Effect Of Topical Application of N-Acetyl Cysteine and Vascular Endothelial Growth Factor on Cutaneous Wound Healing

Topical NAC and VEGF in Wound Healing

Authors

  • Fatima Ali Institute of Molecular Biology and Biotechnology, The University of Lahore, Lahore, Pakistan
  • Omer Sheraz Institute of Molecular Biology and Biotechnology, The University of Lahore, Lahore, Pakistan
  • Muhammad Shahid Nadeem Department of Biochemistry, King Abdulaziz University, Jeddah, Saudi Arabia
  • Nadia Wajid Institute of Molecular Biology and Biotechnology, The University of Lahore, Lahore, Pakistan

DOI:

https://doi.org/10.54393/pbmj.v7i12.1313

Keywords:

N-acetyl Cysteine, Vascular Endothelial Growth Factor, HCL Burn, Wound Healing

Abstract

Safety and effectiveness of topical N-acetyl cysteine (NAC) and vascular endothelial growth factor (VEGF) in the promotion of wound healing because of their in vivo anti-inflammatory and antioxidative effects. Objectives: To assess the effectiveness of topical NAC and VEGF, alone and combined, in accelerating burn wound healing. Methods: This randomized controlled laboratory pilot study used aseptic methods, two square skin burns were inflicted using HCl laterally on nine anaesthetized Sprague Dawley rats. The treatments, namely vaseline, vaseline and 3% NAC, VEGF (intradermal), and 3% NAC + VEGF, were topically administered separately. The wound healing process was determined by erythema, exudate, development of crust, swelling, as well as ulceration. Results: The 3% NAC + VEGF combination accelerated wound healing, visible through better and faster epithelization, while no significant difference in wound healing was observed with vaseline treatment alone as indicated by the histopathological results. Conclusions: In conclusion, the study highlighted the potential effectiveness of NAC and VEGF to overcome conditions associated with slow healing in chronic burns and to prevent secondary bacterial as well as fungal infections.

References

Masson‐Meyers DS, Andrade TA, Caetano GF, Guimaraes FR, Leite MN, Leite SN, et al. Experimental Models and Methods for Cutaneous Wound Healing Assessment. International Journal of Experimental Pathology. 2020 Feb; 101(1-2): 21-37. doi: 10.1111/iep.12346. DOI: https://doi.org/10.1111/iep.12346

Solarte David VA, Güiza-Argüello VR, Arango-Rodríguez ML, Sossa CL, Becerra-Bayona SM. Decellularized Tissues for Wound Healing: Towards Closing the Gap Between Scaffold Design and Effective Extracellular Matrix Remodeling. Frontiers in Bioengineering and Biotechnology. 2022 Feb; 10: 821852. doi: 10.3389/fbioe.2022.821852. DOI: https://doi.org/10.3389/fbioe.2022.821852

Wilkinson HN, Hardman MJ. Wound Healing: Cellular Mechanisms and Pathological Outcomes. Open Biology. 2020 Sep; 10(9): 200223. doi: 10.1098/rsob.200223. DOI: https://doi.org/10.1098/rsob.200223

Abdulazeem L, Tariq A, Abdalkareem Jasim S. An Investigation of Vascular Endothelial Growth Factor (VEGFR-1 and VEGFR-2) in Burn Wound Healing. Archives of Razi Institute. 2022 Apr; 77(2): 747.

Żwierełło W, Piorun K, Skórka-Majewicz M, Maruszewska A, Antoniewski J, Gutowska I. Burns: Classification, Pathophysiology, and Treatment: A Review. International Journal of Molecular Sciences. 2023 Feb; 24(4): 3749. doi: 10.3390/ijms24043749. DOI: https://doi.org/10.3390/ijms24043749

Maremonti E, Eide DM, Rossbach LM, Lind OC, Salbu B, Brede DA. In Vivo Assessment of Reactive Oxygen Species Production and Oxidative Stress Effects Induced by Chronic Exposure to Gamma Radiation in Caenorhabditis Elegans. Free Radical Biology and Medicine. 2020 May; 152: 583-96. doi: 10.1016/j.freeradbiomed.2019.11.037. DOI: https://doi.org/10.1016/j.freeradbiomed.2019.11.037

Singh V, Singh N, Verma M, Kamal R, Tiwari R, Sanjay Chivate M, et al. Hexavalent-Chromium-Induced Oxidative Stress and the Protective Role of Antioxidants Against Cellular Toxicity. Antioxidants. 2022 Nov; 11(12): 2375. doi: 10.3390/antiox11122375.

Wang S, Zhang Y, Sun F, Xi K, Sun Z, Zheng X, et al. Catalase-Like Nanozymes Combined with Hydrogel to Facilitate Wound Healing by Improving the Microenvironment of Diabetic Ulcers. Materials & Design. 2023 Jan; 225: 111557. doi: 10.1016/j.matdes.2022.111557.

da Silva FR, Silva RO, de Castro Oliveira HM, Dourado LF, da Costa BL, Lima BS, et al. Gelatin-Based Membrane Containing Usnic Acid-Loaded Liposomes: A New Treatment Strategy for Corneal Healing. Biomedicine & Pharmacotherapy. 2020 Oct; 130: 110391. doi: 10.1016/j.biopha.2020.110391. DOI: https://doi.org/10.1016/j.biopha.2020.110391

Comino-Sanz IM, López-Franco MD, Castro B, Pancorbo-Hidalgo PL. The Role of Antioxidants on Wound Healing: A Review of the Current Evidence. Journal of Clinical Medicine. 2021 Aug; 10(16): 3558. doi: 10.3390/jcm10163558. DOI: https://doi.org/10.3390/jcm10163558

Bostancı ME, Hepokur C, Kisli E. The Effects of Sildenafil and N-Acetylcysteine on the Zone of Stasis in Burns. Ulusal Travma ve Acil Cerrahi Dergisi. 2021 Jan; 27(1): 9-16. doi: 10.14744/tjtes.2020.25679. DOI: https://doi.org/10.14744/tjtes.2020.25679

Hou J, Chen L, Zhou M, Li J, Liu J, Fang H, et al. Multi-Layered Polyamide/Collagen Scaffolds with Topical Sustained Release of N-Acetylcysteine for Promoting Wound Healing. International Journal of Nanomedicine. 2020 Feb; 15: 1349-61. doi: 10.2147/IJN.S232190. DOI: https://doi.org/10.2147/IJN.S232190

Sharma A, Khanna S, Kaur G, Singh I. Medicinal Plants and Their Components for Wound Healing Applications. Future Journal of Pharmaceutical Sciences. 2021 Dec; 7(1): 1-3. doi: 10.1186/s43094-021-00202-w. DOI: https://doi.org/10.1186/s43094-021-00202-w

Aydin H, Tatar C, Savas OA, Karsidag T, Ozer B, Dursun N, et al. The Effects of Local and Systemic Administration of Proline on Wound Healing in Rats. Journal of Investigative Surgery. 2019 Aug; 32(6): 523-9. doi: 10.1080/08941939.2018.1441342. DOI: https://doi.org/10.1080/08941939.2018.1441342

Cardoso-Daodu IM, Ilomuanya MO, Azubuike CP. Development of Curcumin-Loaded Liposomes in Lysine-Collagen Hydrogel for Surgical Wound Healing. Beni-Suef University Journal of Basic and Applied Sciences. 2022 Aug; 11(1): 100. doi: 10.1186/s43088-022-00284-2. DOI: https://doi.org/10.1186/s43088-022-00284-2

Cheng S, Lv R, Xu J, Hirman AR, Du L. IGF-1-Expressing Placenta-Derived Mesenchymal Stem Cells Promote Scalding Wound Healing. Journal of Surgical Research. 2021 Sep; 265: 100-13. doi: 10.1016/j.jss.2021.02.057. DOI: https://doi.org/10.1016/j.jss.2021.02.057

Hassan N, Greve B, Espinoza-Sánchez NA, Götte M. Cell-Surface Heparan Sulfate Proteoglycans as Multifunctional Integrators of Signaling in Cancer. Cellular Signalling. 2021 Jan; 77: 109822. doi: 10.1016/j.cellsig.2020.109822. DOI: https://doi.org/10.1016/j.cellsig.2020.109822

Xu J, Wang X, Chen J, Chen S, Li Z, Liu H, et al. Embryonic Stem Cell-Derived Mesenchymal Stem Cells Promote Colon Epithelial Integrity and Regeneration by Elevating Circulating IGF-1 in Colitis Mice. Theranostics. 2020 Oct; 10(26): 12204. doi: 10.7150/thno.47683. DOI: https://doi.org/10.7150/thno.47683

Kalyanaraman B. NAC, NAC, Knockin' on Heaven's Door: Interpreting the Mechanism of Action of N-Acetylcysteine in Tumor and Immune Cells. Redox Biology. 2022 Nov; 57: 102497. doi: 10.1016/j.redox.2022.102497. DOI: https://doi.org/10.1016/j.redox.2022.102497

Singh V, Singh N, Verma M, Kamal R, Tiwari R, Sanjay Chivate M, et al. Hexavalent-Chromium-Induced Oxidative Stress and the Protective Role of Antioxidants Against Cellular Toxicity. Antioxidants. 2022 Nov; 11(12): 2375. doi: 10.3390/antiox11122375. DOI: https://doi.org/10.3390/antiox11122375

Wang S, Zhang Y, Sun F, Xi K, Sun Z, Zheng X, et al. Catalase-Like Nanozymes Combined with Hydrogel to Facilitate Wound Healing by Improving the Microenvironment of Diabetic Ulcers. Materials & Design. 2023 Jan; 225: 111557. doi: 10.1016/j.matdes.2022.111557. DOI: https://doi.org/10.1016/j.matdes.2022.111557

Downloads

Published

2024-12-31
CITATION
DOI: 10.54393/pbmj.v7i12.1313
Published: 2024-12-31

How to Cite

Ali, F., Sheraz, O., Nadeem, M. S., & Wajid, N. (2024). Effect Of Topical Application of N-Acetyl Cysteine and Vascular Endothelial Growth Factor on Cutaneous Wound Healing: Topical NAC and VEGF in Wound Healing. Pakistan BioMedical Journal, 7(12), 30–35. https://doi.org/10.54393/pbmj.v7i12.1313

Issue

Section

Original Article

Plaudit

Most read articles by the same author(s)