人皮肤组织刺、切创后IL-8表达的免疫组织化学研究

An immunohistochemical study on the temporal expression of interleukin-8 in the incised and stabbed wounds in human skin

为探讨人皮肤刺、切创后白细胞介素 8(interleukin 8,IL 8)在推断皮肤损伤时间中的应用价值 ,本研究应用免疫组化技术对 5 2例不同损伤时间人体皮肤刺、切创组织中IL 8的表达进行了研究。伤后 4h的损伤皮肤组织中可见部分的多核粒细胞表达IL 8。伤后 12～ 2 4h ,大部分浸润的多核粒细胞及部分单核细胞为IL 8阳性。随伤后时间延长 ,IL 8阳性细胞以单核及成纤维细胞为主。伤后 4～ 6h的皮肤中 ,IL 8阳性细胞比率较低 ,为 16 0±10 1%。伤后 1～ 4d达高峰 ,为 5 9 6± 8 7%。其后逐渐减少。本研究结果表明 ,IL 8的表达可用于皮肤刺、切创后损伤时间的推断。

To explore the applicability of interleukin 8(IL 8)to determination of wound age in the incised and stabbed human skin samples,an immunohistochemical study on the temporal expression of IL 8 was performed on 52 human skin wounds at different posttraumatic intervals.Expression of IL 8 was detectable in polymorphonuclear cells(PMNs)in the wound specimens aged 4h.In the wound specimens aged from 12～24h after injury,IL 8 was identified in a large number of infiltrating PMNs and part of mononuclear cells(MNCs).Afterwards,the MNCs and fibroblastic cells(FBCs)accounted in the most part of the IL 8 positive cells.Morphometrically,the ratio of the number of the IL 8 stained PMNs,MNCs and FBCs to total number of the cells in the wounds was evaluated and calculated.The ratio of the IL 8 positive cells was low in the wound specimens aged 4 and 6h(16 0±10 1%),and maximized in the wound specimens aged between 1 and 4 days(59 6%±8 7%).Thereafter,the ratio decreased and minimized in the specimens aged from 19 to 21 days(27 5±5 9%).The results suggest that IL 8 can be used as a marker for the wound age determination in both incised and stabbed human skin.