H. Ueno et al., Accelerating effects of chitosan for healing at early phase of experimental open wound in dogs, BIOMATERIAL, 20(15), 1999, pp. 1407-1414
Chitosan is a polymeric beta(1 --> 4) glucosamine (2-amino-2-deoxy-D-glucos
e) and N-acetyl-D-glucosamine (2-acetamido-2-deoxy-D-glucose) which has bee
n reported as a wound healing accelerator. In order to evaluate the efficac
y of chitosan as an accelerator of wound healing, experimental open skin wo
unds were made on the dorsal side in three normal beagles. Cottonfiber-type
chitosan (degree of acetylation = 18%) was applied for 15 days, and the pr
ocess of wound healing was evaluated histologically and immunohistochemical
ly. On day 3 postwounding, the chitosan-treated wounds showed histologicall
y severe infiltration of polymorphonuclear (PMN) cells and an increase in e
ffusion compared with that in the control. Granulation was more pronounced
by the chitosan treatment on day 9 and 15 postwounding. Immunohistochemical
typing of collagen I, III and IV showed increase of the production of type
III collagen in the chitosan group. The appearance of mitotic cells occurr
ed numerously in the control on postwounding day 3, and in the chitosan gro
up on postwounding day 6, These results suggest chitosan to be having a fun
ction in the acceleration of infiltration of PMN cells at the early stage o
f wound healing, followed by the production of collagen by fibroblasts. (C)
1999 Elsevier Science Ltd. All rights reserved.