Hualien Armed Forces General Hospital, Hualien County, Taiwan; National Kaohsiung University of Hospitality and Tourism, Kaohsiung, Taiwan.
Department of Biomedical Engineering, I-Shou University, Kaohsiung, Taiwan.
Burns. 2019 Aug;45(5):1139-1151. doi: 10.1016/j.burns.2019.01.010. Epub 2019 Mar 1.
Third-degree or full-thickness burns refer to lesions that extend to the epidermis, dermis, and subcutaneous tissue. The pathophysiology of burn wounds is characterized by tissue inflammation, edema, and hypertrophic scarring. Farnesol is a natural 15-carbon organic compound that possesses many biological effects. We have previously demonstrated that farnesol gel exerts restorative actions on ultraviolet B (UVB)-caused sunburn in vivo. The in vitro results revealed that liposomal farnesol from 0.04mM to 0.8mM significantly enhanced collagen production by murine skin fibroblasts, whereas liposomal farnesol at high (0.8mM) and low concentration (0.04mM) did not show any suppressions on skin fibroblast proliferation. We treated third-degree burns on a rat model with a formulated gel composed of various ratios of 2% hydroxypropyl methylcellulose (HPMC) and 4mM liposomal farnesol for 7 and 14 days. On days 7 and 14 post wounding, histopathological observations revealed that the HPMC:farnesol gel ratios of 1:2 and 2:1 exerted the greatest tissue-repairing effects on the skin after third-degree burns compared with skin untreated or treated with a commercial burn gel and HPMC alone. These findings were consistent with the in vivo quantitative collagen-producing assay, wound healing scoring, and IL-6 Western blot results. These findings demonstrated that the fabricated liposomal farnesol gel is potentially able to promote wound healing after third-degree burns.
三度或全层烧伤是指损伤延伸至表皮、真皮和皮下组织的烧伤。烧伤创面的病理生理学特征为组织炎症、水肿和增生性瘢痕形成。法尼醇是一种天然的 15 碳有机化合物,具有多种生物学效应。我们之前已经证明,法尼醇凝胶对体内紫外线 B(UVB)引起的晒伤具有修复作用。体外结果表明,从 0.04mM 到 0.8mM 的脂质体法尼醇显著增强了小鼠皮肤成纤维细胞的胶原蛋白产生,而高浓度(0.8mM)和低浓度(0.04mM)的脂质体法尼醇对皮肤成纤维细胞增殖没有任何抑制作用。我们用含有不同比例 2%羟丙基甲基纤维素(HPMC)和 4mM 脂质体法尼醇的配方凝胶治疗大鼠三度烧伤模型,治疗 7 天和 14 天。在创伤后 7 天和 14 天,组织病理学观察表明,与未经处理的皮肤或用商业烧伤凝胶和单独的 HPMC 处理的皮肤相比,HPMC:法尼醇凝胶比例为 1:2 和 2:1 的皮肤对三度烧伤后的组织修复效果最佳。这些发现与体内定量胶原蛋白产生测定、伤口愈合评分和 IL-6 Western blot 结果一致。这些发现表明,所制备的脂质体法尼醇凝胶有可能促进三度烧伤后的伤口愈合。