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Effects of external application of Chinese medicine on diabetic ulcers and the expressions of β-catenin, c-myc and K6
Effects of external application of Chinese medicine on diabetic ulcers and the expressions of β-catenin, c-myc and K6
- 中国结合医学杂志（英文版） 2011年17卷第4期 页码：261-266
- Affiliations：
1. Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai,China
2. The Sixth Hospital Affiliated Shanghai Jiaotong University,Shanghai,China
3. Shanghai Skin Diseases and Sexually Transmitled Diseases Hospital,Shanghai,China
- Author bio：
- Funds：Supported by the National Natural Science Foundation of China (No. 30973751), Shanghai Municipal Health Bureau of China (No. 2008L055A), and Innovative Research Team in University of Shanghai Municipal Education Commission (Phase II)
DOI：10.1007/s11655-011-0703-5
中图分类号：纸质出版日期：2011，
网络出版日期：2011-4-21，
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Li, Fl., Deng, H., Wang, Hw. et al. Effects of external application of Chinese medicine on diabetic ulcers and the expressions of β-catenin, c-myc and K6., Chin. J. Integr. Med. 17, 261 (2011). https://doi.org/10.1007/s11655-011-0703-5
Fu-lun Li, Hui Deng, Hong-wei Wang, et al. Effects of external application of Chinese medicine on diabetic ulcers and the expressions of β-catenin, c-myc and K6[J]. Chinese Journal of Integrative Medicine, 2011,17(4):261-266.
Li, Fl., Deng, H., Wang, Hw. et al. Effects of external application of Chinese medicine on diabetic ulcers and the expressions of β-catenin, c-myc and K6., Chin. J. Integr. Med. 17, 261 (2011). https://doi.org/10.1007/s11655-011-0703-5 DOI：
Fu-lun Li, Hui Deng, Hong-wei Wang, et al. Effects of external application of Chinese medicine on diabetic ulcers and the expressions of β-catenin, c-myc and K6[J]. Chinese Journal of Integrative Medicine, 2011,17(4):261-266. DOI： 10.1007/s11655-011-0703-5.
摘要
To observe the clinical efficacy of Chinese medicine (CM) treatment of Hongyou Ointment (红油膏) and Shengji Powder (生肌散) on diabetic ulcers
and to observe the influence of CM treatment on the expressions of proteins associated with the Wnt signaling pathway
such as β-catenin
c-myc and K6. sixty-two patients fitting the registration standards were randomly divided into the CM group (31 patients) and the Western medicine (WM) group (31 patients) by a random number table. The patients in the CM group were treated with Hongyou Ointment and Shengji Powder externally. The patients in the WM group were treated with mupirocin ointment
growth factor (bFGF)
and Vaseline gauze for external use and with basic therapies. Wound-healing time and four-week healing rate were recorded. The wounds were measured by digital photography and ImageJ software. Skin biopsies were obtained from 24 patients before CM treatment and 20 patients after CM treatment. Immunohistochemical tests and semi-quantitative imaging with NIH ImageJ 1.42 software were used to analyze the changes in protein expression of β-catenin
c-myc
and K6. Fifty-three patients completed the trial; four patients in the CM treatment group and five patients in the WM group dropped out. Among them
four were dissatisfied with the treatment process
two could not continue because of their jobs
two failed to complete the course of follow-up appointments
and one was diagnosed with squamous cell carcinoma during treatment. The comparison of ulcer healing rates between the two groups showed insignificant differences (P=0.77). The ulcer healing rates were 33.33% (9/27) in the CM group and 26.92% (7/26) in the WM group. However
the effective rate was significantly higher in the CM group (81.48%
22/27) than in the WM group (57.69%
15/26
P=0.04). The mean wound healing time was shorter in the CM group (22.71 ±5.46 days) than in the WM group (26.56 ±7.56 days
P=0.04). CM treatment was well tolerated
and there was no withdrawal due to adverse reactions. Immunohistochemical analysis in the refractory wound indicated higher expressions of β-catenin
c-myc and K6 compared with the normal skin. β-catenin was abnormally expressed in the nuclei of the keratinocytes and fibroblasts at the wound margins
and the expressions of c-myc and K6 were highly expressed in the full hyperplastic epidermis
especially in the granular layer (P<0.05). The expressions of these proteins decreased after CM treatment. The expression levels of β-catenin
c-myc
and K6 proteins before and after the treatment were 101.88 ± 10.76 vs. 140.42 ±8.45; 113.27 ± 16.75 vs. 153.79 ±8.32; 90.39 ±11.07 vs. 151.29 ±7.39
respectively. CM treatment using Hongyou Ointment and Shengji Powder was efficient in the management of diabetic skin ulcers. The mechanism of action might be related to the inhibition of the Wnt signaling pathway.
Abstract
To observe the clinical efficacy of Chinese medicine (CM) treatment of Hongyou Ointment (红油膏) and Shengji Powder (生肌散) on diabetic ulcers
and to observe the influence of CM treatment on the expressions of proteins associated with the Wnt signaling pathway
such as β-catenin
c-myc and K6. sixty-two patients fitting the registration standards were randomly divided into the CM group (31 patients) and the Western medicine (WM) group (31 patients) by a random number table. The patients in the CM group were treated with Hongyou Ointment and Shengji Powder externally. The patients in the WM group were treated with mupirocin ointment
growth factor (bFGF)
and Vaseline gauze for external use and with basic therapies. Wound-healing time and four-week healing rate were recorded. The wounds were measured by digital photography and ImageJ software. Skin biopsies were obtained from 24 patients before CM treatment and 20 patients after CM treatment. Immunohistochemical tests and semi-quantitative imaging with NIH ImageJ 1.42 software were used to analyze the changes in protein expression of β-catenin
c-myc
and K6. Fifty-three patients completed the trial; four patients in the CM treatment group and five patients in the WM group dropped out. Among them
four were dissatisfied with the treatment process
two could not continue because of their jobs
two failed to complete the course of follow-up appointments
and one was diagnosed with squamous cell carcinoma during treatment. The comparison of ulcer healing rates between the two groups showed insignificant differences (P=0.77). The ulcer healing rates were 33.33% (9/27) in the CM group and 26.92% (7/26) in the WM group. However
the effective rate was significantly higher in the CM group (81.48%
22/27) than in the WM group (57.69%
15/26
P=0.04). The mean wound healing time was shorter in the CM group (22.71 ±5.46 days) than in the WM group (26.56 ±7.56 days
P=0.04). CM treatment was well tolerated
and there was no withdrawal due to adverse reactions. Immunohistochemical analysis in the refractory wound indicated higher expressions of β-catenin
c-myc and K6 compared with the normal skin. β-catenin was abnormally expressed in the nuclei of the keratinocytes and fibroblasts at the wound margins
and the expressions of c-myc and K6 were highly expressed in the full hyperplastic epidermis
especially in the granular layer (P<0.05). The expressions of these proteins decreased after CM treatment. The expression levels of β-catenin
c-myc
and K6 proteins before and after the treatment were 101.88 ± 10.76 vs. 140.42 ±8.45; 113.27 ± 16.75 vs. 153.79 ±8.32; 90.39 ±11.07 vs. 151.29 ±7.39
respectively. CM treatment using Hongyou Ointment and Shengji Powder was efficient in the management of diabetic skin ulcers. The mechanism of action might be related to the inhibition of the Wnt signaling pathway.
关键词
diabetic footChinese Medicineexternal applicationproto-oncogene proteinsβ-cateninc-mycK6
Keywords
diabetic footChinese Medicineexternal applicationproto-oncogene proteinsβ-cateninc-mycK6
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