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. 2024 Jul 25;15(1):23–35. doi: 10.4103/mgr.MEDGASRES-D-24-00020

Table 1.

Effects of systemic NO·-based treatment on wound healing in animals with DM

Study Year Species DM model Body weight (g) Wound Donor Dose Route Endpoint Findings
Witte et al.86 2002 Male rats STZ 225–250 Incision (7 cm) L-Arg 2× 1 g/kg/d G Wound healing ↑ Wound fluid NO· metabolite concentrations
↑ Wound breaking strength
↑ Hydroxyproline concentration
↔ Wound fluid arginase activity
↔ Wound fluid ornithine concentration
Shi et al.62 2003 Male rats STZ 225–266 Incision (7 cm) L-Arg 1 g/kg/d IP Wound healing ↑ Wound fluid NO· concentration
↑ Wound fluid hydroxyproline
↑ Wound breaking strength
↑ Expression of procollagen I, and III
Jerônimo et al.87 2016 Male mice STZ 20–25 Incision (3 cm) L-Arg 2 g/kg/d G Wound healing ↑ Collagen synthesis and deposition
↑ Vasculoneogenesis
↑ TGF-β expression
↓ Expression of IL-8
↓ Polymorphonuclear cell infiltration
↓ Fibrosis
Witte et al.86 2002 Male rats STZ 225–250 Incision (7 cm) SIN-10 2× 1 mg/kg/d G Wound healing ↑ Wound breaking strength
↑ Hydroxyproline concentration
↑ MMP-2
↑ Wound fluid arginase activity
Schäffer et al.88 2007 Male rats BBDP 220–250 Incision (7 cm) SIN-10 4 mg/kg/d G Wound healing Restoring NO· metabolite concentrations, wound-breaking strength, and collagen deposition in normoglycemic rats
↑ NO· metabolite concentrations, wound-breaking strength, and collagen deposition in hyperglycemic rats
Chen et al.89 2019 Female mice db/db NR Ischemic- excision (6 mm) DNIC-1 0.18 mg/kg every other day IV Angiogenesis, wound healing ↑ Healing rate
↓ Wound closure time
↑ Expression of eNOS, MMP-11, CD31, CD34, and VEGF
↑ Angiogenesis
↓ Inflammation

Control groups received water or normal saline. BBDP: Biobreeding (i.e., an inbred laboratory rat strain that spontaneously develops autoimmune type 1 diabetes mellitus); CD31: endothelial marker; CD34: endothelial marker; DM: diabetes mellitus; DNIC-1: dinitrosyl iron complexe-1; eNOS: endothelial nitric oxide synthase; G: gavage; GSNO: S-nitrosoglutathione; HIF-1: hypoxia-inducible factor-1; IL: interleukin; IP: intraperitoneal; IV: intravenous; L-Arg: L-arginine; MMP: matrix metalloproteinase; NO·: nitric oxide; NR: not reported; SIN-10: molsidomine; STZ: streptozotocin; TGF-β: transforming growth factor-β; VEGF: vascular endothelial growth factor.