Quantitative assessment of the age of fibrotic lesions using polarized light microscopy and digital image analysis

Reliable histologic methods for gauging the maturity of fibrotic lesions are limited, making interventions in the healing process difficult to assess. As collagen ages there is enhanced birefringence due to increased molecular and fibrillar organization. The purpose of this study was to develop a microscopal technique to quantify this process and to determine its ability to distinguish scars of varying ages. Fibrosis in the rat gracilis muscle was studied 5 to 63 days after superficial injury. Sections were stained with picrosirius red and illuminated with monochromatic, polarized light. The microscope fields were digitized using a computer-video system yielding an image in which noncollagenous material was dark (gray level 0) and collagen was depicted by grey levels 1 to 255. In the fibrosis model used, the collagen area fraction plateaued at 80% by day 21. The median collagen grey level increased progressively as the scar aged. It is concluded that this histologic, nondestructive technique can reliably quantify age-related optical properties of fibrotic collagen and that this could be used to determine the maturity of fibrotic lesions.

Continuous EGF application impairs long-term collagen accumulation during wound healing in rats

Continuous topical application of epidermal growth factor (EGF) to granulation tissue has been demonstrated to increase the rate of collagen accumulation in wounds. Studies from this laboratory have indicated that a single topical application of EGF leads to a short period of elevated wound collagen content, followed by a rapid breakdown of this newly acquired collagen. In light of recent clinical trials of EGF as an aid to wound healing, we studied the long-term effects of continuous EGF injection. Standard polytetrafluoroethylene (PTFE) wound cylinders were surgically placed in the dorsal midline of 40 male Sprague-Dawley rats. Rats received EGF daily for 14 days, at which time all injections ceased. Wound cylinders were removed for analysis from five test animals and five controls on study days 14, 21, 28, and 35. Wound collagen content in EGF-treated animals was significantly higher than in controls on the 14th day of the study (330% higher, P less than .002), but dropped to lower levels on each succeeding day (day 21: 97% of control, NS; day 28: 63% of control, NS; day 35: 72% of control, P less than .03). There was a significant increase in wound collagenase activity only on days 14 and 21, but not on days 28 and 35. We demonstrated that continuous application of EGF may artificially elevate wound collagen content, thereby leading to increased wound catabolism on cessation of treatment.

Fibronectins in healing incision, excision and laser wounds

The distribution of extracellular matrix (ECM) glycoproteins, fibronectins (FNs), was studied in healing scalpel incision, excision and laser wounds of rat tongue dorsal mucosa over a healing period of 42 days by indirect immunofluorescence microscopy using mono- and polyclonal antibodies. A monoclonal antibody (Mab) DH1 was used to detect extradomain-A containing cellular fibronectin (ED-AcFN), and a polyclonal antiserum was utilized to recognize all forms of FNs. In normal tissue ED-AcFN was confined only to the endothelia of larger blood vessels whereas in healing wounds abundant immunoreactive deposits were found in regenerating connective tissue and endothelia of capillaries. The increased content of FNs revealed with both antibodies subsided later on during healing. The results suggest that the locally produced ED-AcFN is essential for tissue regeneration and plays a distinct functional role during wound healing. Laser treatment did not affect the ability of wound fibroblasts to synthesize and deposit cFN. The results provide further evidence that certain embryonic characteristics are seen in regenerating tissue.

Collagen distribution in developing experimentally induced granulation tissue. A morphometric study

Viscose cellulose sponges were implanted subcutaneously on the back of full-grown Sprague-Dawley rats. Seven, 14, 21, 28, 42, 60 and 90 days after implantation, groups of 12 animals decapitated and the sponges were removed and processed for light microscopy. Five microns sections were stained with Picro-Sirius Red. Morphometry was performed on the zone of ingrowth and the collagen. The intersectional variation in the morphometrically determined collagen density within the sponges was below 20%. The hydroxyproline content was determined biochemically in 5 microns sections of sponges implanted for 14, 42, 60 and 90 days. A positive correlation (rho = 0.79, p less than 0.0001) was observed between the biochemically and morphometrically determined collagen contents. The morphometric determinations showed a steady increase in the granulation tissue ingrowth. At day 60 the ingrowth was complete. There was an increasing collagen density from days 7 and 14 through days 21 and 28, followed by a nearly steady state up to day 90 and a significantly higher collagen density peripherally than centrally in the day 42 sponges. The study has shown that morphometric collagen determination at light microscopical level using Sirius Red-stained sections may add quantitative data describing the dynamic changes in collagen content and distribution within developing granulation tissue.

Purification of an active gelatinase from collagen fiber fraction of granulation tissue in rats

Gelatinase was extracted at 60 degrees C from the collagen fiber-rich fraction of granulation tissue induced by carrageenin in rats. A large part of the extracted gelatinase was unbound to Zn-chelating Sepharose. The unbound gelatinase gave a single band corresponding to a molecular mass of 57 kDa on SDS-substrate PAGE, but showed a much higher molecular mass (greater than 200 kDa) on Sephadex G-150 gel filtration. In addition, that unbound fraction contained gelatin fragments was revealed by SDS-PAGE. When the unbound fraction of Zn-chelating Sepharose was incubated at 37 degrees C, the gelatin fragments disappeared and the apparent molecular mass of gelatinase in gel filtration decreased. This gelatin degradation of the unbound fraction was enhanced by treatment with a 4-aminophenylmercuric acetate (APMA). The results suggest that the gelatinase is bound to gelatin fragments in the unbound fraction. After the treatment with APMA, the gelatinase was purified to to homogeneity; the purified gelatinase gave a single band corresponding to a molecular mass of 57 or 67 kDa on SDS-PAGE under nonreducing or reducing conditions, respectively. The purified gelatinase is a metalloproteinase, and extensively degraded gelatin, but showed no proteolytic activity toward alpha-casein or types I and IV collagens. The results suggest that the 67-kDa active gelatinase is bound to collagen fibers and plays an important role in a rapid degradation of collagen fibers in granulation tissue.