인공피부용 실크 피브로인-알긴산 해면체의 창상치유 효과

The Effect of Silk Fibroin-Alginic Acid Sponge Treatment as an Artificial Skin on Wound

  • 오민 (인제대학교 의과대학 성형외과학교실) ;
  • 최준 (인제대학교 의과대학 성형외과학교실) ;
  • 허찬영 (인제대학교 의과대학 성형외과학교실) ;
  • 백롱민 (인제대학교 의과대학 성형외과학교실) ;
  • 김영수 (인제대학교 의과대학 성형외과학교실) ;
  • 최영웅 (인제대학교 의과대학 성형외과학교실)
  • Oh, Min (Department of Plastic and Reconstructive Surgery, Inje University College of Medicine) ;
  • Choe, Joon (Department of Plastic and Reconstructive Surgery, Inje University College of Medicine) ;
  • Heo, Chan Yeong (Department of Plastic and Reconstructive Surgery, Inje University College of Medicine) ;
  • Baik, Long Min (Department of Plastic and Reconstructive Surgery, Inje University College of Medicine) ;
  • Kim, Young Soo (Department of Plastic and Reconstructive Surgery, Inje University College of Medicine) ;
  • Choi, Young Woong (Department of Plastic and Reconstructive Surgery, Inje University College of Medicine)
  • 투고 : 2005.11.08
  • 발행 : 2006.07.10

초록

Purpose: This study was designed to compare the wound healing effect of silk fibroin, alginate and fibroin/ alginate blend sponge with clinically used Nu gauze in a rat skin defect model. Methods: Two full thickness excisions were made on the back of Sprague-Dawley rat. The excised wound was covered with either of the silk fibroin(SF), alginate (SA), or fibroin/alginate blend sponge(SF/SA). On the postoperative days of 3, 7, 10 and 14, the wound area was calculated by image analysis software. At the same time, a skin wound tissue was biopsied. Results: Healing time 50% ($HT_{50}$) of SF/SA sponge treated group was dramatically reduced as compared with that of control treatment. We also found that the $HT_{50}$ of SF/SA sponge was significantly decreased as compared with either those of SF or SA treatment. Furthermore, SF/SA treatment significantly increased the size of epithelialization and collagen deposition as well as the number of PCNA positive cells on epidermal basement membrane as comapred with those of control treatment. Conclusion: Our results suggest that the wound healing effect of SF/SA blend sponge is the best among other treatments including SF and SA during the whole wound healing period.

키워드

참고문헌

  1. Choi YS, Hong SR, Lee YM, Song KW, Park MH, Nam YS: Study on gelatin-containing artificial skin: I. Preparation and characteristics of novel gelatin-alginate sponge. Biomaterials 20: 409, 1999 https://doi.org/10.1016/S0142-9612(98)00180-X
  2. Choi YS, Hong SR, Lee YM, Song KW, Park MH, Nam YS: Studies on gelatin-contaffiing artificial skin: II. Preparation and characterization of cross-linked gelatin-hyaluronate sponge. J Biomed Mater Res 48: 631, 1999 https://doi.org/10.1002/(SICI)1097-4636(1999)48:5<631::AID-JBM6>3.0.CO;2-Y
  3. Santin M, Motta A, Freddi G, Cannas M: In vitro evaluation of the inflammatory potential of the silk fibroin. J Biomed Mater Res 46: 382, 1999 https://doi.org/10.1002/(SICI)1097-4636(19990905)46:3<382::AID-JBM11>3.0.CO;2-R
  4. Minoura N, Aiba S, Higuchi M, Gotoh Y, Tsukada M, Imai Y: Attachment and growth of fibroblast cells on silk fibroin. Biochem Biophys Res Commun 208: 511, 1995 https://doi.org/10.1006/bbrc.1995.1368
  5. Yeo JH, Lee KG, Kim He, Oh HYL, Kim AJ, Kim SY: The effects of PVA/Chitosan/Fibroin (PCF)-blended spongy sheets on wound healing in rats. Bio Phar Bull 23: 1220, 2000 https://doi.org/10.1248/bpb.23.1220
  6. Thomas A, Harding KG, Moore K: Alginates from wound dressings activate human macrophages to secrete tumour necrosis factor-$\alpha$. Biomaterials 21: 1797, 2000 https://doi.org/10.1016/S0142-9612(00)00072-7
  7. Yoshimizu H, Asakura T: Preparation and characterization of silk fibroin powder and its application to enzyme immobilization. J Appl Polym Sci 40: 127, 1990 https://doi.org/10.1002/app.1990.070400111
  8. Attwood AI: Calcium alginate dressing accelerates split skin graft donor site healing. Br J Plast Surg 42: 373, 1989 https://doi.org/10.1016/0007-1226(89)90001-5
  9. Ehrlich HP: Wound closure: evidence of cooperation between fibroblasts and collagen matrix. Eye 2: 149, 1988 https://doi.org/10.1038/eye.1988.28
  10. Hong SR, Lee SJ, Shim JW, Choi YS, Lee YM, Song KW, Park MH, Nam YS, Lee S1: Study on gelatin-containing artificial skin IV: a comparative study on the effect of antibiotic and EGF on cell proliferation during epidermal healing. Biomaterials 22: 2777, 2001 https://doi.org/10.1016/S0142-9612(01)00021-7