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Short-term influences of radiation on musculofascial healing in a laparotomy rat model
- Source :
- Scientific Reports, Vol 9, Iss 1, Pp 1-11 (2019), Scientific Reports
- Publication Year :
- 2019
- Publisher :
- Nature Publishing Group, 2019.
-
Abstract
- Preoperative radiation is associated with an increased risk of wound complications. However, the influences of radiation on musculofascial wound healing remains unclear. The purpose of the study was to investigate the short-term effects of preoperative local radiation on the musculofascial healing of laparotomy incisions in a rat model. Eighteen Fischer 344 rats received radiation doses of 0, 10, or 20 Gy to the abdominal wall and underwent laparotomy 4 weeks later. Two weeks after laparotomy, samples of irradiated muscle were harvested for mechanical tests, histological (Hematoxylin & Eosin, and Masson’s Trichrome) and immunohistochemical analyses using KI67, CD31, TGF-β, and MYOD1 antibodies. The elastic modulus (EM), maximum strain (MS), and ultimate tensile strength (UTS) in the 20-Gy group were significantly weaker than those in the 0-Gy group. The EM and UTS in the 20-Gy group were significantly lower than those in the 10-Gy group. The UTS and MS in the 10-Gy group were significantly lower than those in the 0-Gy group. The mean number of inflammatory cells per mm2 in the 20-Gy group was significantly larger than those in the 10- and 0-Gy groups. The mean numbers of CD31-, KI67-, and MYOD1-positive cells, the optical density of TGF-β, and the microvessel density in the 20-Gy group were significantly smaller than those in the 10- and 0-Gy groups. These results indicated that radiation delays musculofascial healing and decreases mechanical strength of the laparotomy incision by creating a chronic inflammatory environment, inhibiting cell proliferation, angiogenesis, granulation maturation, collagen deposition, and muscular regeneration in a dose-dependent manner. The impaired biomechanical, histological and molecular properties may be associated with the higher risk of wound complications in patients who undergo radiotherapy prior to laparotomy.
- Subjects :
- 0301 basic medicine
CD31
Male
medicine.medical_specialty
Time Factors
Angiogenesis
medicine.medical_treatment
Urology
H&E stain
lcsh:Medicine
Tissue Adhesions
Article
Abdominal wall
03 medical and health sciences
0302 clinical medicine
Trichrome
Transforming Growth Factor beta
Laparotomy
medicine
Animals
Fascia
lcsh:Science
MyoD Protein
Wound Healing
Multidisciplinary
Radiation
business.industry
Muscles
lcsh:R
Rats, Inbred F344
3. Good health
Radiation therapy
Experimental models of disease
Platelet Endothelial Cell Adhesion Molecule-1
Disease Models, Animal
030104 developmental biology
medicine.anatomical_structure
Ki-67 Antigen
Preclinical research
lcsh:Q
Wound healing
business
030217 neurology & neurosurgery
Subjects
Details
- Language :
- English
- ISSN :
- 20452322
- Volume :
- 9
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Scientific Reports
- Accession number :
- edsair.doi.dedup.....af825002959a1d1c1cb2f1199f0ea651