Central Lab for Pathology and Morphology, Faculty of Medicine, Fukuoka University, Fukuoka 814-0180, Japan.
Department of Medicine, School of Medicine, Nazarbayev University, Nur-Sultan 010000, Kazakhstan.
J Vet Med Sci. 2021 Dec 9;83(12):1933-1942. doi: 10.1292/jvms.21-0464. Epub 2021 Nov 1.
Hypertrophic scars found on the human body rarely develop in experimental animals, possibly due to their looser skin structure. This makes it difficult to understand the genesis of scar lesions. Therefore, appropriate animal models are urgently needed. In this study, we established a novel experimental model of a scar-forming wound by resecting a small portion of the abdominal muscle wall on the lower center of the abdomen in C57BL/6N mice, which are exposed to contractive forces by the surrounding muscle tissue. As a low-tension control, a back skin excision model was used with a splint fixed onto the excised skin edge, and granulation tissue formed on the muscle fascia supported by the back skeleton. One week after the resection, initial healing reactions, such as fibroblast proliferation, occurred in both models. However, after 21 days, lesions with collagen-rich granulation tissues, which were also accompanied by multiple nodular/spherical-like structures, developed only in the abdominal wall model. These lesions were analogous to scar lesions in humans. Therefore, the animal model developed in this study is unique in that fibrous scar tissues form under physiological conditions without using any artificial factors and is valuable for studying the pathogenesis and preclinical treatment of scar lesions.
人体上发现的增生性瘢痕在实验动物中很少出现,这可能是由于其皮肤结构较为松弛。这使得人们难以理解瘢痕病变的发生机制。因此,迫切需要合适的动物模型。在这项研究中,我们通过切除 C57BL/6N 小鼠下腹部中心下部的一小部分腹直肌壁,建立了一种新的瘢痕形成性伤口的实验模型,该模型受到周围肌肉组织的收缩力的影响。作为一种低张力对照,我们使用背部皮肤切除术模型,在切除的皮肤边缘固定夹板,并在背部骨骼支撑的肌肉筋膜上形成肉芽组织。切除后 1 周,两种模型均出现了初始愈合反应,如成纤维细胞增殖。然而,21 天后,只有在腹壁模型中才会出现富含胶原的肉芽组织病变,同时还伴有多个结节/球形样结构。这些病变类似于人类的瘢痕病变。因此,本研究中开发的动物模型独特之处在于,在没有使用任何人工因素的情况下,在生理条件下形成纤维性瘢痕组织,对于研究瘢痕病变的发病机制和临床前治疗具有重要价值。