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Studies in fetal wound healing. IV. Hyaluronic acid-stimulating activity distinguishes fetal wound fluid from adult wound fluid.

机译:胎儿伤口愈合的研究。 IV。透明质酸刺激活性将胎儿伤口液与成人伤口液区分开。

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摘要

Recent clinical and experimental evidence suggests that the fetus responds to injury in a fashion fundamentally different from that of the adult. Our initial experience with human open fetal surgery reinforces experimental observations that the fetal wounds heal without the scarring, inflammation, and contraction that often accompany adult wounds. In this study we examine fetal wound fluid in an attempt to elucidate the control mechanisms that endow the fetus with unique healing properties. The extracellular matrix of fetal wounds is rich in hyaluronic acid, a glycosaminoglycan found in high concentrations whenever there is tissue proliferation, regeneration, and repair. We establish that wound fluid from the fetus contains high levels of hyaluronic acid-stimulating activity that may underlie the elevated deposition of hyaluronic acid in the fetal wound matrix. In contrast there was no hyaluronic acid-stimulating activity present in adult wound fluid. Hyaluronic acid, in turn, fosters an extracellular environment permissive for cell motility and proliferation that may account for the unique properties observed in fetal wound healing.
机译:最近的临床和实验证据表明,胎儿对损伤的反应方式与成年人完全不同。我们在人类开放式胎儿外科手术方面的初步经验加强了实验观察,即胎儿伤口愈合时没有成人伤口常伴有的疤痕,炎症和收缩。在这项研究中,我们研究了胎儿创面液,试图阐明赋予胎儿独特治疗特性的控制机制。胎儿伤口的细胞外基质富含透明质酸,透明质酸是一种糖胺聚糖,在组织增殖,再生和修复时会以高浓度存在。我们确定来自胎儿的伤口液含有高水平的透明质酸刺激活性,这可能是透明质酸在胎儿伤口基质中升高沉积的基础。相反,在成人伤口液中不存在透明质酸刺激活性。透明质酸反过来促进了允许细胞运动和增殖的细胞外环境,这可能解释了胎儿伤口愈合中观察到的独特特性。

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