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Rodríguez-Ferreyra P, López-Callejas R, Narváez-Robles T, Rodríguez-Méndez BG, Gayosso-Cerón OI, Mercado-Cabrera A, Lule-Reyna I, Mondragón-Dagio O, Valencia-Alvarado R, Duarte-Mote J. Pediatric Burn Treatment with Non-Thermal Atmospheric Plasma and Epifast ®: Clinical Results. EUROPEAN BURN JOURNAL 2025; 6:20. [PMID: 40265375 PMCID: PMC12015786 DOI: 10.3390/ebj6020020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/11/2025] [Revised: 03/26/2025] [Accepted: 04/10/2025] [Indexed: 04/24/2025]
Abstract
The effective treatment of severe burns in pediatric patients is essential for minimizing complications and promoting optimal recovery. This study investigates the use of non-thermal atmospheric pressure plasma (NTAPP) as an adjuvant therapy in combination with Epifast® for the experimental group, compared to standard care involving early excisions and Epifast® for the control group. A randomized controlled trial was conducted with 40 pediatric patients suffering from superficial partial-thickness and deep dermal burns. The experimental group that received NTAPP daily demonstrated a significant reduction in the need for skin grafts, requiring only 10% compared to 40% in the control group (p = 0.02). Although there were no statistically significant differences in the length of hospital stay, the experimental group showed a trend toward shorter stays (9.85 days vs. 11.65 days; p = 0.38) and lower analgesic consumption (13.01 doses vs. 21.15 doses; p = 0.09). Additionally, the infection rate in the NTAPP-treated group was significantly lower at 25%, compared to 37.95% in the control group (p < 0.05). These findings suggest that NTAPP enhances wound healing while reducing surgical morbidity and the risk of infections. In conclusion, this study highlights the transformative potential of NTAPP as an innovative strategy in pediatric burn management. It combines clinical efficacy with a less invasive approach, representing a significant advance in regenerative medicine and opening new avenues for research into advanced therapies.
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Affiliation(s)
- Pablo Rodríguez-Ferreyra
- Pediatric Burn Unit, Dr. Nicolás San Juan General Hospital, Mexico State Health Institute, Toluca 50010, Mexico; (P.R.-F.); (T.N.-R.); (O.I.G.-C.); (I.L.-R.); (O.M.-D.)
| | - Régulo López-Callejas
- Plasma Physics Laboratory, National Institute for Nuclear Research, Ocoyoacac 52750, Mexico; (R.L.-C.); (A.M.-C.); (R.V.-A.)
| | - Teresa Narváez-Robles
- Pediatric Burn Unit, Dr. Nicolás San Juan General Hospital, Mexico State Health Institute, Toluca 50010, Mexico; (P.R.-F.); (T.N.-R.); (O.I.G.-C.); (I.L.-R.); (O.M.-D.)
| | | | - Omar Israel Gayosso-Cerón
- Pediatric Burn Unit, Dr. Nicolás San Juan General Hospital, Mexico State Health Institute, Toluca 50010, Mexico; (P.R.-F.); (T.N.-R.); (O.I.G.-C.); (I.L.-R.); (O.M.-D.)
| | - Antonio Mercado-Cabrera
- Plasma Physics Laboratory, National Institute for Nuclear Research, Ocoyoacac 52750, Mexico; (R.L.-C.); (A.M.-C.); (R.V.-A.)
| | - Irene Lule-Reyna
- Pediatric Burn Unit, Dr. Nicolás San Juan General Hospital, Mexico State Health Institute, Toluca 50010, Mexico; (P.R.-F.); (T.N.-R.); (O.I.G.-C.); (I.L.-R.); (O.M.-D.)
| | - Othoniel Mondragón-Dagio
- Pediatric Burn Unit, Dr. Nicolás San Juan General Hospital, Mexico State Health Institute, Toluca 50010, Mexico; (P.R.-F.); (T.N.-R.); (O.I.G.-C.); (I.L.-R.); (O.M.-D.)
| | - Raúl Valencia-Alvarado
- Plasma Physics Laboratory, National Institute for Nuclear Research, Ocoyoacac 52750, Mexico; (R.L.-C.); (A.M.-C.); (R.V.-A.)
| | - Jesús Duarte-Mote
- Teaching and Research Unit, Dr. Nicolás San Juan General Hospital, Mexico State Health Institute, Toluca 50010, Mexico;
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Matsuda N, Sato C, Ishikawa K, Miura T, Funayama E, Yamamoto Y, Fuyama K, Ohnishi S, Maeda T. A novel mouse model for studies of burn wound conversion using a top hat-shaped brass template. Burns 2025; 51:107348. [PMID: 39721234 DOI: 10.1016/j.burns.2024.107348] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2024] [Revised: 11/13/2024] [Accepted: 12/08/2024] [Indexed: 12/28/2024]
Abstract
INTRODUCTION The pathophysiology of burn wound conversion is not fully understood. Animal models are needed to elucidate the underlying mechanisms and develop treatments. Here, we established a new reproducible mouse model that simulates this process, thereby facilitating studies of burn wound conversion. MATERIALS AND METHODS After anesthesia and depilation, 75 mice were randomly assigned to 5-, 15-, and 25-s contact groups, and a top hat-shaped brass template was heated in boiling water and applied to the lateral abdomen. The wound area was calculated from photographs and the percentage of the surviving area was determined. Histological samples were collected 1-96 h after injury. RESULTS A 15-s contact time produced the desired 50 %-75 % interspace necrosis at 96 h after injury. The 5-s contact group had a mostly preserved interspace, while the 25-s contact group exhibited near-complete necrosis. Histologically, significant differences between the 5- and 15-s contact groups were seen in cutaneous appendage denaturation and panniculus carnosus denaturation early after injury. CONCLUSION Exposing mice to the heated template for 15 s provides a reproducible model for studying burn wound conversion mechanisms and treatments, facilitating further elucidation of burn pathophysiology and evaluation of therapies to prevent burn wound conversion.
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Affiliation(s)
- Norifumi Matsuda
- Department of Plastic and Reconstructive Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Kita 15, Nishi 7, Kita-ku, Sapporo, Hokkaido 060-8638, Japan
| | - Chigusa Sato
- Department of Plastic and Reconstructive Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Kita 15, Nishi 7, Kita-ku, Sapporo, Hokkaido 060-8638, Japan; Department of Plastic and Reconstructive Surgery, Caress Sapporo Tokeidai Memorial Hospital, Kita 1, Higashi 1, Chuo-ku, Sapporo, Hokkaido 060-0031, Japan
| | - Kosuke Ishikawa
- Department of Plastic and Reconstructive Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Kita 15, Nishi 7, Kita-ku, Sapporo, Hokkaido 060-8638, Japan
| | - Takahiro Miura
- Department of Plastic and Reconstructive Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Kita 15, Nishi 7, Kita-ku, Sapporo, Hokkaido 060-8638, Japan
| | - Emi Funayama
- Department of Plastic and Reconstructive Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Kita 15, Nishi 7, Kita-ku, Sapporo, Hokkaido 060-8638, Japan
| | - Yuhei Yamamoto
- Department of Plastic and Reconstructive Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Kita 15, Nishi 7, Kita-ku, Sapporo, Hokkaido 060-8638, Japan
| | - Kanako Fuyama
- Data Science Center, Promotion Unit, Institute of Health Science Innovation for Medical Care, Hokkaido University Hospital, Kita 14, Nishi 5, Kita-ku, Sapporo, Hokkaido 060-8648, Japan
| | - Shunsuke Ohnishi
- Laboratory of Molecular and Cellular Medicine, Faculty of Pharmaceutical Sciences, Hokkaido University, Kita 12, Nishi 6, Kita-ku, Sapporo, Hokkaido 060-0812, Japan
| | - Taku Maeda
- Department of Plastic and Reconstructive Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Kita 15, Nishi 7, Kita-ku, Sapporo, Hokkaido 060-8638, Japan.
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Kaur N, Sahoo J, De M. Development of Nanomaterials-Based Agents for Selective Antibacterial Activity. Chembiochem 2025; 26:e202400693. [PMID: 39632741 DOI: 10.1002/cbic.202400693] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2024] [Revised: 10/26/2024] [Indexed: 12/07/2024]
Abstract
Bacterial infections continue to threaten public health due to limitations in rapid and accurate diagnostic techniques. While broad-spectrum antibiotics offer empirical treatment, their overuse has fuelled the emergence of antimicrobial resistance (AMR) pathogens, posing a critical global public health challenge. In this critical scenario, nanomaterial-based antibacterial agents emerge as a promising solution to combat bacteria and inhibit their proliferation. However, selective elimination of pathogenic bacteria is paramount. This review highlights recent advancements in developing nanomaterials for selective antibacterial activity. We categorize these agents based on their mode of action, exploring how they selectively interact with bacteria and their potential antibacterial mechanisms. This review offers crucial insights for researchers exploring the potential of nanotechnology to address the growing threat of AMR.
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Affiliation(s)
- Navjot Kaur
- Department of Organic Chemistry, Indian Institute of Science, Bangalore, 560012, India
| | - Jagabandhu Sahoo
- Department of Organic Chemistry, Indian Institute of Science, Bangalore, 560012, India
| | - Mrinmoy De
- Department of Organic Chemistry, Indian Institute of Science, Bangalore, 560012, India
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Chen JC, He MQ. Inhibition of CYP1A1 expression enhances diabetic wound healing by modulating inflammation and oxidative stress in a rat model. Tissue Cell 2024; 90:102483. [PMID: 39059132 DOI: 10.1016/j.tice.2024.102483] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2024] [Revised: 07/02/2024] [Accepted: 07/18/2024] [Indexed: 07/28/2024]
Abstract
OBJECTIVE Wound therapies utilizing gene delivery to the skin offer considerable promise owing to their localized treatment benefits and straightforward application. This study investigated the impact of skin electroporation of CYP1A1 shRNA lentiviral particles on diabetic wound healing in a streptozotocin (STZ)-induced rat model. METHODS Male Sprague Dawley (SD) rats were made diabetic by injecting STZ and subsequently creating foot skin wounds. The rats were randomly divided into four groups: normal, diabetic foot ulcers (DFU), DFU + control shRNA (electroporation of control shRNA lentiviral particles), and DFU + CYP1A1 shRNA (electroporation of CYP1A1 shRNA lentiviral particles). Wound healing progress was monitored at multiple time points (0, 1, 3, 5, 7, 10, 14 days). On day 14, wound tissue specimens were collected for histological examination. Wound samples collected at days 7 and 14 were used for gene expression analysis via qRT-PCR, assessment of CYP1A1 protein levels using western blotting, and evaluation of oxidative stress markers. RESULTS Treatment with CYP1A1 shRNA significantly enhanced diabetic wound healing rates compared to untreated controls over the observation period. Histological analysis revealed improved wound characteristics in the CYP1A1 shRNA-treated group, including enhanced epithelial regeneration, reduced inflammation, and increased collagen deposition, indicative of improved tissue repair. Furthermore, suppression of CYP1A1 corresponded with decreased expression levels of pro-inflammatory cytokines (interleukin-1β, tumor necrosis factor-α, and interleukin-6) and diminished oxidative stress markers (malondialdehyde, superoxide dismutase) within wound tissues. CONCLUSION Targeted suppression of CYP1A1 represents a promising therapeutic strategy to enhance diabetic wound healing by modulating inflammation and oxidative stress.
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Affiliation(s)
- Jing-Chun Chen
- Department of Hand Surgery, Wound Reconstructive Surgery, and Burn Surgery, Lishui People's Hospital, Lishui, Zhejiang 323000, China
| | - Meng-Qi He
- Department of Hand Surgery, Wound Reconstructive Surgery, and Burn Surgery, Lishui People's Hospital, Lishui, Zhejiang 323000, China.
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Bok J, Choi J, Lee S, Lim TH, Jang Y. Antibacterial and deodorizing effects of cold atmospheric plasma-applied electronic deodorant. Sci Rep 2024; 14:3011. [PMID: 38321059 PMCID: PMC10847499 DOI: 10.1038/s41598-024-53285-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2023] [Accepted: 01/30/2024] [Indexed: 02/08/2024] Open
Abstract
Axillary odor is a malodor produced by bacterial metabolism near the apocrine glands, which often causes discomfort in an individual's daily life and social interactions. A deodorant is a personal care product designed to alleviate or mask body odor. Currently, most deodorants contain antimicrobial chemicals and fragrances for odor management; however, direct application to the underarm skin can result in irritation or sensitivity. Therefore, there is a growing interest in technologies that enable disinfection and odor control without the antiperspirants or perfumes. The cold atmospheric plasma temporally generates reactive radicals that can eliminate bacteria and surrounding odors. In this study, cultured Staphylococcus hominis and Corynebacterium xerosis, the causative bacteria of axillary bromhidrosis, were killed after 90% plasma exposure for 3 min. Moreover, the electronic nose system indicated a significant reduction of approximately 51% in 3-hydroxy-3-methylhexanoic acid and approximately 34% in 3-methyl-3-sulfanylhexan-1-ol, the primary components of axillary odor, following a 5-min plasma exposure. These results support the dual function of our deodorant in eliminating bacteria and axillary odors without the chemical agents. Therefore, cold atmospheric plasma-applied deodorant devices have great potential for the treatment and management of axillary odors as a non-contact approach without chemical use in daily life.
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Affiliation(s)
- Junsoo Bok
- Department of Medical and Digital Engineering, College of Engineering, Hanyang University, Seoul, 04736, South Korea
| | - Jongbong Choi
- Department of Emergency Medicine, Hanyang University Hospital, Seoul, 04763, South Korea
| | - Solpa Lee
- Department of Medical and Digital Engineering, College of Engineering, Hanyang University, Seoul, 04736, South Korea
| | - Tae Ho Lim
- Department of Emergency Medicine, Hanyang University Hospital, Seoul, 04763, South Korea
| | - Yongwoo Jang
- Department of Medical and Digital Engineering, College of Engineering, Hanyang University, Seoul, 04736, South Korea.
- Department of Pharmacology, College of Medicine, Hanyang University, Seoul, 04736, South Korea.
- Department of Medical and Digital Engineering, College of Medicine, Hanyang University, Seoul, 04763, South Korea.
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Human Trial for the Effect of Plasma-Activated Water Spray on Vaginal Cleaning in Patients with Bacterial Vaginosis. Med Sci (Basel) 2022; 10:medsci10020033. [PMID: 35736353 PMCID: PMC9227462 DOI: 10.3390/medsci10020033] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2022] [Revised: 05/03/2022] [Accepted: 06/16/2022] [Indexed: 11/18/2022] Open
Abstract
Underwater plasma discharge temporally produces several reactive radicals and/or free chlorine molecules in water, which is responsible for antimicrobial activity. Hence, it can simply sanitize tap water without disinfectant treatment. Additionally, the spraying technique using cleaning water exploits deep application in the narrow and curved vaginal tract of patients. Herein, we attempted a clinical trial to evaluate the vaginal cleaning effect of spraying plasma-activated water (PAW) to patients with vaginitis (46 patients). The efficacy was compared with treatment with betadine antiseptics used to treat bacterial vaginosis (40 patients). To evaluate the cleaning effect, Gram staining of the vaginal secretions was conducted before and after spraying PAW or betadine treatment (BT). Consequently, PAW-sprayed (PAWS) patients (22.3%) showed a better vaginal cleaning effect against Gram-positive and -negative bacteria than BT patients (14.4%). Moreover, 18 patients in the BT group showed worsened vaginal contamination, whereas five patients in the PAWS group showed worsened vaginal contamination. Taken together, the noncontact method of spraying cleaning water to the vagina exhibited a reliable vaginal cleaning effect without further bacterial infection compared with BT. Therefore, we suggest a clinical application of the spraying method using PAW for vaginal cleaning to patients with vaginitis without disinfectants and antibiotics.
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