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冷等离体子调控内皮型一氧化氮合酶信号通路并增强烧伤创面血管新生。

Cold atmospheric plasma modulates endothelial nitric oxide synthase signalling and enhances burn wound neovascularisation.

机构信息

Institut de Recherche Biomédicale des Armées, Centre de Transfusion Sanguine des Armées, Clamart, France.

Laboratoire de Physique des Plasmas, École Polytechnique, UPMC, Université Paris Sud 11, Palaiseau, France.

出版信息

J Pathol. 2019 Nov;249(3):368-380. doi: 10.1002/path.5323. Epub 2019 Jul 31.

Abstract

Treatment with cold atmospheric plasma (CAP) has been reported to promote wound healing in animals. However, how this process is mediated remains unclear. In this study we examined the mechanisms which underlie the improved wound healing effects of CAP and the roles of associated reactive oxygen and nitrogen species (RONS), which are generated by plasma. By using in vitro models which mimicked various steps of angiogenesis, we demonstrated that CAP triggered the production of nitric oxide (NO), and enhanced cell migration and the assembly of endothelial cells into vessel-like structures. These are both hallmarks of the proliferative phase of wound healing. Using a mouse model of a third-degree burn wound, we went on to show that CAP treatment was associated with enhanced angiogenesis, characterised by accelerated in vivo wound healing and increased cellular proliferation. Here, CAP significantly increased the in vivo production of endothelial NO synthase (eNOS), an enzyme that catalyses NO synthesis in endothelial cells, and significantly increased the expression of pro-angiogenic PDGFRβ and CD31 markers in mouse wounds. Mechanistically, we showed that CAP induced eNOS phosphorylation and activation, thereby increasing the levels of endogenous NO in endothelial cells. Increased NO generation facilitated by CAP further stimulated important pro-angiogenic VEGFA/VEGFR2 signalling in vitro. This proof-of-concept study may guide future efforts aimed at addressing the use of physical plasma and its therapeutic applications in a variety of pathological scenarios. © 2019 Pathological Society of Great Britain and Ireland. Published by John Wiley & Sons, Ltd.

摘要

已有研究报道,冷等离体等离子体(CAP)治疗可促进动物伤口愈合。然而,其具体作用机制仍不清楚。本研究通过体外模型模拟血管生成的各个步骤,考察了 CAP 促进伤口愈合的作用机制及其相关活性氧和氮物质(RONS)的作用。结果表明,CAP 可触发一氧化氮(NO)的产生,并增强细胞迁移和内皮细胞形成管状结构的能力,这些都是伤口愈合增殖期的特征。利用三度烧伤小鼠模型,我们进一步证实 CAP 治疗可促进血管生成,表现为体内伤口愈合加速和细胞增殖增加。在这里,CAP 可显著增加内皮型一氧化氮合酶(eNOS)的体内产生,eNOS 是内皮细胞中催化 NO 合成的酶,并且可显著增加小鼠伤口中促血管生成 PDGFRβ和 CD31 标志物的表达。从机制上讲,我们发现 CAP 诱导了 eNOS 的磷酸化和激活,从而增加了内皮细胞中内源性 NO 的水平。CAP 促进的 NO 生成进一步刺激了体外重要的促血管生成 VEGFA/VEGFR2 信号通路。这项概念验证研究可能为未来利用物理等离子体及其在各种病理情况下的治疗应用提供指导。

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