Isoliquiritin Pre-Treatment Promotes Multi-Territory Perforator Flap Survival in Rats: An Experimental Study
Abstract Background The present study was design to investigate the effect of isoliquiritin (ISL) pretreatment on multi-territory perforator flap survival and blood vessels of Choke II zone in rats.Methods A total of 80 adult Sprague-Dawley (SD) rats were randomly divided into ISL group and normal saline group, and subsequently and subjected to multi-territory perforator flap operations on the left flank. Afterwards, rats in ISL group were intraperitoneally injected with ISL, and rats from normal saline group were intraperitoneally injected with equal amount of normal saline. After seven days, the surviving flap area was calculated, the density of microvessels and (vascular endothelial growth factor,VEGF)were measured in Choke II zone. In addition, blood vessels of the flap were subjected to lead oxide-gelatin radiography.Results The flap survival area was significantly enhanced in rats from the ISL group compared with that from the saline group (P < 0.01). HE staining indicated significantly higher microvascular density in Choke II zone in the ISL group (P < 0.01). Immunohistochemistry and Western blot assays showed that the expression of VEGF in the ISL group was significantly higher than that in the control group (P < 0.01). Moreover, the vascular structure in Choke II zone of the flap was clearer, with more new blood vessels and more complete vascular structure in the potential zone from the ISL group, in comparison with those from the normal saline group.Conclusion ISL is beneficial to the multi-territory perforator flap survival in rats.