Choi Harry Ming Chun, Cheung Alex Kwok-Kuen, Ng Michelle Chun Har, Zheng Yongping, Jan Yih-Kuen, Cheing Gladys Lai Ying
Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Kowloon, Hong Kong.
Department of Biomedical Engineering, The Hong Kong Polytechnic University, Kowloon, Hong Kong.
Front Bioeng Biotechnol. 2021 Mar 4;9:648453. doi: 10.3389/fbioe.2021.648453. eCollection 2021.
There is a lack of quantitative and non-invasive clinical biomechanical assessment tools for diabetic foot ulcers. Our previous study reported that the indentation stiffness measured by an optical coherence tomography-based air-jet indentation system in a non-contact and non-invasive manner may reflect the tensile properties of diabetic wounds. As the tensile properties are known to be contributed by type I collagen, this study was aimed to establish the correlations between the indentation stiffness, and type I collagen abundance and organisation, in order to further justify and characterise the indentation stiffness measurement in diabetic wounds. In a male streptozotocin-induced diabetic rat model, indentation stiffness, and type I collagen abundance and organisation of excisional wounds were quantified and examined using the optical coherence tomography-based air-jet indentation system and picrosirius red polarised light microscopy, respectively, on post-wounding days 3, 5, 7, 10, 14, and 21. The results showed significant negative correlations between indentation stiffness at the wound centre, and the collagen abundance and organisation. The correlations between the indentation stiffness, as well as collagen abundance and organisation of diabetic wounds suggest that the optical coherence tomography-based air-jet indentation system can potentially be used to quantitatively and non-invasively monitor diabetic wound healing in clinical settings, clinical research or preclinical research.
目前缺乏用于糖尿病足溃疡的定量和非侵入性临床生物力学评估工具。我们之前的研究报告称,基于光学相干断层扫描的喷气式压痕系统以非接触和非侵入方式测量的压痕硬度可能反映糖尿病伤口的拉伸特性。由于已知拉伸特性由I型胶原促成,本研究旨在建立压痕硬度与I型胶原丰度及结构之间的相关性,以便进一步证明并描述糖尿病伤口压痕硬度测量的合理性。在雄性链脲佐菌素诱导的糖尿病大鼠模型中,分别于伤后第3、5、7、10、14和21天,使用基于光学相干断层扫描的喷气式压痕系统和天狼星红偏振光显微镜对切除伤口的压痕硬度、I型胶原丰度及结构进行定量和检测。结果显示伤口中心的压痕硬度与胶原丰度及结构之间存在显著负相关。糖尿病伤口的压痕硬度与胶原丰度及结构之间的相关性表明,基于光学相干断层扫描的喷气式压痕系统有可能用于在临床环境、临床研究或临床前研究中对糖尿病伤口愈合进行定量和非侵入性监测。
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