首页|通过FGFR-1的表达观察生肌玉红膏促进创面愈合机制的研究

通过FGFR-1的表达观察生肌玉红膏促进创面愈合机制的研究

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目的:探讨生肌玉红膏促进肛缘局部皮肤及肌层缺损模型大鼠创面愈合的机制。方法:取40只雄性大鼠,随机分为空白组、模型组、美宝湿润烧伤膏组和生肌玉红膏组,每组10只。除空白组外,其余3组均用灭菌手术剪刀建立大鼠肛缘局部皮肤及肌层缺损(直径1 cm)模型。造模成功后,对美宝湿润烧伤膏组(1。00 g/kg)和生肌玉红膏组(2。08 g/kg)大鼠创面涂抹相应药物,对模型组和空白组大鼠予等体积生理盐水涂抹,连续14 d。给药前后观察大鼠一般状态,记录体质量;计算创面面积和愈合率;HE染色观察大鼠创面皮肤组织病理形态学变化;免疫组化法检测大鼠创面皮肤组织成纤维细胞生长因子受体-1(FGFR-1)表达丰度。结果:1)体质量及一般状态:空白组大鼠饮水、摄食量及体质量呈稳定增长。造模后第3天,造模各组大鼠体质量较空白组稍有下降(P<0。05)。给药第7、14天,各组大鼠体质量稳步增长,但各造模组低于空白组(P<0。05)。给药第3、7、14天,各造模组大鼠体质量比较,虽模型组略低于美宝湿润烧伤膏组和生肌玉红膏组,但差异无统计学意义(P>0。05)。2)创面面积及愈合率:与模型组相比,美宝湿润烧伤膏组、生肌玉红膏组在给药第3、7天时,创面面积明显减小(P<0。05),愈合率明显升高(P<0。05);第14天时,模型组、美宝湿润烧伤膏组和生肌玉红膏组创面基本全部愈合。3)创面皮肤组织病理学观察:空白组皮肤表皮结构完整,无炎性细胞浸润。模型组大鼠皮肤表皮及真皮浅层可见小灶性坏死,炎性细胞浸润、表皮增厚,棘细胞增生;真皮可见小面积肉芽组织,结缔组织增生。生肌玉红膏组、美宝湿润烧伤膏组均有不同程度改善。4)创面皮肤组织FGFR-1表达丰度:给药第7天,与空白组相比,各造模组FGFR-1表达丰度显著升高(P<0。05);各造模组间比较,生肌玉红膏组FGFR-1表达丰度最高,美宝湿润烧伤膏组次之,两两组间比较差异均有统计学意义(P<0。05)。给药第14天,模型组和美宝湿润烧伤膏组FGFR-1表达丰度较给药第7天无明显变化(P>0。05),而生肌玉红膏组有所下降(P<0。05)。结论:生肌玉红膏对大鼠皮肤创面有一定促愈合作用,且这一作用可能与FGFR-1蛋白表达丰度有关。
Mechanism of Shengji Yuhong Paste in Promoting Wound Healing Through Expression of FGFR-1
Objective To investigate the mechanism of Shengji Yuhong Paste in promoting wound heal-ing in model rats with local skin and muscle defect of anal margin.Methods Total 40 male rats were randomly divided into blank group,model group,Meibao Shirun Shaoshang Cream(MEBO)group and Shengji Yuhong Paste group,with 10 rats in each group.Except the blank group,the other 3 groups were treated with sterilized surgical scissors to establish the model rats with local skin and muscle defect(diam-eter 1 cm)at the anal margin.After the modeling was successful,the rats in the MEBO group(1.00 g/kg)and Shengji Yuhong Paste group(2.08 g/kg)were smeared with corresponding drugs on the wound sur-face,and the rats in the model group and blank group were smeared with equal volume normal saline for 14 consecutive days.The general state and body mass of rats were observed before and after wound adminis-tration.The wound area and healing rate were calculated.The histopathologic changes of wound skin were observed by HE staining.The abundance of growth factor receptor-1(FGFR-1)expression in rat wound skin fibroblasts was detected by immunohistochemistry.Results 1)Body mass and general status:Wa-ter intake,food intake and body mass of rats in the blank group increased steadily.On the 3rd day after modeling,the body mass of rats in the modeling groups slightly decreased compared with that in the blank group(P<0.05).On the 7th and 14th day of administration,the body mass of rats in each group in-creased steadily,which was lower in each modeling group than in blank group(P<0.05).On the 3rd,7th and 14th day of administration,the body mass of each modeling group was slightly lower than that of ME-BO group and Shengji Yuhong Poste group,but the difference was not significant(P>0.05).2)Wound area and healing rate:Compared with the model group,the wound area of MEBO and Shengji Yuhong Paste groups was significantly decreased(P<0.05)and the healing rate was significantly increased(P<0.05)on the 3rd and 7th day of administration.On the 14th day,the wounds of the model group,MEBO group and Shengji Yuhong Paste group were basically healed.3)Histopathological observation of the wound skin:The epidermal structure of the blank group was intact without inflammatory cell infiltration.In the model group,small focal necrosis,inflammatory cell infiltration,epidermal thickening and spinous cell proliferation were observed in epidermis and superficial dermis.Small area of granulomatous tissue and connective tissue hyperplasia were observed in the dermis.In Shengji Yuhong Paste group and MEBO group,there were different degrees of improvement.4)FGFR-1 expression abundance in wound skin tis-sue:On the 7th day of administration,compared with the blank group,FGFR-1 expression abundance in the modeling groups was significantly increased(P<0.05).Among the modeling groups,the abundance of FGFR-1 expression in Shengji Yuhong Paste group was the highest,followed by MEBO group,and the difference between the two groups was statistically significant(P<0.05).On the 14th day of administra-tion,FGFR-1 expression abundance in the model group and MEBO group had no significant change com-pared with that on the 7th day of administration(P>0.05),but decreased in Shengji Yuhong Paste group(P<0.05).Conclusion Shengji Yuhong Paste can promote healing of skin wounds in rats,and this effect may be related to the expression abundance of FGFR-1 protein.

Shengji Yuhong PasteFull layer defect model of local skin and muscle layer of anal mar-ginHealingFibroblast growth factor receptor-1(FGFR-1)Mechanism

任彦武、魏峰明、董岩平、张文华

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山西中医药大学附属医院(山西 太原 030024)

生肌玉红膏 肛缘局部皮肤及肌层全层缺损模型 愈合 成纤维细胞生长因子受体-1(FGFR-1) 机制

2024

中国肛肠病杂志
中华中医药学会肛肠分会 山东中医药学会

中国肛肠病杂志

影响因子:0.131
ISSN:1000-1174
年,卷(期):2024.44(11)