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Effect of growth factors in combination with injectable silicone resin particles on the biological activity of dermal fibroblasts: A preliminary in vitro study

✍ Scribed by Jessica A. Jennings; Robert M. Crews; Joycelyn Robinson; Kelly Richelsoph; Judith A. Cole; Joel D. Bumgardner; Yunzhi Yang; Warren O. Haggard


Publisher
John Wiley and Sons
Year
2010
Tongue
English
Weight
399 KB
Volume
92B
Category
Article
ISSN
1552-4973

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✦ Synopsis


Abstract

Injections of silicone fluid have been clinically evaluated to treat and prevent foot ulcers due to diminished plantar fat‐pad in neuropathic diabetics. The objective of this study was to determine preliminary in vitro effects of an injectable form of silicone resin particles in combination with growth factors to determine the suitability of this potential therapy for prevention of diabetic foot ulcers. Basic fibroblast growth factor (bFGF), epidermal growth factor (EGF) and platelet‐derived growth factor (PDGF‐BB) were added to monolayer culture along with silicone resin particles (12 μm average diameter). Growth factors were also combined as follows: bFGF+PDGF‐BB, EGF+PDGF‐BB, and bFGF+EGF. Growth factors alone and in combination increased fibroblast proliferation, but the presence of particles did not significantly affect cellular proliferation. The addition of particles significantly increased fibronectin production 117% in the control group and 151% in the PDGF only group. Collagen production was increased with exposure to EGF and growth factor combinations, but the presence of particles did not lead to any significant differences, except an 81% increase in the bFGF group. These preliminary results suggest that a combination of PDGF and bFGF may be effective in stimulating proliferation and matrix production around injectable silicone resin particles to generate a fibrous tissue pad to alleviate the abnormal distribution of high pressures that contribute to diabetic foot ulcer formation. © 2009 Wiley Periodicals, Inc. J Biomed Mater Res Part B: Appl Biomater 2010


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## Abstract Minimally invasive subdermal injection of liquid silicone has been used clinically to augment the soft tissue of the foot to mitigate high pressures that cause diabetic foot ulcers. However, implant migration has been a clinical issue. The objective of this study was to assess the effec