Central Lab for Pathology and Morphology, Faculty of Medicine, Fukuoka University, Fukuoka 814-0180, Japan.
Departments of Plastic, Reconstructive and Aesthetic Surgery, Faculty of Medicine, Fukuoka University, Fukuoka 814-0180, Japan.
Medicina (Kaunas). 2020 Jun 29;56(7):321. doi: 10.3390/medicina56070321.
: Skin grafting is a method usually used in reconstructive surgery to accelerate skin regeneration. This method results frequently in unexpected scar formations. We previously showed that cutaneous wound-healing in normal mice is accelerated by a micrograft (MG) technique. Presently, clinical trials have been performed utilizing this technology; however, the driving mechanisms behind the beneficial effects of this approach remain unclear. In the present study, we focused on five major tissue reactions in wound-healing, namely, regeneration, migration, granulation, neovascularization and contraction. Morphometrical analysis was performed using tissue samples from the dorsal wounds of mice. Granulation tissue formation, neovascularization and epithelial healing were examined. The wound area correlated well with granulation sizes and neovascularization densities in the granulation tissue. Vascular distribution analysis in the granulation tissue indicated that neovessels extended and reached the subepidermal area in the MG group but was only halfway developed in the control group. Moreover, epithelialization with regeneration and migration was augmented by MG. Myofibroblast is a known machinery for wound contraction that uses α-smooth muscle actin filaments. Their distribution in the granulation tissue was primarily found beneath the regenerated epithelium and was significantly progressed in the MG group. These findings indicated that MG accelerated a series of wound-healing reactions and could be useful for treating intractable wounds in clinical situations.
皮肤移植是一种常用于重建外科的方法,以加速皮肤再生。这种方法经常导致意想不到的疤痕形成。我们之前曾表明,正常小鼠的皮肤创伤愈合可以通过微移植(MG)技术加速。目前,已经利用这项技术进行了临床试验;然而,这种方法有益效果的驱动机制仍不清楚。在本研究中,我们专注于伤口愈合的五个主要组织反应,即再生、迁移、肉芽形成、新生血管形成和收缩。使用来自小鼠背部伤口的组织样本进行形态计量学分析。检查肉芽组织形成、新生血管形成和上皮愈合。伤口面积与肉芽组织中的肉芽大小和新生血管密度密切相关。肉芽组织中的血管分布分析表明,MG 组中的新生血管延伸并到达表皮下区域,但在对照组中仅发育到一半。此外,MG 促进了上皮化、再生和迁移。肌成纤维细胞是一种已知的用于伤口收缩的机制,它使用α-平滑肌肌动蛋白丝。它们在肉芽组织中的分布主要位于再生上皮下方,在 MG 组中明显进展。这些发现表明 MG 加速了一系列伤口愈合反应,在临床情况下可能对治疗难治性伤口有用。