Enhanced Healing and Anti-inflammatory Effects of a Carbohydrate Polymer with Zinc Oxide in Patients with Chronic Venous Leg Ulcers: Preliminary Results

Overview

Journal Arch Med Sci

Specialty General Medicine

Date 2018 Mar 30

PMID 29593807

Citations 10

Authors

Mario Adan Moreno-Eutimio

Lorena Espinosa-Monroy

Tania Orozco-Amaro

Yessica Torres-Ramos

Araceli Montoya-Estrada

Juan Jose Hicks

Ernesto Rodriguez-Ayala

Pamela Del Moral

Jose Moreno

Jorge Cueto-Garcia

Affiliations

Soon will be listed here.

Abstract

Introduction: Insufficient wound healing related to chronic inflammation of chronic venous leg ulcers (CVUs) represents an important public health problem. The aim of this study was to evaluate the effects of a carbohydrate polymer with zinc oxide therapy on CVUs.

Material And Methods: Forty patients with CVUs were recruited for this study and were divided into a study group and control group. Patients In the study group were instructed to use venous compression treatment andtopical carbohydrate polymer with zinc oxide twice daily, while patients In the control group were treated with only venous compression treatment. All patients were followed up for 8 weeks. Peripheral blood samples and biosy tissue specimens were obtained at the initiation of treatment and after 8 weeks to assess serum levels of inflammatory cytokines as well as the percentage of leukocytes, T-helper cells, cytotoxic-T cells, macrophages and endothelial cells in the biopsy tissue using flow cytometry.

Results: A significantly greater reduction in the mean percentage ulcer area from baseline to eight weeks was observed in the study group (up to 40% for large ulcers). Furthermore, the patients in the study group had reduced systemic levels of the pro-inflammatory cytokines IL-8 ( = 0.0028) and IL-6 ( = 0.0302), fewer total CD45+ cells ( = 0.0038) and more CD31+ cells ( = 0.045) present in ulcer biopsies compared to the control group.

Conclusions: The carbohydrate polymer with zinc oxide treatment with venous compression enhances healing of CVUs and improves quality of life due, in part, to its anti-inflammatory properties.

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