Bensal HP Treatment for Burn and Excision Wounds: An In-Vivo Assessment of Wound Healing Efficacy and Immunological Impact

November 2015 | Volume 14 | Issue 11 | Original Article | 1322 | Copyright © November 2015


Jamie Rosen BA,a* Angelo Landriscina BA,a* Anjana Ray PhD,b Lydia Tesfa PhD,b Joshua D. Nosanchuk MD,b and Adam J. Friedman MDc,d

aDepartment of Medicine (Division of Dermatology), Montefiore Medical Center, Bronx, NY
bDepartment of Microbiology and Immunology, Albert Einstein College of Medicine, Bronx, NY
cDepartment of Physiology and Biophysics, Albert Einstein College of Medicine, Bronx, NY
dDepartment of Dermatology, George Washington School of Medicine and Health Sciences, Washington, DC
*These authors contributed equally to the production of this work.

trichrome in order to visualize wound morphology and collagen deposition, respectively.

Cytokine Analysis

Mice were sacrificed on days 3 and 7 for cytokine analysis in all groups. Tissue was flash-frozen using liquid nitrogen, homogenized in ice-cold phosphate buffered saline (PBS) with Protease Inhibitor Cocktail (Sigma-Aldrich, St. Louis, MO). Samples were centrifuged at 10,000 G for 20 minutes to remove debris. Aliquots of the supernatants were assayed for total protein content by the BCA method. Cytokine analysis was carried out using BD Cytometric Bead Array (CBA) Mouse Th1/Th2/Th17 Cytokine Kit (BD Biosciences, San Jose, CA) according to the instruction manual. Samples were examined using BD FACS Canto II flow cytometer at 485 and 633nm and results were analyzed with Flowjo software.

RESULTS

Clinical Wound Closure

Topical Bensal HP applied to burns (Figure 1a) inhibited wound expansion during the first six days post-injury with significant differences over the untreated group on days 1-3, and over SSD on days 1-4,6, and 17. The majority of wounds in both the untreated and Bensal HP-treated mice reached closure by day 17. In excisional wounds (Figure 1b), Bensal HP showed a significant improvement in wound healing over the untreated group by the final day of the study period, with petrolatum significantly outperforming Bensal HP on days 5 and 7 post-injury. Wounds in all three study groups reached closure by day 11 post-injury.

Histology

H&E staining of burn wounds on day 7 (Figure 2a) revealed a serous neutrophil rich crust overlying a homogenized inflammatory dermis/granulation in both control and bensal
table 1
table 2