Abstract

Skin injury leading to chronic wounds is of high interest due to the increasing number of patients suffering from this symptom. Proliferation, migration, and angiogenesis are key factors in the wound healing processes. For that reason, controlled promotion of these processes is required. In this work, we present the portable helium-dielectric barrier discharge (He-DBD)-based reaction-discharge system of controlled gas temperature for biological activities. To make this He-DBD-based reaction-discharge system safe for biological purposes, a multivariate optimization of the operating parameters was performed. To evaluate the effect of the He-DBD operating parameters on the rotational gas temperature Trot(OH), a design of experiment followed by a Response Surface Methodology was applied. Based on the suggested statistical model, the optimal operating conditions under which the Trot(OH) is less than 37 °C (310 K) were estimated. Then, the resulted model was validated in order to confirm its accuracy. After estimation the optical operating conditions of He-DBD operation, the spectroscopic characteristic of the He-DBD-based reaction-discharge system in relevance to the several optical temperatures in addition to electron number density has been carried out. Additionally, the qualitative and quantitative analyses of the reactive oxygen species and reactive nitrogen species were performed in order to investigate of reactions and processes running in the He-DBD-gaseous phase and in the He-DBD-treated liquid. Next, the developed portable He-DBD-based reaction-discharge system, working under the optimal operating conditions, was used to stimulate the wound healing process. It was found that a 30 s He-DBD treatment significantly increased the proliferation, migration, and angiogenesis of keratinocytes (HaCaT) and fibroblasts (MSU-1.1) cell lines, as well as human skin microvascular endothelial cells (HSkMEC.2). Hence, the application of the cold atmospheric pressure plasma generated in this He-DBD-based reaction-discharge system might be an alternative therapy for patient suffering from chronic wounds.

Highlights

  • Skin injury leading to chronic wounds is of high interest due to the increasing number of patients suffering from this symptom [1]

  • Cells activated for 10–90 s on Day 5 as compared to the untreated cells. These results showed that helium-dielectric barrier discharge (He-dielectric barrier discharges (DBDs)) might stimulate the proliferation of the normal human skin cells, which are involved in the wound healing process

  • Because of the variety of the operating parameters that might affect the gas temperature, the DoE followed by the response surface methodology (RSM) were applied to reliably find the optimal conditions under which the gas temperature in the developed portable He-DBD-based reaction-discharge system would be close to 37 °C (310 K)

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Summary

Introduction

Skin injury leading to chronic wounds is of high interest due to the increasing number of patients suffering from this symptom [1]. Wounds, being the result of damage to the skin, are highly susceptible to pathogenic microorganisms [2]. In addition to killing microorganisms responsible for wound infections, there is a high need to activate the normal skin cells in order to enhance the wound healing efficiency. Alternative wound healing therapies have been searched and extended. Special attention has been paid to the use of cold atmospheric pressure plasma (CAPP) in dermatology, thanks to the ability of these ionized-gas sources is to improve the wound healing process [5,6,7,8,9,10,11,12,13,14,15,16,17,18]

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