Ge. Spyrou et al., THE ORIGIN AND MODE OF FIBROBLAST MIGRATION AND PROLIFERATION IN GRANULATION-TISSUE, British Journal of Plastic Surgery, 51(6), 1998, pp. 455-461
The factors which regulate the properties of granulation tissue remain
uncertain. The key cells in granulation tissue are fibroblasts and th
eir role was investigated in rat skin excisional wounds. Full thicknes
s wounds in 28 Hooded Lister rats were made and traced. On days 1 to 7
, animals in groups of 4 received colchicine 1 mg/kg subcutaneously, 4
h before being killed. Wound sections were stained to locate and coun
t mitotic cells. All wounds healed with a normal coefficient of contra
ction. The fibroblasts' mitotic indices (% of mitotic cells) were calc
ulated. Dermis: 0.1% vs. 2.9% (control vs. test P < 0.001, paired t-te
st); fascia; 0.07% vs. 5.6% (control vs. test P < 0.001); granulation
tissue: 9.7%. Granulation tissue fibroblasts come mainly from the adja
cent fascia although the dermis may have an initial role. Once they ar
e in the wound replication is extremely rapid. This study highlights f
or the first time the rapidity of fibroblastic migration and prolifera
tion in excisional wounds, and suggests that future therapeutic interv
entions to control granulation tissue should consider these kinetics.