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Updated: Nov 2, 2025

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Murine Excisional Wound Healing Model and Histological Morphometric Wound Analysis
Published on: August 21, 2020
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Histology Scoring System for Murine Cutaneous Wounds
Mari van de Vyver1, Kiara Boodhoo1, Trivia Frazier2
1Division of Clinical Pharmacology, Department of Medicine, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.
Stem Cells and Development
|June 16, 2021
Summary
A new scoring system, SPOT, standardizes wound healing assessment using H&E or MT staining. This validated system accurately quantifies healing dynamics across various murine wound models.
Area of Science:
- Histopathology
- Wound Healing Research
- Biomedical Science
Background:
- Accurate monitoring of wound progression is crucial for molecular studies and therapeutic efficacy evaluation.
- Current histopathological analysis lacks a standardized, reproducible scoring system for wound healing dynamics.
- Existing methods present variability and investigator bias, hindering consistent assessment.
Purpose of the Study:
- To develop and statistically validate a reproducible scoring system for assessing wound healing dynamics.
- To establish a standardized method using Hematoxylin & Eosin (H&E) or Masson's Trichrome (MT) staining.
- To define clear parameters for evaluating re-epithelization, granulation tissue, and remodeling.
Main Methods:
- Optimized and clarified wound healing parameters to minimize bias and variability.
- Compared consistency of H&E versus MT staining for parameter assessment.
- Validated the scoring system across four murine skin wound models (excisional, punch biopsy, pressure ulcers, burn wounds).
- Utilized blinded, randomized analysis by independent investigators on 54 histology sections.
Main Results:
- Developed the SPOT (Stellenbosch University, Polish Academy of Sciences, Obatala Sciences, University of Texas Southwestern) skin wound score.
- Achieved high sensitivity for each parameter, ranging from 80% to 95%.
- Demonstrated accuracy and reproducibility across different wound types and investigator groups.
- Established a scoring range from 0 (unhealed) to 12 (completely healed without excessive scarring).
Conclusions:
- The SPOT score provides a standardized and validated method for assessing wound healing dynamics.
- This system enhances reproducibility in histopathological analysis of wound biopsies.
- The SPOT score is applicable to various wound models and staining techniques (H&E, MT).

