eschar, and partial wounds healed under the eschar. On PSD 10, partial eschar of rats in alprostadil group desquamated; partial wounds healed; newly burned skin was ruddy. On PSD 14, partial wounds of rats in simple scald group were healed under eschar with little exudation. On PSD 14, most of the eschar of rats in lithium chloride group were desquamated with patial wounds healed and little exudation. On PSD 14, wounds of rats in alprostadil group were basically healed with vigorously growing hair on the back. (2) On PSD 7, the wound healing rates of rats in simple scald group, lithium chloride group, and alprostadil group were close (=0.41, >0.05). On PSD 10 and 14, wound healing rate of rats in lithium chloride group and alprostadil group were significantly higher than that in simple scald group (=5.73, 17.45, 26.30, 11.28, <0.05), and wound healing rate of rats in alprostadil group was significantly higher than that in lithium chloride group (=32.03, 28.73, <0.05). (3) On PSD 14, the mRNA expressions of Wnt1 and β-catenin of rats in lithium chloride group and alprostadil group were significantly higher than those in simple scald group (=65.40, 19.16, 66.79, 18.41, <0.05), and the mRNA expressions of Wnt1 and β-catenin of rats in simple scald group was significantly higher than those in sham scald group (=14.86, 4.46, <0.05). (4) On PSD 14, the protein expressions of Wnt1 and β-catenin of rats in lithium chloride group and alprostadil group were 0.98±0.05, 0.98±0.06, 0.97±0.06, and 1.00±0.06, which were significantly higher than 0.49±0.04 and 0.66±0.04 of rats in simple scald group (=34.62, 22.38, 33.61, 23.47, <0.05). On PSD 14, the protein expressions of Wnt1 and β-catenin of rats in simple scald group was significantly higher than 0.29±0.03 and 0.31±0.03 of rats in sham scald group (=14.73, 23.88, <0.05). Alprostadil can accelerate wound healing through activating Wnt/β-catenin signal pathway and upregulating the expressions of Wnt1 and β-catenin.
探讨前列地尔对烫伤大鼠创面愈合的影响及其机制。将48只SD大鼠按随机数字表法分为假烫伤组、单纯烫伤组、氯化锂组和前列地尔组,每组12只。假伤组大鼠背部行假伤,其余三组大鼠背部造成30%体表面积的深Ⅱ度烫伤。烫伤后即刻,假烫伤组和单纯烫伤组大鼠经尾静脉注射1 mL生理盐水,氯化锂组和前列地尔组大鼠分别经尾静脉注射1 mL氯化锂和前列地尔。生理盐水、氯化锂和前列地尔均每日注射1次,持续14天。观察并计算烫伤后第7、10、14天的一般创面情况及创面愈合率。检测烫伤后第14天Wnt1和β-连环蛋白的蛋白及mRNA表达。数据采用析因设计方差分析、单因素方差分析、Student-Newman-Keuls检验、t检验及Bonferroni校正处理。(1)烫伤后第7天,各组烫伤大鼠创面形成干痂,渗出少。烫伤后第10天,单纯烫伤组大鼠创面被痂皮覆盖,渗出少,氯化锂组大鼠创面被痂皮覆盖,部分创面痂下愈合。烫伤后第10天,前列地尔组大鼠部分痂皮脱落,部分创面愈合,新生皮肤红润。烫伤后第14天,单纯烫伤组大鼠部分创面痂下愈合,渗出少。烫伤后第14天,氯化锂组大鼠大部分痂皮脱落,部分创面愈合,渗出少。烫伤后第14天,前列地尔组大鼠创面基本愈合,背部毛发生长旺盛。(2)烫伤后第7天,单纯烫伤组、氯化锂组和前列地尔组大鼠创面愈合率相近(F=0.41,P>0.05)。烫伤后第10天和第14天,氯化锂组和前列地尔组大鼠创面愈合率显著高于单纯烫伤组(F=5.73、17.45、26.30、11.28,P<0.05),且前列地尔组大鼠创面愈合率显著高于氯化锂组(F=32.03、28.73,P<0.05)。(3)烫伤后第14天,氯化锂组和前列地尔组大鼠Wnt1和β-连环蛋白的mRNA表达显著高于单纯烫伤组(F=65.40、19.16、66.79、18.41,P<0.05),单纯烫伤组大鼠Wnt1和β-连环蛋白的mRNA表达显著高于假烫伤组(F=14.86、4.46,P<0.05)。(4)烫伤后第14天,氯化锂组和前列地尔组大鼠Wnt1和β-连环蛋白的蛋白表达分别为0.98±0.05、0.98±0.06、0.97±0.06和1.00±0.06,显著高于单纯烫伤组的0.49±0.04和0.66±0.04(F=34.62、22.38、33.61、23.47,P<0.05)。烫伤后第14天,单纯烫伤组大鼠Wnt1和β-连环蛋白的蛋白表达显著高于假烫伤组的0.29±0.03和0.31±0.03(F=14.73、23.88,P<0.05)。前列地尔可通过激活Wnt/β-连环蛋白信号通路,上调Wnt1和β-连环蛋白的表达,促进创面愈合。