Sakai Shigeki, Aramaki-Hattori Noriko, Kishi Kazuo
Department of Plastic and Reconstructive Surgery, Keio University School of Medicine, 35 Shinanomachi Shinjiku-ku, Tokyo 160-8582, Japan.
Biomedicines. 2023 Jan 26;11(2):347. doi: 10.3390/biomedicines11020347.
Scar treatments include fractional laser treatment, cell transplantation, surgery, skin needling, and dermal fillers. Fractional laser treatments are used to reduce scarring and blurring. Cell transplantation is promising, with mature fibroblasts and adipose-derived stem cells being used clinically, while embryonic fibroblasts are used experimentally. Herein, we developed a combination of ablative CO (carbon dioxide) fractional laser and cell transplantation for the treatment of scars. Eight-week-old male C57Bl/6 mice were used to create a full-layer skin defect in the back skin and create scars. The scar was then irradiated using a CO fractional laser. The cells were then transplanted onto the scar surface and sealed with a film agent. The transplanted cells were GFP-positive murine fetal fibroblasts (FB), fetal fibroblasts with a long-term sphere-forming culture (LS), and fetal skin with a short-term sphere-forming culture (SS). After transplantation, green fluorescent protein (GFP)-positive cells were scattered in the dermal papillary layer and subcutis in all the groups. LS significantly reduced the degree of scarring, which was closest to normal skin. In conclusion, the combination of ablative fractional laser irradiation and fetal fibroblast transplantation allowed us to develop new methods for scar treatment.
瘢痕治疗方法包括分次激光治疗、细胞移植、手术、皮肤针刺和真皮填充剂。分次激光治疗用于减轻瘢痕形成和瘢痕模糊。细胞移植前景广阔,成熟的成纤维细胞和脂肪来源的干细胞已应用于临床,而胚胎成纤维细胞则用于实验研究。在此,我们开发了一种剥脱性二氧化碳分次激光与细胞移植相结合的瘢痕治疗方法。选用8周龄雄性C57Bl/6小鼠,在其背部皮肤制造全层皮肤缺损以形成瘢痕。然后用二氧化碳分次激光照射瘢痕。接着将细胞移植到瘢痕表面,并用薄膜剂封闭。移植的细胞为绿色荧光蛋白(GFP)阳性的小鼠胎儿成纤维细胞(FB)、具有长期成球培养能力的胎儿成纤维细胞(LS)和具有短期成球培养能力的胎儿皮肤(SS)。移植后,所有组中绿色荧光蛋白(GFP)阳性细胞均散在于真皮乳头层和皮下组织。LS组显著减轻了瘢痕形成程度,最接近正常皮肤。总之,剥脱性分次激光照射与胎儿成纤维细胞移植相结合为我们开发瘢痕治疗新方法提供了可能。