一种新型合成胶原凝胶敷料对遗传性糖尿病小鼠伤口愈合的促进作用

Daichi Chikazu , Tetsushi Taguchi , Hiroyuki Koyama , Hisako Hikiji , Hisako Fujihara , Hideyuki Suenaga , Hideto Saijo , Yoshiyuki Mori , Ichiro Seto , Mitsuyoshi Iino , Tsuyoshi Takato
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引用次数: 15

摘要

我们的研究旨在开发一种含有促进伤口愈合元素的智能伤口敷料。与传统的敷料不同,这是一种凝胶型敷料,它含有碱性处理的胶原蛋白和间胶原蛋白复合物中细胞所需的基本因子。用DermaPunch®在8周龄遗传性糖尿病小鼠背部左右两侧制造全层8毫米皮肤缺损(db/db)。右侧筋膜涂抹胶原蛋白凝胶,左侧(对照)筋膜不处理。用Tegaderm®涂敷和固定两个伤口。在第3、7、14天,用组织病理学方法评估肉眼外观和创面面积减少百分比。胶原凝胶侧形成肉芽组织,表皮细胞从周围组织迁移引起伤口收缩。到第14天,未治疗侧的伤口面积减少到37%,而胶原凝胶侧的伤口面积减少了22%,这表明胶原凝胶与更大的伤口收缩有关。此外,胶原蛋白一侧有很多血管。胶原凝胶敷料对干燥的开放性伤口最有效,即那些积液最少的伤口,它也可能对凹陷的开放性伤口有效。胶原凝胶敷料有望在治疗皮肤缺损和皮肤溃疡等伤口方面非常有用。
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Improvement in wound healing by a novel synthetic collagen-gel dressing in genetically diabetic mice

Our study aimed to develop an intelligent wound dressing containing elements that promote wound healing. Unlike conventional dressings, this is a gel-type dressing that contains basic factors required by cells in a complex of alkaline-treated collagen and atelocollagen. Full-thickness 8-mm skin defects were made with a DermaPunch® in the left and right sides of the back of 8-week-old genetically diabetic mice (db/db). Collagen gel was applied to the fascia on the right side, while the left (control) side was left untreated. Both wounds was coated and fixed with Tegaderm®. On days 3, 7 and 14, macroscopic appearance and percent decrease in wound area were assessed histopathologically. On the collagen-gel side, granulation tissue had formed, with wound contraction caused by migration of epidermal cells from the surrounding tissue. By day 14, wound area had decreased to 37% for the untreated side as compared to 22% on the collagen-gel side, indicating that collagen gel was associated with significantly greater wound contraction. Moreover, there were a lot of blood vessels on the collagen-gel side. Collagen-gel dressing is most effective for dry, open wounds, i.e., those with minimal effusion, and it may also be effective for depressed open wounds. Collagen-gel dressing is expected to be very useful in treating wounds such as skin defects and skin ulcers.

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