Investigating the therapeutic potential of medical leech and leech saliva extract in flap survival: an in vivo study using rats.

Q2 Medicine
Kübranur Ünal, Mehmet Emre Erol, Duygu Dayanır, Erkan Deniz, Hüseyin Ayhan, Kemal Fındıkçıoğlu
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引用次数: 0

Abstract

Objectives: Medicinal leeches have long been recognized for the bioactive compounds present in their saliva. These compounds have been of interest due to their potential therapeutic properties. This research aimed to explore the impact of both medicinal leech application and the application of medicinal leech saliva extract on wound healing in a rat model with a dorsal random flap in vivo.

Methods: In this in vivo study, a dorsal random skin flap model was created in female Wistar albino rats. Rats were randomly assigned to three groups: control (flap only), medicinal leech therapy (MLT), and leech saliva extract (LSE) injection. Histological, immunohistochemical (VEGF), and ELISA-based biochemical analyses were performed to assess wound healing parameters on postoperative day 7.

Results: The flap necrosis area (%) in Group II and Group III was significantly lower than the control group (p<0.05). Vascular Endothelial Growth Factor (VEGF) (+) cell (%), neovascularisation, epithelial regeneration, and granulation tissue thickness in Group II and Group III were significantly higher than the control group (p<0.05). Also, inflammatory cells in group III were substantially lower than in the control group (p<0.05).

Conclusions: To our knowledge, this study is the first in the literature to examine the effect of medicinal leech extract injection in the flap model. These findings emphasize the potential therapeutic benefits of medicinal leeches and their saliva extract in promoting efficient wound healing, with implications for future clinical applications.

探讨药用水蛭及水蛭唾液提取物对大鼠皮瓣存活的治疗潜力。
目的:药用水蛭因其唾液中存在的生物活性化合物而被公认。这些化合物由于其潜在的治疗特性而引起了人们的兴趣。本研究旨在探讨药用水蛭和药用水蛭唾液提取物对活体大鼠背随机皮瓣模型创面愈合的影响。方法:建立Wistar白化雌性大鼠背侧随机皮瓣模型。大鼠随机分为对照组(皮瓣组)、水蛭药物治疗组(MLT组)和水蛭唾液提取物注射组(LSE组)。术后第7天进行组织学、免疫组织化学(VEGF)和基于elisa的生化分析来评估伤口愈合参数。结果:II组和III组皮瓣坏死面积(%)明显低于对照组(p结论:据我们所知,本研究是文献中首次研究药用水蛭提取物注射液对皮瓣模型的影响。这些发现强调了药用水蛭及其唾液提取物在促进有效伤口愈合方面的潜在治疗益处,对未来的临床应用具有重要意义。
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来源期刊
Journal of Complementary and Integrative Medicine
Journal of Complementary and Integrative Medicine Medicine-Complementary and Alternative Medicine
CiteScore
3.10
自引率
0.00%
发文量
51
期刊介绍: Journal of Complementary and Integrative Medicine (JCIM) focuses on evidence concerning the efficacy and safety of complementary medical (CM) whole systems, practices, interventions and natural health products, including herbal and traditional medicines. The journal is edited by Ed Lui of the University of Western Ontario. Topics: -Quality, efficacy, and safety of natural health products, dietary supplements, traditional medicines and their synthetic duplicates -Efficacy and safety of complementary therapies -Evidence-based medicine and practice, including evidence of traditional use -Curriculum development, educational system and competency of complementary health programs -Methodologies on research and evaluation of traditional medicines and herbal products -Integrative medicine: basic and clinical research and practice -Innovation in CAM Curriculum -Educational Material Design
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