Department of Plastic and Reconstructive Surgery, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Republic of Korea.
Skin Res Technol. 2024 Sep;30(9):e70022. doi: 10.1111/srt.70022.
Despite advancements in reconstructive procedures, ischemia-reperfusion (I/R) injury remains a significant challenge in reconstructive surgery, with mitochondrial dysfunction playing a pivotal role. Mitochondrial transplantation has emerged as a promising therapeutic strategy to address this issue. This study aims to evaluate the impact of umbilical cord mesenchymal stem cell-derived mitochondrial transplantation on skin flap I/R models in rats.
Twenty male rats underwent I/R injury on skin flaps, with or without mitochondrial transplantation administered via intravenous or subcutaneous routes. Analysis encompassed histopathology, inflammatory, apoptotic, oxidative stress, and hypoxia markers.
Results revealed a reduction in inflammation, apoptosis, oxidative stress, and hypoxia in the transplantation group compared to controls.
The findings suggest that umbilical cord mesenchymal stem cell-derived mitochondrial transplantation shows promise in enhancing flap viability and attenuating I/R injury, offering valuable insights for improved outcomes in reconstructive surgery. However, further exploration in larger animal models and refinement of delivery methods and dosage are warranted to fully elucidate its clinical translatability.
尽管在重建手术方面取得了进展,但缺血再灌注(I/R)损伤仍然是重建手术中的一个重大挑战,线粒体功能障碍起着关键作用。线粒体移植已成为解决这一问题的有前途的治疗策略。本研究旨在评估脐带间充质干细胞衍生的线粒体移植对大鼠皮瓣 I/R 模型的影响。
20 只雄性大鼠接受了皮瓣的 I/R 损伤,通过静脉或皮下途径给予或不给予线粒体移植。分析包括组织病理学、炎症、凋亡、氧化应激和缺氧标志物。
与对照组相比,移植组的炎症、凋亡、氧化应激和缺氧减轻。
研究结果表明,脐带间充质干细胞衍生的线粒体移植在提高皮瓣存活率和减轻 I/R 损伤方面具有潜力,为改善重建手术的结果提供了有价值的见解。然而,需要在更大的动物模型中进一步探索,并完善递送方法和剂量,以充分阐明其临床转化性。