Article Summary
王克甲,李小强,韩 夫,计 鹏,胡大海.rh-GH在促进大鼠创面愈合中的作用研究[J].现代生物医学进展英文版,2018,(10):1882-1886.
rh-GH在促进大鼠创面愈合中的作用研究
Research on the Role of rh-GH in Promoting Wound Healing in Rats
Received:January 31, 2018  Revised:March 23, 2018
DOI:10.13241/j.cnki.pmb.2018.10.015
中文关键词: 创面愈合  生长激素  表皮生长因子  成纤维细胞生长因子  血管内皮细胞生长因子
英文关键词: Wound healing  Growth facter  EGF  FGF  VEGF
基金项目:国家自然科学基金项目(81501684)
Author NameAffiliationE-mail
王克甲 空军军医大学附属第一医院烧伤与皮肤外科 陕西 西安 710032 zaitianyifang000@126.com 
李小强 空军军医大学附属第一医院烧伤与皮肤外科 陕西 西安 710032  
韩 夫 空军军医大学附属第一医院烧伤与皮肤外科 陕西 西安 710032  
计 鹏 空军军医大学附属第一医院烧伤与皮肤外科 陕西 西安 710032  
胡大海 空军军医大学附属第一医院烧伤与皮肤外科 陕西 西安 710032  
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中文摘要:
      摘要 目的:通过在大鼠背部创面周围局部注射rh-GH(重组人生长激素,Recombinant Human Growth Hormone)来调控创面局部GH(生长激素,Growth Factor)水平,观察GH在创面愈合中的作用,并对其可能机制进行进一步研究。方法:在SD大鼠背部制作创面,创周定期注射不同浓度rh-GH,观察并分析创面愈合速度差异;选取rh-GH的最适浓度进行创周注射并定期取材,以West- ern-Blot检测创周组织中GH蛋白水平,并以RT-PCR检测创周组织中EGF(表皮生长因子,Epidermal Growth Factor)、FGF(成纤维细胞生长因子,Fibroblast Growth Factor)、VEGF(血管内皮细胞生长因子,Vascular Endothelial Growth Factor)的表达变化。结果:三个注射不同剂量rh-Gh的实验组大鼠创面平均愈合时间由快至慢依次为16.5±1.5天、17.1±2.9天、18.5±1.5天,与注射生理盐水的对照组平均愈合时间21.7±2.3天相比均明显增快,差异有统计学意义(P<0.05)。创缘组织中GH的Western-Blot结果显示对照组GH水平在创面形成初期升高,但伤后4天开始GH表达水平即逐渐下降,而rh-GH注射组的GH水平在创面形成后逐渐升高,并维持GH在高表达水平。检测创周组织中EGF、FGF、VEGF的RNA转录水平,PCR结果显示实验组各生长因子的基因转录水平在伤后2天起即明显高于对照组,差异有统计学意义(P<0.05)。结论:1.创伤初期创面周围组织中GH表达水平呈现一过性升高然后逐渐下降的过程;2.创面周围注射rh-GH可以提高组织中GH水平,并减少创面愈合时间;3.GH可以提高皮肤组织中EGF、FGF、VEGF水平,间接促进创面上皮化,加快创面愈合。
英文摘要:
      ABSTRACT Objective: To control the level of GH in the wound area by injecting the rh-GH around the wound on the back of rats and to investigate the effects and the mechanisms of GH on wound healing. Methods: The wounds were made on the back of SD rats. Different concentrations of rh-GH were injected around the wounds periodically. The differences of wound healing rate were observed and analyzed to determine the optimum concentration of rh-GH. The tissue around the wound was collected for detection. The level of GH protein was analyzed by Western-Blot, and the EGF, FGF and VEGF expression were detected by RT-PCR. Results: The averge healing time of wounds in three experimental groups with different doses of rh-Gh was 16.5±1.5 days, 17.1±2.9 days and 18.5±1.5 days. Compared with the control group injected with normal saline, the healing rate of rh-GH group was significantly faster, the differ- ence was statistically significant(P<0.05). The Western-Blot of GH in wound edge tissue showed that the GH level of control group in- creased at the initial stage of wound, but began to decrease at 4 days after injury. The GH level of rh-GH group increased and maintained at a high stage gradually after injury. The RT-PCR results showed that the transcription level of EGF, FGF, VEGF in rh-GH group were significantly higher than that in the control group from 2 days after injury, the difference was statistically significant (P<0.05). Conclusion: 1). The expression of GH in the tissue around the wound in the early stage of trauma shows a transient increase and then a gradual de- crease; 2). Injection of rh-GH around the wound can increase the level of GH in the tissue and reduce the wound healing time; 3). GH can improve the level of EGF, FGF and VEGF in skin tissue, indirectly promote wound epithelization and accelerate wound healing.
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