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维生素 B 软膏局部应用于猪模型放射性皮炎的作用。

The action of topical application of Vitamin B ointment on radiodermatitis in a porcine model.

机构信息

Department of Radiation Oncology, The Second Hospital of Jilin University, Jilin, China.

Department of Orthopedic Surgery, The Second Hospital of Jilin University, Jilin, China.

出版信息

Int Wound J. 2023 Feb;20(2):516-528. doi: 10.1111/iwj.13899. Epub 2022 Aug 25.

Abstract

Radiodermatitis is an inevitable side effect of radiotherapy in cancer treatment and there is currently no consensus on effective drugs for treating the condition. Vitamin B is known to be effective for repairing and regenerating damaged skin. However, there are few studies on the use of Vitamin B for treating radiodermatitis. This study explored the therapeutic efficacy and mechanism of action of Vitamin B ointment on radiodermatitis. A porcine model of grade IV radiodermatitis was established. The ointment was applied for 12 weeks after which histological staining, transmission electron microscopy, RT-qPCR, western blotting, and gene sequencing were performed for the evaluation of specific indicators in skin samples. After 12 weeks of observation, the Vitamin B treatment was found to have significantly alleviated radiodermatitis. The treatment also significantly reduced the expression levels of NF-κB, COX-2, IL-6, and TGF-β in the skin samples. The pathways involved in the effects of the treatment were identified by analysing gene expression. In conclusion, Vitamin B ointment was found to be highly effective for treating radiodermatitis, with strong anti-radiation, anti-inflammatory, and anti-fibrosis effects. It is thus a promising drug candidate for the treatment of severe radiodermatitis.

摘要

放射性皮炎是癌症治疗中放疗不可避免的副作用,目前对于治疗该疾病的有效药物尚无共识。维生素 B 已被证明可有效修复和再生受损皮肤。然而,关于维生素 B 治疗放射性皮炎的研究很少。本研究探讨了维生素 B 软膏治疗放射性皮炎的疗效和作用机制。建立了四级放射性皮炎的猪模型。在应用软膏 12 周后,对皮肤样本进行组织学染色、透射电子显微镜、RT-qPCR、western blot 和基因测序,以评估特定指标。经过 12 周的观察,发现维生素 B 治疗明显缓解了放射性皮炎。该治疗还显著降低了皮肤样本中 NF-κB、COX-2、IL-6 和 TGF-β 的表达水平。通过分析基因表达鉴定了治疗作用涉及的途径。总之,维生素 B 软膏被发现对治疗放射性皮炎非常有效,具有很强的抗辐射、抗炎和抗纤维化作用。因此,它是治疗严重放射性皮炎的有前途的候选药物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64a9/9885454/46700f52bb13/IWJ-20-516-g002.jpg

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