Effects of microporous polysaccharide on foreign body reaction induced by subcutaneously imbedding expanded polytetrafluoroethylene in mice
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摘要: 目的 观察早期应用微孔多糖对小鼠皮下置入膨体聚四氟乙烯(e-PTFE)后异物反应的影响。 方法 取10只成年C57BL/6J野生型小鼠,于每只小鼠背部两侧各做1个全层皮肤切口。按随机数字表法将每只小鼠背部2个切口分为2组,每组10个切口。微孔多糖组切口内置入管状e-PTFE,随后于置入腔内均匀喷撒0.03 g微孔多糖;对照组切口内置入管状e-PTFE,不行其他处理。术后2组切口常规全层缝合。术后14 d,取出2组切口中纤维包膜包裹的e-PTFE,切取纤维包膜组织,HE染色观测纤维包膜厚度,Masson染色观察纤维包膜组织中胶原纤维分布以计算胶原纤维指数,免疫组织化学染色分别观察纤维包膜组织中新生血管形成和巨噬细胞浸润情况并计数。对数据行
t 检验。 结果 术后14 d,微孔多糖组切口置入e-PTFE周围纤维包膜厚度为(127±19)μm,明显薄于对照组的(250±35)μm,t =4.13,P <0.05。术后14 d,微孔多糖组切口置入e-PTFE周围纤维包膜组织中胶原纤维指数为0.500±0.003,明显高于对照组的0.488±0.004,t =5.00,P <0.05。术后14 d,微孔多糖组切口置入e-PTFE周围纤维包膜组织中新生血管数为每400倍视野下(19±3)根,明显多于对照组的每400倍视野下(11±3)根,t =2.05,P <0.05。术后14 d,微孔多糖组切口置入e-PTFE周围纤维包膜组织中巨噬细胞数为每400倍视野下(64±5)个,与对照组的每400倍视野下(66±7)个相近,t =0.78,P >0.05。 结论 局部早期应用微孔多糖可减轻小鼠皮下e-PTFE置入后纤维包膜形成,促进胶原沉积、新生血管形成,但对巨噬细胞浸润无明显影响。Abstract: Objective To observe the effects of early applying of microporous polysaccharide on foreign body reaction induced by subcutaneously imbedding expanded polytetrafluoroethylene (e-PTFE) in mice. Methods Ten wide type adult C57BL/6J mice were collected and made a full-thickness skin incision on both sides of their back. The two incisions on the back of each mouse were divided into two groups according the random number table, with 10 incisions in each group. A tube-shaped e-PTFE was imbedded into each incision in microporous polysaccharide group, and then 0.03 g microporous polysaccharide was evenly sprayed in the cavity. Whereas, a tube-shaped e-PTFE was imbedded into each incision in control group without other treatment. The incisions in two groups were performed with conventional full-thickness suture. On post operation day (POD) 14, the e-PTFE surrounded with fibrous capsule in each incision of two groups was taken out, and then fibrous capsule tissue was harvested. The thickness of fibrous capsule was observed and measured with HE staining. Collagen fiber distribution in fibrous capsule tissue was observed with Masson staining to calculate the collagen fiber index. Neovascularization and macrophage infiltration in fibrous capsule tissue were observed respectively with immunohistochemical staining, and the numbers of new vessels and macrophages were counted. Data were processed witht test. Results On POD 14, the thickness of fibrous capsule surrounding e-PTFE imbedded into the incision of microporous polysaccharide group was (127±19) μm, which was significantly thinner than that of control group [(250±35) μm,t =4.13,P <0.05]. On POD 14, the collagen fiber index of fibrous capsule tissue surrounding e-PTFE imbedded into the incision of microporous polysaccharide group was 0.500±0.003, which was significantly higher than that of control group (0.488±0.004,t =5.00,P <0.05). On POD 14, the number of new vessels in fibrous capsule tissue surrounding e-PTFE imbedded into the incision of microporous polysaccharide group was 19±3 per 400 fold visual field, which was significantly more than that of control group (11±3 per 400 fold visual field,t =2.05,P <0.05). On POD 14, the number of macrophages in fibrous capsule tissue surrounding e-PTFE imbedded into the incision of microporous polysaccharide group was 64±5 per 400 fold visual field, which was close to that of control group (66±7 per 400 fold visual field,t =0.78,P >0.05). Conclusions Topically applying microporous polysaccharide can reduce the formation of fibrous capsule after subcutaneous imbedding of e-PTFE in mice, and it can improve the collagen deposition and angiogenesis but not impact on macrophage infiltration.
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