J 2023

Changes in gene expression in pressure ulcers debrided by different approaches - a pilot study

SAMADIAN, Amir, Monika KRATOCHVÍLOVÁ, Alica HOKYNKOVÁ, Petr ŠÍN, Marie NOVÁKOVÁ et. al.

Basic information

Original name

Changes in gene expression in pressure ulcers debrided by different approaches - a pilot study

Authors

SAMADIAN, Amir (364 Islamic Republic of Iran, belonging to the institution), Monika KRATOCHVÍLOVÁ (203 Czech Republic, belonging to the institution), Alica HOKYNKOVÁ (703 Slovakia, belonging to the institution), Petr ŠÍN (203 Czech Republic, belonging to the institution), Marie NOVÁKOVÁ (203 Czech Republic, belonging to the institution), Petr ŠTĚPKA (203 Czech Republic, belonging to the institution), Andrea POKORNÁ (203 Czech Republic, belonging to the institution) and Petr BABULA (203 Czech Republic, belonging to the institution)

Edition

Physiological research, Praha, Institute of Physiology of the Czechoslovak Academy of Sciences, 2023, 0862-8408

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30105 Physiology

Country of publisher

Czech Republic

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 2.100 in 2022

RIV identification code

RIV/00216224:14110/23:00134692

Organization unit

Faculty of Medicine

UT WoS

001198072000009

Keywords in English

Pressure ulcers; Debridement; Wound healing; Oxidative stress; Gene expression

Tags

Reviewed
Změněno: 29/4/2024 13:05, Mgr. Tereza Miškechová

Abstract

V originále

Pressure ulcers (PUs), also known as pressure injuries, are chronic wounds that represent potential lifelong complications. Pressure ulcers of a deep category (III and IV) are often indicated for surgical treatment - debridement and surgical reconstruction. Sharp surgical debridement is widely used in the debridement of PUs; however, the Versajet® hydrosurgery system is becoming an increasingly popular tool for tangential excision in surgery due to its numerous advantages. This work focused on the expression of selected genes, especially those associated with oxidative stress, in PUs debrided by two approaches - sharp surgical debridement and debridement using Versajet® hydrosurgery system. Expression of following genes was evaluated: NFE2L2, ACTA2, NFKB1, VEGFA, MKI67, HMOX1, HMOX2, HIF1A, and SOD2. ACTB and PSMB were used as housekeeping genes. So far, five patients have been enrolled in the study. Preliminary results suggest no significant difference in gene expression with different pressure ulcer treatment approaches except NFE2L2, despite the macroscopic differences. However, the results revealed correlations between the expression of some genes, namely HIF1A and SOD2, VEGFA and SOD2 and VEGFA and HIF1A. These results may indicate a connection between hypoxia, oxidative stress, pressure ulcer healing processes and angiogenesis.

Links

NU21-09-00541, research and development project
Name: Role oxidativního stresu při hojení dekubitů u pacientů s míšní lézí
Investor: Ministry of Health of the CR, Subprogram 1 - standard