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The Influence of Hyperbaric Oxygenation (HBO) on Proliferation and Differentiation of Human Keratinocyte Cultures In Vitro

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Abstract

A drop in tissue oxygen partial pressure below 30 mm Hg as a result of reduced perfusion in an extensive area of acute skin damage, or where a large number of chronic skin defects occur, inhibits collagen synthesis and neoangiogenesis in the various phases of wound healing. Subsequent granulation and epithelialisation are correspondingly impaired.

Hyperbaric oxygenation is now recognised as a valuable supplementary method of treatment for problematic wounds. Stimulation of fibroblast and endothelial cell proliferation through Hyperbaric oxygenation has been demonstrated in numerous studies.

The aim of this study was to investigate the effect of hyperbaric oxygen treatment on the proliferation and differentiation of human keratinocyte cultures.

The influence of hyperbaric oxygenation on the proliferation of human keratinocyte cultures was demonstrated using flow-through cytometry and a fluorescence activated cell sorter, which detects fluorescence intensity following incorporation of 5-bromo-2′-deoxyuridine in cell DNA.

The degree of cell differentiation was deduced from the expression of various components of the cytoskeleton, such as cytokeratin 10 and involukrin, the production of which was quantified through the determination of monoclonal antibodies against cytokeratin 10 and involukrin from measurements of fluorescence activity in a flow-through cytometer.

Hyperbaric oxygenation of cell cultures in vitro did not produce a significantly higher rate of cell proliferation, so that no increase in vitality was observed.

An interesting observation following exposure to hyperbaric oxygen was the marked increase in expression of both cytokeratin 10 and involukrin, as an indication of accelerated cell differentiation.

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References

  1. La Van FB and Hunt TK (1990) Oxygen and wound healing. Clin Plast Surg 17: 463-472

    Google Scholar 

  2. Winter GD and Perrins DJD (1970) Effects of hyperbaric oxygen treatment on Epidermal Regeneration. In Wada J and Iwa T (eds) Proceedings of the Fourth International Congress on Hyperbaric Medicine. pp 363 ff. Igaku Shoin, Tokyo

    Google Scholar 

  3. Hunt TK and Pai MP (1972) The effect of varying oxygen tensions in wound metabolism and collagen synthesis. Surg Gynecol Obstet 135: 561-567

    Google Scholar 

  4. Hunt TK and van Winkle JW (1976) In: Dunphy JE (ed) Fundamentals of Wound Management in Surgery. pp 1-68. South Plainfield: Chirurgecom

    Google Scholar 

  5. Hutton JJ, Tappel AL and Udenfriend S (1967) Cofactor and substrate requirements of collagen proline hydroxylase. Arch Biochem 118: 231-240

    Google Scholar 

  6. Udenfriend S (1966) Formation of hydroxyproline in collagen. Science 152: 1335-1340

    Google Scholar 

  7. Lambertsen CJ (1980). The lung: physical aspects of respiration. In: Mountcastle VB (ed) Medical Physiology 2, 14th edition. pp 1675-1944. Mosby, St. Louis, CV

    Google Scholar 

  8. Arturson G and Khanna NN (1970) The effects of hyperbaric oxygen, dimethyl sulfoxide and Complamin® on the survival of experimental skin flaps. Scand J Plast Reconstr Surg 4: 8-10

    Google Scholar 

  9. Knighton DR, Halliday B and Hunt TK (1986) Oxygen as an antibiotic: a comparision of the effects of inspired oxygen concentration and antibiotic administration on in vivo bacterial clearance. Arch Surg 121: 191-195

    Google Scholar 

  10. Almeling M and Welslau W (1996). Grundlagen der hyperbaren Sauerstofftherapie, 1. Auflage Archimedes Verlags-GmbH

  11. Sheffield PJ and Workman WT (1985) Non-invasive tissue oxygen measurements in patients administered normal and hyperbaric oxygen by mask. Hyperb Oxyg Rev 6: 47-62

    Google Scholar 

  12. Knighton DR, Halliday B and Hunt TK (1986) Oxygen as an antibiotic: a comparison of the effects of inspired oxygen concentration and antibiotic administration on in vivo bacterial clearance. Arch Surg 121: 191-195

    Google Scholar 

  13. Rheinwald JG and Green H (1975) Serial cultivation of strains of human epidermal keratinocytes: the formation of keratinizing colonies from single cells. Cell 6: 331-344

    Google Scholar 

  14. Green H, Kehinde O and Thomas J (1979) Growth of cultured human epidermal cells into multiple epithelial suitable for grafting. Proc Natl Acad Sci USA 76: 5665-5668

    Google Scholar 

  15. Banks-Schlegel S and Green H (1980) Formation of epidermis by serially cultivated human epidermal cells transplanted as an epithelium to athymic mice. Transplant 29: 308-313

    Google Scholar 

  16. O'Connor NE, Mulliken JB, Banks-Schlegel S, Kehinde O and Green H (1981) Grafting of burn with cultured epithelium from autologous epidermal cells. Lancet 1: 75-78

    Google Scholar 

  17. Gallico GG, O'Connor NE, Compton CC, Kehinde O and Green (1984) Permanent coverage of large burn wounds with autologous cultured human epithelium. New Engl J Med 311: 448-451

    Google Scholar 

  18. Hefton JM, Madden MR, Finkelstein JL and Shires TG (1983) Grafting of burn patients with allografts of cultured epidermal cells. Lancet 21: 428-430

    Google Scholar 

  19. Hansbrough JF, Boyce ST, Cooper ML and Foreman TJ (1989) Burn wound closure with cultured autologous keratinocytes and fibroblasts attached to a collagenglycosaminoglycan substrate. JAMA 262: 2125-2130

    Google Scholar 

  20. Maier K (1989) Keratinozytenkulturen als Hautersatz bei Verbrennungen. Wehrmed. Wehrpharm 1: 102-107

    Google Scholar 

  21. Beele H, Naeyaert JM, Goeteyn M, De Mil M and Kint A (1991) Repeated cultured epidermal allografts in the treatment of chronic leg ulcers of various origins. Dermatologica 183: 31-35

    Google Scholar 

  22. Clancy JMP, Shehade SA, Blight AE, Young KE and Levick PL (1988) Treatment of leg ulcers with cultured epithelial grafts. JAMA 259: 1356-1357

    Google Scholar 

  23. Cony M, Taieb A and Malevill J (1991) The value of cultured keratinocytes in the treatment of leg ulcers. Ann Dermatol Venerol 118: 139-143

    Google Scholar 

  24. Hefton JM, Caldwell D, Biozes DG, Balin AK and Carter DM (1986) Grafting of skin ulcers with cultured autologous epidermal cells. JAMA 256: 399-405

    Google Scholar 

  25. Leigh IM and Purkis PE (1986) Culture grafted leg ulcers. Clin Exp Dermatol 11: 650-652

    Google Scholar 

  26. Leigh IM, Purkis PE, Navsaria HA and Phillips TJ (1987) Treatment of chronic venous ulcers with sheets of cultured allogenic keratinocytes. Br J Dermatol 117: 591-597

    Google Scholar 

  27. Phillips TJ (1988) Cultured skin grafts. Arch Dermatol 124: 1035-1038

    Google Scholar 

  28. Phillips TJ, Bigby M and Bercovitch L (1991) Cultured allografts as an adjunct to the medical treatment of problematic leg ulcers. Arch Dermatol 127: 799-801

    Google Scholar 

  29. Phillips TJ, Kehinde O and Green H (1989) Treatment of skin ulcers with cultured epidermal allografts. JAMA 262: 191-199

    Google Scholar 

  30. Stadler R, Detmar M and Orfanos CE (1989) Autologe Keratinozytenkulturen als Hautersatz bei langjährig bestehenden Ulcera cruris venosa. Akt Dermatol 15: 91-95

    Google Scholar 

  31. Teepe RGC, Koerbrugge EJ, Ponec M and Vermeer BJ (1990) Fresh versus cryopreserved cultured allografts for the treatment of chronic skin ulcers. Br J Dermatol 122: 81-89.

    Google Scholar 

  32. Bettex-Gallan M, Slongo T, Hunziker T, Wiesmann U and Bettex M (1988) Use of cultured keratinocytes in the treatment of severe burns. Z Kinderchir 43: 224-228

    Google Scholar 

  33. Bolivar-Flores J, Poumian E, Marsch-Moreno M, Montes de Oca G and Kuri-Harcuch W (1990) Use of cultured human epidermal keratinocytes for allografting burns and conditions for temporary banking of the cultured allografts. Burns 16: 3-8

    Google Scholar 

  34. Braun M, Eickhoff U, Maier K, Schreyer C, Schäfer R and Klammer H-L (1991) Frühergebnis der Transplantation autologer Keratinozytenkulturen beim Brandverletzten. Wehrmed Monatschr 2: 63-69

    Google Scholar 

  35. Compton CC, Gill JM and Bradfort DA (1989) Skin regenerated from cultured epithelial autografts on full thickness burn wounds from 6 days to 5 years after grafting. Lab Invest 60: 600-612

    Google Scholar 

  36. Cuono C, Langdon R and Mc Guire J (1986) Use of cultured epidermal autografts and dermal allografts as skin replacement after burn injury. Lancet 1: 1123-1124

    Google Scholar 

  37. Green H (1989) Regeneration of skin after grafting of epidermal cultures. Lab Invest 60: 583-584

    Google Scholar 

  38. Herzog SR, Meyer A, Woodley D and Peterson HD (1988) Wound coverage with cultured autologous keratinocytes: use after burn wound excision, including biopsy follow up. J Trauma 28: 195-198

    Google Scholar 

  39. Hundyadi J, Farkas B, Berteneyi C, Olah J and Dobozy A (1988) Keratinocyte grafting: a new means of transplantation for full-thickness wounds. J Dermatol Surg Oncol 14: 75

    Google Scholar 

  40. Itin P and Pittelkow MR (1990) Autologe Epithel transplantation mit kultivierten Keratinozyten. Geschichte und heutiger Stellenwert in der Verbrennungsbehandlung. Helv Chir Acta 57: 519-528

    Google Scholar 

  41. Kumagai N, Nishina H, Tanabe H, Hosaka T, Ishida H and Ogina Y (1988) Clinical application of autologous cultured epithelia for the treatment of burn wounds and scars. Plast Reconstr Surg 82: 99-104

    Google Scholar 

  42. Petersen MJ, Lessane B and Woodley DT (1990) Characterisation of cellular elements in healed cultured keratinocyte autografts used to cover burn wounds. Arch Dermatol 126: 175-180

    Google Scholar 

  43. Teepe RGC, Kreis RW, Koerbrugge EJ, Vloemans AF, Hermans RP, Boxma H, Dokter J, Hermans J, Ponec M and Vermeer BJ (1990) The use of cultured autologous epidermis in the treatment of extensive burn wounds. J Trauma 30: 269-275

    Google Scholar 

  44. Van der Merve AE, Mattheyse FJ, Bedford M, van Helden PD and Rossouw DJ (1990) Allografted keratinocytes used to accelerate the treatment of burn wounds are replaced by recipient cells. Burns 16: 193-197

    Google Scholar 

  45. Hollander D, Stein M, Bernd A, Windolf J and Pannike A (1999) Autologous keratinocytes cultured on benzylester hyaluronic acid membranes in the treatment of chronic fullthickness ulcers. J Wound Care 7: 351-355

    Google Scholar 

  46. Tompach PC, Lew D and Stoll JL (1997) Cell response to hyperbaric oxygen treatment. Int J Oral Maxillofac Surg 26(2): 82-86

    Google Scholar 

  47. Hehenberger K, Brismar K, Lind F and Kratz G (1997) Dose-dependent hyperbaric oxygen stimulation of human fibroblast proliferation. Wound Rep Reg 5: 147-150

    Google Scholar 

  48. Dimitrijevich SD, Paranjape S, Wilson JR, Gracy RW and Mills JG (1999) Effect of hyperbaric oxygen on human skin cells in culture and in human dermal and skin equivalents. Wound Rep Reg 7: 53-64

    Google Scholar 

  49. Karasek AK (1966) In vitro culture of human skin epithelial cells. J Invest Dermatol 47: 533-540

    Google Scholar 

  50. Reaven EP and Cox AJ (1968) Behavior of adult human skin in organ culture. J Invest Dermatol 50: 118-127

    Google Scholar 

  51. Horikoshi T, Balin AK and Carter M (1986) Effect of oxygen on the growth of human epidermal keratinozytes. J Inves Dermatol 86: 424-427

    Google Scholar 

  52. Compton CC (1992) Current concepts in pediatric burn care: the biology of cultured epithelial autografts: an eight-year study in pediatric burn patients. Europ J Pediat Surg 2: 216-222

    Google Scholar 

  53. Tamisani AM, Ferretti S and Sangiorgio L (1992) Critical reflections on the use of human cultured keratinocytes in children with burns. Europ J. Pediat Surg 2: 223-226

    Google Scholar 

  54. Donnersmarck GH von, Mühlbauer W, Höfter E and Hartinger A (1995) Die Verwendung von Keratinozytenkulturen in der Schwerbrandverletztenbehandlungbisherige Erfahrungen, Ausblicke zur weiteren Entwicklung. Unfallchirurg 98: 229-232

    Google Scholar 

  55. Kaiser HW, Stark GB, Kopp J, Balcerkiewicz, A, Spilker G and Kreysel HW (1994) Cultured autologous keratinocytes in fibrin glue suspension, exclusively and combined with STS-allograft (preliminary clinical and histological report of a new technique). Burns 20: 23-29

    Google Scholar 

  56. Pittelkow MR and Scott RE (1986) New techniques for the in vitro culture of human skin keratinocytes and perspectives on their use for grafting of patients with extensive burns. Mayo Clinic Proceed 61: 771-777

    Google Scholar 

  57. Boyce ST and Ham RG (1983) Calcium regulated differentiation of normal human epidermal keratinocytes in chemically defined culture and serum-free serial culture. J Invest Dermatol 81: 33-40

    Google Scholar 

  58. Böhm K, Gerhardt HJ, Kaschke O, Winter H, Böhm F, Sönnichsen N and Neumann S (1992)Wundverschluß mit Zellsuspension im Haut-und Schleimhautbereich. Dermatol Mon Schr 178: 22-26

    Google Scholar 

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Hollander, D.A., Hakimi, M.Y., Hartmann, A. et al. The Influence of Hyperbaric Oxygenation (HBO) on Proliferation and Differentiation of Human Keratinocyte Cultures In Vitro. Cell Tissue Banking 1, 261–269 (2000). https://doi.org/10.1023/A:1010145312698

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