Kishimoto S, Maruo M, Ohse C, Yasuno H, Kimura H, Nagai T, Maeda T
J Invest Dermatol. 1982 Sep;79(3):141-6. doi: 10.1111/1523-1747.ep12500043.
In the present study, morphological alterations of cutaneous catecholaminergic nerve fibers in the process of burn wound healing have been investigated by using glyoxylic acid induced fluorescence histochemistry. The sympathetic denervation is detected within 48 hr after burns as well as in various excisions. The regenerating sympathetic fibers are observed on the 7th day after burns. These regenerating fluorescent fibers seem to develop in accordance with the regeneration of blood vessels in the wound margins at various stages of healing. Regenerating sympathetic fibers gradually increase in number and the maximum density of these fibers is found approximately at 2 weeks after burns. Thereafter, the density of the fibers gradually decreases to less than that of sympathetic innervation of intact skin. On the 14th day after burns, dense regenerating fibers are observed around the regenerated arterial vessels in the deep granulation tissue of the wound margins. These fibers may correlate with the degeneration of regenerated blood vessels in the center of the wound because of contracting the blood vessel of the wound margins. Moreover, dense collateral sprouting of regenerating fibers is observed around the degenerative blood vessel in the center of the wound on the 16 day after burns. This sprouting occurs not because of searching after a new target organ following the degeneration of the target organ but because of playing important roles in certain functions during wound healing.
在本研究中,采用乙醛酸诱导荧光组织化学法,对烧伤创面愈合过程中皮肤儿茶酚胺能神经纤维的形态学改变进行了研究。烧伤后48小时内以及在各种切除术中均检测到交感神经去神经支配。烧伤后第7天观察到再生的交感神经纤维。这些再生的荧光纤维似乎随着创面愈合各阶段创缘血管的再生而发育。再生的交感神经纤维数量逐渐增加,这些纤维的最大密度大约在烧伤后2周时出现。此后,纤维密度逐渐降低至低于完整皮肤的交感神经支配密度。烧伤后第14天,在创缘深部肉芽组织中再生的动脉血管周围观察到密集的再生纤维。这些纤维可能与创面中心再生血管的退化有关,因为它们收缩了创缘的血管。此外,烧伤后第16天,在创面中心退化血管周围观察到再生纤维的密集侧支芽生。这种芽生并非由于靶器官退化后寻找新的靶器官,而是因为在创面愈合过程中的某些功能中发挥重要作用。