皮肤切创愈合中caspase-3表达的免疫组化研究

目的探讨皮肤切创损伤愈合过程中,caspase-3在损伤区内的表达以及不同损伤时间caspase-3的变化规律。方法应用免疫组织化学技术对33例不同损伤时间小鼠皮肤切创组织中caspase-3的表达进行研究。同时以3例非切创小鼠皮肤组织做对照。结果伤后6h的损伤皮肤组织中可见少量中性粒细胞表达caspase-3,伤后12～24h,大部分浸润的中性粒细胞及部分单核细胞为caspase-3阳性。随伤后时间延长,caspase-3阳性细胞以单核细胞及成纤维细胞为主。伤后0～3h,caspase-3阳性细胞比率较低,为(4.53±6.53)%,12h后逐渐增加,伤后3d达高峰,为(62.66±4.84)%,其后逐渐下降。结论小鼠皮肤损伤愈合过程中,caspase-3可能在诱导损伤区内中性粒细胞、单核巨噬细胞及成纤维细胞发生凋亡过程中发挥重要作用,同时,caspase-3的规律性表达可用于损伤时间的推断。

An immunohistochemical study on the expression of caspase-3 in the skin wound healing

OBJECTIVE: To investigate the expression of caspase-3 during skin wound healing and explore the applicability of caspase-3 to determination of wound age. METHODS: The expression of caspase-3 were performed on 33 mice skin incised wounds at different posttraumatic intervals and 3 mice as control by immunohistochemical technique. RESULTS: Expression of caspase-3 was detectable in polymorphonuclear cells (PMNs) in the wound specimens aged 6 h. In the wound specimens aged from 12 h to 24 h after injury, caspase-3 was identified in a large number of infiltrating PMNs and part of mononuclear cells (MNCs). Afterwards, the MNCs and fibroblastic cells (FBCs) accounted in the most part of the caspase-3 positive cells. Morphometrically, the ratio of the number of the caspase-3 stained PMNs, MNCs and FBCs to total number of the cells in the wounds was evaluated and calculated. The ratio of the caspase-3 positive cells was low in the wound specimens aged from 0 h to 3 h (4.53 +/- 6.53)%, and maximized in the wound specimens aged 3 day (62.66 +/- 4.84)%. Thereafter, the ratio decreased and minimized in the specimens aged 14 day (21.56 +/- 4.54)%. CONCLUSION: The results suggest that caspase-3 may play an important role in inducing neutrophil, macrophage and fibroblast apoptosis during skin wound healing. Furthermore, caspase-3 may be used as a marker for the wound age determination.