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在Wistar大鼠中,使用富血小板血浆(PRP)和基质血管成分(SVF)组合加速深度真皮烧伤创面愈合时,表皮生长因子(EGF)和碱性成纤维细胞生长因子2(FGF2)血清水平与上皮形成及成纤维细胞组织病理学的比较

Comparison of EGF and FGF2 Serum Levels with Epithelization and Fibroblast Histopathology on the Acceleration of Deep Dermal Burn Injury Healing using the Combination of PRP and SVF in Wistar Rats.

作者信息

Mahir A F, Laidding S R, Zainuddin A A, Mariana N, Syarif S, Islam A A, Massi M N, Cangara M H, Warsinggih W, Dososaputro I, Josh F, Bukhari A, Faruk M

机构信息

Hasanuddin University, Makassar, Indonesia.

Airlangga University, Dr. Soetomo Hospital, Surabaya, Indonesia.

出版信息

Ann Burns Fire Disasters. 2025 Jun 30;38(2):136-150. eCollection 2025 Jun.


DOI:
PMID:40589714
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12186180/
Abstract

Burn injuries cause a considerable number of fatalities in Indonesia annually. Platelet-rich plasma (PRP) in combination with stromal vascular fraction (SVF) is a stem cell-related treatment modality for deep dermal burn wound healing that utilizes growth factors such as the epidermal growth factor (EGF) and basic fibroblast growth factor (FGF2). This study aimed to assess the relationship between serum EGF and FGF2 levels and their impact on re-epithelialization and fibroblast histopathology during deep dermal burn wound healing using PRP and SVF. Wistar rats (n=64) were categorized into the following groups: PRP+SVF injection (Group A), topical PRP+SVF application (Group B), topical Vaseline application (Group C), or control (Group D). Treatments were evaluated on days 1, 4, 7, 10 and 14 post-treatment for the treatment groups and day 0 for the control group. The software SPSS 22 was used for the statistical analysis, along with the Shapiro-Wilk, independent t-test, Mann-Whitney, Kruskal-Wallis, one-way ANOVA, and Kendall's Tau-B tests. The results showed that Group A exhibited the highest FGF2 and EGF levels (6.62 and 8.10 ng/ml, respectively), closely followed by Group B (6.40 and 7.09 ng/ml, respectively). Group C had lower FGF2 levels than Group D and similar EGF levels. The PRP+SVF injection group displayed faster re-epithelialization and fibroblast proliferation. The PRP+SVF injections outperformed the topical application and Vaseline, with greater re-epithelialization and higher EGF levels. Although the injections showed comparable healing to the topical application, Vaseline produced proliferation differences during deep dermal burn wound recovery.

摘要

在印度尼西亚,烧伤每年导致大量死亡。富含血小板血浆(PRP)与基质血管成分(SVF)联合使用是一种用于深层真皮烧伤创面愈合的干细胞相关治疗方式,该方法利用了诸如表皮生长因子(EGF)和碱性成纤维细胞生长因子(FGF2)等生长因子。本研究旨在评估血清EGF和FGF2水平之间的关系,以及它们对使用PRP和SVF进行深层真皮烧伤创面愈合过程中再上皮化和成纤维细胞组织病理学的影响。将64只Wistar大鼠分为以下几组:PRP + SVF注射组(A组)、PRP + SVF局部应用组(B组)、局部应用凡士林组(C组)或对照组(D组)。对治疗组在治疗后第1、4、7、10和14天进行评估,对对照组在第0天进行评估。使用软件SPSS 22进行统计分析,同时采用Shapiro-Wilk检验、独立t检验、Mann-Whitney检验、Kruskal-Wallis检验、单因素方差分析和Kendall's Tau-B检验。结果显示,A组的FGF2和EGF水平最高(分别为6.62和8.10 ng/ml),紧随其后的是B组(分别为6.40和7.09 ng/ml)。C组的FGF2水平低于D组,EGF水平与D组相似。PRP + SVF注射组显示出更快的再上皮化和成纤维细胞增殖。PRP + SVF注射优于局部应用和凡士林,再上皮化程度更高,EGF水平也更高。虽然注射显示出与局部应用相当的愈合效果,但凡士林在深层真皮烧伤创面恢复过程中产生了增殖差异。

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[1]
Comparison of EGF and FGF2 Serum Levels with Epithelization and Fibroblast Histopathology on the Acceleration of Deep Dermal Burn Injury Healing using the Combination of PRP and SVF in Wistar Rats.

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本文引用的文献

[1]
Amplification of Wound Healing by Propolis and Honey Ointment in Healthy and Diabetic Rat Models; Histopathological and Morphometric Findings.

Arch Razi Inst. 2022-10

[2]
Skin tissue regeneration for burn injury.

Stem Cell Res Ther. 2019-3-15

[3]
Hyperbaric Oxygen Therapy for Second-Degree Burn Healing: An Experimental Study in Rabbits.

Adv Skin Wound Care. 2019-3

[4]
Platelet rich plasma, stromal vascular fraction and autologous conditioned serum in treatment of knee osteoarthritis.

Biomed Pharmacother. 2018-5-25

[5]
The role of PRP and adipose tissue-derived keratinocytes on burn wound healing in diabetic rats.

Bioimpacts. 2018

[6]
The Healing Effect of Sesame Oil, Camphor and Honey on Second Degree Burn Wounds in Rat.

World J Plast Surg. 2018-1

[7]
Stromal vascular fraction cells for the treatment of critical limb ischemia: a pilot study.

J Transl Med. 2017-6-19

[8]
Cell-based skin substitutes accelerate regeneration of extensive burn wounds in rats.

Am J Surg. 2017-10

[9]
Concise Review: The Use of Adipose-Derived Stromal Vascular Fraction Cells and Platelet Rich Plasma in Regenerative Plastic Surgery.

Stem Cells. 2017-1

[10]
Adipose-Derived Regenerative Cell Therapy for Burn Wound Healing: A Comparison of Two Delivery Methods.

Adv Wound Care (New Rochelle). 2016-7-1

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