Tissue Scarring, Fibrosis and Regeneration

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Dermatology".

Deadline for manuscript submissions: 30 September 2024 | Viewed by 456

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Department of Dermatology, University of Michigan Medical School, 1301 Catherine, Medical Science I, Room 6447, Ann Arbor, MI 48109-0609, USA
Interests: dermatology; skin aging; wound healing; ECM; skin cancer
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Special Issue Information

Dear Colleagues,

Fibrotic scarring represents a prevalent pathological consequence in numerous chronic diseases, manifesting in nearly every tissue throughout the body as a response to injury or illness. This phenomenon can result in structural abnormalities within tissues, organ dysfunction, and enduring disability, posing a substantial challenge to public health. Despite gaining increasing recognition as a significant contributor to morbidity and mortality in chronic diseases, the lack of a comprehensive understanding of mechanisms hampers the development of effective treatments to target fibrosis pathogenesis.

We welcome authors to contribute papers to our Special Issue, focusing on the latest advancements in both basic and clinical research related to tissue wound healing, scarring, and regeneration. We eagerly anticipate receiving your submissions and look forward to compiling an informative and insightful collection of articles.

You may choose our Joint Special Issue in Dermatopathology.

Prof. Dr. Taihao Quan
Guest Editor

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Keywords

  • wound scar
  • fibrosis
  • regeneration
  • fibroblasts
  • extracellular matrix

Published Papers (1 paper)

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Research

9 pages, 1930 KiB  
Article
Negative Pressure Wound Therapy—A Vacuum-Mediated Positive Pressure Wound Therapy and a Closer Look at the Role of the Laser Doppler
by Christian D. Taeger, Clemens Muehle, Philipp Kruppa, Lukas Prantl and Niklas Biermann
J. Clin. Med. 2024, 13(8), 2351; https://doi.org/10.3390/jcm13082351 - 18 Apr 2024
Viewed by 293
Abstract
Background: Negative pressure wound therapy (NPWT) is an intensely investigated topic, but its mechanism of action accounts for one of the least understood ones in the area of wound healing. Apart from a misleading nomenclature, by far the most used diagnostic tool [...] Read more.
Background: Negative pressure wound therapy (NPWT) is an intensely investigated topic, but its mechanism of action accounts for one of the least understood ones in the area of wound healing. Apart from a misleading nomenclature, by far the most used diagnostic tool to investigate NPWT, the laser Doppler, also has its weaknesses regarding the detection of changes in blood flow and velocity. The aim of the present study is to explain laser Doppler readings within the context of NPWT influence. Methods: The cutaneous microcirculation beneath an NPWT system of 10 healthy volunteers was assessed using two different laser Dopplers (O2C/Rad-97®). This was combined with an in vitro experiment simulating the compressing and displacing forces of NPWT on the arterial and venous system. Results: Using the O2C, a baseline value of 194 and 70 arbitrary units was measured for the flow and relative hemoglobin, respectively. There was an increase in flow to 230 arbitrary units (p = 0.09) when the NPWT device was switched on. No change was seen in the relative hemoglobin (p = 0.77). With the Rad-97®, a baseline of 92.91% and 0.17% was measured for the saturation and perfusion index, respectively. No significant change in saturation was noted during the NPWT treatment phase, but the perfusion index increased to 0.32% (p = 0.04). Applying NPWT compared to the arteriovenous-vessel model resulted in a 28 mm and 10 mm increase in the venous and arterial water column, respectively. Conclusions: We suspect the vacuum-mediated positive pressure of the NPWT results in a differential displacement of the venous and arterial blood column, with stronger displacement of the venous side. This ratio may explain the increased perfusion index of the laser Doppler. Our in vitro setup supports this finding as compressive forces on the bottom of two water columns within a manometer with different resistances results in unequal displacement. Full article
(This article belongs to the Special Issue Tissue Scarring, Fibrosis and Regeneration)
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