PMID- 31502009 OWN - NLM STAT- MEDLINE DCOM- 20200203 LR - 20200225 IS - 1573-4838 (Electronic) IS - 0957-4530 (Linking) VI - 30 IP - 9 DP - 2019 Sep 9 TI - An injectable thermosensitive hydrogel for sustained release of apelin-13 to enhance flap survival in rat random skin flap. PG - 106 LID - 10.1007/s10856-019-6306-y [doi] AB - With the advantage of handy process, random pattern skin flaps are generally applied in limb reconstruction and wound repair. Apelin-13 is a discovered endogenous peptide, that has been shown to have potent multiple biological functions. Recently, thermosensitive gel-forming systems have gained increasing attention as wound dressings due to their advantages. In the present study, an apelin-13-loaded chitosan (CH)/beta-sodium glycerophosphate (beta-GP) hydrogel was developed for promoting random skin flap survival. Random skin flaps were created in 60 rats after which the animals were categorized to a control hydrogel group and an apelin-13 hydrogel group. The water content of the flap as well as the survival area were then measured 7 days post-surgery. Hematoxylin and eosin staining was used to evaluate the flap angiogenesis. Cell differentiation 34 (CD34) and vascular endothelial growth factor (VEGF) levels were detected by immunohistochemistry and Western blotting. Tumor necrosis factor-alpha (TNF-alpha) and interleukin-6 (IL-6) were assessed by enzyme linked immunosorbent assays (ELISAs). Oxidative stress was estimated via the activity of tissue malondialdehyde (MDA) and superoxide dismutase (SOD). Our results showed that CH/beta-GP/apelin-13 hydrogel could not only reduce the tissue edema, but also improve the survival area of flap. CH/beta-GP/apelin-13 hydrogel also upregulated levels of VEGF protein and increased mean vessel densities. Furthermore, CH/beta-GP/apelin-13 hydrogel was shown to significantly inhibit the expression of TNF-alpha and IL-6, along with increasing the activity of SOD and suppressing the MDA content. Taken together, these results indicate that this CH/beta-GP/apelin-13 hydrogel may be a potential therapeutic way for random pattern skin flap. FAU - Zheng, Wenhao AU - Zheng W AD - Department of Orthopaedic Surgery, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, 325000, Wenzhou, China. FAU - Wang, Jinwu AU - Wang J AD - Department of Orthopaedic Surgery, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, 325000, Wenzhou, China. FAU - Xie, Linzhen AU - Xie L AD - Department of Orthopaedic Surgery, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, 325000, Wenzhou, China. FAU - Xie, Huanguang AU - Xie H AD - Department of Orthopaedic Surgery, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, 325000, Wenzhou, China. FAU - Chen, Chunhui AU - Chen C AD - Department of Orthopaedic Surgery, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, 325000, Wenzhou, China. FAU - Zhang, Chuanxu AU - Zhang C AD - Department of Orthopaedic Surgery, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, 325000, Wenzhou, China. FAU - Lin, Dingsheng AU - Lin D AD - Department of Orthopaedic Surgery, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, 325000, Wenzhou, China. FAU - Cai, Leyi AU - Cai L AD - Department of Orthopaedic Surgery, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, 325000, Wenzhou, China. caileyi@wmu.edu.cn. LA - eng PT - Journal Article DEP - 20190909 PL - United States TA - J Mater Sci Mater Med JT - Journal of materials science. Materials in medicine JID - 9013087 RN - 0 (Delayed-Action Preparations) RN - 0 (Hydrogels) RN - 0 (Intercellular Signaling Peptides and Proteins) RN - 0 (apelin-13 peptide) RN - 4Y8F71G49Q (Malondialdehyde) SB - IM MH - Animals MH - Body Temperature/physiology MH - Delayed-Action Preparations/administration & dosage/pharmacokinetics MH - Drug Evaluation, Preclinical MH - Graft Survival/*drug effects MH - Hydrogels/administration & dosage/pharmacokinetics MH - Intercellular Signaling Peptides and Proteins/*administration & dosage/*pharmacokinetics MH - Male MH - Malondialdehyde/metabolism MH - Necrosis/pathology/prevention & control MH - Oxidative Stress/drug effects MH - Rats MH - Rats, Sprague-Dawley MH - Skin/*drug effects/metabolism/pathology MH - Skin Physiological Phenomena/drug effects MH - Skin Transplantation/*methods MH - Surgical Flaps/physiology/transplantation MH - *Temperature EDAT- 2019/09/11 06:00 MHDA- 2020/02/06 06:00 CRDT- 2019/09/11 06:00 PHST- 2019/04/05 00:00 [received] PHST- 2019/08/29 00:00 [accepted] PHST- 2019/09/11 06:00 [entrez] PHST- 2019/09/11 06:00 [pubmed] PHST- 2020/02/06 06:00 [medline] AID - 10.1007/s10856-019-6306-y [pii] AID - 10.1007/s10856-019-6306-y [doi] PST - epublish SO - J Mater Sci Mater Med. 2019 Sep 9;30(9):106. doi: 10.1007/s10856-019-6306-y.