碱性成纤维细胞生长因子对大鼠烫伤创面中基质金属蛋白酶及其抑制剂的影响

Effects of basic fibroblast growth factor on the matrix metalloproteinase-2,7 and its tissue inhibitor on deep partial thickness burn wounds in rats

目的 观察大鼠深Ⅱ度烫伤创面愈合过程中基质金属蛋白酶 (MMP) 2、MMP 7与金属蛋白酶组织抑制因子 2 (TIMP 2 )的变化以及创面外用碱性成纤维细胞生长因子 (bFGF)对其的影响。 方法 制作 30 %TBSA深Ⅱ度烫伤大鼠模型 ,分为单纯烫伤组和bFGF治疗组。于伤后 3、6h和 1、3、7、14d取创面皮肤标本 ,检测再上皮化率及胶原含量 ,并采用免疫组织化学染色法检测创面组织真皮内成纤维细胞MMP 2、MMP 7和TIMP 2的表达变化。另取 6只正常大鼠作为假烫组 ,分别检测上述各项指标。 结果 (1)伤后 3～ 14d ,bFGF治疗组再上皮化率高于单纯烫伤组。 (2 )伤后 3h～ 3d ,bFGF治疗组和单纯烫伤组胶原含量持续下降 ,7～ 14d开始回升 ,但仍低于假烫组 (P<0 .0 5 )。 (3)伤后 1d ,单纯烫伤组MMP 2、MMP 7和TIMP 2表达增多 ,7d时达到高峰 ,持续到 14d。(4 )伤后 3～ 6h,bFGF治疗组MMP 2、MMP 7的表达与单纯烫伤组相似 ;伤后 1～ 14d ,3者的阳性表达强于单纯烫伤组。 结论 烫伤大鼠创面中细胞外基质的活动会影响皮肤的胶原沉积 ;MMP 2、MMP 7、TIMP 2的表达变化是组织修复的重要步骤 ,与bFGF加速创面愈合的过程密切相关。

Objective To observe the changes in matrix metalloproteinase-2,7 (MMP-2 , 7 )and tissue inhibitor of metalloproteinase-2 (TIMP-2) in deep partial thickness burn during the process of wound healing, and the effects of bFGF on wound healing. Methods The rats inflicted by 30% TBSA deep partial thickness burn were randomly divided into simple scald and bFGF treatment groups. Biopsies from wound skin were harvested at 3 and 6PBHs and 1,3,7,14 PBDs for the detection of the epithelialization rate and collagen content. The above indices were also detected in the skin of another 6 normal rats as normal control. Results (1)The epithelialization rate in bFGF treatment group was higher than that in simple scald group during 3PBH to 14 PBD. (2) The collagen contents in both bFGF treatment group and simple scald group were continually decreased during 3 PBH to 3 PBD, and increased from 7 to 14 PBD, but still lower than that in normal control(P<0.05). (3) The expression of MMP-2, 7 and TIMP-2 in simple scald group enhanced from 1 to 14 PBD , and peaked on 7PBD. (4) The expression of MMP-2,7 in bFGF treatment group was similar to that in simple scald group from 3 to 6 PBH, while the expressions of MMP-2,7 and TIMP-2 was higher than those in simple scald group from 1 to 14 PBD. Conclusion The collagen deposition would be affected by the activities of extracellular matrix in scald wound in rats. Changes in MMP-2, 7 and TIMP-2 expressions were an important process of wound repair, which was closely related to the acceleration of wound healing by the application of bFGF. [