A study on the promoting effect of L-arginine on the burn wound healing of the rats with diabetes
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摘要: 目的 探讨精氨酸对糖尿病烧伤创面修复的影响及其可能的机制。 方法 SD大鼠随机分为正常对照组(A组)、糖尿病对照组(B组)、糖尿病精氨酸干预组(C组)和糖尿病甘氨酸对照组(D组)。糖尿病模型通过腹腔注射STZ建立,然后喂养8周后给予深Ⅱ度烫伤,于伤后0、1、3、7、14、21 d时相点对创面愈合面积、组织形态学改变、创面组织糖含量、羟脯氨酸(OHP)含量及局部组织释放转化生长因子-β1,(TGF-β1,)含量进行检测。 结果 应用精氨酸后,皮肤组织糖含量降低,创面局部炎症反应出现较早,坏死组织脱落及上皮匍行提前,OHP含量、组织释放TGF-β1能力均增加,创面愈合明显加快(
P <0.05~0.01)。 结论 L-精氨酸可通过降低皮肤组织糖含量及增加TGF-β1,的合成和释放,促进糖尿病烧伤创面愈合。Abstract: Objective To explore the effect and possible mechanism of L-arginine on burn wound healing of the rats with diabetie. Methods One hundred and twenty three Spraque-Dawley( SD) rats were enrolled in the study and randomly divided into four groups. i. e. group A (thirty rats as normal control),group B( diabetic control), group C( diabetes with L-arginine administration) and group D( diabetes with L-glycine administration). Diabetes was induced in rats in B, C and D groups with streptozotocin ( STZ), and they were subjected to 20% TBSA of deep partial thickness scalding on the back 8 weeks later. The percentage of healing areas, the histological and morphological changes, the levels of TGF-b1 released from wound site, the content of hydroxyproline and the glucose content in local wound tissues were observed and measured on the 0, 1 , 3 , 7, 14, and 21 post-burn days ( PBD). Results With the supplementation of L-arginine , the inflammatory reaction , the shedding of necrotic tissue and the advancement of the epithelial cells in the wound tissue appeared earlier and more markedly, with glucose content in the skin decreased and OHP and TGF-β1, contents and the percentage of healing areas increased, compared with those in the group B(P < 0.05). Conclusion The healing of burn wounds in diabetic rats could be promoted by the use of L-arginine by reducing the glucose content in the skin and increasing TGF-β1, synthesis and release.-
Key words:
- Diabetes /
- Burn /
- L-arginine /
- Wound healing
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