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用爱治愈:催产素通过减轻炎症加速口腔溃疡愈合。

Healing with Love: Oxytocin Accelerates Oral Ulcer Recovery by Reducing Inflammation.

作者信息

Zeytinoğlu Mert, Çınaroğlu Osman Sezer, Bora Ejder Saylav, Erbaş Oytun

机构信息

Department of Oral, Dental and Maxillofacial Surgery, Faculty of Dentistry, Ege University, 35040 Bornova, Izmir, Türkiye.

Department of Emergency Medicine, Faculty of Medicine, Izmir Katip Çelebi University, 35620 Çiğli, Izmir, Türkiye.

出版信息

J Clin Med. 2025 Apr 14;14(8):2667. doi: 10.3390/jcm14082667.

Abstract

Oral ulcerative mucositis (OUM) is a painful, inflammatory mucosa lesion that impairs quality of life. Despite available treatments, effective agents that promote faster healing and modulate inflammation are still needed. Oxytocin (OT), a neuropeptide with anti-inflammatory and antioxidant properties, may aid wound healing by regulating the remodeling of the extracellular matrix (ECM). This study investigates the effects of OT on oral ulcer healing in rats, focusing on its modulation of the MMP-2/TIMP-2 pathway. Acetic acid 70% was used as the oral mucosal ulcer inducer. Thirty-six Wistar albino rats were divided into control, oral ulcer + saline, and oral ulcer + OT (intraperitoneally for 15 days) groups. Histopathological, biochemical, and molecular analyses were performed. Buccal mucosa tissue was examined for TNF-α, TIMP-2, and MMP-2 levels via ELISA, while oxidative stress markers and pentraxin-3 (PTX3) were also assessed. OT significantly preserved epithelial integrity and reduced fibrosis compared to the saline group ( < 0.001). TNF-α, MMP-2, PTX3, and malondialdehyde levels were significantly lower, while TIMP-2 levels were elevated in the OT-treated group ( < 0.01). Histopathological analysis confirmed reduced inflammation and enhanced tissue organization. OT accelerates oral ulcer healing by modulating inflammation, oxidative stress, and ECM remodeling via the MMP-2/TIMP-2 pathway. These findings highlight its potential as a therapeutic agent for managing mucosal injuries. Further clinical studies are warranted.

摘要

口腔溃疡性黏膜炎(OUM)是一种疼痛的炎症性黏膜病变,会损害生活质量。尽管有可用的治疗方法,但仍需要能促进更快愈合并调节炎症的有效药物。催产素(OT)是一种具有抗炎和抗氧化特性的神经肽,可能通过调节细胞外基质(ECM)的重塑来促进伤口愈合。本研究调查了OT对大鼠口腔溃疡愈合的影响,重点关注其对MMP - 2/TIMP - 2通路的调节作用。70%的醋酸被用作口腔黏膜溃疡诱导剂。将36只Wistar白化大鼠分为对照组、口腔溃疡+生理盐水组和口腔溃疡+OT组(腹腔注射15天)。进行了组织病理学、生化和分子分析。通过酶联免疫吸附测定法检测颊黏膜组织中的肿瘤坏死因子-α(TNF-α)、组织金属蛋白酶抑制因子-2(TIMP-2)和基质金属蛋白酶-2(MMP-2)水平,同时还评估了氧化应激标志物和五聚素-3(PTX3)。与生理盐水组相比,OT显著保持了上皮完整性并减少了纤维化(<0.001)。在OT治疗组中,TNF-α、MMP-2、PTX3和丙二醛水平显著降低,而TIMP-2水平升高(<0.01)。组织病理学分析证实炎症减轻且组织结构增强。OT通过MMP-2/TIMP-2通路调节炎症、氧化应激和ECM重塑,从而加速口腔溃疡愈合。这些发现凸显了其作为治疗黏膜损伤药物的潜力。有必要进行进一步的临床研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cfb/12028035/fd371ded1128/jcm-14-02667-g001.jpg

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