DOI QR코드

DOI QR Code

Effect of Euterpe oleracea Mart. (acai berry) Extract on Skin Flap Survival in Mice

  • Jung, Sangbong (Department of Medical Laboratory Science, Dongeui Institute of Technology) ;
  • Kim, Jongsik (Department of Anatomy, College of Medicine, Kosin University) ;
  • Kim, Eun-Joong (Department of Clinical Laboratory Science, Chungbuk Health and Science University) ;
  • Rhee, Ki-Jong (Department of Biomedical Laboratory Science, Yonsei University MIRAE Campus)
  • Received : 2019.08.05
  • Accepted : 2019.09.16
  • Published : 2019.09.30

Abstract

Skin flap necrosis remains a major complication of reconstructive surgery. Euterpe oleracea Mart., popularly known as "acai berry" contains hydroxybenzoic acid, antioxidant polyphenolics and anthocyanins. These and other compounds within the acai berry confer anti-inflammatory and anti-oxidative effects. In this current study, we evaluated the protective effect of acai berry extracts on survival of random-pattern skin flaps in a murine model by histologic analysis. ICR mice were subjected to skin elevation surgery and orally administered acai berry extract (100 mg/kg) daily for 7 days. Tissues were stained with hematoxylin-eosin or Masson's trichrome to observe tissue integrity and collagen deposition. In addition, $TGF-{\beta}$ and VEGF was stained by immunofluorescence to determine anti-inflammatory cell infiltration and neovascularization, respectively. We found a decrease in inflammatory cell infiltration and increase in collagen deposition in the acai berry extract treated mice compared to control mice. Immunofluorescence staining reveal a higher number of $TGF-{\beta}$ positive cells and enhanced VEGF staining in the acai berry extract treated mice. The results from this study indicate that oral uptake of acai berry extract can promote healing and survival of surgical skin flaps in mice providing an augmentative therapeutic approach to enhancing skin flap survival.

Keywords

References

  1. Atalay C, Kockaya EA, Cetin B, Kismet K, Akay MT. Efficacy of topical nitroglycerin and transcutaneous electrical nerve stimulation on survival of random-pattern skin flaps in rats. Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery. 2003. 37: 10-13. https://doi.org/10.1080/alp.37.1.10.13
  2. Cassidy A, Mukamal KJ, Liu L, Franz M, Eliassen AH, Rimm EB. High anthocyanin intake is associated with a reduced risk of myocardial infarction in young and middle-aged women. Circulation. 2013. 127: 188-196. https://doi.org/10.1161/CIRCULATIONAHA.112.122408
  3. Chung KI, Kim HK, Kim WS, Bae TH. The effects of polydeoxyribonucleotide on the survival of random pattern skin flaps in rats. Archives of Plastic Surgery. 2013. 40: 181-186. https://doi.org/10.5999/aps.2013.40.3.181
  4. Coelho da Mota DS, Sicuro FL, Resende AC, De Moura RS, Bottino DA, Bouskela E. Effects of acai and cilostazol on skin microcirculation and viability of tram flaps in hamsters. Journal of Surgical Research. 2018. 228: 253-262. https://doi.org/10.1016/j.jss.2018.03.014
  5. Cuzzocrea S, Mazzon E, Costantino G, Serraino I, De Sarro A, Caputi AP. Effects of n-acetylcysteine in a rat model of ischemia and reperfusion injury. Cardiovascular Research. 2000. 47: 537-548. https://doi.org/10.1016/S0008-6363(00)00018-3
  6. Davis RE, Wachholz JH, Jassir D, Perlyn CA, Agrama MH. Comparison of topical anti-ischemic agents in the salvage of failing random-pattern skin flaps in rats. Archives of Facial Plastic Surgery. 1999. 1: 27-32. https://doi.org/10.1001/archfaci.1.1.27
  7. Eming SA, Brachvogel B, Odorisio T, Koch M. Regulation of angiogenesis: Wound healing as a model. Progress in Histochemistry and Cytochemistry. 2007. 42: 115-170. https://doi.org/10.1016/j.proghi.2007.06.001
  8. Ercocen AR, Apaydin I, Emiroglu M, Gultan SM, Ergun H, Yormuk E. The effects of l-arginine and iloprost on the viability of random skin flaps in rats. Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery. 1998. 32: 19-25. https://doi.org/10.1080/02844319850158912
  9. Hsieh CC, Hsieh SC, Chiu JH, Wu YL. Protective effects of n-acetylcysteine and a prostaglandin E1 analog, alprostadil, against hepatic ischemia: Reperfusion injury in rats. Journal of Traditional and Complementary Medicine. 2014. 4: 64-71. https://doi.org/10.4103/2225-4110.124351
  10. Jurell G, Jonsson CE. Increased survival of experimental skin flaps in rats following treatment with antiadrenergic drugs. Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery. 1976. 10: 169-172. https://doi.org/10.3109/02844317609012964
  11. Kerrigan CL. Skin flap failure: Pathophysiology. Plastic and Reconstructive Surgery. 1983. 72: 766-777. https://doi.org/10.1097/00006534-198312000-00003
  12. Kjartansson J, Lundeberg T, Samuelson UE, Dalsgaard CJ, Heden P. Calcitonin gene-related peptide (cgrp) and transcutaneous electrical nerve stimulation (tens) increase cutaneous blood flow in a musculocutaneous flap in the rat. Acta Physiologica Scandinavica. 1988. 134: 89-94. https://doi.org/10.1111/j.1748-1716.1988.tb08463.x
  13. Kryger Z, Zhang F, Dogan T, Cheng C, Lineaweaver WC, Buncke HJ. The effects of vegf on survival of a random flap in the rat: Examination of various routes of administration. British Journal of Plastic Surgery. 2000. 53: 234-239. https://doi.org/10.1054/bjps.1999.3315
  14. Lee CG, Jung J, Hwang S, Park CO, Hwang S, Jo M, Sin MH, Kim HH, Rhee KJ. Histological evaluation of bioresorbable threads in rats. Korean Journal of Clinical Laboratory Sciences. 2018. 20: 217-224.
  15. Lee JY, Kim N, Choi YJ, Nam RH, Lee S, Ham MH, Suh JH, Choi YJ, Lee HS, Lee DH. Anti-inflammatory and anti-tumorigenic effects of acai berry in Helicobacter felis-infected mice. Journal of Cancer Prevention. 2016. 21: 48-54. https://doi.org/10.15430/JCP.2016.21.1.48
  16. Moura RS, Ferreira TS, Lopes AA, Pires KM, Nesi RT, Resende AC, Souza PJ, Silva AJ, Borges RM, Porto LC, Valenca SS. Effects of Euterpe oleracea mart. (acai) extract in acute lung inflammation induced by cigarette smoke in the mouse. Phytomedicine. 2012. 19: 262-269. https://doi.org/10.1016/j.phymed.2011.11.004
  17. Mullen W, McGinn J, Lean ME, MacLean MR, Gardner P, Duthie GG, Yokota T, Crozier A. Ellagitannins, flavonoids, and other phenolics in red raspberries and their contribution to antioxidant capacity and vasorelaxation properties. Journal of Agricultural Food Chemistry. 2002. 50: 5191-5196. https://doi.org/10.1021/jf020140n
  18. Ohashi M, Tosa Y, Hosaka Y, Satoh K, Oguz Yeniduya M, Pang B. Reduction of ischemia-reperfusion injury to skin flap by treatment with monoclonal antibody to endothelial leukocyte adhesion molecule-1. Showa University Journal of Medical Sciences. 2007. 19: 137-145. https://doi.org/10.15369/sujms1989.19.137
  19. Pacheco-Palencia LA, Mertens-Talcott S, Talcott ST. Chemical composition, antioxidant properties, and thermal stability of a phytochemical enriched oil from acai (Euterpe oleracea mart.). Journal of Agricultural Food Chemistry. 2008. 56: 4631-4636. https://doi.org/10.1021/jf800161u
  20. Schauss AG, Wu X, Prior RL, Ou B, Patel D, Huang D, Kababick JP. Phytochemical and nutrient composition of the freezedried Amazonian palm berry, Euterpe oleraceae mart. (acai). Journal of Agricultural and Food Chemistry. 2006. 54: 8598-8603. https://doi.org/10.1021/jf060976g
  21. Smith DK, Dolan RW. Effects of vasoactive topical agents on the survival of dorsal skin flaps in rats. Otolaryngology - Head and Neck Surgery. 1999. 121: 220-223. https://doi.org/10.1016/S0194-5998(99)70175-0
  22. Staiculescu MC, Foote C, Meininger GA, Martinez-Lemus LA. The role of reactive oxygen species in microvascular remodeling. International Journal of Molecular Sciences. 2014. 15: 23792-23835. https://doi.org/10.3390/ijms151223792
  23. Swartz JE, Aarts MC, Swart KM, Disa JJ, Gerressen M, Kuo YR, Wax MK, Grolman W, Braunius WW. The value of postoperative anticoagulants to improve flap survival in the free radial forearm flap: A systematic review and retrospective multicentre analysis. Clinical Otolaryngology. 2015. 40: 600-609. https://doi.org/10.1111/coa.12425
  24. Zhang F, Lei MP, Oswald TM, Pang Y, Blain B, Cai ZW, Lineaweaver WC. The effect of vascular endothelial growth factor on the healing of ischaemic skin wounds. British Journal of Plastic Surgery. 2003. 56: 334-341. https://doi.org/10.1016/S0007-1226(03)00175-9