Effect of Mederma on hypertrophic scarring in the rabbit ear model

Currently accepted conservative treatments of hypertrophic scars are limited to steroid injections, radiation therapy, and silicone occlusive therapy. However, the use of Mederma for these problematic lesions has become quite prevalent in the clinical setting. Little scientific evidence exists to support the efficacy of this product in reducing hypertrophic scars. The aim of this study was to study the effects of Mederma on hypertrophic scars in the rabbit hypertrophic scar model, allowing the histologic quantification of scar elevation, dermal collagen organization, vascularity, and inflammation and the gross examination of scar erythema. Full-thickness wounds down to cartilage, four per ear, were created in four New Zealand White rabbits, for a total of 32 scars. Twenty-eight days after the initial wounding, the hypertrophic scars were photographed, and treatment of half of the scars on each ear was begun with Mederma three times per day for a total of 4 weeks. The untreated scars served as control scars and were left exposed to air. After 4 weeks of treatment, the scars were once again photographed. The rabbits were then killed, and the scars were analyzed histologically. The pretreatment and posttreatment photographs were compared by using computer quantification of magenta, yellow, and cyan expression within the scars.Histologic analysis demonstrated no significant reduction in scar hypertrophy or scar elevation index. However, a significant improvement in dermal collagen organization was noted on comparing Mederma-treated scars with untreated control scars (p < 0.05). No significant difference in dermal vascularity or inflammation was noted. Computer analysis of the scar photographs demonstrated no significant reduction in scar erythema with Mederma treatment. The active product in Mederma, allium cepa, has as its derivative quercetin, a bioflavonoid noted for its antiproliferative effects on both normal and malignant cells, and its antihistamine release effects. These properties could theoretically prove beneficial in reversing the inflammatory and proliferative responses noted in hypertrophic scars. Despite the authors' inability to demonstrate a reduction in scar hypertrophy, the improvement in collagen organization noted in the Mederma-treated scars suggests it may have an effect on the pathophysiology of hypertrophic scar formation.     

Effect of copper on isolated rabbit blastocysts

The effect of copper on the electrical membrane properties of the isolated-perfused 6-day rabbit blastocyst was studied to understand changes in the intrauterine environment caused by the copper IUD. Blastocysts were perfused in an environmental chamber containing Krebs-Ringer bicarbonate with 1 mg bovine serum albumin/ml. Electrical measurements made included short-circuit current (SCC) (the net result of currents produced by all net active ionic transport processes when there is no electrochemical gradient), transmural potential difference (p.d.), and conductance (computed from the ratio of open circuit p.d. to SCC). Control values were obtained and 9 experiments were performed in which 10 mcl aliquots of ?cuCl2 was added to the bathing solution. Electrical parameters of solutions containing 10-5M concentration CuCl2 remained essentially unchanged. 2.5 x 10-5 M reduced average p.d. 25% and average SCC 12%, WHILE 5 X 10-4C-5 M further reduced p.d. 48% and SCC 38% after 30 minutes. At 7.5 x 10-5 M p.d. was depressed 89% after 10 minutes with 1/3 of the values being positive, and SCC values decreased to 71% at 10 minutes and then increased to 77% of control values at 30 minutes. The subsequent changes in p.d. and SCC caused a 6-fold increase in membrane conductance. 9 experiments were performed on a 2nd group of blastocysts in which the effects of a single addition of CuCl2 at 10-4 M were studied. Average p.d. decreased reversing to positive values at 30 minutes. There was a biphasic response to SCC decreasing to 46% after 20 minutes then increasing to 1.7 times control values. Single additions of copper ions collapsed all blastocysts after a return to copper-free solutions. Serial additions showed only 3 out of 9 collapsing under similar conditions. Further experiments involving simultaneous SCC-isotope flux are necessary to determine which specific actively transported ions are affected by copper and to determine the effect on conductance. It is suggested that the action of copper in these experiments might have some bearing on the effectiveness of the copper IUD.     

Development of the vascular bed in the rabbit ear: scanning electron microscopy of vascular corrosion casts

The development of the vascular bed in the rabbit ear was investigated using vascular corrosion casts from animals of various ages. Examination of the casts revealed that the arrangement of the major auricular arteries and veins was determined before birth and was maintained during postnatal growth of the ear. Furthermore, the number of arteries branching off the central ear artery and the lateral arteries did not increase with increasing ear length. Scanning electron microscopic examination of lateral segments of adult ear casts revealed many anastomoses between marginal arteries and veins. These arteriovenous anastomoses (AVAs) occurred singly, in pairs, or in clusters of three to six. Their size and shape were variable, even in the same cast. The central segment of many AVA casts showed surface impressions of endothelial cell nuclei which were different from the impressions on adjacent arteries and veins. Arteriovenous anastomoses were also detected in ear casts from animals as young as 8 days. The density of AVAs in lateral ear segments ranged from 95-165 cm-2 in 8- to 11-day-old rabbits to 80-115 cm-2 in adults. However, estimates of the total number of AVAs in the lateral ear margin indicated that AVAs continued to be formed at a steady rate during growth of the ear. During the early neonatal period the cutaneous capillary plexuses developed prominent tufts projecting toward the skin surface, which were apparently associated with developing hair follicles. These capillary tufts were not seen in casts from fetal or adult rabbits.     

Effect of serotonin on cholinergic septo-hippocampal reactions in the rabbit

In noncurarized and unanaesthetized rabbits, the unit activity and field potentials evoked by testing stimulation of the medial septum were studied before, during (3-10 min), and in different periods (up. to 0.5 h) after microiontophoretic serotonin (5-OT) application or n. Raphe stimulation. In most of the cases, just during 5-OT application or n. Raphe stimulation, cholinergic septo-hippocampal responses decreased. Trace facilitatory effect of native and exogenously applied 5-OT on these responses was found. Increase of efficiency of cholinergic excitatory input was considered as a confirmation of the role of the serotonergic system in hippocampal long-term posttetanic potentiation after the stimulation of the medial septum. On the whole the data obtained indicate a complex modulatory 5-OT influence on the cholinergic septo-hippocampal responses.     

Effects of cholera toxin on vasoconstriction and cyclic AMP content of the isolated rabbit ear artery

We have studied the effect of cholera toxin on the constrictor responses of the isolated, perfused rabbit ear artery to nerve stimulation and to norepinephrine infusion. We found that when we perfussed arteries with cholera toxin (1–9 μg/ml) for five minutes or longer, the toxin gradually inhibited the responses to intermittent stimulation of the adrenergic nerves and to brief infusion of norepinephrine. The constrictor responses began to decrease between one and two hours after we added cholera toxin, and the responses were still depressed after 24 hours. Cholera toxin inhibited both the rapid, initial phase and the slower, sustained phase of the biphasic response of the ear artery to nerve stimulation. Propranolol and indomethacin did not block the effect of cholera toxin on vasoconstriction. However, when we mixed the toxin with antitoxin or G_M1 ganglioside, we prevented the inhibitory effect on vasoconstriction. Levels of adenosine 3′:5′-cyclic monophosphate (cyclic AMP) in arteries treated with cholera toxin were greater than levels of cyclic AMP in untreated arteries. The cyclic AMP content increased and the constrictor responses decreased with a similar time course after the arteries were exposed to the toxin. Thus an increase in cyclic AMP may be involved in the relaxation of vascular smooth muscle induced by cholera toxin.     

Sodium and calcium interactions in vascular smooth muscle cells of the rabbit ear artery

The effects of Na-free and of K-free solutions on the membrane potential, on tension development, and on 45Ca exchange have been investigated in rabbit ear artery. The contraction induced by Na-free solutions and the tension which develops in K-free solutions after a delay of about 1 h are both submaximal. Exposure for 4 h to K-free solutions does not affect the membrane potential, whereas Na-free solutions depolarize the cells by 10-20 mV, depending on the Na-substitute. Neither the amplitude nor the rate constant of the slowly exchanging 45Ca-fraction is affected by these experimental procedures. Substituting external Na by choline or TMA induces a transient increase of the 45Ca-efflux rate which does not occur in a Ca-free efflux medium, and which can be blocked with La. K readmission to Na-enriched tissues hyperpolarizes the cells up to -100 mV and induces a relaxation, without exerting any effect on the 45Ca efflux rate. The release of Ca from intracellular stores, induced by histamine and FCCP, and its subsequent extrusion through the plasma membrane produce a transient stimulation of the 45Ca efflux, which is not affected by the reduction of the Na gradient. The transient contraction induced by histamine in Ca-free solutions is affected in a different way by different Na substitutes. The results do not fit the Na-Ca exchange hypothesis but are consistent with an effect of the Na gradient on the passive Ca influx.