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Exogenous bFGF or TGF beta(1) accelerates healing of reconstructed dura by CO2 laser soldering in minipigs

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机构: [1]Capital Med Univ, Beijing Tiantan Hosp, Dept Neurosurg, Beijing 100050, Peoples R China; [2]Capital Med Univ, Beijing Chaoyang Hosp, Dept Intervent Neuroradiol, Beijing 100020, Peoples R China; [3]Beijing Neurosurg Inst, Beijing 100050, Peoples R China; [4]Capital Med Univ, Beijing Tiantan Hosp, Dept Neurosurg, 6 Xili, Beijing 100050, Peoples R China
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关键词: Basic fibroblast growth factor CO2 lasers Dura mater Porcine Reconstruction Soldering Transforming growth factor-beta1 Wound healing

摘要:
This study aims to explore the probable mechanism of better result of dural reconstruction by CO2 laser soldering and the effect of exogenous basic fibroblast growth factor (bFGF) or transforming growth factor-beta1(TGF beta(1)) on wound healing. In part I of the study, ten minipigs were randomized into two equal groups, and the dural defects were reconstructed by conventional fibrin glue (FG) bonding (group I (a)) or by CO2 laser soldering (group I-b). In part II, 36 minipigs were randomized into three equal groups, and the dural defect was reconstructed by CO2 laser soldering; then exogenous bFGF or TGF beta(1) was administered in group IIb and group IIc, respectively, while group IIa served as control group. The dural specimens were harvested at 1st week postoperatively in part I; and at 1st, 2nd, 3rd, and 4th week postoperatively in part II, they were examined for healing condition and subjected to hematoxylin-eosin (HE) staining and immunohistochemical (IHC) staining with antibodies against bFGF and TGF beta(1). In part I, group I-b showed higher fibroblast cell density than group I-a (P < 0.05). The optical density (OD) for IHC staining with antibodies against bFGF of group I-b was significantly higher than that of group I-a (P < 0.05), and for IHC staining with antibodies against TGF beta(1), group I-b showed positive staining while group I-a was negative. In part II, administering exogenous bFGF or TGF beta(1) made a left shift of fibroblast cell number-time curve compared with control group. For specimens' IHC staining with antibodies against bFGF, the OD of group IIb was higher than that of group IIa in the corresponding time. For specimens' IHC staining with antibodies against TGF beta(1), the OD of groups IIb and IIc was both higher than that of group IIa (P < 0.05 and P < 0.01, respectively). In conclusion, CO2 laser may trigger fibroblast proliferation through stimulating the secretion of bFGF and TGF beta(1). Topically administering exogenous bFGF or TGF beta(1) could accelerate the healing of the reconstructed dura by enhancing secretion of bFGF and/or TGF beta(1) and promoting the process of fibroblast gathering-degrading.

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出版当年[2013]版:
大类 | 3 区 医学
小类 | 3 区 工程:生物医学 3 区 外科
最新[2023]版:
大类 | 4 区 医学
小类 | 4 区 工程:生物医学 4 区 外科
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出版当年[2012]版:
Q1 SURGERY Q2 ENGINEERING, BIOMEDICAL
最新[2023]版:
Q2 SURGERY Q3 ENGINEERING, BIOMEDICAL

影响因子: 最新[2023版] 最新五年平均 出版当年[2012版] 出版当年五年平均 出版前一年[2011版] 出版后一年[2013版]

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第一作者机构: [1]Capital Med Univ, Beijing Tiantan Hosp, Dept Neurosurg, Beijing 100050, Peoples R China;
通讯作者:
通讯机构: [1]Capital Med Univ, Beijing Tiantan Hosp, Dept Neurosurg, Beijing 100050, Peoples R China; [4]Capital Med Univ, Beijing Tiantan Hosp, Dept Neurosurg, 6 Xili, Beijing 100050, Peoples R China
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