Open AccessThe Reversal of an Adriamycin® Induced Healing Impairment with Chemoattractants and Growth Factors
Author(s) -
Lawrence Wt,
Jeffrey A. Norton,
Michael B. Sporn,
Catherine M. Gorschboth,
Gary R. Grotendorst
Publication year - 1986
Publication title -
annals of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.153
H-Index - 309
eISSN - 1528-1140
pISSN - 0003-4932
DOI - 10.1097/00000658-198602000-00006
Subject(s) - medicine , chemotaxis , theology , gerontology , receptor , philosophy
Rats treated with 8 mg/kg Adriamycin intravenously 4 days prior to chamber implantation develop impaired wound healing in a wound chamber model. In this study, the effects on healing of supplemental platelet derived growth factor (PDGF), transforming growth factor-beta (TGF-beta), epidermal growth factor (EGF), and insulin were evaluated in chambers extracted from Adriamycin-treated rats 10 and 20 days after implantation. The effects of individual factors, combinations of factors, and different concentrations of TGF-beta were evaluated. The parameters evaluated included collagen content, protein content, cellular proliferation rate, chamber histology, and collagen types. Supplemental TGF-beta alone reversed much of the healing deficit noted. A minimum concentration of 100 ng/ml TGF-beta was required to significantly reverse this deficit. PDGF and EGF alone had no effect. Addition of PDGF and TGF-beta in combination stimulated a significantly higher level of collagen deposit than TGF-beta alone. Addition of EGF in combination with PDGF and TGF-beta restored collagen deposition to 86% of normal. No synergism was seen between TGF-beta and EGF unless PDGF was also present. These data suggest that growth factors contained in platelets may play key roles in initiating the wound healing response and may have clinical utility in healing deficit states.