Tissue Eng Regen Med.  2016 Feb;13(1):78-90. 10.1007/s13770-015-0055-x.

Effect of Mesenchymal Stem Cells and Platelet-Derived Growth Factor on the Healing of Radiation Induced Ulcer in Rats

Affiliations
  • 1Department of Oral & Maxillofacial Surgery, School of Dentistry, Brain Korea 21 Plus, Dental Research Institute, Seoul National University, Seoul, Korea. sjhwang@snu.ac.kr
  • 2Department of Radiation Oncology, Seoul National University Hospital, Seoul, Korea.

Abstract

Radiation-induced skin ulceration is a frequent complication of radiation therapy. This study investigated the effects of rat mesenchymal stem cells (rMSCs) and platelet-derived growth factor (PDGF) on the healing of radiation-induced soft tissue injury. Sprague-Dawley rats (n=17) were irradiated on the right and left buttocks with a single dose of 50 Gy. The right buttocks were administered with phosphate-buffered solution as a control. The left buttocks were administered with either rMSCs (2×10⁶ cells), PDGF (8 µg), or PDGF combined with rMSCs. Administration was done at three weeks after irradiation. Wound healing was analyzed by calculating the percentage of residual ulcerated skin area compared to the total irradiated area during the five week healing period after administration. Modified skin scores were also assessed. Finally, skin lesions were histologically evaluated. More than 40% of the irradiated skin area within the irradiated zone underwent ulceration within 16 days postirradiation, with peak ulceration exceeding 50% around three weeks post-irradiation. Administration of rMSCs or PDGF alone did not confer any significant healing effect. The combined rMSCs+PDGF treatment significantly reduced the wound size compared with the nontreated control up to two weeks postinjection. Regarding the histological examination, lesions administered with PDGF (either alone or mixed with rMSCs) resulted in a greater deposition of highly organized collagen fibers throughout the dermis layer, compared with the control. In conclusion, the combined administration of rMSCs and PDGF efficiently enhanced the healing of radiation-induced skin ulceration.

Keyword

Mesenchymal stem cell; Platelet-derived growth factor; Radiation; Ulceration; Healing

MeSH Terms

Animals
Buttocks
Collagen
Dermis
Mesenchymal Stromal Cells*
Platelet-Derived Growth Factor*
Rats*
Rats, Sprague-Dawley
Skin
Skin Ulcer
Soft Tissue Injuries
Ulcer*
Wound Healing
Wounds and Injuries
Collagen
Platelet-Derived Growth Factor
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