Study the effect of day and night on skin wound healing

Document Type : (original research)

Authors

1 Department of Clinical Science, School of Veterinary Medicine, Shiraz University, Shiraz, Iran

2 Biochemist, Private Sector, Shiraz, Iran

3 Department of Basic Science, School of Veterinary Medicine, Shiraz University, Shiraz, Iran

4 Department of Pathobiology, School of Veterinary Medicine, Shiraz University, Shiraz, Iran.

10.22034/aej.2022.325523.2738

Abstract

The skin is a complex structure and has three layers (epidermis, dermis and hypodermis). The skin has different cell types such as Langerhans cells, keratinocytes and etc. The skin is the first layer of the body's defense and protects the body against external factors (such as chemicals, physical damage and etc). The wound healing process begins following any damage to the skin. Wound healing consists of four stages (inflammation, debridement, proliferation and maturation). Wound healing is affected by many factors, including the circadian rhythm. In this regard, circadian rhythm is a biological process that follows a 24-hour cycle and affects the skin cells and other body organs. The aim of the present study was to compare the speed of wound healing during days and nights. Forty male Sprague-Dawley rats were prepared and kept at a constant temperature, light (12 hours light / 12 hours dark) and proper nutrition. Rats were randomly selected and divided into groups A and B. In group A, ulcers were created at 8-10 am and in group B, ulcers were created at 11-9 pm. Evaluation of results based on daily measurement of wound surface (by Digimizer program) immediately after wound creation and (3, 7, 10, 14 and 21 days after wound creation) to determine the rate of clinical healing and biochemical test (hydroxyproline assay) were performed to compare the rate of wound healing on the 10th and 21st day of the study on skin samples in both groups. Hydroxyproline level was markedly increased on day 21 in group A as compared to group B. Measurements of wound dimensions and the healing process showed a significant increase on day 21 in group A in comparison with group B. The results of the present study show that daytime wounds creation healing faster than nighttime wounds creation.

Keywords

Main Subjects


  1. Shindo, Y., Witt, E., Han, D., Epstein, W. and Packer, L., 1994. Enzymic and non-enzymic antioxidants in epidermis and dermis of human skin. Journal of Investigative Dermatology. 102(1): 122-124.
  2. Kanitakis, J., 2002. Anatomy, histology and immunohistochemistry of normal human skin. European journal of dermatology. 12(4): 390-399.
  3. Farage, M.A., Miller, K.W. and Maibach, H.I., 2017. Degenerative changes in aging skin. Textbook of aging skin. 15-30.
  4. Jackson, S.M., Williams, M.L., Feingold, K.R. and Elias, P.M., 1993. Pathobiology of the stratum corneum. Western journal of medicine. 158(3): 279.
  5. James, W.D., Berger, T.G., Elston, D.M. and Odom, R.B., 2006. Andrews' diseases of the skin: clinical dermatology. Philadelphia: Saunders Elsevier.
  6. Yousef, H. and Sharma, S., 2018. Anatomy, skin (Integument), epidermis. StatPearls Treasure Island (FL). StatPearls Publishing LLC: St Petersburg, FA, USA.
  7. Brincat, M., Muscat Baron, Y. and Galea, R., 2005. Estrogens and the skin. Climacteric. 8(2): 110-123.
  8. Shaw, T.J. and Martin, P., 2009. Wound repair at a glance. Journal of cell science. 122(18): 3209-3213.
  9. Kobayashi, H., Aiba, S., Yoshino, Y. and Tagami, H., 2003. Acute cutaneous barrier disruption activates epidermal p44/42 and p38 mitogen‐activated protein kinases in human and hairless guinea pig skin. Experimental dermatology. 12(6): 734-746.
  10. Noli, C. and Miolo, A., 2001. The mast cell in wound healing. Veterinary dermatology. 12(6): 303-313.
  11. Regan, M.C., Kirk, S.J., Wasserkrug, H.L. and Barbul, A., 1991. The wound environment as a regulator of fibroblast phenotype. Journal of Surgical Research. 50(5): 442-448.
  12. Ehrlich, H.P. and Krummel, T.M., 1996. Regulation of wound healing from a connective tissue perspective. Wound repair and regeneration. 4(2): 203-210.
  13. Desmoulière, A., Geinoz, A., Gabbiani, F. and Gabbiani, G., 1993. Transforming growth factor-beta 1 induces alpha-smooth muscle actin expression in granulation tissue myofibroblasts and in quiescent and growing cultured fibroblasts. Journal of Cell Biology. 122(1): 103-111.
  14. Pierce, G.F., Mustoe, T.A., Altrock, B.W., Deuel, T.F. and Thomason, A., 1991. Role of platelet‐derived growth factor in wound healing. Journal of cellular biochemistry. 45(4): 319-326.
  15. Di Lullo, G.A., Sweeney, S.M., Körkkö, J., Ala-Kokko, L. and San Antonio, J.D., 2002. Mapping the ligand-binding sites and disease-associated mutations on the most abundant protein in the human, type I collagen. Journal of Biological Chemistry. 277(6): 4223-4231.
  16. Britannica, E., 2007. Britannica Online. Encyclopaedia Britannica.
  17. Birbrair, A., Zhang, T., Files, D.C., Mannava, S., Smith, T. and Wang, Z.M., 2014. Type-1 pericytes accumulate after tissue injury and produce collagen in an organ-dependent manner. Stem cell research & therapy. 5(6): 122.
  18. Mazumdar, P., 2017. The Dual Matrix of Life: On Genetic Science, Art and the Truth Games of the “Third Culture”. Junctures: The Journal for Thematic Dialogue. 18.
  19. Fossum, T.W., 2018. Small Animal Surgery E-Book: Elsevier Health Sciences.
  20. Lodish, H., Berk, A., Zipursky, S.L., Matsudaira, P., Baltimore, D. and Darnell, J., 2000. Collagen: the fibrous proteins of the matrix. Molecular Cell Biology. 4.
  21. Singh, O., Gupta, S.S., Soni, M., Moses, S., Shukla, S. and Mathur, R.K., 2011. Collagen dressing versus conventional dressings in burn and chronic wounds: a retrospective study. Journal of cutaneous and aesthetic surgery. 4(1): 12.
  22. Martini, F., Nath, J. and Bartholomew, E., 2004. Fundamentals of anatomy & physiology 6th edition. San Francisco: Benjamin Cummings.
  23. Gordon, M.K. and Hahn, R.A., 2010. Cell and tissue research. 339(1): 247-257.
  24. Wu, G., Bazer, F.W., Burghardt, R.C., Johnson, G.A., Kim, S.W. and Knabe, D.A., 2011. Proline and hydroxyproline metabolism: implications for animal and human nutrition. Amino acids. 40(4): 1053-1063.
  25. Wu, G., Bazer, F.W., Burghardt, R.C., Johnson, G.A., Kim, S.W. and Knabe, D.A., 2010. Functional amino acids in swine nutrition and production. Dynamics in animal nutrition. 69: 98.
  26. Flanagan, M., 2000. The physiology of wound healing. Journal of wound care. 9(6): 299-300.
  27. Brown, S.A., 2014. Circadian clock-mediated control of stem cell division and differentiation: beyond night and day. Development (Cambridge, England). 141(16): 3105-3111.
  28. Lyons, A.B., Moy, L., Moy, R. and Tung, R., 2019. Circadian Rhythm and the Skin: A Review of the Literature. The Journal of clinical and aesthetic dermatology. 12(9): 42.
  29. Beri, K. and Milgraum, S.S., 2016. Rhyme and reason: the role of circadian rhythms in skin and its implications for physicians. Future Science.
  30. Al-Nuaimi, Y., Hardman, J.A., Bíró, T., Haslam, I.S., Philpott, M.P. and Tóth, B.I., 2014. A meeting of two chronobiological systems: circadian proteins Period1 and BMAL1 modulate the human hair cycle clock. Journal of Investigative Dermatology. 134(3): 610-619.
  31. Plikus, M.V., Vollmers, C., de la Cruz, D., Chaix, A., Ramos, R. and Panda, S., 2013. Local circadian clock gates cell cycle progression of transient amplifying cells during regenerative hair cycling. Proceedings of the National Academy of Sciences. 110(23): E2106-E2115.
  32. Geyfman, M., Kumar, V., Liu, Q., Ruiz, R., Gordon, W. and Espitia, F., 2012. Brain and muscle Arnt-like protein-1 (BMAL1) controls circadian cell proliferation and susceptibility to UVB-induced DNA damage in the epidermis. Proceedings of the National Academy of Sciences. 109(29): 11758-11763.
  33. Hamidi, S.A., Naeini AT, Oryan A, Tabandeh MR, Tanideh N, Nazifi S. 2017. Cutaneous wound healing after topical application of pistacia atlantica gel formulation in rats. Turkish Journal of Pharmaceutical Sciences. 14(1): 65.
  34. Santos, T.S., dos Santos, I.D., Pereira-Filho, R.N., Gomes, S.V., Lima-Verde, I.B. and Marques, M.N., 2021. Histological Evidence of Wound Healing Improvement in Rats Treated with Oral Administration of Hydroalcoholic Extract of Vitis labrusca. Current Issues in Molecular Biology. 43(1): 335-352.
  35. Bradford, M.M., 1976. A rapid and sensitive method for the quantitation of microgram quantities of protein utilizing the principle of protein-dye binding. Analytical biochemistry. 72(1-2): 248-254.
  36. Plikus, M.V., Van Spyk, E.N., Pham, K., Geyfman, M., Kumar, V. and Takahashi, J.S., 2015. The circadian clock in skin: implications for adult stem cells, tissue regeneration, cancer, aging, and immunity. Journal of biological rhythms. 30(3): 163-182.
  37. Hastings, M., O’Neill, J.S. and Maywood, E.S., 2007. Circadian clocks: regulators of endocrine and metabolic rhythms. Journal of Endocrinology. 195(2): 187-198.
  38. Kondratov, R.V., Kondratova, A.A., Gorbacheva, V.Y., Vykhovanets, O.V. and Antoch, M.P., 2006. Early aging and age-related pathologies in mice deficient in BMAL1, the core componentof the circadian clock. Genes & development. 20(14): 1868-1873.
  39. Keller, M., Mazuch, J., Abraham, U., Eom, G.D., Herzog, E.D. and Volk, H.D., 2009. A circadian clock in macrophages controls inflammatory immune responses. Proc Natl Acad Sci USA. 106(50): 21407-21412.
  40. Hayashi, M., Shimba, S. and Tezuka, M., 2007. Characterization of the molecular clock in mouse peritoneal macrophages. Biological and Pharmaceutical Bulletin. 30(4): 621-626.
  41. Hashiramoto, A., Yamane, T., Tsumiyama, K., Yoshida, K., Komai, K. and Yamada, H., 2010. Mammalian clock gene Cryptochrome regulates arthritis via proinflammatory cytokine TNF-α. The journal of immunology. 184(3): 1560-1565.
  42. Barrientos, S., Stojadinovic, O., Golinko, M.S., Brem, H. and Tomic‐Canic, M., 2008. Growth factors and cytokines in wound healing. Wound repair and regeneration. 16(5): 585-601.
  43. Mesut Sipahi, M., Kürşad Zengin, M. and Serhat Tanik, M., 2014. Effects of circadian rhythm disorders on wound healing and strength of bowel anastomosis in rats. Wounds. 26(11): 317-322.
  44. Son, G.H., Chung, S. and Kim, K., 2011. The adrenal peripheral clock: glucocorticoid and the circadian timing system. Frontiers in neuroendocrinology. 32(4): 451-465.
  45. Haus, E. and Smolensky, M.H., 1999. Biologic rhythms in the immune system. Chronobiology international. 16(5): 581-622.
  46. Dhabhar, F.S., Miller, A.H., Stein, M., McEwen, B.S. and Spencer, R.L., 1994. Diurnal and acute stress-induced changes in distribution of peripheral blood leukocyte subpopulations. Brain, behavior, and immunity. 8(1): 66-79.
  47. Phang, J.M., Donald, S.P., Pandhare, J. and Liu, Y., 2008. The metabolism of proline, a stress substrate, modulates carcinogenic pathways. Amino acids. 35(4): 681-690.
  48. Phang, J.M., Liu, W. and Zabirnyk, O., 2010. Proline metabolism and microenvironmental stress. Annual review of nutrition. 30: 441-463.
  49. Mirnezami, M., Ebrahimi Fakhar, H.R., Rezaei, K. and Rahimi, H., 2011. Comparing the healing effects of topical phenytoin, conjugated estrogen and silver sulfadiazine on skin wounds in male rats. Feyz Journal of Kashan University of Medical Sciences. 15(1): 11-14.
  50. Goel, A. and Shrivastava, P., 2010. Post-burn scars and scar contractures. Indian journal of plastic surgery: official publication of the Association of Plastic Surgeons of India. 43: S63.
  51. Brass, D.M., Yang, I.V., Kennedy, M.P., Whitehead, G.S., Rutledge, H. and Burch, L.H., 2008. Fibroproliferation in LPS-induced airway remodeling and bleomycin-induced fibrosis share common patterns of gene expression. Immunogenetics. 60(7): 353-369.
  52. Fossum, T.W., 2013. Small Animal Surgery Textbook-E-Book: Elsevier Health Sciences.