Evaluation of the efficacy of cold atmospheric plasma in promoting wound healing in an experimental diabetic rabbit model
Main Article Content
Keywords
Abstract
To evaluate the therapeutic efficacy of cold atmospheric plasma (CAP) in accelerating wound healing in an experimental diabetic rabbit model. Subject and method: Sixteen healthy adult male New Zealand White rabbits were included. Diabetes mellitus was induced by intravenous injection of alloxan monohydrate (100mg/kg). On day 30 after confirmation of stable hyperglycemia, six circular full-thickness excisional wounds (2.5 cm in diameter) were created symmetrically across the dorsal midline. Three wounds on the left side served as controls and received standard daily dressing with 0.9% normal saline. The three wounds on the right side received the same dressing regimen plus daily CAP irradiation at 30s/cm². Clinical wound scores, percentage wound size reduction (assessed on days N1, N4, N7, N11, N14, N18, and N21), histopathological findings (days 7 and 14), and time to complete healing were compared between groups. Result: The CAP-treated group demonstrated significantly higher clinical wound scores from day N4 to N14 and greater wound contraction rates from day N4 to N11 compared with the control group (p<0.001). The mean time to complete healing was significantly shorter in the CAP group (16.75 days) than in the control group (20.31days, p<0.05). Histopathological examination on days 7 and 14 revealed significantly better re-epithelialization and granulation tissue formation in the CAP-treated wounds (p<0.05). Conclusion: Cold atmospheric plasma significantly accelerates diabetic wound healing, with the most prominent effects observed during the inflammatory and proliferative phases.
Article Details
References
2. Baltzis D, Eleftheriadou I, Veves A (2014) Pathogenesis and Treatment of Impaired Wound Healing in Diabetes Mellitus: New Insights. Adv Ther. Springer Healthcare 31(8): 817-836. doi:10.1007/s12325-014-0140-x
3. Gan L, Jiang J, Duan JW et al (2021) Cold atmospheric plasma applications in dermatology: A systematic review. J Biophotonics. 14(3): 202000415. doi:10.1002/JBIO. 202000415;wgroup:string:publication
4. Brehmer F, Haenssle HA, Daeschlein G et al (2015) Alleviation of chronic venous leg ulcers with a hand-held dielectric barrier discharge plasma generator (PlasmaDerm® VU-2010): Results of a monocentric, two-armed, open, prospective, randomized and controlled trial (NCT01415622). Journal of the European Academy of Dermatology and Venereology 29(1): 148-155. doi:10.1111/jdv.12490
5. Ding C, Huang P, Feng L et al (2020) Immediate intervention effect of dielectric barrier discharge on acute inflammation in rabbit’s ear wound. AIP Adv 10(2). doi:10.1063/1.5139953
6. Hoàng Văn Tú (2019) Đánh giá tác dụng của plasma lạnh trong điều trị vết thương bỏng nông và vùng lấy da. Luận văn thạc sỹ, Học viện Quân y.
7. Hồ Mẫn Trường Phú, Nguyễn Đức Hạnh, Nguyễn Dương Minh Tuấn, Nguyễn Phù Đông Phương (2024) Nghiên cứu ứng dụng công nghệ plasma lạnh trong điều trị hỗ trợ làm lành vết thương bỏng. Tạp chí Y học thảm họa và bỏng 4: 81-96.
8. Bacevic M, Rompen E, Radermecker R, Drion P, Lambert F (2020) Practical considerations for reducing mortality rates in alloxan-induced diabetic rabbits. Heliyon 6(6) doi:10.1016/j.heliyon.2020.e04103
9. Jamadagni P, Jamadagni S, Mukherjee K, Upadhyay S, Gaidhani S, Hazra J (2016) Experimental and histopathological observation scoring methods for evaluation of wound healing properties of Jatyadi Ghrita. AYU (An international quarterly journal of research in Ayurveda) 37(3):222. doi:10.4103/ayu.ayu_51_17
10. Sevimli-Gür C, Onbailar I, Atilla P et al (2011) In vitro growth stimulatory and in vivo wound healing studies on cycloartane-type saponins of Astragalus genus. J Ethnopharmacol 134(3): 844-850. doi:10.1016/j.jep.2011.01.030
11. Kazemi A, Nicol MJ, Bilén SG, Kirimanjeswara GS, Knecht SD (2024) Cold Atmospheric Plasma Medicine: Applications, Challenges, and Opportunities for Predictive Control. Plasma. Multidisciplinary Digital Publishing Institute (MDPI). 7(1): 233-257. doi:10.3390/plasma7010014
12. O’Neill L, Dobbyn P, Kulkarni M, Pandit A (2018) Wound healing using plasma modified collagen. Clin Plasma Med 12: 23-32. doi:10.1016/j.cpme.2018.10.002
13. Jahandideh A, Amini M, Porbagher H, Amini M (2021) Evaluating the effect of cold plasma on the healing of gingival wound. J Diabetes Metab Disord 20(1): 741-745. doi:10.1007/s40200-021-00810-6
14. Von Woedtke T, Emmert S, Metelmann HR, Rupf S, Weltmann KD (2020) Perspectives on cold atmospheric plasma (CAP) applications in medicine. Phys Plasmas. American Institute of Physics Inc 27(7). doi:10.1063/5.0008093.
ISSN: 1859 - 2872