Azizi Shahrzad, Kheirandish Reza, Salarpoor Maryam
Department of Pathobiology, School of Veterinary Medicine, Shahid Bahonar University of Kerman, Kerman, Iran.
Department of Pathobiology, School of Veterinary Medicine, Shahid Bahonar University of Kerman, Kerman, Iran.
Transfus Apher Sci. 2019 Aug;58(4):498-504. doi: 10.1016/j.transci.2019.05.014. Epub 2019 Jul 9.
Diabetic foot ulcer is a major complication of diabetes mellitus with negative effects on the life quality. Management of diabetic foot ulcers is a big challenge with poor and low sufficient outcome management. Therefore, achievement to effective treatments may treat these ulcers. Nowdays, platelet products are used as an effective and safe agent for promotion of healing proposes in regenerative medicine. Serum rich in growth factors (SRGF) is a source of released growth factors from the platelets. In the present study, effect of allogenous SRGF was investigated on the streptozotocin (STZ)-induced diabetic wounds in rats. STZ (50 mg/kh, SC) caused significant increase in blood glucose and weight loss in rats. Full thickness cutaneous wounds (8 mm diameter) were created bilaterally on the dorsal of the diabetic rats. SRGF was injected at the edges of the wounds of one side only on the first day, and the contrary sides were considered as the control group. The percentage of wound contraction was demonstrared on day 3, 7, 11 after surgery. Tissue specimens were collected for microscopic study on days 7 and 14. Results showed a significant higher rate of wound contraction on days 5 and 7 in the treated group. Histopathologic findings displayed acceleration of re-epithelialization, increased angiogenesis and dense collagen fibers with better organization in the treated group. Current study suggests that SRGF was efficient because facilate wound healing and showed rapid re-epithelialization and increased angiogenesis.
糖尿病足溃疡是糖尿病的一种主要并发症,会对生活质量产生负面影响。糖尿病足溃疡的治疗是一项巨大挑战,治疗效果不佳且充分性不足。因此,实现有效的治疗方法可能会治愈这些溃疡。如今,血小板制品在再生医学中被用作促进愈合的有效且安全的药物。富含生长因子的血清(SRGF)是血小板释放的生长因子的来源。在本研究中,研究了异体SRGF对链脲佐菌素(STZ)诱导的大鼠糖尿病伤口的影响。STZ(50mg/kg,皮下注射)导致大鼠血糖显著升高和体重减轻。在糖尿病大鼠背部两侧制造全层皮肤伤口(直径8mm)。仅在第一天在一侧伤口边缘注射SRGF,另一侧作为对照组。在术后第3、7、11天观察伤口收缩百分比。在第7天和第14天收集组织标本进行显微镜研究。结果显示,治疗组在第5天和第7天的伤口收缩率显著更高。组织病理学结果显示,治疗组的上皮再形成加速、血管生成增加且胶原纤维致密且排列更有序。当前研究表明,SRGF是有效的,因为它促进伤口愈合,并显示出快速的上皮再形成和增加的血管生成。