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    外用肝素缓解大鼠Ⅱ度烧伤痛的效果及机制研究

    Effect of topical heparin relieves Ⅱ-degree burn pain in rats and related mechanism

    • 摘要: 目的 使用大鼠模型明确外用肝素缓解烧伤痛的效果及可能机制。方法 制作足底部位Ⅱ度烧伤痛大鼠模型;低、中、高剂量的低分子量肝素灌洗水疱液或OGT2115注射到水疱液内并观察疼痛行为表现;抽取水疱液和大鼠静脉血并以ELISA法测量其中的硫酸乙酰肝素酶(HPSE)浓度;采用免疫组化法和蛋白免疫印记对局部皮肤组织内的HPSE表达进行定位和相对定量;Masson染色法观察各组皮肤组织的愈合情况。结果 烧伤皮肤表面有水疱形成,烫伤深度达到真皮层浅层,并表现出明显的烧伤痛;中、高剂量的低分子量肝素灌洗水疱液和OGT2115注射到水疱液内皆增加了足底最大接触面积(P<0.05);血清和水疱液中检测到HPSE表达,而完整的皮肤局部HPSE表达在真皮乳头层,烧伤后局部表达的HPSE减少(P<0.05)。肝素作用的烧伤组织愈合情况差于对照组,表现为缺乏清晰的乳头层结构。结论 外用肝素可以缓解烧伤痛,来源于血液的HPSE参与烧伤痛的发生,并可能是肝素镇痛的作用靶点。

       

      Abstract: Objective To investigate the effect of topical heparin on alleviating Ⅱ-degree burn pain in rats and related mechanism.Methods A rat model of Ⅱ burn pain at the bottom of the foot was established. Then, blister lavage was performed using low, medium, and high doses of low molecular weight heparin, or OGT2115 was injected into the blister, and pain was observed. The blister was extracted and rat venous blood was collected to measure the concentration of heparanase(HPSE) by ELISA. The location and related quantity of HPSE in local skin were determined by immunohistochemistry and immunoblot. The healing of the skin tissue in each group was observed by Masson staining.Results Blisters were developed on the burning skin, which reached the superficial layer of the dermis, with obvious burn pain. Blister lavage with medium and high doses of low molecular weight heparin and administration of OGT2115 into the blister increased the plantar maximum contact area(P<0.05). The expression of HPSE was detected in the serum and blister fluid. For intact skin, HPSE was locally expressed in the papillary layer of the dermis, while the expression of HPSE was reduced after burning(P<0.05). Compared with the control group, the heparin-affected burn tissue showed poor healing than the control, with lack of a clear structure of the papillary layer.Conclusions Topical heparin can relieve burn pain. HPSE derived from blood is involved in the occurrence of burn pain, which may be the target of heparin for its analgesia.

       

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