Investigating the role of Zibai ointment on apoptosis‐related factors Bcl‐2 and Bax in wound healing after anal fistula surgery

Abstract Objective In this study, we investigated the impact of Zibai ointment on wound healing by analyzing the expression levels of two key apoptosis‐related factors—B‐cell lymphoma 2 (Bcl‐2) and Bcl‐2‐associated X protein (Bax), in patients following surgery for anal fistula. Methods We included...

Full description

Bibliographic Details
Main Authors: Er‐Wei Cai, Cheng Zhao, Wei‐Juan Wang, Zhen‐Peng Xu, Feng Lin
Format: Article
Language:English
Published: Wiley 2023-06-01
Series:Immunity, Inflammation and Disease
Subjects:
Online Access:https://doi.org/10.1002/iid3.912
_version_ 1827903495865368576
author Er‐Wei Cai
Cheng Zhao
Wei‐Juan Wang
Zhen‐Peng Xu
Feng Lin
author_facet Er‐Wei Cai
Cheng Zhao
Wei‐Juan Wang
Zhen‐Peng Xu
Feng Lin
author_sort Er‐Wei Cai
collection DOAJ
description Abstract Objective In this study, we investigated the impact of Zibai ointment on wound healing by analyzing the expression levels of two key apoptosis‐related factors—B‐cell lymphoma 2 (Bcl‐2) and Bcl‐2‐associated X protein (Bax), in patients following surgery for anal fistula. Methods We included 90 patients with anal fistulas who were treated in the People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine. Patients were randomly assigned to receive treatment with Zibai ointment (n = 45) or petroleum jelly (n = 45). The levels of apoptosis‐related factors Bcl‐2 and Bax were evaluated using enzyme‐linked immunosorbent assay (ELISA), while cell apoptosis was assessed using Terminal deoxynucleotidyl transferase (TdT) dUTP Nick‐End Labeling (TUNEL) assay. Results The results of ELISA showed that on Day 21 after the surgery, the levels of Bcl‐2 and Bax in the Zibai ointment group were significantly different compared to the petroleum jelly group, with values of (60.11 ± 1.31) ng/mL and (7.05 ± 0.01) versus (83.79 ± 1.74) ng/mL and (6.00 ± 0.05) ng/mL, respectively (p < .05). Furthermore, light microscopy revealed a large number of apoptotic cells within the field of vision 14 days postsurgery in the Zibai ointment group, and the healing time in the Zibai ointment group was significantly different from that in the petroleum jelly group (p < .05). Conclusion We found that Zibai ointment effectively promoted wound healing in patients following anal fistula surgery, possibly by regulating Bcl‐2 and Bax apoptosis‐related factors.
first_indexed 2024-03-13T00:13:51Z
format Article
id doaj.art-b6a7a10fa84a4cebb04066c870eba2c9
institution Directory Open Access Journal
issn 2050-4527
language English
last_indexed 2024-03-13T00:13:51Z
publishDate 2023-06-01
publisher Wiley
record_format Article
series Immunity, Inflammation and Disease
spelling doaj.art-b6a7a10fa84a4cebb04066c870eba2c92023-07-12T07:20:49ZengWileyImmunity, Inflammation and Disease2050-45272023-06-01116n/an/a10.1002/iid3.912Investigating the role of Zibai ointment on apoptosis‐related factors Bcl‐2 and Bax in wound healing after anal fistula surgeryEr‐Wei Cai0Cheng Zhao1Wei‐Juan Wang2Zhen‐Peng Xu3Feng Lin4The Second Department of Anorectal The Affiliated People's Hospital of Fujian University of Traditional Chinese Medicine Fujian ChinaThe Second Department of Anorectal The Affiliated People's Hospital of Fujian University of Traditional Chinese Medicine Fujian ChinaParamedics The Affiliated People's Hospital of Fujian University of Traditional Chinese Medicine Fujian ChinaThe Second Department of Anorectal The Affiliated People's Hospital of Fujian University of Traditional Chinese Medicine Fujian ChinaThe Second Department of Anorectal The Affiliated People's Hospital of Fujian University of Traditional Chinese Medicine Fujian ChinaAbstract Objective In this study, we investigated the impact of Zibai ointment on wound healing by analyzing the expression levels of two key apoptosis‐related factors—B‐cell lymphoma 2 (Bcl‐2) and Bcl‐2‐associated X protein (Bax), in patients following surgery for anal fistula. Methods We included 90 patients with anal fistulas who were treated in the People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine. Patients were randomly assigned to receive treatment with Zibai ointment (n = 45) or petroleum jelly (n = 45). The levels of apoptosis‐related factors Bcl‐2 and Bax were evaluated using enzyme‐linked immunosorbent assay (ELISA), while cell apoptosis was assessed using Terminal deoxynucleotidyl transferase (TdT) dUTP Nick‐End Labeling (TUNEL) assay. Results The results of ELISA showed that on Day 21 after the surgery, the levels of Bcl‐2 and Bax in the Zibai ointment group were significantly different compared to the petroleum jelly group, with values of (60.11 ± 1.31) ng/mL and (7.05 ± 0.01) versus (83.79 ± 1.74) ng/mL and (6.00 ± 0.05) ng/mL, respectively (p < .05). Furthermore, light microscopy revealed a large number of apoptotic cells within the field of vision 14 days postsurgery in the Zibai ointment group, and the healing time in the Zibai ointment group was significantly different from that in the petroleum jelly group (p < .05). Conclusion We found that Zibai ointment effectively promoted wound healing in patients following anal fistula surgery, possibly by regulating Bcl‐2 and Bax apoptosis‐related factors.https://doi.org/10.1002/iid3.912anal fistulaBaxBcl‐2Zibai ointment
spellingShingle Er‐Wei Cai
Cheng Zhao
Wei‐Juan Wang
Zhen‐Peng Xu
Feng Lin
Investigating the role of Zibai ointment on apoptosis‐related factors Bcl‐2 and Bax in wound healing after anal fistula surgery
Immunity, Inflammation and Disease
anal fistula
Bax
Bcl‐2
Zibai ointment
title Investigating the role of Zibai ointment on apoptosis‐related factors Bcl‐2 and Bax in wound healing after anal fistula surgery
title_full Investigating the role of Zibai ointment on apoptosis‐related factors Bcl‐2 and Bax in wound healing after anal fistula surgery
title_fullStr Investigating the role of Zibai ointment on apoptosis‐related factors Bcl‐2 and Bax in wound healing after anal fistula surgery
title_full_unstemmed Investigating the role of Zibai ointment on apoptosis‐related factors Bcl‐2 and Bax in wound healing after anal fistula surgery
title_short Investigating the role of Zibai ointment on apoptosis‐related factors Bcl‐2 and Bax in wound healing after anal fistula surgery
title_sort investigating the role of zibai ointment on apoptosis related factors bcl 2 and bax in wound healing after anal fistula surgery
topic anal fistula
Bax
Bcl‐2
Zibai ointment
url https://doi.org/10.1002/iid3.912
work_keys_str_mv AT erweicai investigatingtheroleofzibaiointmentonapoptosisrelatedfactorsbcl2andbaxinwoundhealingafteranalfistulasurgery
AT chengzhao investigatingtheroleofzibaiointmentonapoptosisrelatedfactorsbcl2andbaxinwoundhealingafteranalfistulasurgery
AT weijuanwang investigatingtheroleofzibaiointmentonapoptosisrelatedfactorsbcl2andbaxinwoundhealingafteranalfistulasurgery
AT zhenpengxu investigatingtheroleofzibaiointmentonapoptosisrelatedfactorsbcl2andbaxinwoundhealingafteranalfistulasurgery
AT fenglin investigatingtheroleofzibaiointmentonapoptosisrelatedfactorsbcl2andbaxinwoundhealingafteranalfistulasurgery