Laboratory for Regenerative Tissue Repair, Division of Pediatric Surgery, Texas Children's Hospital and Baylor College of Medicine, Houston, Texas.
Laboratory for Regenerative Tissue Repair, Division of Pediatric Surgery, Texas Children's Hospital and Baylor College of Medicine, Houston, Texas; Department of Pediatrics, Texas Children's Hospital and Baylor College of Medicine, Houston, Texas.
J Surg Res. 2023 May;285:26-34. doi: 10.1016/j.jss.2022.12.004. Epub 2023 Jan 12.
Interleukin-10 (IL-10) is essential in fetal regenerative wound healing and likewise promotes a regenerative phenotype in adult dermal wounds. However, the role of endogenous IL-10 in postnatal dermal wound healing is not well-established. We sought to determine the function of endogenous IL-10 in murine full thickness excisional wounds that are splinted to prevent contracture and mimic human patterns of wound closure.
Full-thickness excisional wounds were made in wildtype (WT) and IL-10 mice on a C57BL/6J background (F/M, 8 wk old). In a subset of wounds, contraction was prevented by splinting with silicone stents (stenting) and maintaining a moist wound microenvironment using a semiocclusive dressing. Wounds were examined for re-epithelialization, granulation tissue deposition, and inflammatory cell infiltrate at day 7 and fibrosis and scarring at day 30 postwounding.
We observed no difference in wound healing rate between WT and IL-10 mice in either the stented or unstented group. At day 7, unstented IL-10 wounds had a larger granulation tissue area and more inflammatory infiltrate than their WT counterparts. However, we did observe more F4/80 cell infiltrate in stented IL-10 wounds at day 7. At day 30, stented wounds had increased scar area and epithelial thickness compared to unstented wounds.
These data suggest that endogenous IL-10 expression does not alter closure of full thickness excisional wounds when wound hydration and excessive contraction of murine skin are controlled. However, the loss of IL-10 leads to increased inflammatory cell infiltration and scarring. These new findings suggest that IL-10 contributes to the regulation of inflammation without compromising the healing response. These data combined with previous reports of increased rates of healing in IL-10 mice wounds not controlled for hydration and contraction suggest an important role for murine wound healing models used in research studies of molecular mechanisms that regulate healing.
白细胞介素-10(IL-10)在胎儿再生性伤口愈合中必不可少,同样也促进成人真皮伤口的再生表型。然而,内源性 IL-10 在出生后真皮伤口愈合中的作用尚未得到充分证实。我们旨在确定内源性 IL-10 在受夹板固定以防止挛缩并模拟人类伤口闭合模式的小鼠全层切创中的作用。
在 C57BL/6J 背景下的野生型(WT)和 IL-10 小鼠(F/M,8 周龄)上制作全层切创。在部分伤口中,通过使用硅酮支架(支架固定)防止收缩,并使用半封闭敷料保持湿润的伤口微环境来预防收缩。在第 7 天和第 30 天检测伤口的再上皮化、肉芽组织沉积和炎症细胞浸润以及纤维化和瘢痕形成。
我们观察到,无论是在支架固定组还是非支架固定组,WT 和 IL-10 小鼠的伤口愈合率均无差异。在第 7 天,非支架固定的 IL-10 伤口的肉芽组织面积和炎症浸润比 WT 伤口更大。然而,我们确实观察到在第 7 天,支架固定的 IL-10 伤口中 F4/80 细胞浸润更多。在第 30 天,与非支架固定的伤口相比,支架固定的伤口的瘢痕面积和上皮厚度增加。
这些数据表明,当控制小鼠皮肤的水合作用和过度收缩时,内源性 IL-10 表达不会改变全层切创的闭合。然而,IL-10 的缺失会导致炎症细胞浸润增加和瘢痕形成。这些新发现表明,IL-10 有助于调节炎症,而不会损害愈合反应。这些数据与以前的报道相结合,即未控制水合作用和收缩的 IL-10 小鼠伤口愈合速度加快,表明在研究调节愈合的分子机制的研究中,IL-10 对小鼠伤口愈合模型的重要作用。