Negative pressure wound therapy: Regulating blood flow perfusion and microvessel maturation through microvascular pericytes

Negative pressure wound therapy (NPWT) has been demonstrated to accelerate wound healing by promoting angiogenesis. However, whether blood flow perfusion is regulated by microvessel maturation and pericytes following NPWT remains unclear, as well as the exact association between pericytes and collag...

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Veröffentlicht in:International journal of molecular medicine 2017-11, Vol.40 (5), p.1415-1425
Hauptverfasser: Ma, Zhanjun, Li, Zonghuan, Shou, Kangquan, Jian, Chao, Li, Pengcheng, Niu, Yahui, Qi, Baiwen, Yu, Aixi
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container_end_page 1425
container_issue 5
container_start_page 1415
container_title International journal of molecular medicine
container_volume 40
creator Ma, Zhanjun
Li, Zonghuan
Shou, Kangquan
Jian, Chao
Li, Pengcheng
Niu, Yahui
Qi, Baiwen
Yu, Aixi
description Negative pressure wound therapy (NPWT) has been demonstrated to accelerate wound healing by promoting angiogenesis. However, whether blood flow perfusion is regulated by microvessel maturation and pericytes following NPWT remains unclear, as well as the exact association between pericytes and collagen type IV. The aim of this study was to investigate the relevant association between blood flow perfusion and microvessel maturation and pericytes following NPWT, and to further explore the underlying molecular mechanisms. We also aimed to investigate the association between pericytes and collagen type IV. For this purpose, we created a rat model of diabetic wounds and microvascular blood flow perfusion was detected using a laser Doppler blood perfusion imager. The expression levels of angiogenin-1, tyrosine phosphorylation of tyrosine kinase receptor-2 (Tie-2), α-smooth muscle actin (α-SMA) and collagen type IV were detected and analyzed through immunohistochemistry, immunofluorescence, RT-qPCR and western blot analysis. The results revealed that NPWT promoted the overexpression of angiogenin-1, Tie-2, α-SMA and collagen type IV, and significantly increased blood flow perfusion coupled with microvessel maturation in the NPWT group at the later stages (7-10 days) of wound healing. Our results suggested that NPWT can preferentially enhance vessel maturation and increase the number of pericytes, thus regulating blood flow perfusion. On the other hand, pericytes and collagen type IV had a mutual interaction, promoting microvessel maturation.
doi_str_mv 10.3892/ijmm.2017.3131
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Spandidos</publisher><subject>Angiotensin I - genetics ; Angiotensin I - metabolism ; Animals ; Biomarkers ; Blood flow ; blood flow perfusion ; Collagen ; collagen type IV ; Diabetes ; Diabetes Mellitus, Experimental ; Fasting ; Female ; Fluorescent Antibody Technique ; Glucose ; Health aspects ; Immunohistochemistry ; Kinases ; Laboratory animals ; Male ; Medical research ; Microvessels - metabolism ; Microvessels - physiology ; Negative-Pressure Wound Therapy ; Perfusion (Physiology) ; pericytes ; Pericytes - physiology ; Phosphorylation ; Pressure ulcers ; Rats ; Receptor, TIE-2 - metabolism ; Regional Blood Flow ; Rodents ; vessel maturation ; Wound healing ; Wound Healing - physiology</subject><ispartof>International journal of molecular medicine, 2017-11, Vol.40 (5), p.1415-1425</ispartof><rights>Copyright: © Ma et al.</rights><rights>COPYRIGHT 2017 Spandidos Publications</rights><rights>Copyright Spandidos Publications UK Ltd. 2017</rights><rights>Copyright: © Ma et al. 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c584t-e3f5e4b75754e2ae7989e72c636bc16ab34612ac81d711b21cf46ec81b6490943</citedby><cites>FETCH-LOGICAL-c584t-e3f5e4b75754e2ae7989e72c636bc16ab34612ac81d711b21cf46ec81b6490943</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,5571,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28901392$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ma, Zhanjun</creatorcontrib><creatorcontrib>Li, Zonghuan</creatorcontrib><creatorcontrib>Shou, Kangquan</creatorcontrib><creatorcontrib>Jian, Chao</creatorcontrib><creatorcontrib>Li, Pengcheng</creatorcontrib><creatorcontrib>Niu, Yahui</creatorcontrib><creatorcontrib>Qi, Baiwen</creatorcontrib><creatorcontrib>Yu, Aixi</creatorcontrib><title>Negative pressure wound therapy: Regulating blood flow perfusion and microvessel maturation through microvascular pericytes</title><title>International journal of molecular medicine</title><addtitle>Int J Mol Med</addtitle><description>Negative pressure wound therapy (NPWT) has been demonstrated to accelerate wound healing by promoting angiogenesis. 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subjects Angiotensin I - genetics
Angiotensin I - metabolism
Animals
Biomarkers
Blood flow
blood flow perfusion
Collagen
collagen type IV
Diabetes
Diabetes Mellitus, Experimental
Fasting
Female
Fluorescent Antibody Technique
Glucose
Health aspects
Immunohistochemistry
Kinases
Laboratory animals
Male
Medical research
Microvessels - metabolism
Microvessels - physiology
Negative-Pressure Wound Therapy
Perfusion (Physiology)
pericytes
Pericytes - physiology
Phosphorylation
Pressure ulcers
Rats
Receptor, TIE-2 - metabolism
Regional Blood Flow
Rodents
vessel maturation
Wound healing
Wound Healing - physiology
title Negative pressure wound therapy: Regulating blood flow perfusion and microvessel maturation through microvascular pericytes
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