Morphological evaluation of the effect of collagen bandage on grade IIIa burn wound healing
https://doi.org/10.23873/2074-0506-2010-0-3-4-64-67
Abstract
Objective: to conduct a morphological (histological) study of the effect of a designed collagen bandage on grade IIIa burn wound healing.
Materials and methods. Wound biopsy specimens taken from 19 patients (mean age 50 years) with grade IIIa burns (10 to 60% of the body surface) were examined. A type I collagen-based biological bandage was used for their treatment. The wounds of the patients who were treated with a levomecol ointment-containing bandage served as a control. The healing of Grade IIIa burn wounds, by applying a type I collagenbased platelet-derived growth factor BB (PDGF-BB)-enriched biological bandage, was histologically studied.
Results. Burn wound epitheliazation was observed on days 7 to 9 when the collagen-based bandage was applied. It was seen in the controls on days 20-22 if the course of the wound process was favorable.
Conclusion. The application of the type 1 collagen-type PDGF-BB biological bandage on days 1-2 after injury considerably accelerated grade IIIa burn wound healing processes. The stimulating effect of the bandage is likely to be associated mainly with the fact that in the early stage of the wound healing process, exogenous collagen of the bandage creates the conditions that are necessary for the fixation and movement of cells (both keratinocytes and fibroblasts).
About the Authors
E. G. KolokolchikovaRussian Federation
M. V. Sychevsky
Russian Federation
E. A. Zhirkova
Russian Federation
S. V. Smirnov
Russian Federation
V. S. Bocharova
Russian Federation
References
1. Hassan H.T., El-Sheemy M. Adult bone-marrow stem cells and their potential in medicine. J R Soc Med 2004;97:465–71.
2. Zuk P.A., Zhu M., Mizuno H. et al. Multilineage cells from human adipose tissue: implications for cellbased therapies. Tissue Eng 2001;7:211–28.
3. Shi Ch., Zhu Y., Su Y. et al. Stem cells and their applications in skin-cell therapy. Trends in Biotechnology 2006;24:48–52.
4. Papathanasopoulos A., Giannoudis P. V. Biological considerations of mesenchymal stem cells and endothelial progenitor cells. Injury 2008;39(Suppl 2):21–32.
5. Blau H.M. The evolving concept of a stem cell: entity or function? Cell 2001;105:829–41.
6. Yin T., Li L. The stem cell niches in bone. J Clin Investigation 2006;116:1195–201.
7. Yu B.D., Mukhopadhyay A., Wong C. Skin and hair: models for exploring organ regeneration. Hum Mol Genet 2008;17:R54–9.
8. Greco V., Guo S. Compartmentalized organization: a common and required feature of stem cell niches? Development 2010;137:1586–94.
9. Schor S.L., Court J. Different mechanisms in the attachment of cells to native and denatured collagen. J Cell Sci 1979;38:267–81.
10. Li W., Chen M., Guan S. et al. Mechanism of human dermal fibroblast migration driven by type I collagen and platelet-derived growth factor-BB. Mol Biol Cell 2004;15:294–309.
11. Somasundaram R., Schuppan D. Type I, II, III, IV, V, and VI collagen serve as extracellular ligands for the isoforms of platelet-derived growth factor (AA, BB, and AB). J Biol Chem 1996;271:26884–90.
12. Xu J., Clark R.A.F. Extracellular matrix alters PDGF regulation of fibroblast integrins. J Cell Biol 1996;132:239–49.
13. Хилькин А.М., Шехтер А.Б., Истранов Л.П. и др. Коллаген и его применение в медицине. М., 1976; с. 228.
14. Серов В.В., Шехтер А.Б. Соединительная ткань (функциональная морфология и общая патология). М., 1981; 312 с.
15. Белозерская Г.Г., Макаров В.А., Абоянц Р.К. и др. Аппликационное средство гемостаза при капиллярно-паренхиматозном кровотечении. Хирургия 2004;9:55–9.
16. Ермолов А.С., Смирнов С.В., Хватов В.Б. и др. Биологическая повязка для лечения ожоговых ран IIIа степени. Хирургия 2008;10:4–9.
17. Abedin M.Z., Riemschneider R. Collagens heterogeneity and its functional significance. Die Angewandte Makromolekulare Chemie 1983;11:107–22.
18. Alonso L., Fuchs E. Stem cells of the skin epithelium. PNAS 2003;100(Suppl 1):11830–5.
19. Mercier I., Lechaire J.P., Desmouliere A. et al. Interactions of human skin fibroblasts with monomeric or fibrillar collagens induce different organization of the cytoskeleton. Exp Cell Res 1996;225:245–56.
20. Колокольчикова Е.Г., Пальцын А.А., Щеголев А.И. и др. О пролиферативной активности адипоцитов в опухолях жировой ткани. Клет технол в биол и мед 2005;3:140–5.
21. Shen Q., Wang Y., Kokovay E. et al. Adult SVZ stem cells lie in vascular niche: a quantitative analysis of niche cell-cell interactions. Cell Stem Cell 2008;3:289–300.
22. Corselli M., Chen Ch., Crisan M. et al. Perivascular ancestors of adult multipotent stem cells. Arterioscler Thromb Vasc Biol 2010;30:1104–9.
23. Ярыгин К.Н. Роль резидентных и циркулирующих стволовых клеток в физиологической и репаративной регенерации. Пат физиол и экспер терапия 2008;1:2–8.
24. Воронкина И.В., Калмыкова Н.В., Пинаев Г.П. и др. Изменение биологической активности ожогового экссудата человека в ходе заживления ожога. Цитология 2004;361–75.
Review
For citations:
Kolokolchikova E.G., Sychevsky M.V., Zhirkova E.A., Smirnov S.V., Bocharova V.S. Morphological evaluation of the effect of collagen bandage on grade IIIa burn wound healing. Transplantologiya. The Russian Journal of Transplantation. 2010;(3-4):64-67. (In Russ.) https://doi.org/10.23873/2074-0506-2010-0-3-4-64-67