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Hyperoxia improves microvascular perfusion in a murine wound model.
Ahmad Y Sheikh1, Mark D Rollins, Harriet W Hopf
1Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Summary
Laser Doppler imaging noninvasively measures wound healing. Intermittent hyperbaric oxygen (HBO) therapy significantly increased wound perfusion, demonstrating its potential for monitoring angiogenesis.
Area of Science:
- Biomedical Engineering
- Wound Healing Research
- Regenerative Medicine
Background:
- Assessing wound angiogenesis noninvasively is crucial for effective treatment.
- Hyperoxia is known to promote new blood vessel formation in wounds.
- Previous studies have not confirmed enhanced wound perfusion with periodic hyperbaric oxygen (HBO) therapy.
Purpose of the Study:
- To investigate laser Doppler imaging's ability to detect and quantify angiogenesis enhancement.
- To assess the impact of intermittent hyperbaric oxygen (HBO) on wound bed perfusion.
- To establish a noninvasive method for monitoring wound healing.
Main Methods:
- Full-thickness dermal wounds were created in mice.
- Animals were randomized into hyperoxic (n=14) and control (n=15) groups.
- Hyperbaric oxygen was administered twice daily at 2.1 atm for 90 minutes over 7 days.
- Laser Doppler imaging measured wound bed perfusion on days 0, 7, and 10 postwounding.
Main Results:
- Wound blood flow increased significantly over baseline in the hyperoxic group on days 7 and 10.
- The control group showed a significant increase only on day 10.
- HBO-treated animals exhibited a statistically significant 20% increase in wound perfusion compared to controls on day 10 (p=0.05).
Conclusions:
- Laser Doppler imaging successfully detected and quantified increased wound perfusion due to intermittent HBO.
- This technique shows promise as a noninvasive tool for assessing angiogenesis and monitoring wound healing.
- Intermittent HBO therapy enhances wound bed perfusion, supporting its role in wound angiogenesis.