Infl uence of protein malnutrition on cutaneous wound healing in rats

Autores

  • Laura Amélia Santos SAMPAIO Universidade Federal da Bahia
  • Jéssica Santos COSTA Universidade Federal da Bahia
  • Tila Fortuna Costa FREIRE Universidade Federal da Bahia
  • Sílvia Regina de Almeida REIS Escola Bahiana de Medicina e Saúde Pública
  • Tereza Cristina Bomfi m de Jesus DEIRÓ Universidade Federal da Bahia
  • Alena Ribeiro Alves Peixoto MEDRADO Escola Bahiana de Medicina e Saúde Pública

Palavras-chave:

Collagen, Malnutrition, Protein malnutrition, Wound healing

Resumo

Objective
Investigate histological changes related to infl ammatory response and collagen expression during wound healing in rats with protein malnutrition.

Methods
Twenty male Wistar rats underwent cutaneous surgery and were divided into two experimental groups: Malnourished (8% casein diet); Nourished (17% casein diet). Animals were euthanized after 5th and 10th days, descriptive and quantitative analyses were performed on sections stained with hematoxylin-eosin and sirius red, respectively. Statistical analysis of data using nonparametric Fisher's exact test with p<0.05 was carried out.

Results
At fi ve days, increased fi broblast proliferation (p<0.01) and collagen expression (p<0.05) was observed in N5 group. After ten days, N10 and MN10 animals showed higher amount of granulation tissue and edema/infl ammatory infi ltrate independent of nutritional status (p>0.05), only N10 group showed fi broblast proliferation (p<0.01) and increased collagen expression (p<0.01).

Conclusion
Protein malnutrition seems not to influence inflammatory phase of healing, whereas it negatively effects fibroblast proliferation and collagen synthesis.

Referências

Silva D, Valente A, Borges A, Dias C, Almeida F, Cruz JL, et al. Avaliação entre o estado nutricional materno e o de uma população infantil de São Tomé e Príncipe “África”. Rev Bras Saúde Matern Infant. 2017;17(2):337-45.

Benício MHDA, Martins APB, Venancio SI, Barros AJD. Estimates of the prevalence of child malnutrition in Brazilian municipalities in 2006. Rev Saúde Pública. 2013;47(3):560-70.

Emery PW. Metabolic changes in malnutrition. Eye. 2005;19(10):1029-34.

Santos TMP, Silva AKS, Santos CBA, Souza MSG, Lacerdas DC, Santos Júnior JA, et al. Desnutrição:uma enfermidade presente no contexto hospitalar. Sci Med. 2015;25(4):1-9. http://dx.doi.org/10.15448/1980-6108.2015.4.21370

Hunt ND, Li GD, Zhu M, Miller M, Levette A, Chachich ME, et al. Effect of calorie restriction and refeeding on skin wound healing in the rat. Age. 2012;34(6):1453-8. http://dx.doi.org/10.1007/s11357-011-9321-6

Leite SN, Jordão Júnior AA, Andrade TAM, Masson DS, Frade MAC. Modelos experimentais de desnutrição e sua influência no trofismo cutâneo. An Bras Dermat. 2011;86(4):681-8.

Quain AM, Khardori NM. Nutrition in wound care management: A comprehensive overview. Wounds. 2015;27(12):327-35.

Serpa LF, Santos VG. Desnutrição como fator de risco para o desenvolvimento de úlceras por pressão. Acta Paul Enferm. 2008;21(2):367-9.

Demling RH. Nutrition, anabolism, and the wound healing process: An overview. Eplasty. 2009;9:e9.

Arnold M, Barbul A. Nutrition and wound healing. Plast Reconst Surg. 2006;117(Suppl.7):42S-58S.

Reeves PG, Nielsen FH, Fahey GC. AIN-93 purified diets for laboratory rodents: Final report of the American Institute of Nutrition Ad Hoc writing Committee on the reformulation of the AIN-76A rodent diet. J Nutrition. 1993;123(10)939-1951.

Carvalho-Santos J, Queirós-Santos A, Morais GL, Santana LHS, Brito MG, Araújo RCS, et al. Efeito do tratamento com triptofano sobre parâmetros do comportamento alimentar em ratos adultos submetidos à desnutrição neonatal. Rev Nutr. 2010;23(4)503-11. http://dx.doi.org/10.1590/S1415-52732010000400001

Lima AAM, Spinola L, Baccan GC, Correia K, Oliva M, Vasconcelos J, et al. Evaluation of corticosterone and il-1β, il-6, il-10 and tnf-α expression after 670nm laser photobiomodulation in rats. Lasers Med Sci. 2014;28(2):709-15.

Koo HM, Yong MS, Na SS. The effect of lowintensity laser therapy (LILT) on cutaneous wound healing and pain relief in rats. J Phys Ther Sci. 2015;27(11):3421-3. http://dx.doi.org/10.1589/jpts.27.3421

Soares ES. Efeitos da laserterapia de 660nm na cicatrização de feridas cirúrgicas: estudo histológico e imunocitoquímico [tese]. João Pessoa: Universidade Federal da Paraíba; 2006.

Gonzalez ACO, Costa TF, Andrade ZA, Medrado ARA. Cicatrização cutânea: uma revisão da literatura. An Bras Dermatol. 2016;91(5):614-20.

Tazima MFGS, Vicente YAMVA, Moriya T. Biologia da ferida e cicatrização. In: Simpósio: Fundamentos em Clínica Cirúrgica; 2008, Ribeirão Preto, Brasil. 2008;41(3):259-64.

Campos ACL, Borges-Branco A, Groth AK. Cicatrização de feridas. Arq Bras Cir Dig. 2007;20(1):51-8.

Abreu JAC, Sousa AL, Alves CLGF, Nunes JT. Análise histológica da cicatrização de feridas cutâneas experimentais sob ação do laser de baixa potência. Sci Med. 2011;21(3):96-100.

Koh TJ, Di Pietro LA. Inflammation and wound healing: The role of the macrophage. Exp Rev Molec Med. 2011;3:e23. http://dx.doi.org/10.1017/S1462399411001943

Isaac C, Ladeira PRS, Rego FMP, Aldunate JCB, Ferreira MC. Processo de cura das feridas: cicatrização fisiológica. Rev Med. 2010;89(3/4):125-31.

Mendonça RJ, Coutinho-Netto J. Cellular aspects of wound healing. An Bras Dermatol. 2009;84(3):257-62.

Anderson K, Hamm RL. Factors that impair wound healing. J Am Colleg Clin Wound Spec. 2014;4(4):84-91.

Raitz R. O papel da matriz extracelular na cicatrização de feridas bucais. Rev Inst Ciênc Saúde. 2008;26(3):351-6.

Almeida DS, Souza APC, Meirelles GCS, Santos JN, Pinheiro ALB. Avaliação histológica da desnutrição na cicatrização de feridas em dorso de ratos. Rev Bras Ciênc Saúde. 2003;7(2):49-56.

Bottoni A, Bottoni A, Rodrigues RC, Celano RMG. Role of nutrition in healing. Rev Ciênc Saúde. 2011;1(1):1-5.

Yamane T, Shimura M, Konno R, Iwatsuki K, Oishi Y. Wound fluid of rats fed protein-free diets delays wound healing through the suppression of the IGF-1/ERK(1/2) signaling pathway. Mol Cell Biochem. 2018;24. http://dx.doi.org/10.1007/s11010-018-3423-8

Alves CC, Torrinhas RS, Giorgi R, Brentani MM, Logullo AF, Waitzberg DL. TGF-β1 expression in wound healing is acutely affected by experimental malnutrition and early enteral feeding. Int Wound J. 2014;11(5):533-9. http://dx.doi.org/10.1111/j.1742-481X.2012.01120.x

Wada A, Sonoda C, Makino Y, Hama Y, Nagahama, A, Harada D. Effects of parenteral amino acid administration on the postoperative nutritional status and wound healing of protein-malnourished rats. J Nut Sci Vitamin. 2018;64(1):34-40. http://dx.doi.org/10.3177/jnsv.64.34

Pertille A, Moura KF, Matsumura CY, Ferretti R, Ramos DM, Petrini AC, et al. Evaluation of skeletal muscle regeneration in experimental model after malnutrition. Braz J Bio. 2016;77(1):83-91. http://dx.doi.org/10.1590/1519-6984.10415

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Publicado

08-03-2023

Como Citar

Santos SAMPAIO, L. A. ., Santos COSTA, J. ., Fortuna Costa FREIRE, T. ., de Almeida REIS, S. R. ., Bomfi m de Jesus DEIRÓ, T. C. ., & Ribeiro Alves Peixoto MEDRADO, A. . (2023). Infl uence of protein malnutrition on cutaneous wound healing in rats. Revista De Nutrição, 31(5). Recuperado de https://periodicos.puc-campinas.edu.br/nutricao/article/view/7688

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ARTIGOS ORIGINAIS