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Content Provider | World Health Organization (WHO)-Global Index Medicus |
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Author | Smeets, Ralf Ulrich, Dietmar Unglaub, Frank Wöltje, Michael Pallua, Norbert |
Description | Country affiliation: Germany Author Affiliation: Smeets R ( Interdisciplinary Centre of Clinical Research BioMAT, University Hospital Aachen, D-52074 Aachen, Germany. rasmeets@ukaachen.de) |
Abstract | Oxidised regenerated cellulose/collagen matrix (ORC/collagen matrix) modifies wound microenvironments by binding and inactivating excess levels of proteases such as elastase, plasmin and gelatinases in wound exudates. To compare levels of the gelatinases matrix metalloproteinase 2 (MMP-2), elastase and plasmin in wound exudates collected from chronic venous insufficiency patients with venous leg ulcers treated with either an ORC/collagen matrix or a standard control therapy. During a 12-week treatment period, wound exudate samples were obtained from a control group of 10 patients treated with a hydrocolloid dressing and a treatment group of 17 patients treated with a combination of ORC/collagen matrix and hydrocolloid dressing. On admission and days 5, 14 and every subsequent 14th day, ulcers were photographed to determine healing rate and changes in ulcer appearance, and MMP-2 concentration and the gelatinase, elastase and plasmin activities were analysed from wound exudates. The patients treated with ORC/collagen matrix showed a significant decrease in elastase, plasmin and gelastinase activity as compared with the control group, with no significant difference in the MMP-2 concentrations between the two groups. The results show a significant and immediate reduction in protease activity in wound exudates from venous leg ulcers treated with ORC/collagen. |
File Format | HTM / HTML |
ISSN | 17424801 |
Issue Number | 2 |
Volume Number | 5 |
e-ISSN | 1742481X |
Journal | International Wound Journal |
Language | English |
Publisher | Wiley-Blackwell |
Publisher Date | 2008-06-01 |
Publisher Place | Great Britain (UK) |
Access Restriction | Subscribed |
Subject Keyword | Discipline Traumatology Cellulose, Oxidized Collagen Exudates And Transudates Enzymology Hemostatics Peptide Hydrolases Metabolism Varicose Ulcer Aged Bandages Chronic Disease Female Humans Male Middle Aged Treatment Outcome Therapy Wound Healing Physiology Journal Article Randomized Controlled Trial Research Support, Non-u.s. Gov't |
Content Type | Text |
Resource Type | Article |
Subject Domain (in MeSH) | Fluids and Secretions Eukaryota Cardiovascular Diseases Pathological Conditions, Signs and Symptoms Macromolecular Substances Enzymes and Coenzymes Chemical Actions and Uses Diagnosis Equipment and Supplies Biological Phenomena Persons |
Subject | Dermatology Surgery |
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