Department of Orthopedics and Trauma Surgery, Medical Faculty of the Heinrich Heine University Düsseldorf, Düsseldorf, Germany.
J Wound Care. 2021 Sep 2;30(9):729-736. doi: 10.12968/jowc.2021.30.9.729.
Hard-to-heal wounds represent an increasing health and economic burden on society. At present, therapy options for hard-to-heal wounds are often unsatisfactory, and the development of more effective wound treatments is urgently needed. We have shown that orthosilicic acid-releasing silica fibre fleece (SIFIB), via its pronounced anti-inflammatory properties, exhibited a significantly enhanced effect on wound closure kinetics in a porcine wound model in vivo. In this present study, we have examined in vitro the impact of the pro-angiogenic potential of SIFIB. Using an in vitro angiogenesis assay we describe for the first time how an inorganic biodegradable silica-based material significantly improved endothelial microvessel-like structure formation. We further demonstrate that the molecular mechanism of this pro-angiogenic activity of SIFIB is based on a significantly increased and tumour necrosis factor (TNF)α-dependent VEGF protein expression. In conclusion, due to its positive effects on angiogenesis, our results further indicate that decomposition products of silica-based biodegradable inorganic materials might represent very relevant therapeutic components of modern wound dressings for the treatment of hard-to-heal wounds.
难以愈合的伤口给社会的健康和经济带来了越来越大的负担。目前,治疗难以愈合伤口的方法往往不尽如人意,迫切需要开发更有效的伤口治疗方法。我们已经表明,释放正硅酸的硅纤维毛毡(SIFIB)通过其显著的抗炎特性,在体内猪伤口模型中对伤口闭合动力学表现出显著增强的效果。在本研究中,我们在体外检查了 SIFIB 的促血管生成潜力。我们使用体外血管生成测定法首次描述了一种无机可生物降解的基于硅的材料如何显著改善内皮微血管样结构的形成。我们进一步证明,SIFIB 促血管生成活性的分子机制基于 TNFα 依赖性 VEGF 蛋白表达的显著增加。总之,由于其对血管生成的积极影响,我们的结果进一步表明,基于硅的可生物降解无机材料的分解产物可能代表现代伤口敷料治疗难以愈合伤口的非常相关的治疗成分。