肌腱损伤后,克罗霉素具有强效抗炎和纤维蛋白溶解特性--一种用于粘连治疗的新分子

IF 4.3 3区 材料科学 Q1 ENGINEERING, ELECTRICAL & ELECTRONIC ACS Applied Electronic Materials Pub Date : 2024-06-09 DOI:10.1016/j.jtcme.2024.06.001
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引用次数: 0

摘要

背景 手术后肌腱粘连是一种常见的临床并发症,但治疗方法有限。本研究旨在探讨在跟腱大鼠模型中口服巴豆苷以减轻术后腱鞘粘连带的安全性和有效性。方法分析巴豆苷存在和不存在时跟腱的结构、机械、组织学和生化特性。采用宏观和组织学评分方法对不同组间肌腱组织的炎症和总纤维化程度进行分级。此外,根据 Moran 评分系统的量化结果,术后跟腱粘连组组织样本中炎症细胞的募集和炎症明显减少。组织学结果表明,使用 Tang 或 Ishiyama 分级系统进行评分时,手术部位纤维的数量、质量、分级和胶原沉积均有所减少,由此可见,巴豆苷对肌腱组织样本具有强效的抗纤维化作用。H&E染色显示,治疗大鼠的心脏、肾脏和肝脏组织未发生组织病理学变化或损伤。 结论我们的研究结果表明,巴豆苷是一种安全有效的候选疗法,具有强大的抗炎和抗纤维化特性,可用于肌腱手术后的粘连带治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Crocin elicits potent anti-inflammatory and fibrinolytic properties post tendon injury, A new molecule for adhesion therapy

Background

Post-surgical tendon adhesion formation is a frequent clinical complication with limited treatment options. The aim of this study is to investigate safety and efficacy of orally administration of crocin in attenuating post-operative tendon-sheath adhesion bands in an Achilles tendon rat model.

Methods

Structural, mechanical, histological, and biochemical properties of Achilles tendons were analyzed in the presence and absence of crocin. Inflammation and total fibrosis of tendon tissues were graded between groups using macroscopic and histological scoring methods.

Results

Crocin significantly alleviated the severity, length, and density of Achilles tendon adhesions. Moreover, the recruitment of inflammatory cells and inflammation were significantly decreased in post-operative tissue samples of the crocin-treated group, as quantified with Moran scoring system. Histological results showed that crocin elicited a potent anti-fibrotic effect on tendon tissue samples as visualized by decreasing quantity, quality, grading of fibers, and collagen deposition at the site of surgery when scored either by Tang or Ishiyama grading systems. The H&E staining showed no histo-pathological changes or damage to heart, kidney, and liver tissues of treated rats.

Conclusion

Our results showed that crocin is a safe effective therapeutic candidate with potent anti-inflammatory and anti-fibrotic properties for adhesion band therapy post tendon surgery.
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来源期刊
CiteScore
7.20
自引率
4.30%
发文量
567
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