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瘢痕形成的研究方法:人体和动物模型。

, , and Approaches for Investigation of Skin Scarring: Human and Animal Models.

机构信息

Plastic & Reconstructive Surgery Research, Centre for Dermatology Research, Wound Healing Theme, NIHR Manchester Biomedical Research Centre, University of Manchester, Manchester, England, United Kingdom.

Department of Pathology, Ohio State University, Columbus, Ohio, USA.

出版信息

Adv Wound Care (New Rochelle). 2023 Feb;12(2):97-116. doi: 10.1089/wound.2021.0139. Epub 2022 Feb 2.

Abstract

The cutaneous repair process naturally results in different types of scarring that are classified as normal or pathological. Affected individuals are often affected from an esthetic, physical (functional), and psychosocial perspective. The distinct nature of scarring in humans, particularly the formation of pathological scars, makes the study of skin scarring a challenge for researchers in this area. Several established experimental models exist for studying scar formation. However, the increasing development and validation of newly emerging models have made it possible to carry out studies focused on different variables that influence this unique process. Experimental models such as , , and models have obtained different degrees of success in the reproduction of the scar formation in its native milieu and true environment. These models also differ in their ability to elucidate the molecular, cellular, and structural mechanisms involved in scarring, as well as for testing new agents and approaches for therapies. The models reviewed here, including cells derived from human skin and animal models, have contributed to the advancement of skin scarring research. The absence of experimental models that faithfully reproduce the typical characteristics of the different types of human skin scars makes the improvement of validated models and the establishment of new ones a critical unmet need. The fields of wound healing research combined with tissue engineering have offered newer alternatives for experimental studies with the potential to provide clinically useful knowledge about scar formation.

摘要

皮肤修复过程自然会导致不同类型的瘢痕,这些瘢痕可分为正常或病理性。受影响的个体通常从美学、身体(功能)和心理社会角度受到影响。人类瘢痕的独特性质,特别是病理性瘢痕的形成,使得该领域的研究人员在研究皮肤瘢痕方面面临挑战。目前已经存在几种用于研究瘢痕形成的成熟实验模型。然而,新出现的模型的不断发展和验证,使得人们有可能针对影响这一独特过程的不同变量进行研究。诸如 、 和 等实验模型在其天然环境和真实环境中复制瘢痕形成方面取得了不同程度的成功。这些模型在阐明瘢痕形成涉及的分子、细胞和结构机制方面,以及测试新的治疗方法和药物方面的能力也有所不同。本文中回顾的模型,包括源自人类皮肤的细胞和 动物模型,都为皮肤瘢痕研究的进展做出了贡献。缺乏能够真实再现不同类型人类皮肤瘢痕典型特征的实验模型,使得改进已验证模型和建立新模型成为一个亟待满足的关键需求。创伤愈合研究领域与组织工程学相结合,为实验研究提供了新的替代方案,有可能提供有关瘢痕形成的临床有用知识。

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