Chemokine and inflammatory cytokine changes during chronic wound healing

DP Fivenson, DT Faria, BJ Nickoloff… - Wound Repair and …, 1997 - Wiley Online Library
DP Fivenson, DT Faria, BJ Nickoloff, PJ Poverini, S Kunkel, M Burdick, RM Strieter
Wound Repair and Regeneration, 1997Wiley Online Library
Wound healing is a complex process resulting from an interplay of processes including
coagulation, inflammation, angiogenesis, and epithelialization. The chemokine family has
been shown to contain members that are potent regulators of many of these pathways.
Because we have previously shown that chemokines “pool” in biologic wound dressings, we
studied the levels of CXC and CC chemokines, along with key inflammatory mediators,
serially from a group of patients undergoing therapy for chronic venous leg ulcers. After 8 …
Wound healing is a complex process resulting from an interplay of processes including coagulation, inflammation, angiogenesis, and epithelialization. The chemokine family has been shown to contain members that are potent regulators of many of these pathways. Because we have previously shown that chemokines “pool” in biologic wound dressings, we studied the levels of CXC and CC chemokines, along with key inflammatory mediators, serially from a group of patients undergoing therapy for chronic venous leg ulcers. After 8 weeks, all patients had marked clinical healing of their ulcers (median 63.3% reduction in size) with two of 10 completely healed. Wound fluids extracted from dressings showed high levels of platelet factor‐4 and interferon‐γ‐inducible protein, with a trend toward increases in the ratio of the sums of the angiogenic versus angiostatic CXC chemokines (p = 0.082) in the tissues collected from the center of the ulcers during wound closure. Neutrophil‐activating peptide‐2 and interleukin‐8 accounted for the most changes in wound fluid angiogenic chemokines, with significant differences both as compared with baseline levels and with patients' plasma level noted at various time points between weeks 0 and 8. The level of angiostatic (cont.)
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