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Low-Dose Propranolol Improves Cutaneous Wound Healing of Burn-Injured Rats

Romana-Souza, Bruna M.Sc.; Nascimento, Adriana P. M.Sc.; Monte-Alto-Costa, Andréa Ph.D.

Plastic and Reconstructive Surgery: December 2008 - Volume 122 - Issue 6 - p 1690-1699
doi: 10.1097/PRS.0b013e31818cbf67
Experimental: Original Articles

Background: Severe burns stimulate a hypermetabolic response that causes systemic complications. Propranolol, a nonselective β-blocker, reduces this response and increases survival. Nevertheless, few studies have shown the effects of propranolol on healing of severe burns. This study evaluated macroscopically and microscopically the effects of the administration of propranolol (low-dose) on cutaneous wound healing of burn-injured rats.

Methods: A third-degree burn (10 percent total body surface area) was created in female Wistar rats. Beginning 1 week after burning, animals were treated daily with propranolol (n = 5) (6 mg/kg) dissolved in water until they were euthanized, whereas rats in the control group (n = 5) received only water. Wound area was measured weekly and animals were euthanized 63 days after burning. Lesions and adjacent skin were fixed in formalin and embedded in paraffin. Sections were stained with hematoxylin and eosin, Sirius red, and toluidine blue, and immunostained for CD68, α-smooth muscle actin, and proliferating cell nuclear antigen.

Results: The wound area was greater in the control group than in the propranolol-treated group 21, 53, and 63 days after burning. All propranolol-treated animals presented more than 70 percent of reepithelialized wound area 63 days after burning, whereas control animals did not. The number of inflammatory cells and blood vessel density were greater in the control group than in the propranolol-treated group 63 days after burning. Cellular proliferation, myofibroblast density, collagen deposition, and active matrix metalloproteinase-2 levels were reduced in the control group compared with the propranolol-treated group 63 days after burning.

Conclusion: Administration of (low-dose) propranolol improves healing of burned rats, reducing the local inflammatory response and improving subsequent healing phases.

Rio de Janeiro, Brazil

From the Department of Histology and Embryology, State University of Rio de Janeiro.

Received for publication March 13, 2008; accepted May 23, 2008.

Disclosure: None of the authors has any commercial association or financial disclosure that might pose or create a conflict of interest with information presented in this article.

Andréa Monte-Alto-Costa, Ph.D.; Department of Histology and Embryology; State University of Rio de Janeiro; Rua Professor Manoel de Abreu, 444, 3° andar; 20550-170, Rio de Janeiro, Brazil;

©2008American Society of Plastic Surgeons