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<编辑推荐>激活的大网膜上清液加速糖尿病小鼠创面模型的伤口愈合。

<Editors' Choice> Supernatant from activated omentum accelerates wound healing in diabetic mice wound model.

机构信息

Department of Plastic and Reconstructive Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.

出版信息

Nagoya J Med Sci. 2023 Aug;85(3):528-541. doi: 10.18999/nagjms.85.3.528.

Abstract

Diabetic wounds are considered one of the most frequent and severe complications of diabetes mellitus. Recently, the omentum has been used in diabetic wound healing because of its tissue repair properties. The activated omentum is richer in growth factors than the inactivated, thereby contributing to the wound healing process. To further investigate the effect of activated omentum conditioned medium (aOCM) on diabetic wound healing, we injected supernatant from aOCM, saline-OCM (sOCM), inactivated-OCM (iOCM), and medium (M) subcutaneously upon creation of a cutaneous wound healing model in diabetic mice. Wound area (%) was evaluated on days 0, 3, 5, 7, 9, 11, 14, 21, and 28 post-operation. At 9 and 28 d post-operation, skin tissue was harvested and assessed for gross observation, neovascularization, peripheral nerve fiber regeneration, and collagen deposition. We observed that aOCM enhanced the wound repair process, with significant acceleration of epidermal and collagen deposition in the surgical lesion on day 9. Additionally, aOCM displayed marked efficiency in neovascularization and peripheral nerve regeneration during wound healing. Thus, aOCM administration exerts a positive influence on the diabetic mouse model, which can be employed as a new therapy for diabetic wounds.

摘要

糖尿病性伤口被认为是糖尿病最常见和最严重的并发症之一。最近,由于其组织修复特性,网膜被用于糖尿病性伤口愈合。激活的网膜比未激活的网膜含有更丰富的生长因子,从而有助于伤口愈合过程。为了进一步研究激活的网膜条件培养基(aOCM)对糖尿病性伤口愈合的影响,我们在糖尿病小鼠的皮肤伤口愈合模型创建后,将 aOCM 的上清液、生理盐水-OCM(sOCM)、失活-OCM(iOCM)和培养基(M)皮下注射。在手术后第 0、3、5、7、9、11、14、21 和 28 天评估伤口面积(%)。在手术后第 9 和 28 天,采集皮肤组织并进行大体观察、新生血管形成、周围神经纤维再生和胶原沉积评估。我们观察到 aOCM 增强了伤口修复过程,在第 9 天手术损伤处的表皮和胶原沉积明显加速。此外,aOCM 在伤口愈合过程中对新生血管形成和周围神经再生表现出显著的效率。因此,aOCM 给药对糖尿病小鼠模型产生积极影响,可作为糖尿病性伤口的新治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1955/10565575/243be422c8b4/2186-3326-85-0528-g001.jpg

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