[同种异体小鼠脂肪间充质干细胞-微孔羊脱细胞真皮基质对小鼠全层皮肤缺损创面愈合的影响及相关机制]
[Effects of allogeneic mouse adipose-derived mesenchymal stem cell-microporous sheep acellular dermal matrix on healing of wound with full-thickness skin defect in mouse and the related mechanism].
作者信息
Cao S J, Wang L F, Ba T, Fu X, Li F, Hao C G
机构信息
Department of Burns, Burn Research Institute of Inner Mongolia, the Third Affiliated Hospital of Inner Mongolia Medical University, BaoTou 014010, China.
出版信息
Zhonghua Shao Shang Za Zhi. 2018 Dec 20;34(12):901-906. doi: 10.3760/cma.j.issn.1009-2587.2018.12.015.
To explore the allogeneic mouse adipose-derived mesenchymal stem cell (ADSC)-microporous sheep acellular dermal matrix (ADM) on healing of wound with full-thickness skin defect in mouse and the related mechanism. One Kunming mouse was sacrificed by cervical dislocation to collect adipose tissue from inguinal region. Mouse ADSCs were isolated from the adipose tissue and cultured in vitro. Cells of the third passage were identified by cell adipogenic and osteogenic differentiation. The expressions of CD73, CD90, CD105, and CD34 were analyzed by flow cytometry. After one sheep was sacrificed, microporous sheep ADM was prepared from sheep back using decellularization method and freezing-thawing method. A 12 mm diameter, round, full-thickness skin defect wound was made on the back of each one of 36 Kunming mice. The wounds were covered by microporous sheep ADM. The mice were divided into group ADSC and control (C) group with 18 mice in each group according to the random number table after surgery. A volume of 0.2 mL DMEM/F12 culture medium containing 1×10(6) ADSCs was injected between microporous sheep ADM and wound of mice in group ADSC. While 0.2 mL DMEM/F12 culture medium was injected between microporous sheep ADM and wound of mice in group C. On post surgery day (PSD) 12 and 17, wound healing rates of mice in the 2 groups were calculated. On PSD 7, 12, and 17, wound vascularization of mice in the 2 groups was observed under reverse irradiation of backlight. On PSD 7, 12, and 17, the wound granulation tissue of mice in group ADSC was observed by hematoxylin and eosin staining. On PSD 7, the thicknesses of granulation tissue of mice in the 2 groups was measured. On PSD 12 and 17, expressions of VEGF in wounds of mice in the 2 groups were detected by immunohistochemical method. The sample number was 6 in each group at each time point in the above experiments. Data were processed with test and analysis of variance of factorial design. (1) After 7 days of adipogenic induction, lipid droplet was observed in cytoplasm using oil red O staining. After 21 days of osteogenic induction, black deposits of calcium salts were detected using silver nitrate staining. Expression rates of CD73, CD90, CD105, and CD34 in cells were 97.82%, 99.32%, 97.35%, and 5.88% respectively. The cells were identified as ADSCs. (2) The wound healing rates of mice in group ADSC on PSD 12 and 17 [(78±6)%, (98±3)%] were significantly higher than those in group C [(60±9)%, (90±4)%, =4.26, 4.46, <0.01]. (3) On PSD 7, no vessel obviously grew into the center of wounds of mice in the 2 groups, while the granulation tissue has covered the wounds of mice in group ADSC. On PSD 12, the vessels were more abundant in wounds of mice in group ADSC than those in group C. On PSD 17, big vessels crossing the whole wounds was observed in wounds of mice in group ADSC, while big vessels were observed without crossing the whole wounds in wounds of mice in group C. (4) The wounds were covered with thin granulation tissue on PSD 7, and the granulation tissue began to thicken on PSD 12 and were covered by epidermis on PSD 17 in wounds of mice in group ADSC. On PSD 7, the granulation tissue in wounds of mice in group ADSC [(0.62±0.05) mm] was significantly thicker than that in group C [ (0.31±0.04) mm, =12.27, <0.01]. (5) On PSD 12 and 17, expressions of VEGF in wounds of mice in group ADSC [(80.7±2.2), (0.98±0.03)/mm(2)] were significantly than those in group C [(59.5±2.4), (81.5±2.6)/mm(2,) =15.95, 14.14, <0.01]. Allogeneic mouse ADSC-microporous sheep ADM can accelerate angiogenesis and growth of granulation tissue, thus promoting wound healing, which may be due to the increase of expression of VEGF.
探讨同种异体小鼠脂肪间充质干细胞(ADSC)-微孔羊脱细胞真皮基质(ADM)对小鼠全层皮肤缺损创面愈合的影响及相关机制。颈椎脱臼处死1只昆明小鼠,取腹股沟区脂肪组织。从小鼠脂肪组织中分离出ADSCs并进行体外培养。对第3代细胞进行成脂和成骨分化鉴定。采用流式细胞术分析CD73、CD90、CD105和CD34的表达。处死1只绵羊,采用脱细胞法和冻融法从羊背部制备微孔羊ADM。在36只昆明小鼠背部各制作一个直径12 mm的圆形全层皮肤缺损创面,用微孔羊ADM覆盖创面。术后根据随机数字表将小鼠分为ADSC组和对照组(C组),每组18只。ADSC组小鼠在微孔羊ADM与创面之间注射0.2 mL含1×10(6)个ADSCs的DMEM/F12培养基,C组小鼠在微孔羊ADM与创面之间注射0.2 mL DMEM/F12培养基。分别于术后第12天和第17天计算两组小鼠创面愈合率。于术后第7天、第12天和第17天在背侧逆光下观察两组小鼠创面血管化情况。于术后第7天、第12天和第17天对ADSC组小鼠创面肉芽组织进行苏木精-伊红染色观察。于术后第7天测量两组小鼠肉芽组织厚度。于术后第12天和第17天采用免疫组织化学方法检测两组小鼠创面VEGF表达。上述实验各时间点每组样本量均为6只。数据采用t检验和析因设计方差分析进行处理。(1)成脂诱导7天后,油红O染色可见细胞质内有脂滴。成骨诱导21天后,硝酸银染色可见黑色钙盐沉积。细胞中CD73、CD9O、CD105和CD34的表达率分别为97.82%、99.32%、97.35%和5.88%,鉴定为ADSCs。(2)ADSC组小鼠术后第12天和第17天的创面愈合率[(78±6)%,(98±3)%]明显高于C组[(60±9)%,(90±4)%,t=4.26,4.46,P<0.01]。(3)术后第7天,两组小鼠创面中央均未见明显血管长入,ADSC组小鼠创面已被肉芽组织覆盖。术后第12天,ADSC组小鼠创面血管较C组丰富。术后第17天,ADSC组小鼠创面可见贯穿整个创面的大血管,C组小鼠创面可见未贯穿整个创面的大血管。(4)ADSC组小鼠术后第7天创面被薄层肉芽组织覆盖,术后第12天肉芽组织开始增厚,术后第17天创面被表皮覆盖。术后第7天,ADSC组小鼠创面肉芽组织厚度[(0.62±0.05)mm]明显厚于C组[(0.31±0.04)mm,t=12.27,P<0.01]。(5)术后第12天和第17天,ADSC组小鼠创面VEGF表达量[(80.7±2.2),(0.98±0.03)/mm(2)]明显高于C组[(59.5±2.4),(81.5±2.6)/mm(2),t=15.95,14.14,P<0.01]。同种异体小鼠ADSC-微孔羊ADM可促进血管生成和肉芽组织生长,从而促进创面愈合,其机制可能与VEGF表达增加有关。