Effects of the application of the amniotic membrane in the healing process of skin wounds in rats

Acta Cir Bras. 2018 Feb;33(2):144-155. doi: 10.1590/s0102-865020180020000006.

Abstract

Purpose: To evaluate the efficacy of the application of the human amniotic membrane (HAM) on the inflammatory process, fibroblast proliferation, formation of collagenand reduction of skin wound areas in rats.

Methods: Thirty six rats were submitted to a surgical injury induction and divided into two groups (n = 18): group C (control) and T (treated with the HAM). The macroscopic evolution in the wound area and the histological characteristics of the skin samples were evaluated.

Results: The regression of the wound area was greater in group T. The histological analysis revealed a significant reduction (p < 0.05) in the inflammatory infiltrate in group T at all experimental periods compared with that in the control group. Furthermore, the group T presented a significant increase in the proliferation of fibroblasts at 14 and 21 days compared with group C (p < 0.05). Regarding the deposition of mature collagen fibers, there was an increase in the replacement of type III collagen by type I collagen in group T (p < 0.05).

Conclusion: Treatment with the HAM reduced the healing time as well as the inflammatory responses, increased the proliferation of fibroblasts, and induced a higher concentration of mature collagen fibers.

MeSH terms

  • Amnion / chemistry
  • Amnion / transplantation*
  • Animals
  • Biological Dressings*
  • Collagen / pharmacology*
  • Collagen Type I / metabolism
  • Collagen Type I / pharmacology
  • Collagen Type III / metabolism
  • Collagen Type III / pharmacology
  • Disease Models, Animal
  • Fibroblasts / metabolism
  • Fibroblasts / pathology
  • Humans
  • Inflammation / metabolism
  • Male
  • Random Allocation
  • Rats
  • Rats, Wistar
  • Skin / injuries*
  • Skin / pathology
  • Wound Healing / drug effects
  • Wound Healing / physiology*

Substances

  • Collagen Type I
  • Collagen Type III
  • Collagen