Wang Xue, Yu Zhangping, Zhou Shengnan, Shen Shiwei, Chen Wei
Department of Clinical Nutrition, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, No. 1, Shuaifuyuan, Wangfujing, Dongcheng District, Beijing 100730, China.
Department of Endocrinology, The Affiliated Wuxi No. 2 Hospital of Nanjing Medical University, 68 Zhongshan Road, Wuxi, Jiangsu 214002, China.
Evid Based Complement Alternat Med. 2022 Mar 24;2022:4231516. doi: 10.1155/2022/4231516. eCollection 2022.
Proteins provide the main building blocks for tissue growth, cell renewal, and repair during wound healing. We aimed to examine the effect of a compound protein on wound healing, nutritional status, and underlying mechanisms. We first performed a preliminary experiment to identify the appropriate wound healing assessment points. In the formal experiment, there were five groups (control group: 8.3750 g/kg/day saline solution; model group: 8.3750 g/kg/day saline solution; whey protein group: 8.3750 g/kg/day whey protein; low-dose compound protein group: 4.1875 g/kg/day compound protein; and high-dose compound protein group: 8.3750 g/kg/day compound protein) with eight rats in each group. At each turning point, we observed the wound healing rate and nutritional status of the different groups of rats. In addition, biochemical assays were used to determine the mechanisms underlying the effects of the compound protein. In the preliminary experiment, the third day after modeling was the turning point between the inflammatory and proliferation phases, and the eighth day was the turning point between the proliferation and remodeling phases. The formal experiment evaluated wound healing condition, inflammatory response, angiogenesis, collagen deposition, and nutritional status. A pathological report showed increased vascularization, collagen deposition, and epithelialization in compound protein-treated groups. Protein-treated mice showed decreased interleukin (IL)-6, IL-8, neutrophils, and lymphocytes and increased IL-10, albumin, prealbumin, total protein levels, insulin-like growth factor 1 (IGF-1), fibroblast growth factor 2 (FGF-2), and vascular endothelial growth factor (VEGF) expressions. All parameters were significant ( < 0.05) compared to the model group. There was a dose-dependent effect of the compound protein. The accelerated wound healing mechanism may be that the compound protein accelerates the whole wound healing process, making wounds transition from the inflammatory phase to the proliferation phase faster, entering the remodeling phase earlier. Administration of a compound protein can accelerate wound healing and improve the nutritional status.
蛋白质是组织生长、细胞更新以及伤口愈合过程中修复的主要组成部分。我们旨在研究复合蛋白对伤口愈合、营养状况及潜在机制的影响。我们首先进行了一项初步实验以确定合适的伤口愈合评估时间点。在正式实验中,分为五组(对照组:8.3750克/千克/天的生理盐水;模型组:8.3750克/千克/天的生理盐水;乳清蛋白组:8.3750克/千克/天的乳清蛋白;低剂量复合蛋白组:4.1875克/千克/天的复合蛋白;高剂量复合蛋白组:8.3750克/千克/天的复合蛋白),每组8只大鼠。在每个转折点,我们观察不同组大鼠的伤口愈合率和营养状况。此外,采用生化检测来确定复合蛋白作用的潜在机制。在初步实验中,建模后第三天是炎症期和增殖期的转折点,第八天是增殖期和重塑期的转折点。正式实验评估了伤口愈合情况、炎症反应、血管生成、胶原蛋白沉积和营养状况。病理报告显示,复合蛋白处理组的血管化、胶原蛋白沉积和上皮形成增加。蛋白处理的小鼠白细胞介素(IL)-6、IL-8、中性粒细胞和淋巴细胞减少,而IL-10、白蛋白、前白蛋白、总蛋白水平、胰岛素样生长因子1(IGF-1)、成纤维细胞生长因子2(FGF-2)和血管内皮生长因子(VEGF)表达增加。与模型组相比,所有参数均有显著差异(<0.05)。复合蛋白存在剂量依赖性效应。加速伤口愈合的机制可能是复合蛋白加速了整个伤口愈合过程,使伤口从炎症期更快地过渡到增殖期,更早地进入重塑期。给予复合蛋白可以加速伤口愈合并改善营养状况。