褪黑素与α-硫辛酸联合治疗促进大鼠腭部伤口愈合:一项宏观、组织学及免疫组织化学研究。
Combined treatment of melatonin and alpha-lipoic acid facilitates wound healing in rat palate: A macroscopic, histological, and immunohistochemical study.
作者信息
Kutlu Onur, Erdoğan-Öner Aslı, Kavak Gülten, Akyol Bahçeci Selen, Güvenç Gizem
机构信息
Faculty of Dentistry, Department of Oral and Maxillofacial Surgery, İzmir Kȃtip Çelebi University, İzmir, 35640, Turkey.
Faculty of Medicine, Department of Histology and Embryology, İzmir Kȃtip Çelebi University, İzmir, Turkey.
出版信息
Histochem Cell Biol. 2025 Sep 1;163(1):87. doi: 10.1007/s00418-025-02417-x.
Oxidative stress is known to have a detrimental effect on wound healing following oral mucosal injuries. Exogenous antioxidant administration to restore redox balance has been proposed as a therapeutic approach to support wound healing after oral surgery. In our study, we evaluated the relative effectiveness of melatonin and alpha-lipoic acid in palatal wound healing, as well as the potential synergistic effect of their combined treatment. A full-thickness wound model was created on the palatal mucosa of 64 Wistar rats with a 5-mm punch biopsy. Experimental groups were intraperitoneally administered 60 mg/kg/day alpha-lipoic acid, 30 mg/kg/day melatonin, or their combination. The rats were sacrificed 5 and 10 days later to evaluate the wound healing, and palatal tissue samples were evaluated macroscopically, histologically, and immunohistochemically. On day 10, all experimental groups exhibited a significant reduction in wound surface area compared with the control group, with the combined group showing the greatest reduction. There was no significant difference between groups in granulation tissue amount and leukocyte density in hematoxylin-eosin-stained samples. Masson trichrome staining showed that collagen production was significantly higher in the combined group on day 10. Vascular endothelial growth factor (VEGF) immunoreactivity in wound edges was found to be increased in the combined group, being significant on day 5. Filaggrin expression was significantly higher on both days in the wound beds of all treatment groups, with the combined group exerting the highest increase. Our study shows that combined treatment of melatonin and alpha-lipoic acid may improve palatal wound healing process.
氧化应激已知会对口腔黏膜损伤后的伤口愈合产生有害影响。外源性给予抗氧化剂以恢复氧化还原平衡已被提议作为一种支持口腔手术后伤口愈合的治疗方法。在我们的研究中,我们评估了褪黑素和α-硫辛酸在腭部伤口愈合中的相对有效性,以及它们联合治疗的潜在协同作用。用5毫米打孔活检在64只Wistar大鼠的腭黏膜上建立全层伤口模型。实验组腹腔注射60毫克/千克/天的α-硫辛酸、30毫克/千克/天的褪黑素或它们的组合。5天和10天后处死大鼠以评估伤口愈合情况,并对腭部组织样本进行宏观、组织学和免疫组织化学评估。在第10天,与对照组相比,所有实验组的伤口表面积均显著减小,联合组减小最为明显。苏木精-伊红染色样本中,各组在肉芽组织量和白细胞密度方面无显著差异。马松三色染色显示,联合组在第10天的胶原蛋白生成显著更高。发现联合组伤口边缘的血管内皮生长因子(VEGF)免疫反应性增加,在第5天具有显著性。所有治疗组伤口床在这两天的丝聚蛋白表达均显著更高,联合组增加最为明显。我们的研究表明,褪黑素和α-硫辛酸联合治疗可能会改善腭部伤口愈合过程。