Skip to main content
Top
Published in: Aesthetic Plastic Surgery 3/2022

20-01-2022 | Original Article

Sub-Flap Use of Nano-Selenium Oxide Solution Enhances Skin Flap Viability in Rats: Study the Novel Role of mTOR and p-mTOR Expression

Authors: Omid Akhiani, Nasim Zangouie, Reza Laripour, Amir Rashidian, Mohsen Ebrahimi, Zahra Hami, Mohsen Chamanara

Published in: Aesthetic Plastic Surgery | Issue 3/2022

Login to get access

Abstract

Background

Nano-selenium oxide (NSeO) particles are highly noticeable due to their tissue-protective and antioxidant properties. For this purpose, the effect of NSeO was evaluated on skin flap survival and flap oxidative stress markers in rats. Also, another effect of NSeO was investigated on the expression of mTOR and p-mTOR.

Materials and Methods

Fifty rats were divided into five groups of ten. Skin flap size was 3×8 cm in all groups. Groups were: (1) Sham, (2) Flap Surgery group, (3) Flap Surgery + NSeO, (4) Flap Surgery + Rapamycin (mTOR inhibitor), (5) Flap Surgery + Rapamycin + NSeO. The flap necrosis rate was computed using the paper pattern method on day seven after surgery. After day seven, flap tissues were collected for histological evaluations. Then, malondialdehyde (MDA) content and superoxide dismutase (SOD) activity were measured. Furthermore, the expression levels of mTOR and p-mTOR were measured using the Western blot method.

Results

Treatment with NSeO significantly reduced necrosis (P<0.05). It also resulted in a decrease in MDA level (P<0.05). Histologically, NSeO reduced inflammation and increased positive signs of tissue healing (epithelialization, neovascularization, fibroblast migration, and granulation tissue). NSeO increased SOD activity significantly (P<0.05), whereas, using rapamycin reversed these effects. Also, in all groups, mTOR changes were not significant. Additionally, p-mTOR expression was significantly reduced in groups that rapamycin was injected.

Conclusion

NSeO can reduce flap necrosis and enhance tissue healing in rats. So, it can potentially be used clinically to promote tissue repair significantly, and its effects are independent of the mTOR pathway.

No Level Assigned

This journal requires that authors assign a level of evidence to each submission to which Evidence-Based Medicine rankings are applicable. This excludes Review Articles, Book Reviews, and manuscripts that concern Basic Science, Animal Studies, Cadaver Studies, and Experimental Studies. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.​springer.​com/​00266.
Appendix
Available only for authorised users
Literature
1.
go back to reference Ajami M, Davoodi SH, Habibey R, Namazi N, Soleimani M, Pazoki-Toroudi H (2013) Effect of DHA+EPA on oxidative stress and apoptosis induced by ischemia-reperfusion in rat kidneys. Fundam Clin Pharmacol 27(6):593–602PubMedCrossRef Ajami M, Davoodi SH, Habibey R, Namazi N, Soleimani M, Pazoki-Toroudi H (2013) Effect of DHA+EPA on oxidative stress and apoptosis induced by ischemia-reperfusion in rat kidneys. Fundam Clin Pharmacol 27(6):593–602PubMedCrossRef
2.
go back to reference Ajami M, Eghtesadi S, Razaz JM, Kalantari N, Habibey R, Nilforoushzadeh MA, Zarrindast M, Pazoki-Toroudi H (2011) Expression of Bcl-2 and Bax after hippocampal ischemia in DHA + EPA treated rats. Neurol Sci 32(5):811–818PubMedCrossRef Ajami M, Eghtesadi S, Razaz JM, Kalantari N, Habibey R, Nilforoushzadeh MA, Zarrindast M, Pazoki-Toroudi H (2011) Expression of Bcl-2 and Bax after hippocampal ischemia in DHA + EPA treated rats. Neurol Sci 32(5):811–818PubMedCrossRef
3.
go back to reference Bagdas D, Cam Etoz B, Inan Ozturkoglu S, Cinkilic N, Ozyigit MO, Gul Z, Isbil Buyukcoskun N, Ozluk K, Gurun MS (2014) Effects of systemic chlorogenic acid on random-pattern dorsal skin flap survival in diabetic rats. Biol Pharm Bull 37(3):361–370PubMedCrossRef Bagdas D, Cam Etoz B, Inan Ozturkoglu S, Cinkilic N, Ozyigit MO, Gul Z, Isbil Buyukcoskun N, Ozluk K, Gurun MS (2014) Effects of systemic chlorogenic acid on random-pattern dorsal skin flap survival in diabetic rats. Biol Pharm Bull 37(3):361–370PubMedCrossRef
4.
go back to reference İnce B, Bilgen F, Gündeşlioğlu AÖ, Dadacı M, Kozacıoğlu S (2016) Use of systemic rosmarinus officinalis to enhance the survival of random-pattern skin flaps. Balkan Med J 33(6):645–651PubMedPubMedCentralCrossRef İnce B, Bilgen F, Gündeşlioğlu AÖ, Dadacı M, Kozacıoğlu S (2016) Use of systemic rosmarinus officinalis to enhance the survival of random-pattern skin flaps. Balkan Med J 33(6):645–651PubMedPubMedCentralCrossRef
5.
go back to reference Hasanvand A, Abbaszadeh A, Darabi S, Nazari A, Gholami M, Kharazmkia A (2017) Evaluation of selenium on kidney function following ischemic injury in rats; protective effects and antioxidant activity. J Renal Inj Prev 6(2):93–98PubMedCrossRef Hasanvand A, Abbaszadeh A, Darabi S, Nazari A, Gholami M, Kharazmkia A (2017) Evaluation of selenium on kidney function following ischemic injury in rats; protective effects and antioxidant activity. J Renal Inj Prev 6(2):93–98PubMedCrossRef
6.
go back to reference Akil M, Bicer M, Oztekin E, Baltaci AK, Mogulkoc R (2011) Selenium supplementation prevents lipid peroxidation caused by arduous exercise in rat brain tissue. Bratisl Lek Listy 112:314–317PubMed Akil M, Bicer M, Oztekin E, Baltaci AK, Mogulkoc R (2011) Selenium supplementation prevents lipid peroxidation caused by arduous exercise in rat brain tissue. Bratisl Lek Listy 112:314–317PubMed
7.
go back to reference Aryannejad A, Gandominejad A, Tabary M, Noroozi N, Abbasi A, Araghi F, Mohammad Jafari R, Dehpour AR (2021) Protective effect of modafinil on skin flap survival in the experimental random-pattern skin flap model in rats: The role of ATP-sensitive potassium channels and nitric oxide pathway. J Plast Reconstr Aesthet Surg 74(6):1346–1354PubMedCrossRef Aryannejad A, Gandominejad A, Tabary M, Noroozi N, Abbasi A, Araghi F, Mohammad Jafari R, Dehpour AR (2021) Protective effect of modafinil on skin flap survival in the experimental random-pattern skin flap model in rats: The role of ATP-sensitive potassium channels and nitric oxide pathway. J Plast Reconstr Aesthet Surg 74(6):1346–1354PubMedCrossRef
8.
go back to reference Yeoh MS, Kim DD, Ghali GE (2013) Fluorescence angiography in the assessment of flap perfusion and vitality. Oral Maxillofac Surg Clin North Am 25(1):61-66 Yeoh MS, Kim DD, Ghali GE (2013) Fluorescence angiography in the assessment of flap perfusion and vitality. Oral Maxillofac Surg Clin North Am 25(1):61-66
9.
go back to reference Zarch AV, Toroudi HP, Soleimani M, Bakhtiarian A, Katebi M, Djahanguiri B (2009) Neuroprotective effects of diazoxide and its antagonism by glibenclamide in pyramidal neurons of rat hippocampus subjected to ischemia-reperfusion-induced injury. Int J Neurosci 119(9):1346–1361PubMedCrossRef Zarch AV, Toroudi HP, Soleimani M, Bakhtiarian A, Katebi M, Djahanguiri B (2009) Neuroprotective effects of diazoxide and its antagonism by glibenclamide in pyramidal neurons of rat hippocampus subjected to ischemia-reperfusion-induced injury. Int J Neurosci 119(9):1346–1361PubMedCrossRef
10.
go back to reference Mehrjerdi FZ, Aboutaleb N, Pazoki-Toroudi H, Soleimani M, AJAMI M, Khaksari M, Safari F, Habibey R (2015) The protective effect of remote renal preconditioning against hippocampal ischemia reperfusion injury: role of KATP channels. J Mol Neurosci 57(4):554–60. Mehrjerdi FZ, Aboutaleb N, Pazoki-Toroudi H, Soleimani M, AJAMI M, Khaksari M, Safari F, Habibey R (2015) The protective effect of remote renal preconditioning against hippocampal ischemia reperfusion injury: role of KATP channels. J Mol Neurosci 57(4):554–60.
11.
go back to reference Habibey R, AJAMI M, Ebrahimi SA, Hesami A, Babakoohi S, Pazoki-Toroudi H (2010) Nitric oxide and renal protection in morphine-dependent rats. Free Radic Biol Med 49(6):1109–18 Habibey R, AJAMI M, Ebrahimi SA, Hesami A, Babakoohi S, Pazoki-Toroudi H (2010) Nitric oxide and renal protection in morphine-dependent rats. Free Radic Biol Med 49(6):1109–18
12.
go back to reference Rahgozar M, Pazokitoroudi H, Bakhtiarian A, Djahanguiri B (2001) Diazoxide, a K(ATP) opener, accelerates restitution of ethanol or indomethacin-induced gastric ulceration in rats independent of polyamines. J Gastroenterol Hepatol 16(3):290–296PubMedCrossRef Rahgozar M, Pazokitoroudi H, Bakhtiarian A, Djahanguiri B (2001) Diazoxide, a K(ATP) opener, accelerates restitution of ethanol or indomethacin-induced gastric ulceration in rats independent of polyamines. J Gastroenterol Hepatol 16(3):290–296PubMedCrossRef
13.
go back to reference Pazoki-Toroudi HR, Hesami A, Vahidi S, Sahebjam F, Seifi B, Djahanguiri B (2003) The preventive effect of captopril or enalapril on reperfusion injury of the kidney of rats is independent of angiotensin II AT1 receptors. Fundam Clin Pharmacol 17(5):595–598PubMedCrossRef Pazoki-Toroudi HR, Hesami A, Vahidi S, Sahebjam F, Seifi B, Djahanguiri B (2003) The preventive effect of captopril or enalapril on reperfusion injury of the kidney of rats is independent of angiotensin II AT1 receptors. Fundam Clin Pharmacol 17(5):595–598PubMedCrossRef
14.
go back to reference Davudi K, Volkova LI (2007) Structure of nutrition in Iranian population. Vopr Pitan 76(3):56–61PubMed Davudi K, Volkova LI (2007) Structure of nutrition in Iranian population. Vopr Pitan 76(3):56–61PubMed
15.
go back to reference Toroudi HP, Rahgozar M, Bakhtiarian A, Djahanguiri B (1999) Potassium channel modulators and indomethacin-induced gastric ulceration in rats. Scand J Gastroenterol 34(10):962–966PubMedCrossRef Toroudi HP, Rahgozar M, Bakhtiarian A, Djahanguiri B (1999) Potassium channel modulators and indomethacin-induced gastric ulceration in rats. Scand J Gastroenterol 34(10):962–966PubMedCrossRef
16.
go back to reference Habibey R, Pazoki-Toroudi H (2008) Morphine dependence protects rat kidney against ischaemia-reperfusion injury. Clin Exp Pharmacol Physiol 35(10):1209–1214PubMedCrossRef Habibey R, Pazoki-Toroudi H (2008) Morphine dependence protects rat kidney against ischaemia-reperfusion injury. Clin Exp Pharmacol Physiol 35(10):1209–1214PubMedCrossRef
17.
go back to reference Kumar S, Tomar MS, Acharya A (2015) Carboxylic group-induced synthesis and characterization of selenium nanoparticles and its anti-tumor potential on Dalton’s lymphoma cells. Colloids Surf B Biointerfaces 126:546–552PubMedCrossRef Kumar S, Tomar MS, Acharya A (2015) Carboxylic group-induced synthesis and characterization of selenium nanoparticles and its anti-tumor potential on Dalton’s lymphoma cells. Colloids Surf B Biointerfaces 126:546–552PubMedCrossRef
18.
go back to reference Skalickova S, Milosavljevic V, Cihalova K, Horky P, Richtera L, Adam V (2017) Selenium nanoparticles as a nutritional supplement. Nutrition 33:83–90PubMedCrossRef Skalickova S, Milosavljevic V, Cihalova K, Horky P, Richtera L, Adam V (2017) Selenium nanoparticles as a nutritional supplement. Nutrition 33:83–90PubMedCrossRef
19.
go back to reference Amani H, Habibey R, Shokri F, Hajmiresmail SJ, Akhavan O, Mashaghi A, Pazoki-Toroudi H (2019) Selenium nanoparticles for targeted stroke therapy through modulation of inflammatory and metabolic signaling. Sci Rep 9(1):6044PubMedPubMedCentralCrossRef Amani H, Habibey R, Shokri F, Hajmiresmail SJ, Akhavan O, Mashaghi A, Pazoki-Toroudi H (2019) Selenium nanoparticles for targeted stroke therapy through modulation of inflammatory and metabolic signaling. Sci Rep 9(1):6044PubMedPubMedCentralCrossRef
20.
go back to reference Nasiri MA, Sangpour P, Yousefzadeh S, Bagheri M (2019) Elevated temperature annealed α-Fe2O3/reduced graphene oxide nanocomposite photoanode for photoelectrochemical water oxidation. J Environ Chem Eng 7(2):102999 Nasiri MA, Sangpour P, Yousefzadeh S, Bagheri M (2019) Elevated temperature annealed α-Fe2O3/reduced graphene oxide nanocomposite photoanode for photoelectrochemical water oxidation. J Environ Chem Eng 7(2):102999
21.
23.
go back to reference Sabers CJ, Martin MM, Brunn GJ, Williams JM, Dumont FJ, Wiederrecht G, Abraham RT (1995) Isolation of a protein target of the FKBP12-rapamycin complex in mammalian cells. J Biol Chem 270(2):815–822PubMedCrossRef Sabers CJ, Martin MM, Brunn GJ, Williams JM, Dumont FJ, Wiederrecht G, Abraham RT (1995) Isolation of a protein target of the FKBP12-rapamycin complex in mammalian cells. J Biol Chem 270(2):815–822PubMedCrossRef
24.
go back to reference Zhao D, Yang J, Yang L (2017) Insights for oxidative stress and mTOR signaling in myocardial ischemia/reperfusion injury under diabetes. Oxid Med Cell Longev 2017:6437467PubMedPubMedCentral Zhao D, Yang J, Yang L (2017) Insights for oxidative stress and mTOR signaling in myocardial ischemia/reperfusion injury under diabetes. Oxid Med Cell Longev 2017:6437467PubMedPubMedCentral
25.
go back to reference Cao G-D, Xu X-Y, Zhang J-W, Chen B, Xiong M-M (2016) Phosphorylated mammalian target of rapamycin p-mTOR is a favorable prognostic factor than mTOR in gastric cancer. PLoS One 11(12):e0168085 Cao G-D, Xu X-Y, Zhang J-W, Chen B, Xiong M-M (2016) Phosphorylated mammalian target of rapamycin p-mTOR is a favorable prognostic factor than mTOR in gastric cancer. PLoS One 11(12):e0168085
26.
go back to reference Squarize CH, Castilho RM, Bugge TH, Gutkind JS(2010) Accelerated wound healing by mTOR activation in genetically defined mouse models. PLoS One 5(5):e10643. Squarize CH, Castilho RM, Bugge TH, Gutkind JS(2010) Accelerated wound healing by mTOR activation in genetically defined mouse models. PLoS One 5(5):e10643.
27.
go back to reference McFarlane RM, Deyoung G, Henry RA (1965) The design of a pedicle flap in the rat to study necrosis and its prevention. Plast Reconstr Surg 35:177–182PubMedCrossRef McFarlane RM, Deyoung G, Henry RA (1965) The design of a pedicle flap in the rat to study necrosis and its prevention. Plast Reconstr Surg 35:177–182PubMedCrossRef
28.
go back to reference Tabary M, Aryannejad A, Noroozi N, Tavangar SM, Mohammad Jafari R, Araghi F, Dadkhahfar S, Dehpour AR (2021) Ivermectin increases random-pattern skin flap survival in rats: the novel role of GABAergic system. J Surg Res 259:431–441PubMedCrossRef Tabary M, Aryannejad A, Noroozi N, Tavangar SM, Mohammad Jafari R, Araghi F, Dadkhahfar S, Dehpour AR (2021) Ivermectin increases random-pattern skin flap survival in rats: the novel role of GABAergic system. J Surg Res 259:431–441PubMedCrossRef
29.
go back to reference Kane AJ, Barker JE, Mitchell GM, Theile DR, Romero R, Messina A, Wagh M, Fraulin FO, Morrison WA, Stewart AG (2001) Inducible nitric oxide synthase (iNOS) activity promotes ischaemic skin flap survival. Br J Pharmacol 132(8):1631–1638PubMedPubMedCentralCrossRef Kane AJ, Barker JE, Mitchell GM, Theile DR, Romero R, Messina A, Wagh M, Fraulin FO, Morrison WA, Stewart AG (2001) Inducible nitric oxide synthase (iNOS) activity promotes ischaemic skin flap survival. Br J Pharmacol 132(8):1631–1638PubMedPubMedCentralCrossRef
30.
go back to reference Lee SW, Chung SS (2010) A review of the effects of vitamins and other dietary supplements on seizure activity. Epilepsy Behav 18(3):139–150PubMedCrossRef Lee SW, Chung SS (2010) A review of the effects of vitamins and other dietary supplements on seizure activity. Epilepsy Behav 18(3):139–150PubMedCrossRef
31.
go back to reference Montero A, Munger KA, Khan RZ, Valdivielso JM, Morrow JD, Guasch A, Ziyadeh FN, Badr KF (2000) F(2)-isoprostanes mediate high glucose-induced TGF-beta synthesis and glomerular proteinuria in experimental type I diabetes. Kidney Int 58(5):1963–1972PubMedCrossRef Montero A, Munger KA, Khan RZ, Valdivielso JM, Morrow JD, Guasch A, Ziyadeh FN, Badr KF (2000) F(2)-isoprostanes mediate high glucose-induced TGF-beta synthesis and glomerular proteinuria in experimental type I diabetes. Kidney Int 58(5):1963–1972PubMedCrossRef
32.
go back to reference Smith RJ, Birndorf M, Gluck G, Hammond D, Moore WD (1992) The effect of low-energy laser on skin-flap survival in the rat and porcine animal models. Plast Reconstr Surg 89(2):306–310PubMedCrossRef Smith RJ, Birndorf M, Gluck G, Hammond D, Moore WD (1992) The effect of low-energy laser on skin-flap survival in the rat and porcine animal models. Plast Reconstr Surg 89(2):306–310PubMedCrossRef
33.
go back to reference Kwan J, Kim CHJ, Dunn LL, Schiesser CH, Davies MJ (2016) A novel selenium compound enhances wound closure and improves microvascular perfusion: implications for wound healing. Free Radic Biol Med 100:S72–S73CrossRef Kwan J, Kim CHJ, Dunn LL, Schiesser CH, Davies MJ (2016) A novel selenium compound enhances wound closure and improves microvascular perfusion: implications for wound healing. Free Radic Biol Med 100:S72–S73CrossRef
34.
go back to reference Mirastschijski U, Martin A, Jorgensen LN, Sampson B, Ågren MS (2013) Zinc, copper, and selenium tissue levels and their relation to subcutaneous abscess, minor surgery, and wound healing in humans. Biol Trace Elem Res 153(1–3):76–83PubMedCrossRef Mirastschijski U, Martin A, Jorgensen LN, Sampson B, Ågren MS (2013) Zinc, copper, and selenium tissue levels and their relation to subcutaneous abscess, minor surgery, and wound healing in humans. Biol Trace Elem Res 153(1–3):76–83PubMedCrossRef
35.
go back to reference Varoglu E, Seven B, Gumustekin K, Aktas O, Sahin A, Dane S (2010) The effects of vitamin E and selenium on blood flow to experimental skin burns in rats using the 133Xe clearance technique. Central European Journal of Medicine 5(2):219–223 Varoglu E, Seven B, Gumustekin K, Aktas O, Sahin A, Dane S (2010) The effects of vitamin E and selenium on blood flow to experimental skin burns in rats using the 133Xe clearance technique. Central European Journal of Medicine 5(2):219–223
36.
go back to reference Abbaszadeh A, Tehmasebi-Foolad A, Rajabzadeh A, Beigi-Brojeni N, Zarei L (2019) Effects of chitosan/nano selenium biofilm on infected wound healing in rats. An Experimental Study. Bull Emerg Trauma 7(3):284–291PubMedCrossRef Abbaszadeh A, Tehmasebi-Foolad A, Rajabzadeh A, Beigi-Brojeni N, Zarei L (2019) Effects of chitosan/nano selenium biofilm on infected wound healing in rats. An Experimental Study. Bull Emerg Trauma 7(3):284–291PubMedCrossRef
38.
go back to reference Socha K, Kochanowicz J, Karpińska E, Soroczyńska J, Jakoniuk M, Mariak Z, Borawska MH (2014) Dietary habits and selenium, glutathione peroxidase and total antioxidant status in the serum of patients with relapsing-remitting multiple sclerosis. Nutr J 13:62PubMedPubMedCentralCrossRef Socha K, Kochanowicz J, Karpińska E, Soroczyńska J, Jakoniuk M, Mariak Z, Borawska MH (2014) Dietary habits and selenium, glutathione peroxidase and total antioxidant status in the serum of patients with relapsing-remitting multiple sclerosis. Nutr J 13:62PubMedPubMedCentralCrossRef
39.
go back to reference Dehkordi AJ, Mohebbi AN, Aslani MR, Ghoreyshi SM (2017) Evaluation of nanoselenium (Nano-Se) effect on hematological and serum biochemical parameters of rat in experimentally lead poisoning. Hum Exp Toxicol 36(4):421–427PubMedCrossRef Dehkordi AJ, Mohebbi AN, Aslani MR, Ghoreyshi SM (2017) Evaluation of nanoselenium (Nano-Se) effect on hematological and serum biochemical parameters of rat in experimentally lead poisoning. Hum Exp Toxicol 36(4):421–427PubMedCrossRef
40.
go back to reference Shoorei H, Seghinsara A, Abedelahi A, Kiafar E, Tayefi Nasrabadi H (2018) Protective Effects of Vitamin E and Selenium on Liver Tissue Damages Induced by Electromagnetic Field: An Ultrastructural Study. Crescent Journal of Medical and Biological Science Shoorei H, Seghinsara A, Abedelahi A, Kiafar E, Tayefi Nasrabadi H (2018) Protective Effects of Vitamin E and Selenium on Liver Tissue Damages Induced by Electromagnetic Field: An Ultrastructural Study. Crescent Journal of Medical and Biological Science
41.
go back to reference Pence BC, Delver E, Dunn DM (1994) Effects of dietary selenium on UVB-induced skin carcinogenesis and epidermal antioxidant status. J Invest Dermatol 102(5):759–761PubMedCrossRef Pence BC, Delver E, Dunn DM (1994) Effects of dietary selenium on UVB-induced skin carcinogenesis and epidermal antioxidant status. J Invest Dermatol 102(5):759–761PubMedCrossRef
42.
go back to reference Xing W, Guo W, Zou C-H, Fu T-T, Li X-Y, Zhu M, Qi J-H, Song J, Dong C-H, Li Z, Xiao Y, Yuan P-S, Huang H, Xu X (2015) Acemannan accelerates cell proliferation and skin wound healing through AKT/mTOR signaling pathway. J Dermatol Sci 79(2):101–109PubMedCrossRef Xing W, Guo W, Zou C-H, Fu T-T, Li X-Y, Zhu M, Qi J-H, Song J, Dong C-H, Li Z, Xiao Y, Yuan P-S, Huang H, Xu X (2015) Acemannan accelerates cell proliferation and skin wound healing through AKT/mTOR signaling pathway. J Dermatol Sci 79(2):101–109PubMedCrossRef
43.
go back to reference Ala M, Mohammad Jafari R, Nematian H, Ganjedanesh MR, Dehpour AR (2020) Sodium valproate improves skin flap survival via gamma-aminobutyric acid and histone deacetylase inhibitory system. J Surg Res 246:519–526PubMedCrossRef Ala M, Mohammad Jafari R, Nematian H, Ganjedanesh MR, Dehpour AR (2020) Sodium valproate improves skin flap survival via gamma-aminobutyric acid and histone deacetylase inhibitory system. J Surg Res 246:519–526PubMedCrossRef
Metadata
Title
Sub-Flap Use of Nano-Selenium Oxide Solution Enhances Skin Flap Viability in Rats: Study the Novel Role of mTOR and p-mTOR Expression
Authors
Omid Akhiani
Nasim Zangouie
Reza Laripour
Amir Rashidian
Mohsen Ebrahimi
Zahra Hami
Mohsen Chamanara
Publication date
20-01-2022
Publisher
Springer US
Published in
Aesthetic Plastic Surgery / Issue 3/2022
Print ISSN: 0364-216X
Electronic ISSN: 1432-5241
DOI
https://doi.org/10.1007/s00266-021-02681-x

Other articles of this Issue 3/2022

Aesthetic Plastic Surgery 3/2022 Go to the issue