Wound Healing Case Study

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1. 7. Growth Factors and Cytokines in Wound Healing
The wound healing process begins immediately followed by injury. The close control of degradative and regenerative processes of the wound repair requires numerous cell types and complex interactions between multiple biochemical cascades. Growth factors released in the traumatized area to promote cell migration into the wound area (chemotaxis), stimulate the growth of epithelial cells, and fibroblasts. Which thereby, initiate the formation of new blood vessels stimulates matrix formation and remodeling of the affected region (Komarcevic, 2000).
Growth factor plays a major role in the affect the inflammatory, proliferation and migratory phases of wound healing (Dijke et al., 1989). There are
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It was reported to be a potent mitogen and maturation factor for epidermal cells (Ullrich et al., 1990). EGF is present in body fluid, and it is expressed at very low concentration in normal tissue. EGF induces epithelial cells to migrate, divide, and differentiate. Receptors for this very influential growth factor have been localized on the migrating and proliferating epithelial tips present at the wound edges and on epithelial islands arising from the remnant epidermal appendages (Wenczak et al., 1992). EGF and TGF-α are closely related (35 % homology) and possess very similar activities. Wound macrophages contain significant amounts of TGF-α that add to the significance of this cell in the initial tissue response to injury. The main function of these growth factors appears to be on granulation tissue development, with epidermal re-growth and modulation of angiogenesis being unique features of TGF-α activity (Whitman et al., …show more content…
1. 7. 4. Keratinocyte growth factor (KGF)
KGF is a potent factor in variety of epithelial cells. KGF and TNF- α stimulates epithelial cell migration, which is thought to occur indirectly via the expression of KGF (Brauchle et al., 1994). The KGF induces reepithelialization within hours of injury. The cell-cell and cell–substratum interaction was followed by migration of keratinocytes over the extracellular matrix (ECM). When complete wound closure occurs, keratinocytes undergo stratification and differentiation to restore the barrier.
1. 7. 5. Platelet-derived growth factor