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人脐带源间充质干细胞联合肠道益生菌促进糖尿病小鼠创面愈合

Human umbilical cord-derived mesenchymal stem cells combined with intestinal probiotics promote wound healing in diabetic mice

  • 摘要: 探讨人脐带间充质干细胞(human umbilical cord mesenchymal stem cells,hUCMSCs)联合肠道益生菌对糖尿病小鼠皮肤创面愈合的治疗作用及其潜在机制。采用糖尿病创面小鼠模型,将25只C57BL/6J雄性小鼠随机分为5组,即空白对照组、模型组、hUCMSCs治疗组、益生菌治疗组和hUCMSCs联合益生菌治疗组。分别于造模后第0、3、6、9、12天拍照记录创面愈合情况,并分析各组创面愈合率的差异;HE和Masson染色观察组织病理学变化及胶原沉积情况;CD31免疫荧光检测血管新生情况;Collagen I免疫组化评估Ⅰ型胶原的形成情况;ELISA检测创面皮肤组织和血清中抗炎因子(Arg1)及促炎因子(IL-6、IL-1β、TNF-α)的表达水平。结果显示:造模后第12天,与其他组比较,联合治疗组创面收缩最为明显,愈合速度最快;HE和Masson染色显示,联合治疗组上皮化进程最快且胶原沉积最多;免疫荧光和免疫组化显示,联合治疗组CD31和Collagen I表达量最多;ELISA结果显示,联合治疗组创面皮肤组织和血清中Arg1表达量高于其他组,同时其IL-6、IL-1β、TNF-α表达量明显低于其他组。以上结果表明:hUCMSCs与肠道益生菌联合治疗可通过促进血管新生、增强胶原沉积、调控炎症微环境等机制协同加速糖尿病小鼠创面愈合,其疗效显著优于单一治疗,该研究为糖尿病足的临床治疗提供了新的潜在策略。

     

    Abstract: The therapeutic effect of human umbilical cord mesenchymal stem cells (hUCMSCs) combined with intestinal probiotics on the wound healing of diabetic mice and its potential mechanism were explored. A diabetic wound mouse model was established, and 25 male C57BL/6J mice were randomly divided into five groups: blank control group, model group, hUCMSCs treatment group, probiotics treatment group, and hUCMSCs combined with probiotics treatment group. The wound healing conditions were photographed and recorded on days 0, 3, 6, 9, and 12 after modeling, and the differences in wound healing rates among the groups were analyzed. HE and Masson staining were used to observe the histopathological changes and collagen deposition. CD31 immunofluorescence was used to detect angiogenesis. Collagen I immunohistochemistry was used to evaluate the formation of type I collagen. ELISA was used to detect the expression levels of anti-inflammatory factors (Arg1) and pro-inflammatory factors (IL-6, IL-1β, TNF-α) in wounded skin tissue and serum. The results showed that on day 12 after modeling, compared with the other groups, the combined treatment group had the most significant wound contraction and the fastest healing rate. HE and Masson staining showed that the combined treatment group had the fastest epithelialization and the most collagen deposition. Immunofluorescence and immunohistochemistry showed that the combined treatment group had the highest expression levels of CD31 and Collagen I. ELISA results indicated that the combined treatment group had higher expression levels of Arg1 in wound skin tissue and serum than the other groups, while the expression levels of IL-6, IL-1β, and TNF-α were significantly lower. These results suggest that the combined treatment of hUCMSCs and intestinal probiotics can accelerate wound healing in diabetic mice through mechanisms such as promoting angiogenesis, enhancing collagen deposition, and regulating the inflammatory microenvironment. The therapeutic effect was significantly better than that of single treatment, providing a new potential strategy for the clinical treatment of diabetic foot.

     

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