Topical application of nitrosonifedipine, a novel radical scavenger, ameliorates ischemic skin flap necrosis in a mouse model

Ischemic skin flap necrosis can occur in random pattern flaps. An excess amount of reactive oxygen species is generated and causes necrosis in the ischemic tissue. Nitrosonifedipine (NO‐NIF) has been demonstrated to possess potent radical scavenging ability. However, there has been no study on the e...

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Veröffentlicht in:Wound repair and regeneration 2017-04, Vol.25 (2), p.217-223
Hauptverfasser: Fukunaga, Yutaka, Izawa‐Ishizawa, Yuki, Horinouchi, Yuya, Sairyo, Eriko, Ikeda, Yasumasa, Ishizawa, Keisuke, Tsuchiya, Koichiro, Abe, Yoshiro, Hashimoto, Ichiro, Tamaki, Toshiaki
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container_issue 2
container_start_page 217
container_title Wound repair and regeneration
container_volume 25
creator Fukunaga, Yutaka
Izawa‐Ishizawa, Yuki
Horinouchi, Yuya
Sairyo, Eriko
Ikeda, Yasumasa
Ishizawa, Keisuke
Tsuchiya, Koichiro
Abe, Yoshiro
Hashimoto, Ichiro
Tamaki, Toshiaki
description Ischemic skin flap necrosis can occur in random pattern flaps. An excess amount of reactive oxygen species is generated and causes necrosis in the ischemic tissue. Nitrosonifedipine (NO‐NIF) has been demonstrated to possess potent radical scavenging ability. However, there has been no study on the effects of NO‐NIF on ischemic skin flap necrosis. Therefore, they evaluated the potential of NO‐NIF in ameliorating ischemic skin flap necrosis in a mouse model. A random pattern skin flap (1.0 × 3.0 cm) was elevated on the dorsum of C57BL/6 mice. NO‐NIF was administered by topical injection immediately after surgery and every 24 hours thereafter. Flap survival was evaluated on postoperative day 7. Tissue samples from the skin flaps were harvested on postoperative days 1 and 3 to analyze oxidative stress, apoptosis and endothelial dysfunction. The viable area of the flap in the NO‐NIF group was significantly increased (78.30 ± 7.041%) compared with that of the control group (47.77 ± 6.549%, p 
doi_str_mv 10.1111/wrr.12510
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An excess amount of reactive oxygen species is generated and causes necrosis in the ischemic tissue. Nitrosonifedipine (NO‐NIF) has been demonstrated to possess potent radical scavenging ability. However, there has been no study on the effects of NO‐NIF on ischemic skin flap necrosis. Therefore, they evaluated the potential of NO‐NIF in ameliorating ischemic skin flap necrosis in a mouse model. A random pattern skin flap (1.0 × 3.0 cm) was elevated on the dorsum of C57BL/6 mice. NO‐NIF was administered by topical injection immediately after surgery and every 24 hours thereafter. Flap survival was evaluated on postoperative day 7. Tissue samples from the skin flaps were harvested on postoperative days 1 and 3 to analyze oxidative stress, apoptosis and endothelial dysfunction. The viable area of the flap in the NO‐NIF group was significantly increased (78.30 ± 7.041%) compared with that of the control group (47.77 ± 6.549%, p &lt; 0.01). NO‐NIF reduced oxidative stress, apoptosis and endothelial dysfunction, which were evidenced by the decrease of malondialdehyde, p22phox protein expression, number of apoptotic cells, phosphorylated p38 MAPK protein expression, and vascular cell adhesion molecule‐1 protein expression while endothelial nitric oxide synthase protein expression was increased. In conclusion, they demonstrated that NO‐NIF ameliorated ischemic skin flap necrosis by reducing oxidative stress, apoptosis, and endothelial dysfunction. 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NO‐NIF reduced oxidative stress, apoptosis and endothelial dysfunction, which were evidenced by the decrease of malondialdehyde, p22phox protein expression, number of apoptotic cells, phosphorylated p38 MAPK protein expression, and vascular cell adhesion molecule‐1 protein expression while endothelial nitric oxide synthase protein expression was increased. In conclusion, they demonstrated that NO‐NIF ameliorated ischemic skin flap necrosis by reducing oxidative stress, apoptosis, and endothelial dysfunction. 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dosage</topic><topic>Nitroso Compounds - pharmacology</topic><topic>Oxidative Stress - drug effects</topic><topic>Reactive Oxygen Species</topic><topic>Surgical Flaps - blood supply</topic><topic>Surgical Flaps - pathology</topic><topic>Wound Healing - drug effects</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fukunaga, Yutaka</creatorcontrib><creatorcontrib>Izawa‐Ishizawa, Yuki</creatorcontrib><creatorcontrib>Horinouchi, Yuya</creatorcontrib><creatorcontrib>Sairyo, Eriko</creatorcontrib><creatorcontrib>Ikeda, Yasumasa</creatorcontrib><creatorcontrib>Ishizawa, Keisuke</creatorcontrib><creatorcontrib>Tsuchiya, Koichiro</creatorcontrib><creatorcontrib>Abe, Yoshiro</creatorcontrib><creatorcontrib>Hashimoto, Ichiro</creatorcontrib><creatorcontrib>Tamaki, Toshiaki</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Wound repair and regeneration</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fukunaga, Yutaka</au><au>Izawa‐Ishizawa, Yuki</au><au>Horinouchi, Yuya</au><au>Sairyo, Eriko</au><au>Ikeda, Yasumasa</au><au>Ishizawa, Keisuke</au><au>Tsuchiya, Koichiro</au><au>Abe, Yoshiro</au><au>Hashimoto, Ichiro</au><au>Tamaki, Toshiaki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Topical application of nitrosonifedipine, a novel radical scavenger, ameliorates ischemic skin flap necrosis in a mouse model</atitle><jtitle>Wound repair and regeneration</jtitle><addtitle>Wound Repair Regen</addtitle><date>2017-04</date><risdate>2017</risdate><volume>25</volume><issue>2</issue><spage>217</spage><epage>223</epage><pages>217-223</pages><issn>1067-1927</issn><eissn>1524-475X</eissn><abstract>Ischemic skin flap necrosis can occur in random pattern flaps. An excess amount of reactive oxygen species is generated and causes necrosis in the ischemic tissue. Nitrosonifedipine (NO‐NIF) has been demonstrated to possess potent radical scavenging ability. However, there has been no study on the effects of NO‐NIF on ischemic skin flap necrosis. Therefore, they evaluated the potential of NO‐NIF in ameliorating ischemic skin flap necrosis in a mouse model. A random pattern skin flap (1.0 × 3.0 cm) was elevated on the dorsum of C57BL/6 mice. NO‐NIF was administered by topical injection immediately after surgery and every 24 hours thereafter. Flap survival was evaluated on postoperative day 7. Tissue samples from the skin flaps were harvested on postoperative days 1 and 3 to analyze oxidative stress, apoptosis and endothelial dysfunction. The viable area of the flap in the NO‐NIF group was significantly increased (78.30 ± 7.041%) compared with that of the control group (47.77 ± 6.549%, p &lt; 0.01). NO‐NIF reduced oxidative stress, apoptosis and endothelial dysfunction, which were evidenced by the decrease of malondialdehyde, p22phox protein expression, number of apoptotic cells, phosphorylated p38 MAPK protein expression, and vascular cell adhesion molecule‐1 protein expression while endothelial nitric oxide synthase protein expression was increased. In conclusion, they demonstrated that NO‐NIF ameliorated ischemic skin flap necrosis by reducing oxidative stress, apoptosis, and endothelial dysfunction. NO‐NIF is considered to be a candidate for the treatment of ischemic flap necrosis.</abstract><cop>United States</cop><pmid>28090711</pmid><doi>10.1111/wrr.12510</doi><tpages>7</tpages></addata></record>
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Administration, Topical
Animals
Antioxidants - pharmacology
Blotting, Western
Disease Models, Animal
Graft Survival - drug effects
Ischemia - drug therapy
Ischemia - pathology
Male
Mice
Mice, Inbred C57BL
Necrosis - drug therapy
Necrosis - pathology
Nifedipine - administration & dosage
Nifedipine - analogs & derivatives
Nifedipine - pharmacology
Nitroso Compounds - administration & dosage
Nitroso Compounds - pharmacology
Oxidative Stress - drug effects
Reactive Oxygen Species
Surgical Flaps - blood supply
Surgical Flaps - pathology
Wound Healing - drug effects
title Topical application of nitrosonifedipine, a novel radical scavenger, ameliorates ischemic skin flap necrosis in a mouse model
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