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原位交联含氧化石墨烯的甲基丙烯酸酐化明胶水凝胶对小鼠全层皮肤缺损创面血管化的影响

梁莉婷 宋薇 张超 李曌 姚斌 张孟德 袁星宇 恩和吉日嘎拉 付小兵 黄沙 朱平

梁莉婷, 宋薇, 张超, 等. 原位交联含氧化石墨烯的甲基丙烯酸酐化明胶水凝胶对小鼠全层皮肤缺损创面血管化的影响[J]. 中华烧伤与创面修复杂志, 2022, 38(7): 616-628. DOI: 10.3760/cma.j.cn501225-20220314-00063.
引用本文: 梁莉婷, 宋薇, 张超, 等. 原位交联含氧化石墨烯的甲基丙烯酸酐化明胶水凝胶对小鼠全层皮肤缺损创面血管化的影响[J]. 中华烧伤与创面修复杂志, 2022, 38(7): 616-628. DOI: 10.3760/cma.j.cn501225-20220314-00063.
Liang LT,Song W,Zhang C,et al.Effects of in situ cross-linked graphene oxide-containing gelatin methacrylate anhydride hydrogel on wound vascularization of full-thickness skin defect in mice[J].Chin J Burns Wounds,2022,38(7):616-628.DOI: 10.3760/cma.j.cn501225-20220314-00063.
Citation: Liang LT,Song W,Zhang C,et al.Effects of in situ cross-linked graphene oxide-containing gelatin methacrylate anhydride hydrogel on wound vascularization of full-thickness skin defect in mice[J].Chin J Burns Wounds,2022,38(7):616-628.DOI: 10.3760/cma.j.cn501225-20220314-00063.

原位交联含氧化石墨烯的甲基丙烯酸酐化明胶水凝胶对小鼠全层皮肤缺损创面血管化的影响

doi: 10.3760/cma.j.cn501225-20220314-00063
基金项目: 

国家自然科学基金青年科学基金项目 32000969, 82002056

中国医学科学院医学与健康科技创新工程项目 2019-I2M-5-059

解放军总医院军事医学创新研究项目 CX19026

王正国创伤医学发展基金会生长因子复兴计划 SZYZ-TR-03

广州市科学研究计划重点项目 201904020047

广东省人民医院登峰计划专项 DFJH201812, KJ012019119, KJ012019423

详细信息
    通讯作者:

    黄沙,Email:stellarahuang@sina.com

    朱平,Email:tanganqier@163.com

Effects of in situ cross-linked graphene oxide-containing gelatin methacrylate anhydride hydrogel on wound vascularization of full-thickness skin defect in mice

Funds: 

Youth Science Foundation of National Natural Science Foundation of China 32000969, 82002056

Chinese Academy of Medical Sciences Innovation Fund for Medical Sciences 2019-I2M-5-059

Military Medical Innovation Research Project of PLA General Hospital CX19026

Wang Zhengguo Foundation for Traumatic Medicine Growth Factor Rejuvenation Plan SZYZ-TR-03

Key Program of Guangzhou Science Research Plan 201904020047

Special Project of Dengfeng Program of Guangdong Provincial People's Hospital DFJH201812, KJ012019119, KJ012019423

More Information
  • 摘要:   目的  制备含氧化石墨烯(GO)的甲基丙烯酸酐化明胶(GelMA)水凝胶并探讨原位光聚合GO-GelMA复合水凝胶对小鼠全层皮肤缺损创面血管化的影响。  方法  采用实验研究方法。将0.2 mg/mL的GO溶液50 μL均匀涂抹于导电胶上,烘干后于场发射扫描电子显微镜下观察GO的结构和大小。将人皮肤成纤维细胞(HSF)分为采用相应终质量浓度GO处理的0 μg/mL GO(不加GO溶液,下同)组、0.1 μg/mL GO组、1.0 μg/mL GO组、5.0 μg/mL GO组、10.0 μg/mL GO组,用酶标仪检测细胞培养48 h的吸光度值,以此表示细胞增殖活性(样本数为6)。将HSF和人脐静脉血管内皮细胞(HUVEC)分别分为采用相应终质量浓度GO处理的0 μg/mL GO组、0.1 μg/mL GO组、1.0 μg/mL GO组、5.0 μg/mL GO组,采用划痕试验检测划痕后24、36 h HSF的迁移率(样本数为5)及划痕后12 h HUVEC的迁移率(样本数为3),采用酶联免疫吸附测定法检测培养4、6、8 h后HSF分泌的血管内皮生长因子(VEGF)水平(样本数为3)。将配制的含相应终质量浓度GO的GO-GelMA复合水凝胶设为0 μg/mL GO复合水凝胶组、0.1 μg/mL GO复合水凝胶组、1.0 μg/mL GO复合水凝胶组、5.0 μg/mL GO复合水凝胶组,观察其交联前后的性状,检测用磷酸盐缓冲液浸泡3、7 d后GO的释放情况(样本数为3)。在16只6周龄雌性C57BL/6小鼠背部制作全层皮肤缺损创面,将采用原位交联的含相应终质量浓度GO的GO-GelMA复合水凝胶处理的小鼠按随机数字表法分为0 μg/mL GO复合水凝胶组、0.1 μg/mL GO复合水凝胶组、1.0 μg/mL GO复合水凝胶组、5.0 μg/mL GO复合水凝胶组,每组4只,观察治疗3、7、14 d创面大体情况并计算创面愈合率,采用激光多普勒血流仪检测治疗3、7、14 d创面血流灌注并计算平均灌注单位(MPU)比值,采用苏木精-伊红染色观察治疗7 d创面血管新生情况并计算血管密度(样本数均为3)。取0 μg/mL GO复合水凝胶组和0.1 μg/mL GO复合水凝胶组治疗7 d的创面组织,采用苏木精-伊红染色观察GO分布与血管新生的关系(样本数为3),行免疫组织化学染色后观察VEGF的表达。对数据行重复测量方差分析、单因素方差分析、Tukey法。  结果  GO为多层片状结构,宽度约为20 μm、长度约为50 μm。培养48 h,10.0 μg/mL GO组HSF的吸光度值明显低于0 μg/mL GO组(q=7.64,P<0.01)。划痕后24 h,4组HSF迁移率相近(P>0.05);划痕后36 h,0.1 μg/mL GO组HSF迁移率明显高于0 μg/mL GO组、1.0 μg/mL GO组、5.0 μg/mL GO组(q值分别为7.48、10.81、10.20,P值均<0.01)。划痕后12 h,0.1 μg/mL GO组HUVEC迁移率明显高于0 μg/mL GO组、1.0 μg/mL GO组、5.0 μg/mL GO组(q值分别为7.11、8.99、14.92,P值均<0.01),5.0 μg/mL GO组HUVEC迁移率明显低于0 μg/mL GO组和1.0 μg/mL GO组(q值分别为7.81、5.33,P<0.05或P<0.01)。培养4、6 h,4组HSF的VEGF表达均相近(P>0.05);培养8 h,0.1 μg/mL GO组HSF的VEGF表达明显高于0 μg/mL GO组和5.0 μg/mL GO组(q值分别为4.75、4.48,P值均<0.05)。4组GO-GelMA复合水凝胶在交联前均呈红色液体状,交联后呈微黄色凝胶状且流动性无明显差异。0 μg/mL GO复合水凝胶组复合水凝胶各时间点均无GO释放,其余3组GO-GelMA复合水凝胶中的GO于浸泡3 d部分释放,至浸泡7 d全部释放。治疗3~14 d,4组小鼠创面可见水凝胶敷料覆盖在位并保持湿润,创面逐渐愈合。治疗3、7、14 d,4组小鼠创面愈合率均相近(P>0.05)。治疗3 d,0.1 μg/mL GO复合水凝胶组小鼠创面MPU比值明显高于0 μg/mL GO复合水凝胶组、1.0 μg/mL GO复合水凝胶组、5.0 μg/mL GO复合水凝胶组(q值分别为10.70、11.83、10.65,P<0.05或P<0.01)。治疗7、14 d,4组小鼠创面MPU比值均相近(P>0.05)。0.1 μg/mL GO复合水凝胶组小鼠创面治疗7 d的MPU比值明显低于治疗3 d(q=14.38,P<0.05),治疗14 d的MPU比值明显低于治疗7 d(q=27.78,P<0.01)。治疗7 d,0.1 μg/mL GO复合水凝胶组小鼠创面新生血管密度为每200倍视野下(120.7±4.1)根,明显高于0 μg/mL GO复合水凝胶组、1.0 μg/mL GO复合水凝胶组、5.0 μg/mL GO复合水凝胶组的每200倍视野下(61.7±1.3)、(77.7±10.2)、(99.0±7.9)根(q值分别为12.88、7.79、6.70,P值均<0.01);1.0 μg/mL GO复合水凝胶组和5.0 μg/mL GO复合水凝胶组小鼠创面新生血管密度均明显高于0 μg/mL GO复合水凝胶组(q值分别为5.10、6.19,P<0.05)。治疗7 d,相较于0 μg/mL GO复合水凝胶组,0.1 μg/mL GO复合水凝胶组小鼠创面中成簇新生血管更多,且聚集于GO附近;0.1 μg/mL GO复合水凝胶组小鼠创面中GO和新生血管分布区域有大量VEGF表达。  结论  GO质量浓度低于10.0 μg/mL对HSF增殖活性无明显影响,0.1 μg/mL的GO能够促进HSF和HUVEC迁移,能促进HSF分泌VEGF。原位光聚合GO-GelMA复合水凝胶敷料能够通过促进小鼠全层皮肤缺损创面血管新生,增加创面早期血流灌注,且GO对新生血管有富集作用,其机制可能与GO促进创面细胞分泌VEGF相关。

     

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  • 1  氧化石墨烯为多层片状结构 场发射扫描电子显微镜×500,图中标尺为25 μm

    2  细胞计数试剂盒8法检测5组人皮肤成纤维细胞培养48 h后的吸光度值 (样本数为6,x¯±s)

    注:以吸光度值表示细胞增殖活性;GO为氧化石墨烯;横坐标下方1、2、3、4、5分别为0 μg/mL GO组、0.1 μg/mL GO组、1.0 μg/mL GO组、5.0 μg/mL GO组、10.0 μg/mL GO组;5组细胞吸光度值总体比较,F=17.16,P<0.001;与0 μg/mL GO组比较,aP<0.01

    3  划痕试验观察4组人皮肤成纤维细胞划痕后36 h的迁移情况 倒置荧光显微镜×50,图中标尺为500 μm。3A、3B、3C、3D.分别为0 μg/mL GO组、0.1 μg/mL GO组、1.0 μg/mL GO组、5.0 μg/mL GO组细胞迁移情况,图3B剩余划痕面积最小,图3A、3C、3D剩余划痕面积相近且均明显大于图3B

    注:GO为氧化石墨烯

    4  划痕试验观察4组人脐静脉血管内皮细胞划痕后12 h的迁移情况 倒置荧光显微镜×50,图中标尺为500 μm。4A、4B、4C、4D.分别为0 μg/mL GO组、0.1 μg/mL GO组、1.0 μg/mL GO组、5.0 μg/mL GO组细胞迁移情况,图4B剩余划痕面积最小,图4A、4C、4D剩余划痕面积相似且均大于图4B

    注:GO为氧化石墨烯

    5  4组GO-GelMA复合水凝胶交联前后性状。5A、5B、5C、5D.分别为交联前0 μg/mL GO复合水凝胶组、0.1 μg/mL GO复合水凝胶组、1.0 μg/mL GO复合水凝胶组、5.0 μg/mL GO复合水凝胶组,均为红色液体状;5E、5F、5G、5H.分别为交联后0 μg/mL GO复合水凝胶组、0.1 μg/mL GO复合水凝胶组、1.0 μg/mL GO复合水凝胶组、5.0 μg/mL GO复合水凝胶组,均为微黄色凝胶状,且5.0 μg/mL GO复合水凝胶组颜色最深,4组流动性无明显差别

    注:GO为氧化石墨烯,GelMA为甲基丙烯酸酐化明胶

    6  4组小鼠全层皮肤缺损创面经GO-GelMA复合水凝胶治疗各时间点愈合情况。6A、6B、6C、6D.分别为治疗3 d时0 μg/mL GO复合水凝胶组、0.1 μg/mL GO复合水凝胶组、1.0 μg/mL GO复合水凝胶组、5.0 μg/mL GO复合水凝胶组,创面均不同程度缩小;6E、6F、6G、6H.分别为治疗14 d 时0 μg/mL GO复合水凝胶组、0.1 μg/mL GO复合水凝胶组、1.0 μg/mL GO复合水凝胶组、5.0 μg/mL GO复合水凝胶组,创面均基本愈合,且均未见水凝胶敷料残留

    注:GO为氧化石墨烯,GelMA为甲基丙烯酸酐化明胶

    7  4组小鼠全层皮肤缺损创面经GO-GelMA复合水凝胶治疗各时间点血流灌注情况。7A、7B、7C.分别为治疗3 d时0 μg/mL GO复合水凝胶组、1.0 μg/mL GO复合水凝胶组、5.0 μg/mL GO复合水凝胶组创面血流灌注情况;7D、7E、7F.分别为0.1 μg/mL GO复合水凝胶组治疗3、7、14 d 创面血流灌注情况,随着治疗时间延长,血流灌注逐渐减少,但图7D血流灌注明显高于图7A、7B、7C

    注:GO为氧化石墨烯,GelMA为甲基丙烯酸酐化明胶;黑色代表无血流灌注,绿色代表血流灌注少,红色代表血流灌注多

    8  4组小鼠全层皮肤缺损创面经GO-GelMA复合水凝胶治疗7 d血管新生情况。8A、8B、8C、8D.分别为0 μg/mL GO复合水凝胶组、0.1 μg/mL GO复合水凝胶组、1.0 μg/mL GO复合水凝胶组、5.0 μg/mL GO复合水凝胶组,均有血管生成 苏木精-伊红×200,图中标尺为100 μm;8E、8F.分别为0 μg/mL GO复合水凝胶组和0.1 μg/mL GO复合水凝胶组,0.1 μg/mL GO复合水凝胶组有成簇新生血管且集中分布于GO附近 苏木精-伊红×400,图中标尺为50 μm

    注:GO为氧化石墨烯,GelMA为甲基丙烯酸酐化明胶;黑色箭头指示GO

    9  2组小鼠全层皮肤缺损创面经GO-GelMA复合水凝胶治疗7 d时VEGF的表达 二氨基联苯胺-苏木精×400,图中标尺为50 μm。9A、9B.分别为0 μg/mL GO复合水凝胶组、0.1 μg/mL GO复合水凝胶组VEGF表达,0.1 μg/mL GO复合水凝胶组VEGF表达明显高于0 μg/mL GO复合水凝胶组

    注:VEGF阳性染色为深褐色;GO为氧化石墨烯,GelMA为甲基丙烯酸酐化明胶,VEGF为血管内皮生长因子;白色箭头指示的是GO

    表1  4组人皮肤成纤维细胞划痕后各时间点细胞迁移率比较(%,x¯±s

    组别样本数24 h36 h
    0 μg/mL GO组523.5±7.755.0±7.2a
    0.1 μg/mL GO组530.1±1.182.2±13.9
    1.0 μg/mL GO组519.1±6.942.8±2.6a
    5.0 μg/mL GO组519.1±8.945.1±9.5a
    F2.8519.08
    P0.070<0.001
    注:GO为氧化石墨烯;处理因素主效应,F=1.97,P=0.159;时间因素主效应,F=441.00,P<0.001;两者交互作用,F=0.71,P=0.641;F值、P值为组间各时间点总体比较所得;与0.1 μg/mL GO组比较, aP<0.01
    下载: 导出CSV

    表2  4组人皮肤成纤维细胞培养各时间点血管内皮生长因子的表达比较(x¯±s

    组别样本数4 h6 h8 h
    0 μg/mL GO组317.90±0.8917.14±0.9217.11±1.28a
    0.1 μg/mL GO组317.72±0.4519.62±1.6419.56±0.51
    1.0 μg/mL GO组316.98±0.5317.31±1.2117.76±0.86
    5.0 μg/mL GO组316.78±0.5917.07±0.0817.25±0.60a
    F2.253.615.11
    P0.1590.0650.029
    注:GO为氧化石墨烯;处理因素主效应,F=8.52,P<0.001;时间因素主效应,F=1.35,P=0.279;两者交互作用,F=1.52,P=0.215;F值、P值为组间各时间点总体比较所得;与0.1 μg/mL GO组比较,aP<0.05
    下载: 导出CSV

    表3  4组小鼠全层皮肤缺损创面经GO-GelMA复合水凝胶治疗各时间点创面愈合率比较(%,x¯±s

    组别样本数3 d7 d14 d
    0 μg/mL GO复合水凝胶组322.1±5.566.5±8.897.1±2.0
    0.1 μg/mL GO复合水凝胶组330.8±7.966.5±4.994.5±1.4
    1.0 μg/mL GO复合水凝胶组330.8±9.672.4±5.797.3±1.0
    5.0 μg/mL GO复合水凝胶组333.3±6.470.3±4.597.8±1.0
    F1.320.895.77
    P0.3160.4340.062
    注:GO为氧化石墨烯,GelMA为甲基丙烯酸酐化明胶;处理因素主效应,F=2.89,P=0.068;时间因素主效应,F=656.20,P<0.001;两者交互作用,F=1.06,P=0.405;F值、P值为组间各时间点总体比较所得
    下载: 导出CSV

    表4  4组小鼠全层皮肤缺损创面经GO-GelMA复合水凝胶治疗各时间点MPU比值比较 (x¯±s

    组别样本数3 d7 d14 d
    0 μg/mL GO复合水凝胶组31.77±0.11a1.29±0.161.85±0.22
    0.1 μg/mL GO复合水凝胶组32.68±0.16b2.13±0.241.46±0.24d
    1.0 μg/mL GO复合水凝胶组31.80±0.08c1.74±0.172.45±0.56
    5.0 μg/mL GO复合水凝胶组31.82±0.11a1.87±0.301.75±0.36
    F30.227.833.07
    P0.0110.0930.201
    注:GO为氧化石墨烯,GelMA为甲基丙烯酸酐化明胶,MPU为平均灌注单位;处理因素主效应,F=2.86,P=0.104;时间因素主效应,F=2.55,P=0.104;两者交互作用,F=8.81,P<0.001;F值、P值为组间各时间点总体比较所得;与0.1 μg/mL GO复合水凝胶组比较,aP<0.01,cP<0.05;与0.1 μg/mL GO复合水凝胶组治疗7 d比较,bP<0.05,dP<0.01
    下载: 导出CSV
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