medigraphic.com
SPANISH

Dermatología Cosmética, Médica y Quirúrgica

Órgano oficial de la Sociedad Mexicana de Cirugía Dermatológica y Oncológica, AC
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2003, Number 2

<< Back Next >>

Dermatología Cosmética, Médica y Quirúrgica 2003; 1 (2)

Prophylactic effect of colchicine for keloids after surgical procedures

León TS, Ortega SA, Ramírez VR, Sánchez NLM
Full text How to cite this article

Language: Spanish
References: 51
Page: 79-88
PDF size: 203.42 Kb.


Key words:

keloids car, colchicine, treatment.

ABSTRACT

Background: Wound healing is the way to repair tissues after an injury or lost of tissue. This process take place with some events that we know as the Repair Cascade. This process can produce keloid and hypertrophic scars, due to a dermal fibroproliferative process that occurs following any trauma or surgery. The treatments of these conditions are not effective.
Objetive: We tried to demonstrate that colchicine could play a preventive role, decreasing the fibroblasts replication and the collagen synthesis.
Material and methods: We performed a double blind clinic assay in fifty patients prone to develop keloid or hypertrophyc scars. They received colchicine 1 mg/d/90 days or placebo, starting seven days after surgery.
Results: We found that the patients treated with colchicine were practically free of keloids, as compared with the placebo group in whom most of them develop keloid or hypertrophic scars.
Conclusions: Colchicine has a preventive effect in the formation of keloid and hypertrophic scars in patients prone to develop them.


REFERENCES

  1. Martínez-Hernández A. Repair, regeneration and fibrosis. Pathology. Lippincott-Raven USA 1999: 77-103

  2. Pratt BM, Harris AS, Morrow JS et al. Mechanism of cytoskeleton regulation. Am J Pathol 1984; 117 (3): 3499-3554

  3. Doillon CJ, Hembry RM, Ehrlich HP et al. Actin filaments in normal dermis and during wound healing. Am J Pathol. 1987; 126 (1): 164-170

  4. Riddelle KS, Hopkinson SB, Jones JC et al Hemidesmosomes in the epithelial cell line 804G: Their fate during wound closure. J Cell Sci 1992; 103: 475-490

  5. Yang L, Qiu CX, Ludlow A et al. Active transforming growth factor in wound repair. Am J Pathol 1999; 154: 105-111

  6. Bello MY, Phillips JT. Recent advances in wound healing. JAMA 2000; 283 (6)

  7. Dipietro LA, Nissen NN, Gamelli RL et al. Trombospodin 1 synthesis and function in wound repair. Am J Pathol 1996; 148 (6): 1851-1860

  8. Nickoloff BJ, Mitra RS, Riser BL et al. Modulation of keratinocyte motility, correlation with production of extracellular matrix... Am J Pathol 1988; 132 (3): 543-551

  9. Bell E, Ivarsson B, Merril Ch Production of a tissue-like structure by contraction of collagen lattices by human fibroblasts. Proct Natl Acad Sci. USA 1979; 76 (3): 1271-1278

  10. Teri S, Lucas R, Scar revision. Derm Clin 1998; 16 (1): 165-180

  11. Singer JA, Clark AF. Cutaneous wound healing. NEJM 1999; 341 (10): 738- 746

  12. Schafer BM, Maier K, Eickhoff U. Plasminogen activation in healing... Am J Pathol 1994; 144: 1269-1280

  13. Antoniades HN, Galanoupulus T, Neville-Golden J et al. Expression of growth factor and... Am J Pathol 1993; 142: 1099-1280

  14. Martin P. Wound healing aiming for perfect skin regeneration. Science 1997: 0 276, 75-81

  15. Reichner JS, Meszaros AJ, Louis CA. et al. Molecular and metabolic evidence for the restricted expression of inducible nitric oxide synthasa in healing wounds. Am J Pathol 1999; 154: 1097-1104

  16. Tredget EE, Nedelec B. Hypertrophic scars, keloid... Sur Clin of North Am 1997; 77 (3): 701-725

  17. Falabella FR, Queloide en dermatología. CIB Colombia. 1985: 291-293

  18. Fitzpatrick TB. Cicatrices hipertróficas y queloides. Dermatología. Panamericana Argentina. 1980: 758-759

  19. Berman B, Harlan CB. Keloids. J Am Acad Dermatol 1995; 33 (1): 117- 120

  20. Appleton I, Brown NJ, Willoughby DA etal. Apoptosis, necrosisandproliferation. Am J Pathol 1996; 149

  21. Wayne A. Border transforming growth factor in tissue fibrosis. NEJM 1994; 331 (19): 1286-1292

  22. Sharon M. Regulation of macrophage collagenase, prostaglandin, and fibroblast activating factor production by... Cell Immunology 1985; 92: 302-312

  23. Desmouliere A, Redard M, Darby I, Gabbiani G. Apoptosis mediates the decrease in celularity during transition between granulation tiss... Am J Pathol 1995; 146: 56-66

  24. Machesney M, Tidman N, Waseem A, Kirby L, Leigh I. Activated keratinocytes in the epidermis of hypertrophic scars Am J Pathol 1998; 152: 1133-1141

  25. Knapp TR, Daniels RJ, Kaplan EN et al. Pathologic scar formation. Am J Pathol 1977; 6: 4770

  26. Blackburn WR et al. Histologic basis of keloid and hypertrophic scar differentiation, clinicopathologic correlation. Arch Path 1966; 82: 65-71

  27. Engelhardt E, Toksoy A, Goebeler M etal. Chemokines IL8, GROa MPC- 1,IP-10, and Mig are sequentially and differentially expressed during phasespecific infiltration of leukocyte subsets in human wound healing. Am J Pathol 1998; 153: 1849-1860

  28. Murray JC. Keloids and hypertrophic scars. Clinics in Dermatology 1984; 2 (3): 121-133

  29. Ehrlich HP, Desmouliere A, Diegelmann RF. Morphological and immunochemical differences. Am J Pathol 1994: 145; 105-113

  30. Griffith BH et al. A follow-up study on the treatment of keloids with triamcinolona acetonide. Plast Reconstr Surg 1970; 46: 145-150

  31. Young C. Major supression of pro alfa 1(1) type I collagen gene expression in the dermis after keloid excision and immediate intrawound injection of triamcinolona acetonide. J Am Acad Dermatol 1977; 37 (4): 586-589

  32. Thompson WG. Treatment of hypertrophic scarring by compression and oclusion. Proc R Soc Med 1974; 67: 256-257

  33. Teodore CM. Single dose electron beam irradiation in treatment and prevention of keloids and hypertrophic scars. Rad Ther and Onco 1990; 19: 267-272

  34. Ahn ST et al. Topical silicone gel for the prevention and treatment of hypertrophic scars. Arch Of Surg 1991; 126: 499-504

  35. Cruz KN. Effectiveness of silicone sheets in the prevention of breast scars. Annal Plas Surg 1996: 345-348

  36. Ricketts C. Cytokina mRNA changes during the treatment of hypertrophic scars with silicona and non silicona gel dressen. Derma Surg 1996; 22: 955-959

  37. Sullivan TP, King L. Colchicin in dermatology. J Am Acad Dermatol 1998; 39 (6): 993-997

  38. Liaw L, Schwartz SM. Microtubule disruption stimulates DNA synthesis in bovine endothelial cells and... Am J Pathol 1993; 143 (3): 937-948

  39. Rouan SK, Otternes IG, Cunningham AC et al. Reversal of colchicine induced mitotic arrest in Chinese hamster cells with a colchicine specific antibody. Am J Pathol 1990; 137 (4): 779-787

  40. Brown AR, Talas G. Balanced mechanical forces and microtubule contribution to fibroblast contraction. J Cell Phys 1996; 169 (139): 439-447

  41. Santiago FS, Lowe CH. Fiona L et al. Effects of colchicine and vinca alcaloids on human platetes I. influence on platelet microtubules and contractile function. Am J Pathol 1968; 53: 281-291

  42. Dunlap KM, Donaldson JD. Inability of colchicine to inhibit newt epidermal cell migration or prevent concanavalin a- mediated inhibition of migration Ex Cell Res 1978; 116:15-19

  43. Brown LF, Lanir N, McDonagh J. Fibroblast migration in fibrin gel matrices. Am J Pathol 1993; 142: 273-283

  44. Selden CS, Rabinovitch SP, Schwartz MS. Effects of cytoskeletal disruption on replication of bovine endothelium. J Cell Phys 1981; 108: 195-211

  45. Goodman & G et al. “Colquicina”. En: Las ba ses far ma co ló gi cas de la te ra - péu ti ca, 9a ed., McGraw-Hill Interamericana, México, 1997: 695-697

  46. Kersenobich D, Vargas F, Garcia Tsao et al. Colchicine in the treatment of cirrhosis of the liver. N Engl J Med 1988; 318: 1709-1713

  47. Kershenobich HD. Effectiveness of colchicine in patients with cirrhosis. Hepathology 1982; 2: 379

  48. Sullivan TP, Lloyd EK, Boyd AS et al. Colchicina in dermatology. J Am Acad Dermatol 1998: 39 (6); 993-999

  49. Jaimovich L. Colchicina, su empleo en dermatología Med Cut I L A 1992: 184-188

  50. Lawrence WT. In search of the optimal treatment of keloids. Ann Plast Surg 1991; 27 (2): 164-178

  51. Peacock EE. Pharmacologic control of surface scarring... Ann Surg 1981; 193 (5): 592-597




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Dermatología Cosmética, Médica y Quirúrgica. 2003;1