首页|可溶微针负载富血小板裂解液对糖尿病小鼠创面愈合的基础研究

可溶微针负载富血小板裂解液对糖尿病小鼠创面愈合的基础研究

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目的 采用羧甲基壳聚糖(Carboxymethyl chitosan,CMCS)负载富血小板血浆裂解液(platelet-rich plasma lysate,PL)制备微针,探究PL微针在治疗糖尿病创面领域的应用前景。方法 使用CMCS作为基础材料,加入适量聚乙烯基吡咯烷酮K-60(Polyvinylpyrrolidone,PVPK-60)共同制备不同浓度的针体材料,通过考察成针率,形貌特征及力学性能等,确定最佳浓度,并考察PL微针中生长因子活性。制备糖尿病小鼠背部创面,随机分为4组治疗,对照组不做任何处理,P L涂抹组使用P L涂抹,空白微针组使用不含有P L的微针,P L微针组使用含有P L的微针,通过大体观察,H&E染色及免疫组化的检测结果,评价PL微针应用于糖尿病小鼠创面愈合的效果。结果 当PVPK60为40 mg/mL时,成针率为100%,阵列完整,针体饱满,针尖锐利。根据力学-位移曲线与砝码压变实验结果显示制备的PL微针具有较好的机械强度。生长因子检测结果显示,PL中血管内皮生长因子(vascular endothelial growth factor,VEGF)含量为(625±35)pg/mL,血小板衍生生长因子-BB(platelet-derived growth factor-BB,PDGF-BB)含量为(18 741±1 287)pg/mL,制备成针后,VEGF 含量为(183±2)pg/mL,PDGF-BB 含量为(8 049±1157)pg/mL,成针后生长因子浓度虽有所降低,但仍较好地保持了生长因子活性。糖尿病小鼠创面愈合实验结果显示,PL微针组愈合较好,创面愈合率相较于前3组有差异(P<0。01)。H&E染色结果显示PL微针组可见较少的炎细胞浸润和出血点;对照组组织内成纤维细胞,新生毛细血管数量均低于PL涂抹组与PL微针组。免疫组化结果显示PL微针组促炎因子IL-6表达下降,抗炎因子TGF-β表达上升,血管新生指标CD31表达上升,且于其他3组有明显差异(P<0。01)。结论 本实验制备的PL微针具有较好的机械性能,能较好地保持生长因子活性,对糖尿病小鼠创面愈合有着积极的作用,为糖尿病创面愈合提供了新思路。
Wound healing in diabetic mice with soluble microneedle-loaded platelet-rich plasma lysate:a preliminary study
Objective To prepare microneedles(MNs)loaded with platelet-rich plasma lysate(PL)using Carboxym-ethyl chitosan(CMCS),and explore the prospect of PL MNs in the treatment of diabetic wounds.Methods CMCS was used as the basic material,and an appropriate amount of polyvinylpyrrolidone(PVPK-60)was added to prepare needle ma-terials of different concentrations,and the optimal concentration was determined by investigating the needle formation rate,morphological characteristics and mechanical properties,and the growth factor activity in PL MNs was investigated.The dia-betic mice were randomly divided into four groups after the back wound was made,the control group did not do any treat-ment,the PL smear group was treated with PL smearing,the blank MNs group was treated with MNs without PL,and the PL MNs group was treated with PL microneedles.The effect of PL MNs in wound healing in diabetic mice was evaluated through body observation,H&E staining and immunohistochemistry results.Results When PVPK60 was 40 mg/mL,the needle formation rate was 100%,the array was complete,the needle body was full,and the needle was sharp.According to the results of mechanical-displacement curve and weight pressure change experiment,the prepared PL MNs have good me-chanical strength.The results of growth factor analysis indicated that the content of vascular endothelial growth factor(VEGF)in PL was(625±35)pg/mL,and the content of platelet-derived growth factor-BB(PDGF-BB)was(18 741±1287)pg/mL.After making the MNs,the VEGF content was(183±2)pg/mL,and the PDGF-BB content was(8049± 1157)pg/mL.Although the concentration of growth factors decreased,growth factor activity was still preserved.The results of wound healing experiments in diabetic mice showed that the PL MNs group had better healing,and the wound healing rate was different from that of three groups(P<0.01).The results of H&E staining showed that the PL MNs group had fewer in-flammatory cell infiltrates and bleeding spots.The number of fibroblasts and new microvascular in the control group was worse than that in the PL MNs group and the PL smear group.The results of immunohistochemistry indicated that the expres-sion of pro-inflammatory factor IL-6 decreased,while anti-inflammatory factor TGF-β and angiogenesis index CD31 in-creased in the PL MNs group,which were significantly different from those in the other three groups(P<0.01).Conclusion The PL MNs prepared in this experiment have good mechanical properties,which has a positive effect on the wound heal-ing of diabetic mice,and provides a new idea for diabetic wound healing.

platelet-rich plasma lysatediabetic woundssoluble microneedlestissue repair

吴嘉康、郑诗凡、游训仪、王红、徐莹璨、钟锐、刘嘉馨

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中国医学科学院北京协和医学院输血研究所,四川成都 610052

富血小板血浆裂解液 糖尿病创面 可溶微针 组织修复

中国医学科学院医学与健康科技创新工程项目

2021-I2M-1-060

2024

中国输血杂志
中国输血协会 中国医学科学院输血研究所

中国输血杂志

CSTPCD
影响因子:1.279
ISSN:1004-549X
年,卷(期):2024.37(2)
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