Summary:
Occurence of fibronectin was detected in paraffin sections of burn skin samples, excised from
surviving patients, as well as skin samples removed from the death persons, who succumbed burn
wounds. The other groups of samples, used for comparison with the previous one, consisted of the
intact skin excisions and skin samples post-mortem exposed to thermic changes. Indirect immu-
noperoxidase reaction was the immunohistochemical method used in all examinations.
In post-mortem burn skin samples there was a loss of fibronectin activity in the epidermo-dermal
junction area as well as in the papillary dermis. In burn skin samples, excised from patients who
only survived for very short time their (serious skin) burns, no evidence of any fibronectin
activity was seen. Also in two other cases, when patients - due to their severe burns - survived for
several hours only, there were no conspicuous differences in the intensity of fibronectin activity
seen in comparison with features found in the intact skin samples. Fibronectin activity was,
however, increased in all other burn skin samples, where the survival time of patients was from
30 minutes to 5 weeks and there were following differences in its intensity and also in its pattern
of distribution. In the 1st-degree and in a superficial 2nd-degree skin burn wounds, fibronectin
was also present in the epidermis. In the papillary dermis, fibronectin was distributed rather
diffusely or in a spot-like pattern while in the reticular dermis, there was a tendency to form
net-like structures among collagen fibers. In deeper 2nd-degree and in the 3rd-degree burn
wounds, fibronectin was deposited in vicinity of blood vessels and skin appendages in a fibrillar
pattern. In 6 out of 11 samples, where the survival time ranged from 7 to 21 days, fibroblasts were
arranged among fine collagen fibers and some of these cells exhibited positive fibronectin activity
on their surface. Numerous fibroblasts with finely scattered fibronectin spots and also a decrease
of fibronectin activity were observed in more mature granulation tissue, present in burn skin
samples where survival time of patients was five weeks.
Key words:
fibronectin - burns - immunohistochemistry
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