Laidding Sachraswaty Rachman, Josh Fonny, Battung Sartian, Bukhari Agussalim, Patellongi Ilham Jaya, Massi Muh Nassrum, Islam Andi Asadul, Dososaputro Iswinarno, Faruk Muhammad
Division of Plastic and Reconstructive Surgery, Department of Surgery, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia.
Department of Surgery, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia.
Ann Med Surg (Lond). 2021 Mar 26;64:102254. doi: 10.1016/j.amsu.2021.102254. eCollection 2021 Apr.
The healing process of burns includes coagulation, inflammation, and remodeling. Vascular endothelial growth factor (VEGF) is involved throughout this healing process. Stem cells from the platelet-rich plasma (PRP) with stromal vascular fraction (SVF) can increase concentrations of growth factors, including VEGF. This is expected to accelerate burn healing. The aim of this study was to determine the effect of a combination of PRP and SVF on VEGF levels in a rats model of deep dermal burn wound healing.
This is an experimental research study in rats using a post-test control group design with 4 groups: A) control, B) Vaseline, C) topical PRP and SVF, and D) PRP and SVF injection. Burn wounds were induced according to the modified Guo method.
In a rats model of deep dermal wound healing, topical Vaseline significantly increased serum VEGF compared to control. Topical application and injection of stem cells also significantly increased serum VEGF compared to control and Vaseline. The VEGF concentration was significantly higher following injection of PRP and SVF, suggesting that the injection route is more effective at increasing VEGF levels compared to the topical application of stem cells.
The combination of PRP and SVF, either by injection or topical application, can increase VEGF levels during the healing process from deep dermal burns.
烧伤的愈合过程包括凝血、炎症和重塑。血管内皮生长因子(VEGF)参与了整个愈合过程。富含血小板血浆(PRP)中的间充质血管成分(SVF)干细胞可增加包括VEGF在内的生长因子浓度。这有望加速烧伤愈合。本研究的目的是确定PRP和SVF联合应用对大鼠深二度烧伤创面愈合模型中VEGF水平的影响。
这是一项在大鼠身上进行的实验性研究,采用测试后对照组设计,分为4组:A)对照组,B)凡士林组,C)局部应用PRP和SVF组,D)PRP和SVF注射组。根据改良的郭氏方法诱导烧伤创面。
在大鼠深二度创面愈合模型中,与对照组相比,局部应用凡士林显著提高了血清VEGF水平。与对照组和凡士林组相比,局部应用和注射干细胞也显著提高了血清VEGF水平。注射PRP和SVF后VEGF浓度显著更高,表明与局部应用干细胞相比,注射途径在提高VEGF水平方面更有效。
PRP和SVF联合应用,无论是通过注射还是局部应用,均可在大鼠深二度烧伤愈合过程中提高VEGF水平。