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2015 ; 10
(12
): e0144914
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English Wikipedia
Application of Electron Paramagnetic Resonance (EPR) Oximetry to Monitor Oxygen
in Wounds in Diabetic Models
#MMPMID26659378
Desmet CM
; Lafosse A
; Vériter S
; Porporato PE
; Sonveaux P
; Dufrane D
; Levêque P
; Gallez B
PLoS One
2015[]; 10
(12
): e0144914
PMID26659378
show ga
A lack of oxygen is classically described as a major cause of impaired wound
healing in diabetic patients. Even if the role of oxygen in the wound healing
process is well recognized, measurement of oxygen levels in a wound remains
challenging. The purpose of the present study was to assess the value of electron
paramagnetic resonance (EPR) oximetry to monitor pO2 in wounds during the healing
process in diabetic mouse models. Kinetics of wound closure were carried out in
streptozotocin (STZ)-treated and db/db mice. The pO2 was followed repeatedly
during the healing process by 1 GHz EPR spectroscopy with lithium phthalocyanine
(LiPc) crystals used as oxygen sensor in two different wound models: a
full-thickness excisional skin wound and a pedicled skin flap. Wound closure
kinetics were dramatically slower in 12-week-old db/db compared to control (db/+)
mice, whereas kinetics were not statistically different in STZ-treated compared
to control mice. At the center of excisional wounds, measurements were highly
influenced by atmospheric oxygen early in the healing process. In pedicled flaps,
hypoxia was observed early after wounding. While reoxygenation occurred over time
in db/+ mice, hypoxia was prolonged in the diabetic db/db model. This observation
was consistent with impaired healing and microangiopathies observed using
intravital microscopy. In conclusion, EPR oximetry using LiPc crystals as the
oxygen sensor is an appropriate technique to follow wound oxygenation in acute
and chronic wounds, in normal and diabetic animals. Nevertheless, the technique
is limited for measurements in pedicled skin flaps and cannot be applied to
excisional wounds in which diffusion of atmospheric oxygen significantly affects
the measurements.