Mulawarmanti Dian, Revianti Syamsulina, Wahjuningsih Endah
Department of Oral Biology, Faculty of Dentistry, Hang Tuah University, Surabaya, Indonesia.
Contemp Clin Dent. 2024 Apr-Jun;15(2):124-128. doi: 10.4103/ccd.ccd_544_22. Epub 2024 Jul 10.
Traumatic ulcer is a wound on the oral mucosa that often causes pain and impaired eating function. Healing of these wounds takes a long time and can interfere with an individual's daily activities. One therapeutic approach that is being developed is the use of topical application of chum salmon skin-derived collagen extract. Collagen is the main component of the extracellular matrix and plays a major role in wound healing. The skin of chum salmon ( ) contains collagen that is effective for the treatment of wounds.
The aim of this study was to evaluate the effectiveness of topical applications of chum salmon ( ) skin-derived collagen extracts in improving the healing of traumatic ulcers through analysis of neutrophil and macrophage numbers and collagen density.
Twenty-four male Wistar rats were randomly divided into four groups consisting of six rats each. The labial mucosa of the lower lips of the rats was injured with heated amalgam stoppers to create oral traumatic ulcers. Group 1 was a control group; in Groups 2, 3, and 4, 25%, 50%, and 75% of collagen extracts from chum salmon ( ) skin were applied topically once a day for 7 days, respectively. The neutrophil and macrophage numbers were observed by hematoxylin and eosin staining. Masson's Trichrome staining was used to analyze the collagen density. Data were analyzed using one-way analysis of variance and continued with least significant difference tests. Significance is considered if < 0.05.
The oral traumatic ulcers gradually healed until day 7. The number of neutrophils and macrophages was significantly decreased in the treatment groups, and collagen density was increased, compared to the control group ( < 0.05). The decrease of neutrophil and macrophage numbers occurred significantly with the increased collagen extract concentrations ( < 0.05). Collagen density also increased significantly with the increased collagen extract concentrations ( < 0.05).
Topical applications of chum salmon ( ) skin-derived collagen extracts accelerate the healing process of oral traumatic ulcers by decreasing neutrophil and macrophage numbers and increasing collagen density.
创伤性溃疡是口腔黏膜上的伤口,常引起疼痛和进食功能受损。这些伤口愈合时间长,会干扰个体的日常活动。正在研发的一种治疗方法是局部应用秋鲑鱼皮衍生的胶原蛋白提取物。胶原蛋白是细胞外基质的主要成分,在伤口愈合中起主要作用。秋鲑鱼的皮肤含有对伤口治疗有效的胶原蛋白。
本研究的目的是通过分析中性粒细胞和巨噬细胞数量以及胶原蛋白密度,评估局部应用秋鲑鱼皮衍生的胶原蛋白提取物在促进创伤性溃疡愈合方面的有效性。
将24只雄性Wistar大鼠随机分为四组,每组6只。用加热的汞合金塞损伤大鼠下唇的唇黏膜以制造口腔创伤性溃疡。第1组为对照组;第2、3和4组分别每天局部应用25%、50%和75%的秋鲑鱼皮胶原蛋白提取物,持续7天。通过苏木精和伊红染色观察中性粒细胞和巨噬细胞数量。采用Masson三色染色法分析胶原蛋白密度。数据采用单因素方差分析,随后进行最小显著差异检验。如果P<0.05,则认为具有统计学意义。
口腔创伤性溃疡在第7天逐渐愈合。与对照组相比,治疗组中性粒细胞和巨噬细胞数量显著减少,胶原蛋白密度增加(P<0.05)。随着胶原蛋白提取物浓度的增加,中性粒细胞和巨噬细胞数量显著减少(P<0.05)。胶原蛋白密度也随着胶原蛋白提取物浓度的增加而显著增加(P<0.05)。
局部应用秋鲑鱼皮衍生的胶原蛋白提取物可通过减少中性粒细胞和巨噬细胞数量以及增加胶原蛋白密度来加速口腔创伤性溃疡的愈合过程。