Assessment of Healing Potential of Bombyx mori L. (Silkworm) Derivatives on Second-Degree Burns: Dose-Response and Combination Therapy Analysis.

Evrydiki Katsikari, Alexandra Kyriaki, Andreas Vitsos, Margarita Vidali, Paschalis Harizanis, Ioannis Sfiniadakis, Maria Kostaki, Dimitra Ieronymaki, Asimina Terezaki, Georgios Ladopoulos, Chara Albani, Christina Barda, Michail Christou Rallis
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Abstract

Background/Objectives: Burn injuries present significant treatment challenges due to the intricate nature of the healing process. Bombyx mori L. (silkworm) derivatives, containing healing-promoting proteins such as sericin and fibroin, as well as the anti-inflammatory enzyme serrapeptase, have shown promise as potential healing agents. This study aimed to identify the optimal dosage of silkworm body and gland extracts for burn healing, compare the selected dose's effectiveness with that of silkworm cocoons, and assess the combined healing effects of a cocoon dressing and a silkworm body extract gel. Methods: An experimental model was employed using hairless SKH-hr2 female mice subjected to standardized second-degree burns. The mice received treatments with various formulations of silkworm body and gland extracts, silkworm cocoons, and a combined application of a cocoon dressing and silkworm body extract gel. Results: The most effective treatments were the cocoon dressing and the combination of cocoon dressing with 60% body extract gel. By Day 20, complete healing (100%) was observed in the 20% and 60% body and gland extract groups, while the cocoon and 60% gland extract groups exhibited 60% healing, significantly higher than the control group (0% healing). Wound contraction analysis showed the greatest reduction in surface area from Day 3 to Day 17 in the cocoon and 60% body extract groups (p < 0.05). Histopathological assessments revealed that the combination group exhibited the least tissue damage (score: 7), compared to the control (score: 10-13). Conclusions: The study highlights the poorly examined therapeutic potential of silkworm body and gland extracts, demonstrating their efficacy in accelerating burn healing. The effects observed by the silkworm cocoon and body extract suggests a novel and promising approach for burn wound management, warranting further clinical exploration.

家蚕衍生物对二度烧伤愈合潜力的评价:剂量-反应和联合治疗分析。
背景/目的:由于愈合过程的复杂性,烧伤的治疗面临着重大挑战。家蚕(Bombyx mori L.)衍生物含有促进愈合的蛋白质,如丝胶蛋白和丝素蛋白,以及抗炎酶serrapeptase,已显示出作为潜在愈合剂的希望。本研究旨在确定蚕体和腺提取物用于烧伤愈合的最佳剂量,并将所选剂量与蚕茧的效果进行比较,并评估蚕茧敷料和蚕体提取物凝胶的联合愈合效果。方法:采用标准化二度烧伤无毛雌性小鼠SKH-hr2建立实验模型。小鼠接受了各种配方的蚕体和腺体提取物、蚕茧以及蚕茧敷料和蚕体提取物凝胶的联合应用。结果:蚕茧敷料和蚕茧敷料与60%体提取物凝胶联合使用是最有效的治疗方法。到第20天,20%和60%体和腺体提取物组的愈合率为100%,而茧和60%腺体提取物组的愈合率为60%,显著高于对照组(0%愈合)。创面收缩分析显示,第3 ~ 17天创面面积减少幅度最大的是蚕茧组和60%体提取物组(p < 0.05)。组织病理学评估显示,与对照组(得分:10-13)相比,联合组表现出最小的组织损伤(得分:7)。结论:该研究强调了蚕体和腺体提取物的治疗潜力,证明了它们在加速烧伤愈合方面的功效。蚕茧和蚕体提取物的作用提示了一种新的有前途的烧伤创面治疗方法,值得进一步的临床探索。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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