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基质金属蛋白酶-1 对伤口愈合和瘢痕形成的影响。

The Effect of MMP-1 on Wound Healing and Scar Formation.

机构信息

Rio Clinic, Istanbul, Turkey.

Istanbul Medeniyet University Goztepe Training and Research Hospital Plastic and Reconstructive Surgery Department, Istanbul, Turkey.

出版信息

Aesthetic Plast Surg. 2021 Dec;45(6):2973-2979. doi: 10.1007/s00266-021-02369-2. Epub 2021 Jun 1.

Abstract

BACKGROUND

In this study, we investigated the effect of matrix metalloproteinase-1 (MMP-1) on wound healing on skin in a model produced in rats.

METHODS

Sixteen Sprague-Dawley male rats were included in the study. The four full-thickness skin wound was created on the dorsal area of each rat with 4.4 mm punch. The rats were randomly divided into two groups. MMP-1 and saline were administered intraperitoneally once daily for 7 days. The biopsies were taken from the separate wounds on the 4th, 7th, 14th and 21st days of the experiment. The lymphocytic response, vascular proliferation, fibroblast proliferation, epithelial hyperplasia, foreign body reaction, ulcer formation, acute inflammation, keloid scar formation and hypertrophic scar formation were compared in each group in histopathologically.

RESULTS

In our study, epithelial hyperplasia on 14th day was significantly higher in the MMP-1 group compared to the control group (p < 0.05). The lymphocytic response on 4th and 21th days, the vascular proliferation on 4th day, the fibroblast proliferation on 4th and 7th days, the acute inflammation on 4th day and the hypertrophic scar formation on 7th, 14th, 21st days were significantly lower in the MMP-1 group compared to the control group (p < 0.05). No statistically significant difference was found in comparison with other parameters (p > 0.05).

CONCLUSIONS

MMP-1 improves the wound-healing process of skin with higher epithelial hyperplasia and reduces scar formation in the animal model. Therefore, MMP-1 can potentially be used as an effective anti-fibrogenic agent for preventing or treating the hypertrophic scar.

NO LEVEL ASSIGNED

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

摘要

背景

在这项研究中,我们在大鼠模型中研究了基质金属蛋白酶-1(MMP-1)对皮肤伤口愈合的影响。

方法

本研究纳入 16 只雄性 Sprague-Dawley 大鼠。在每只大鼠的背部用 4.4mm 冲头创建 4 个全层皮肤伤口。大鼠随机分为两组。MMP-1 和生理盐水分别每天腹腔内给药一次,共 7 天。在实验的第 4、7、14 和 21 天,从单独的伤口处取活检。在组织病理学上比较每组的淋巴细胞反应、血管增生、成纤维细胞增生、上皮过度增生、异物反应、溃疡形成、急性炎症、瘢痕疙瘩形成和增生性瘢痕形成。

结果

在我们的研究中,MMP-1 组第 14 天的上皮过度增生明显高于对照组(p<0.05)。MMP-1 组第 4 天和第 21 天的淋巴细胞反应、第 4 天的血管增生、第 4 天和第 7 天的成纤维细胞增生、第 4 天的急性炎症以及第 7、14、21 天的增生性瘢痕形成明显低于对照组(p<0.05)。与其他参数相比,差异无统计学意义(p>0.05)。

结论

MMP-1 通过增加上皮过度增生改善皮肤的伤口愈合过程,并减少动物模型中的瘢痕形成。因此,MMP-1 可作为一种有效的抗纤维化药物,用于预防或治疗增生性瘢痕。

未分级

本杂志要求作者为每篇文章分配一个证据水平。有关这些循证医学评级的完整描述,请参阅目录或在线作者指南 www.springer.com/00266

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