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Rosuvastatin promotes survival of random skin flaps through AMPK-mTOR pathway-induced autophagy
Hantao Ye1, Feida Li1, Yang Shen1
1Department of Orthopaedics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China; Key Laboratory of Orthopaedics of Zhejiang Province, Wenzhou, Zhejiang, China; The Second School of Medicine, Wenzhou Medical University, Wenzhou, Zhejiang, China.
Abstract:
Plastic surgery frequently employs random skin flaps. However, its clinical applicability is constrained by flap necrosis brought on by ischemia-reperfusion damage. Flap survival is aided by rosuvastatin, a naturally occurring flavonoid primarily obtained from plants. In this research, we looked into the processes mediating the effects of rosuvastatin on flap survival. All experimental mice were randomly assigned to three groups: control, rosuvastatin, and 3-methyladenine (3MA) plus rosuvastatin. These groups were, respectively, treated with dimethyl sulfoxide solution, rosuvastatin, and rosuvastatin combined with 3MA. After that, the animals were euthanized so that histology and protein analyses could determine the extent of angiogenesis, pyroptosis, oxidative stress, and autophagy. In addition to lessening tissue edema, rosuvastatin promoted the survival of the skin flap. Rosuvastatin also promoted angiogenesis, reduced oxidative stress, induced autophagy, and reduced pyroptosis. According to the study's findings, rosuvastatin increases angiogenesis, prevents pyroptosis, and reduces oxidative stress by inducing autophagy, which improves the survival rate of random skin flaps.
Insights
Rosuvastatin, a plant-derived flavonoid, enhances random skin flap survival by promoting angiogenesis and autophagy while reducing pyroptosis and oxidative stress. This study uncovers its therapeutic potential in plastic surgery.
Area of Science:
- Biomedical Engineering
- Molecular Biology
- Plastic Surgery
Background:
- Random skin flaps are crucial in plastic surgery but are prone to necrosis from ischemia-reperfusion injury.
- Flap survival is a significant clinical challenge, necessitating novel therapeutic strategies.
- Rosuvastatin, a flavonoid, has shown potential in aiding flap survival.
Purpose of the Study:
- To investigate the underlying mechanisms by which rosuvastatin improves random skin flap survival.
- To elucidate the role of autophagy, angiogenesis, pyroptosis, and oxidative stress in rosuvastatin's protective effects.
- To evaluate rosuvastatin's efficacy in a preclinical model.
Main Methods:
- Experimental mice were divided into control, rosuvastatin, and 3-methyladenine (3MA) plus rosuvastatin groups.
- Histological and protein analyses were performed to assess angiogenesis, pyroptosis, oxidative stress, and autophagy.
- Tissue edema was also evaluated to gauge treatment effects.
Main Results:
- Rosuvastatin significantly improved random skin flap survival and reduced tissue edema.
- The treatment promoted angiogenesis and induced autophagy.
- Rosuvastatin markedly reduced pyroptosis and oxidative stress.
Conclusions:
- Rosuvastatin enhances random skin flap survival by promoting angiogenesis and autophagy.
- The protective effects are mediated by the reduction of pyroptosis and oxidative stress through autophagy induction.
- Rosuvastatin represents a promising therapeutic agent for improving outcomes in plastic surgery involving skin flaps.
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