C1 Inhibitor Administration Reduces Local Inflammation and Capillary Leakage, Without Affecting Long-term Wound Healing Parameters, in a Pig Burn Wound Model

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BACKGROUND: Burns induce a boost in local and systemic complement levels as well as immune cell infiltration in the burn wound, which may negatively affect wound healing.

OBJECTIVE: In this study, the effects of long-term treatment with complement inhibitor C1 esterase inhibitor (C1inh) on post-burn inflammation and wound healing parameters were analyzed in time up to 60 days post-burn.

METHODS: Burned pigs were treated either with or without C1inh up to 15 days post-burn. Burn wound biopsies and blood were collected at different time points up to 60 days post-burn. Thereafter, complement in blood as well as complement and immune cells in the wound, capillary leakage, necrosis, reepithelialization and wound contraction were quantified.

RESULTS: No significant differences in complement C3 blood levels were observed at any time point between C1inh-treated and control pigs. In the wound, complement C4 levels were significantly lower in the C1inh group than in controls at day 3-6 and 21-30 post-burn. Similarly, C3 levels, neutrophil and macrophage infiltration in the wound were, although not statistically significant, reduced in C1inh-treated pigs at day 9-14 post-burn. No differences in lymphocyte infiltration in the wound were found between C1inh and control pigs. C1inh-treated pigs also showed reduced capillary leakage. Despite these effects, no significant differences in the long-term wound healing parameters necrosis, reepithelialization and wound contraction were observed between C1inh and control pigs.

CONCLUSION: In pigs, 15 days of C1inh treatment after burn, leads to a reduction in local inflammation and capillary leakage in the burn wound without affecting long-term wound healing parameters.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:20

Enthalten in:

Anti-inflammatory & anti-allergy agents in medicinal chemistry - 20(2021), 2 vom: 02., Seite 150-160

Sprache:

Englisch

Beteiligte Personen:

Korkmaz, Halil Ibrahim [VerfasserIn]
Ulrich, Magda M W [VerfasserIn]
Wieringen, Wessel N Van [VerfasserIn]
Doǧan, Hatice [VerfasserIn]
Vlig, Marcel [VerfasserIn]
Emmens, Reindert W [VerfasserIn]
Meyer, Klaas W [VerfasserIn]
Sinnige, Paul [VerfasserIn]
Zeerleder, Sacha [VerfasserIn]
Wouters, Diana [VerfasserIn]
Ham, Marieke S Van [VerfasserIn]
Zuijlen, Paul P M Van [VerfasserIn]
Krijnen, Paul A J [VerfasserIn]
Niessen, Hans W M [VerfasserIn]

Links:

Volltext

Themen:

Burn wound
C1 inhibitor
Capillary leakage
Complement
Complement C1 Inhibitor Protein
Inflammation
Journal Article
Pig burn wound model
Wound healing

Anmerkungen:

Date Completed 23.11.2021

Date Revised 23.11.2021

published: Print

Citation Status MEDLINE

doi:

10.2174/1871523019666200702101513

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM311925545