1.The negative-pressure wound therapy promotes wound healing by enhancing angiogenesis in granulation tissue and wound healing through suppression of NLRX1 through via the up-regulation of miR-195expression by suppressing NLRX1 expression upregulation
Xiaoxia CHEN ; Ningning TANG ; Huiqing XIE ; Li QIAN ; Feng HU ; Chuwang WANG ; Bin HE ; Jiaqin XU ; Zunhong LIANG ; Jianda ZHOU
Journal of Chinese Physician 2018;20(2):183-186,190
Objective To investigate the expression and the relationship with angiogenesis of miR-195 and NLR family member X1 (NLRX1) in granulation tissue after negative-pressure wound treatment (NPWT).Methods Six patients were collected who received negative pressure treatment with refractory wound granulation.The levels of miR-195, NLRX1 mRNA and NLRX1 proteins were measured.The expression of NLRX1 and the micro-vascular density (MVD) of CD31 were detected by immunohistochemistry (IHC).Results MiR-195 and MVD were significantly higher in granulation tissue after 7 days negative pressure treatment (P<0.05), and NLRX1 was significantly lower (P <0.05).In granulation tissue,the expression of miR-195 was negatively correlated with NLRX1 (r =-0.856, P <0.001), the expression of NLRX1 was negatively correlated with MVD (r =-0.618, P <0.05), and the expression of miR-195 was positively correlated with MVD (r =0.630, P < 0.05).Conclusions Negative pressure wound therapy can promote the formation of granulation vessels and the wound healing.The therapeutic mechanism may inhibit the expression of NLRX1 and upregulate the expression of miR-195 to promote angiogenesis.