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Accelerated healing of diabetic wound using artificial dermis constructed with adipose stem cells and poly(L-glutamic acid)/chitosan scaffold

摘要Background Diabetic wound is one of the most serious complications of diabetes mellitus.There are no significantly effective therapies for chronic non-healing diabetes ulcer so far.This study aimed to explore the feasibility of healing impaired wound using artificial dermis constructed with human adipose derived stem cells (ASCs) and poly(L-glutamic acid)/chitosan (PLGA/CS) scaffold in streptozotocin-induced diabetic mice.Methods ASCs were isolated from fresh human lipoaspirates and expanded ex vivo for three passages,and then cells were seeded onto PLGA/CS scaffold to form artificial dermis.Expression of VEGF and TGFβ1 by ASCs presented in artificial dermis was determined.The artificial dermis was transplanted to treat the 20 mm × 20 mm full-thickness cutaneous wound created on the back of diabetic mice.Wound treated with scaffold alone and without treatment,and wound in normal non-diabetic mice served as control.Results Cells growing within scaffold showed great proliferation potential,depositing abundant collagen matrix.Meanwhile,expression of VEGF and TGF-β1 by seeded ASCs maintained at a consistent high level.After treated with ASC based artificial dermis,diabetic wounds exhibited significantly higher healing rate compared with wounds treated with scaffold alone or without treatment.Histological examination also demonstrated an improvement in cutaneous restoration with matrix deposition and organization.Further quantitative analysis showed that there was a significant increase in dermis thickness and collagen content on artificial dermis treated wounds.Conclusion ASC/PLGA artificial dermis can effectively accelerate diabetic wound healing by promoting angiogenic growth factors and dermal collagen synthesis.

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作者单位 Department of Ophthalmology, Zhejiang Provincial People's Hospital, Hangzhou, Zhejiang 310014, China [1] Department of General Practitioner, Zhongshan Hospital, Fudan University, Shanghai 200032, China [2] Department of Plastic Surgery, Hunan Province Tumor Hospital,Changsha, Hunan 410013, China [3]
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DOI 10.3760/cma.j.issn.0366-6999.20123284
发布时间 2013-08-05(万方平台首次上网日期,不代表论文的发表时间)
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中华医学杂志(英文版)

中华医学杂志(英文版)

2013年126卷8期

1498-1503页

SCIMEDLINEISTICCSCDCABP

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