2016
DOI: 10.1016/j.medengphy.2016.05.014
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Cytoskeleton and plasma-membrane damage resulting from exposure to sustained deformations: A review of the mechanobiology of chronic wounds

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Cited by 54 publications
(45 citation statements)
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References 59 publications
(83 reference statements)
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“…These findings have not been seen in previous research in this area and are of particular interest because of the current discussion in the field related to the pathophysiology of DTI and PrI development. Specifically, the findings that DTI SEM values were lower than normal skin suggest that the pathophysiology model of "bottom to top" damage where damage begins at inner tissue levels and progresses up to the skin 19,50,51 may be involved in DTI development. As tissue cells die and become non-viable, the necrotic area is not perfused and has decreased blood flow.…”
Section: Discussionmentioning
confidence: 99%
“…These findings have not been seen in previous research in this area and are of particular interest because of the current discussion in the field related to the pathophysiology of DTI and PrI development. Specifically, the findings that DTI SEM values were lower than normal skin suggest that the pathophysiology model of "bottom to top" damage where damage begins at inner tissue levels and progresses up to the skin 19,50,51 may be involved in DTI development. As tissue cells die and become non-viable, the necrotic area is not perfused and has decreased blood flow.…”
Section: Discussionmentioning
confidence: 99%
“…Multiple model systems, including MRI of human subjects, animal models, tissue‐engineered constructs, and cell culture models facilitating the application of sustained, controlled deformations to tissues and cells, have highlighted the role of direct deformation damage to cells . Specifically, recent published experimental evidence demonstrates that poration of the plasma membrane caused by the sustained deformations interferes with transport processes that normally occur through the plasma membrane and, thereby, causes loss of homeostasis (biological equilibrium) . Moreover, these model systems altogether identified the short time frames at which damage to cells is inflicted, which is in the order of tens of minutes and much faster than the previously assumed ischaemic damage cascade, which takes several hours to develop …”
Section: The Role Of Tissue Deformation In the Pathogenesis Of Pressumentioning
confidence: 99%
“…At the microscopic scale, the chronic distortion of cells causes disruption of the cytoskeleton, which, especially in the lack of available energy, gradually loses its capacity of structurally supporting the plasma membrane . As indicated above, this leads to the formation of nanometre‐wide openings (pores), which form in the plasma membrane of the distorted cells.…”
Section: The Role Of Tissue Deformation In the Pathogenesis Of Pressumentioning
confidence: 99%
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