Experimental study on the effects of bismuth subgallate on the inflammatory process and angiogenesis of the oral mucosa

Eduardo Vieira Couto, Carlos Roberto Ballin, Claudia Paraguaçu Pupo Sampaio, Carlos Augusto Seije Maeda, Carlos Henrique Ballin, Camila Soares Dassi, Lilian Yukari Miura, Eduardo Vieira Couto, Carlos Roberto Ballin, Claudia Paraguaçu Pupo Sampaio, Carlos Augusto Seije Maeda, Carlos Henrique Ballin, Camila Soares Dassi, Lilian Yukari Miura

Abstract

Introduction: Bismuth subgallate is a salt derived from heavy metal. The aim of this study was to evaluate the effect of this salt on some phases of healing.

Objectives: To assess the effect of subgallate on mucosa and to evaluate the association between the use of bismuth subgallate and neogenesis of vessels in oral mucosal wounds.

Methods: This was a prospective and experimental study. This study used sixty rats, which were divided into control and experimental groups. The animals were submitted to a surgical procedure, which caused oral mucosal injury. A saline solution was applied on the wound of the control group, and in the experimental group, a solution of bismuth subgallate was administrated.

Results: The experimental group showed greater inflammatory reaction with increasing monomorphic proliferation. There was increased vessel proliferation in the control group.

Conclusion: Bismuth subgallate had a negative influence on the healing process, delaying the rate of new vessel formation and optimal wound healing.

Keywords: Angiogenesis-inducing agents; Cicatrização; Indutores da angiogênese; Tonsilectomia; Tonsillectomy; Wound healing.

Copyright © 2015 Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial. Published by Elsevier Editora Ltda. All rights reserved.

Figures

Figure 1
Figure 1
Surgical wound induction.
Figure 2
Figure 2
Wound removal on D7.
Figure 3
Figure 3
Mask used for the reading of Picrosirius staining.
Figure 4
Figure 4
Slide showing Picrosirius staining of integra.
Figure 5
Figure 5
Finished slides and paraffin after punch was performed.
Figure 6
Figure 6
Mask used for the reading of CD34 marker.
Figure 7
Figure 7
Slide showing CD34 marker of integra.

References

    1. Mandelbaum S.H., Di Santis E.P., Mandelbaum M.H.S. Cicatrização: conceitos atuais e recursos auxiliares/Parte I. An Bras Dermatol. 2003;78:393–410.
    1. Arroyo Júnior P.C., Silva R.C.M.A., Santi Neto D., Santana Júnior D., Ferreira F.D., Silva R.F. Uso do subgalato de bismuto para hemostasia local em hepatectomisas parciais de ratos. Rev Col Bras Cir. 2004;31:165–171.
    1. Paz S.H.H., Reyes A.O., Guzmán C.M.G. Estudio comparativo de dos agentes hemostáticos adicionados con epinefrina en la adenoamigdalectomía. Rev Esp Méd Quir. 2012;17:3–7.
    1. Padilla R.M., Valdés C.M., Asato J.R., Márquez M., Gutiérrez S.C., González Y.A., et al. Eficacia del subgalato de bismuto, como agente hemostático tópico, en el sangrado transoperatorio de la adenoamigdalectomía o amigdalectomía. An Orl Mex. 2012;57:65–68.
    1. Arnold F., West D.C. Angiogenesis in wound healing. Pharmacol Ther. 1991;52:407–422.
    1. Mendonca R.J., Coutinho-Netto J. Aspectos celulares da cicatrização. An Bras Dermatol. 2009;84:257–262.
    1. Fonseca V.R.C.D., Malafaia O., Ribas Filho J.M., Nassif P.A.N., Czeczko N.G., Marcondes C.A.P., et al. Angiogenesis, fibrinogenesis and presence of synechiae after exeresis of a swine vocal fold mucosal microflap and use of topical mitomycin-C. Acta Cir Bras. 2010;25:80–85.
    1. Streit M., Velasco P., Riccardi L., Spencer L., Brown L.F., Janes L., et al. Thrombospondin-1 suppresses wound healing and granulation tissue formation in the skin of transgenic mice. EMBO J. 2000;19:3272–3282.
    1. Souza D.W., Machado T.S.L., Zoopa A.L.V., Cruz R.S.F., Gárague A.P., Silva L.C.L.C. Ensaio da aplicação de creme à base de Triticum vulgare na cicatrização de feridas cutâneas induzidas em eqüinos. Rev Bras Pl Med. 2006;8:9–13.
    1. Balbino C.A., Pereira L.M., Curi R. Mecanismos envolvidos na cicatrização: uma revisão. Rev Bras Cienc Farm. 2005;41:27–51.
    1. Hanson D., Langemo D., Thompson P., Anderson J., Hunter S. Understanding wound fluid and the phases of healing. Adv Skin Wound Care. 2005;18:360–362.
    1. Singer A.J., Clark R.A. Cutaneous wound healing. N Engl J Med. 1999;341:738–746.
    1. Baum C.L., Arpey C.J. Normal cutaneous wound healing: clinical correlation with cellular and molecular events. Dermatol Surg. 2005;31:674–686.
    1. Molina F.D., Maniglia J.V., Magalhães F.P., Dafico S.R., Rezende R.S. A eficácia do subgalato de bismuto em tonsilectomias como agente hemostático. Rev Bras Otorrinolaringol. 2000;66:194–197.
    1. Campos A.C.L., Borges-Branco A., Groth A.K. Cicatrização de feridas. Arq Bras Cir Dig. 2007;20:51–58.

Source: PubMed

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