Recurrent Inguinal Hernia: Disease of the Collagen Matrix?

The aim of this study was to investigate the collagen matrix in recurrent inguinal hernias. Total ribonucleic acid (RNA) was extracted from skin fibroblasts of three groups (control group I = healthy skin; control group II = plain skin scar; recurrent inguinal hernia group = skin of recurrent inguin...

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Veröffentlicht in:World journal of surgery 2002-04, Vol.26 (4), p.401-408
Hauptverfasser: Zheng, Hong, Si, Zhongyi, Kasperk, Reiner, Bhardwaj, Rhanjit S., Schumpelick, Volker, Klinge, Uwe, Klosterhalfen, Bernd
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container_end_page 408
container_issue 4
container_start_page 401
container_title World journal of surgery
container_volume 26
creator Zheng, Hong
Si, Zhongyi
Kasperk, Reiner
Bhardwaj, Rhanjit S.
Schumpelick, Volker
Klinge, Uwe
Klosterhalfen, Bernd
description The aim of this study was to investigate the collagen matrix in recurrent inguinal hernias. Total ribonucleic acid (RNA) was extracted from skin fibroblasts of three groups (control group I = healthy skin; control group II = plain skin scar; recurrent inguinal hernia group = skin of recurrent inguinal hernias; each n = 5). Reverse transcription‐polymerase chain reaction (RT‐PCR) and Northern blot analysis were used to investigate the expression of procollagen type I/‐ III, MMP‐1, and MMP‐13 mRNAs. Both ratios of procollagen types I to III mRNAs and collagen types I to III were apparently decreased in the recurrent hernia group compared to those of both control groups (p
doi_str_mv 10.1007/s00268-001-0239-5
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Total ribonucleic acid (RNA) was extracted from skin fibroblasts of three groups (control group I = healthy skin; control group II = plain skin scar; recurrent inguinal hernia group = skin of recurrent inguinal hernias; each n = 5). Reverse transcription‐polymerase chain reaction (RT‐PCR) and Northern blot analysis were used to investigate the expression of procollagen type I/‐ III, MMP‐1, and MMP‐13 mRNAs. Both ratios of procollagen types I to III mRNAs and collagen types I to III were apparently decreased in the recurrent hernia group compared to those of both control groups (p &lt;0.01). Significant differences were caused by the increase of both procollagen type III mRNA and collagen type III protein synthesis. A concomitant increase of MMP‐1 and MMP‐13 mRNAs and proteins was also observed in the recurrent hernia group and showed significant differences compared to those of both control groups I and II, respectively (p &lt;0.01). In conclusion, the decreased ratio of collagen types I to III seems not only to be the result of a relative increase in the levels of type III procollagen mRNA but also may be the result of an increase of MMP‐1 and MMP‐13. The data of the present study strongly suggest recurrent inguinal hernias to be a disease of the collagen matrix and result in a clearer understanding of the underlying pathophysiology and may support specific therapeutic strategies in hernia surgery (e.g., surgical meshes).</description><identifier>ISSN: 0364-2313</identifier><identifier>EISSN: 1432-2323</identifier><identifier>DOI: 10.1007/s00268-001-0239-5</identifier><identifier>PMID: 11910470</identifier><identifier>CODEN: WJSUDI</identifier><language>eng</language><publisher>New York: Springer‐Verlag</publisher><subject>Abdomen ; Aged ; Biological and medical sciences ; Blotting, Northern ; Child ; Collagen - metabolism ; Collagen Type ; Collagen Type I - metabolism ; Collagen Type III - metabolism ; Collagenases - metabolism ; Gene Expression ; Hernia, Inguinal - physiopathology ; Humans ; Immunohistochemistry ; Infant ; Matrix Metalloproteinase 1 - metabolism ; Matrix Metalloproteinase 13 ; Medical sciences ; Middle Aged ; Northern Blot ; Northern Blot Analysis ; Procollagen - metabolism ; Recurrence ; Reverse Transcriptase Polymerase Chain Reaction ; Ribonucleic Acid ; Skin Fibroblast ; Surgery (general aspects). 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Total ribonucleic acid (RNA) was extracted from skin fibroblasts of three groups (control group I = healthy skin; control group II = plain skin scar; recurrent inguinal hernia group = skin of recurrent inguinal hernias; each n = 5). Reverse transcription‐polymerase chain reaction (RT‐PCR) and Northern blot analysis were used to investigate the expression of procollagen type I/‐ III, MMP‐1, and MMP‐13 mRNAs. Both ratios of procollagen types I to III mRNAs and collagen types I to III were apparently decreased in the recurrent hernia group compared to those of both control groups (p &lt;0.01). Significant differences were caused by the increase of both procollagen type III mRNA and collagen type III protein synthesis. A concomitant increase of MMP‐1 and MMP‐13 mRNAs and proteins was also observed in the recurrent hernia group and showed significant differences compared to those of both control groups I and II, respectively (p &lt;0.01). In conclusion, the decreased ratio of collagen types I to III seems not only to be the result of a relative increase in the levels of type III procollagen mRNA but also may be the result of an increase of MMP‐1 and MMP‐13. 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Total ribonucleic acid (RNA) was extracted from skin fibroblasts of three groups (control group I = healthy skin; control group II = plain skin scar; recurrent inguinal hernia group = skin of recurrent inguinal hernias; each n = 5). Reverse transcription‐polymerase chain reaction (RT‐PCR) and Northern blot analysis were used to investigate the expression of procollagen type I/‐ III, MMP‐1, and MMP‐13 mRNAs. Both ratios of procollagen types I to III mRNAs and collagen types I to III were apparently decreased in the recurrent hernia group compared to those of both control groups (p &lt;0.01). Significant differences were caused by the increase of both procollagen type III mRNA and collagen type III protein synthesis. A concomitant increase of MMP‐1 and MMP‐13 mRNAs and proteins was also observed in the recurrent hernia group and showed significant differences compared to those of both control groups I and II, respectively (p &lt;0.01). In conclusion, the decreased ratio of collagen types I to III seems not only to be the result of a relative increase in the levels of type III procollagen mRNA but also may be the result of an increase of MMP‐1 and MMP‐13. The data of the present study strongly suggest recurrent inguinal hernias to be a disease of the collagen matrix and result in a clearer understanding of the underlying pathophysiology and may support specific therapeutic strategies in hernia surgery (e.g., surgical meshes).</abstract><cop>New York</cop><pub>Springer‐Verlag</pub><pmid>11910470</pmid><doi>10.1007/s00268-001-0239-5</doi><tpages>8</tpages></addata></record>
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subjects Abdomen
Aged
Biological and medical sciences
Blotting, Northern
Child
Collagen - metabolism
Collagen Type
Collagen Type I - metabolism
Collagen Type III - metabolism
Collagenases - metabolism
Gene Expression
Hernia, Inguinal - physiopathology
Humans
Immunohistochemistry
Infant
Matrix Metalloproteinase 1 - metabolism
Matrix Metalloproteinase 13
Medical sciences
Middle Aged
Northern Blot
Northern Blot Analysis
Procollagen - metabolism
Recurrence
Reverse Transcriptase Polymerase Chain Reaction
Ribonucleic Acid
Skin Fibroblast
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the digestive system
title Recurrent Inguinal Hernia: Disease of the Collagen Matrix?
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