病理性瘢痕裸鼠模型的建立

目的 验证所构建裸鼠瘢痕疙瘩和增生性瘢痕模型在病理性瘢痕研究中的可行性。方法 将0．8cm×0．8cm×0．5cm的人瘢痕疙瘩和增生性瘢痕组织块移植到裸鼠皮下，大体观察裸鼠及植入物情况。移植后第16天取出移植物与原标本进行下列指标的比较：体积、瘢痕的镜下特征、酸性黏多糖含量及Ⅰ、Ⅱ型胶原含量。结果 移植后裸鼠全部存活且创面愈合良好。瘢痕疙瘩、增生性瘢痕组织块的酸性黏多糖含量移植前分别为3448±1452、1940±509，移植后分别为3237±1871、1809±552，移植前后比较，差异无统计学意义（P〉0．05）。植入物保持着原有的胶原特性及含量，未检测到细胞变性坏死。结论 增生性瘢痕和瘢痕疙瘩以适当体积移植到裸鼠皮下，其生物学特性可在一定时间内保持稳定，该动物模型适用于病理性瘢痕的临床研究。

Replication of pathological scar in nude mice

OBJECTIVE: To investigate the feasibility of reproduce hypertrophic scar and keloid in nude mice in the study of pathological scars. METHODS: Pieces (0.8 x 0.8 x 0.5 cm) of hypertrophic scars and keloids were implanted into subcutaneous tissue of the nude mice for 16 days, during this period the gross condition of the nude mice and the state of the implants were observed. The implants were extracted after 16 days, and the volume, the microscopic characteristics of the scar, the content of acid mucopolysaccharide, and different types of collagen were determined and compared with that of the original specimens. RESULTS: All mice survived with nice wound healing after the surgery. There was no obvious difference in the acid mucopolysaccharide content in keloid and hyperplastic scar before implantation (3448 +/- 1452, 1940 +/- 509), and after implantation (3237 +/- 1871, 1809 +/- 552, P > 0.05). The implants maintained the collagen pattern, with no signs of cell degeneration and necrosis. CONCLUSION: This experiment showed that the viability and morphology of hypertrophic scars and keliods were maintained after they were implanted in nude mice. Therefore it is feasible to use nude mice as the animal model in the study of hypertrophic scars and keliods.