PMID- 24324974 OWN - NLM STAT- MEDLINE DCOM- 20140729 LR - 20220316 IS - 2314-6141 (Electronic) IS - 2314-6133 (Print) VI - 2013 DP - 2013 TI - Chitosan dermal substitute and chitosan skin substitute contribute to accelerated full-thickness wound healing in irradiated rats. PG - 795458 LID - 10.1155/2013/795458 [doi] LID - 795458 AB - Wounds with full-thickness skin loss are commonly managed by skin grafting. In the absence of a graft, reepithelialization is imperfect and leads to increased scar formation. Biomaterials can alter wound healing so that it produces more regenerative tissue and fewer scars. This current study use the new chitosan based biomaterial in full-thickness wound with impaired healing on rat model. Wounds were evaluated after being treated with a chitosan dermal substitute, a chitosan skin substitute, or duoderm CGF. Wounds treated with the chitosan skin substitute showed the most re-epithelialization (33.2 +/- 2.8%), longest epithelial tongue (1.62 +/- 0.13 mm), and shortest migratory tongue distance (7.11 +/- 0.25 mm). The scar size of wounds treated with the chitosan dermal substitute (0.13 +/- 0.02 cm) and chitosan skin substitute (0.16 +/- 0.05 cm) were significantly decreased (P < 0.05) compared with duoderm (0.45 +/- 0.11 cm). Human leukocyte antigen (HLA) expression on days 7, 14, and 21 revealed the presence of human hair follicle stem cells and fibroblasts that were incorporated into and surviving in the irradiated wound. We have proven that a chitosan dermal substitute and chitosan skin substitute are suitable for wound healing in full-thickness wounds that are impaired due to radiation. FAU - Mohd Hilmi, Abu Bakar AU - Mohd Hilmi AB AD - Reconstructive Sciences Unit, School of Medical Sciences, Universiti Sains Malaysia, 16150 Kelantan, Malaysia. FAU - Halim, Ahmad Sukari AU - Halim AS FAU - Jaafar, Hasnan AU - Jaafar H FAU - Asiah, Abu Bakar AU - Asiah AB FAU - Hassan, Asma AU - Hassan A LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20131113 PL - United States TA - Biomed Res Int JT - BioMed research international JID - 101600173 RN - 0 (Biocompatible Materials) RN - 9012-76-4 (Chitosan) SB - IM MH - Animals MH - Biocompatible Materials/chemistry/*therapeutic use MH - Chitosan/chemistry/*therapeutic use MH - Disease Models, Animal MH - Fibroblasts/cytology MH - Humans MH - Rats MH - *Skin Transplantation MH - Skin, Artificial MH - *Wound Healing PMC - PMC3845726 EDAT- 2013/12/11 06:00 MHDA- 2014/07/30 06:00 PMCR- 2013/11/13 CRDT- 2013/12/11 06:00 PHST- 2013/07/04 00:00 [received] PHST- 2013/09/12 00:00 [revised] PHST- 2013/09/29 00:00 [accepted] PHST- 2013/12/11 06:00 [entrez] PHST- 2013/12/11 06:00 [pubmed] PHST- 2014/07/30 06:00 [medline] PHST- 2013/11/13 00:00 [pmc-release] AID - 10.1155/2013/795458 [doi] PST - ppublish SO - Biomed Res Int. 2013;2013:795458. doi: 10.1155/2013/795458. Epub 2013 Nov 13.