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发育医学电子杂志  2023, Vol. 11 Issue (4): 249-255    DOI: 10.3969/j.issn.2095-5340.2023.04.002
  结构畸形   论著 |
纳米银薇乔线在小鼠皮内连续缝合线周围近期抗炎疗效的观察研究
刘雪来 何峰 宋岩彪 叶茂 许坚吉 魏延栋 杜娟
1. 首都儿科研究所附属儿童医院 外科,北京 100020;2. 首都儿科研究所 生化和免疫学研究室,北京 100020;3. 河北医科大学第二医院 中心实验室,河北 石家庄 050061;4. 吉林省人民医院 糖尿病足诊断和治疗中心,吉林 长春130021
Short term of anti-inflammatory efficacy observation induced by Vicryl suture coated with silver nanoparticles in mice dorsal intradermal running suture models
Liu Xuelai, He Feng, Song Yanbiao, et al
1.Department ofSurgery, Capital Institute of Pediatrics Affiliated Children Hospital, Beijing 100020, China; 2. Department of Biochemistry and Immunology, Capital Institute of Pediatrics, Beijing 100020, China; 3. Central Laboratory, the Second Hospital of Hebei Medical University, Hebei, Shijiazhuang 050061, China; 4. Diabetic FootDiagnosis and Treatment Center, Jilin Province People's Hospital, Jilin, Changchun 130021, China)
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摘要 【摘要】 目的  探索纳米银薇乔线用于小鼠背部皮内连续缝合线道周围炎性细胞和炎性蛋白的表达
情况,分析其近期抗炎疗效。方法 对4-0 普通薇乔线采用化学涂层技术制备纳米银薇乔线。18 只
10~12 周Balb/C 小鼠随机分为3 组(每组各6 只),剃除小鼠背部毛发,纵行切开15 mm 皮肤全层切口。
分别采用4-0 带针普通薇乔线、抗生素薇乔线、纳米银薇乔线行皮内连续缝合。术后5 d,以纵形切口为
中心,取材全层皮肤组织。采用免疫组织化学染色方法比较线道周围中性粒细胞、巨噬细胞、白细胞介
素-6(interleukin-6,IL-6)、肿瘤坏死因子-α(tumor necrosis factor-α,TNF-α)的表达水平,并计算平
均光密度(mean optical density,MOD)。原位末端转移酶标记(mediated dUTP-biotin nick end labeling,TUNEL)染色了解线道周围细胞凋亡情况。Masson 染色了解线道周围胶原蛋白沉积情况。统计学方法采用单因素方差分析和student’s t 检验。 结果 免疫组织化学染色显示,普通薇乔线、抗生素薇
乔线和纳米银薇乔线的中性粒细胞MOD 值为0.523±0.137、0.412±0.122、0.229±0.079 ;巨噬细胞
MOD 值为1.125±0.126、0.585±0.142、0.209±0.078 ;IL-6 的MOD 值为1.137±0.168、0.652±0.131、
0.227±0.086 ;TNF-α 的MOD 值为1.219±0.124、0.573±0.109、0.179±0.045,纳米银薇乔线线道周围
炎性细胞浸润、IL-6 和TNF-α 的表达最轻微,普通薇乔线表达最明显,3 组间比较差异均有统计学意
义(P 值均<0.001)。TUNEL 染色显示,普通薇乔线、抗生素薇乔线和纳米银薇乔线凋亡细胞的MOD 值
为0.167±0.035、0.478±0.151、0.125±0.035,纳米银薇乔线线道周围凋亡细胞最少,抗生素薇乔线凋亡
细胞最多,3 组间比较差异均有统计学意义(P 值均<0.001)。Masson 染色显示,纳米银薇乔线线道周围
胶原蛋白沉积显著,抗生素薇乔线线道周围未见胶原蛋白沉积。 结论  在小鼠皮内连续缝合模型上,
纳米银薇乔线的近期抗炎疗效优于抗生素薇乔线和普通薇乔线,纳米银薇乔线线道周围细胞毒性弱,但
其临床应用价值仍需进一步评估。
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关键词:  纳米银  薇乔线  皮内连续缝合  抗炎  平均光密度    
Abstract: 【Abstract】 Objective To investigate the expression of inflammatory cells infiltration and inflammatory
proteins around silver nanoparticles coated Vicryl suture in mice dorsal intradermal running suture models,
and to analyze the anti-inflammatory effect. Method The 4-0 Vicryl suture were coated with silver
nanoparticles by chemical coating technique. Eighteen Balb/C mice at 10-12 weeks were randomly divided
into 3 groups (with 6 mice in each group). The back hair of the mice was shaved and a 15 mm longitudinal
full-layer incision was made. Continuous intradermal suture was performed using 4-0 common Vicryl suture,antibiotic Vicryl suture, and silver nanoparticles coated Vicryl suture, respectively. The whole skin tissue wascollected with longitudinal incision as the center at 5 days after surgery. Immunohistochemical staining wasused to compare the expression levels of neutrophils, macrophages, interleukin-6 (IL-6), and tumor necrosis factor-α (TNF-α) around the channels. The mean optical density (MOD) was calculated. Mediated dUTPbiotin nick end labeling (TUNEL) staining was used to investigate the apoptosis of cells around the channels. Masson staining was used to investigate the collagen deposition around the channels. One-way analysis of variance and student't t-test were used for statistical analysis. Result The immunohistochemistry staining indicated neutrophil MOD in common Vicryl suture group, antibiotic Vicryl suture group and silver nanoparticles coated Vicryl suture groups was 0.523±0.137, 0.412±0.122, 0.229±0.079, respectively; macrophage MOD in above three groups was 1.125±0.126, 0.585±0.142, 0.209±0.078, respectively; IL-6 MOD in above three groups was 1.137±0.168, 0.652±0.131, 0.227±0.086, respectively; TNF-α MOD in above three groups was 1.219±0.124, 0.573±0.109, 0.179±0.045, respectively; the infiltration of inflammatory cells, expression of IL-6 and TNF-α was most obvious in common Vicryl suture group and least obvious in silver nanoparticles coated Vicryl suture group; the differences among the three groups were statistically significant (all P<0.001). TUNEL staining showed that MOD of apoptosis cells in common Vicryl suture group, antibiotic Vicryles suture group and silver nanoparticles coated Vicryl suture groups was 0.167±0.035, 0.478±0.151, 0.125±0.035, respectively; most apoptosis cells could be seen in antibiotic Vicryl suture group, and least apoptosis cells were found in silver nanoparticles coated Vicryl suture groups; the differences among the three groups were statistically significant (all P<0.001). Masson staining showed that most collagen deposit could be seen in silver nanoparticles coated Vicryl suture groups, but no collagen deposit could be found in antibiotic Vicryl suture group. Conclusion  Compared with either common Vicryl suture or antibiotic Vicryl suture, the silver nanoparticles coated Vicryl suture presents better short term of antiinflammatory efficacy and weak cytotoxicity in mice dorsal intradermal running suture models. Although this,the potential clinical application value needs to be further evaluated.
Key words:  Silver nanoparticles    Vicryl suture    Intradermal running suture    Anti-inflammation    Mean optical density
收稿日期:  2023-04-18                出版日期:  2023-07-31      发布日期:  2023-07-31      期的出版日期:  2023-07-31
基金资助: 北京市中医药科技发展资金项目一般规划项目(JJ-2020-50)
通讯作者:  刘雪来    E-mail:  liuxuelai_steven@163.com
引用本文:    
刘雪来 何峰 宋岩彪 叶茂 许坚吉 魏延栋 杜娟. 纳米银薇乔线在小鼠皮内连续缝合线周围近期抗炎疗效的观察研究[J]. 发育医学电子杂志, 2023, 11(4): 249-255.
Liu Xuelai, He Feng, Song Yanbiao, et al. Short term of anti-inflammatory efficacy observation induced by Vicryl suture coated with silver nanoparticles in mice dorsal intradermal running suture models. Journal of Developmental Medicine(Electronic Version), 2023, 11(4): 249-255.
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