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Animal Model |
From the Departments of Surgery*
and
Pathology
Northwestern University
Medical School, Chicago, Illinois, and the Department of
Biotechnology,
United States Surgical Corp.,
North Haven, Connecticut
Clinical trials of exogenous growth factors in treating chronic
wounds have been less successful than expected. One possible
explanation is that most studies used animal models of acute wounds in
young animals, whereas most chronic wounds occur in elderly
patients with tissue ischemia. We described an animal model of age- and
ischemia-impaired wound healing and analyzed the wound-healing response
as well as the transforming growth factor (TGF)-ß1 effect
in this model. Rabbits of increasing ages were made ischemic in the ear
where dermal ulcers were created. Histological analysis showed that
epithelium ingrowth and granulation tissue deposition were
significantly impaired with increased age under ischemia. TGF-ß1
stimulated wound repair under both ischemic and non-ischemic conditions
in young animals, although it showed no statistical difference
in aged animals. Procollagen mRNA expression decreased under ischemic
conditions and with aging. Neither TGF-ß1 nor procollagen
1(I)
mRNA expression increased in response to TGF-ß1 treatment under
ischemia in aged animals. Therefore, the wound-healing process
is impaired additively by aging and ischemia. The lack of a
wound-healing response to TGF-ß1 in aged ischemic wounds may play a
role in the chronic wounds.
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