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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">ETM</journal-id>
<journal-title-group>
<journal-title>Experimental and Therapeutic Medicine</journal-title>
</journal-title-group>
<issn pub-type="ppub">1792-0981</issn>
<issn pub-type="epub">1792-1015</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/etm.2015.2424</article-id>
<article-id pub-id-type="publisher-id">ETM-0-0-2424</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Expression and activity levels of chymase in mast cells of burn wound tissues increase during the healing process in a hamster model</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>DONG</surname><given-names>XIANGLIN</given-names></name>
<xref rid="af1-etm-0-0-2424" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>XU</surname><given-names>TAO</given-names></name>
<xref rid="af1-etm-0-0-2424" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>MA</surname><given-names>SHAOLIN</given-names></name>
<xref rid="af1-etm-0-0-2424" ref-type="aff">1</xref>
<xref ref-type="corresp" rid="c2-etm-0-0-2424"/></contrib>
<contrib contrib-type="author"><name><surname>WEN</surname><given-names>HAO</given-names></name>
<xref rid="af2-etm-0-0-2424" ref-type="aff">2</xref>
<xref ref-type="corresp" rid="c1-etm-0-0-2424"/></contrib>
</contrib-group>
<aff id="af1-etm-0-0-2424"><label>1</label>Department of Burns and Plastic Surgery, Clinical Medical Research Institute, The First Affiliated Hospital of Xinjiang Medical University, &#x00DC;r&#x00FC;mqi, Xinjiang 830011, P.R. China</aff>
<aff id="af2-etm-0-0-2424"><label>2</label>State Key Laboratory Incubation Base of Xinjiang Major Diseases Research, Clinical Medical Research Institute, The First Affiliated Hospital of Xinjiang Medical University, &#x00DC;r&#x00FC;mqi, Xinjiang 830011, P.R. China</aff>
<author-notes>
<corresp id="c1-etm-0-0-2424"><italic>Correspondence to</italic>: Dr Hao Wen, State Key Laboratory Incubation Base of Xinjiang Major Diseases Research, Clinical Medical Research Institute, The First Affiliated Hospital of Xinjiang Medical University, 137 Liyushannan Road, &#x00DC;r&#x00FC;mqi, Xinjiang 830011, P.R. China, E-mail: <email>dongxianglin8@21cn.com</email></corresp>
<corresp id="c2-etm-0-0-2424">Dr Shaolin Ma, Department of Burns and Plastic Surgery, The First Affiliated Hospital of Xinjiang Medical University, 137 Liyushannan Road, &#x00DC;r&#x00FC;mqi, Xinjiang 830011, P.R. China, E-mail: <email>mashaolin9@163.com</email></corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>06</month>
<year>2015</year></pub-date>
<pub-date pub-type="epub">
<day>14</day>
<month>04</month>
<year>2015</year></pub-date>
<volume>9</volume>
<issue>6</issue>
<fpage>2190</fpage>
<lpage>2194</lpage>
<history>
<date date-type="received"><day>07</day><month>07</month><year>2014</year></date>
<date date-type="accepted"><day>16</day><month>03</month><year>2015</year></date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2015, Spandidos Publications</copyright-statement>
<copyright-year>2015</copyright-year>
</permissions>
<abstract>
<p>The present study aimed to investigate the changes in the expression levels and activity of mast cell chymase in the process of burn wound healing in a hamster model of deep second-degree burn. The hamster model was established by exposing a &#x007E;3 cm diameter area of bare skin to hot water (75&#x00B0;C) for 0, 6, 8, 10 or 12 sec. Tissue specimens were collected 24 h after burning and histological analysis revealed that hot water contact for 12 sec was required to produce a deep second-degree burn. Quantitative polymerase chain reaction and a radioimmunoassay were used to the determine changes in chymase mRNA expression levels and activity. The mRNA expression levels and activity of chymase were increased in the burn wound tissues when compared with the normal skin. However, no statistically significant differences were observed in mast cell chymase activity amongst the various post-burn stages. Chymase mRNA expression levels peaked at day 1 post-burn, subsequently decreasing at days 3 and 7 post-burn and finally increasing again at day 14 post-burn. In summary, a hamster model of deep second-degree burn can be created by bringing the skin into contact with water at 75&#x00B0;C for 12 sec. Furthermore, the mRNA expression levels and activity of chymase in the burn wound tissues increased when compared with those in normal skin tissues.</p>
</abstract>
<kwd-group>
<kwd>hamster</kwd>
<kwd>chymase</kwd>
<kwd>burn wound</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Skin wound healing is a complex multifactorial process, involving inflammation, cell proliferation, cell migration, re-epithelialization, angiogenesis, extracellular matrix deposition and remodeling (<xref rid="b1-etm-0-0-2424" ref-type="bibr">1</xref>,<xref rid="b2-etm-0-0-2424" ref-type="bibr">2</xref>). Burn wounds have a long healing period, and are the most representative persistent wounds for use in the study of skin wound healing. Deep second-degree burn wounds exhibit spontaneous epithelial regeneration through the proliferation and migration of the skin appendages under the wound and the epidermal cells around the wound margin (<xref rid="b3-etm-0-0-2424" ref-type="bibr">3</xref>). The healing period is relatively long; thus, deep second-degree burns are useful for the experimental study of burn wounds. Animal models of burn wounds have been used to study various pathological changes and healing mechanisms involved in the burn wound healing process (<xref rid="b4-etm-0-0-2424" ref-type="bibr">4</xref>).</p>
<p>Burn-induced tissue ischemia and inflammation can increase the number of mast cells in burn tissues (<xref rid="b5-etm-0-0-2424" ref-type="bibr">5</xref>) and stimulate mast cells to release vasoactive substances by degranulation (<xref rid="b6-etm-0-0-2424" ref-type="bibr">6</xref>). Mast cells play a role in the acute inflammatory phase and participate in wound healing together with fibroblasts (<xref rid="b7-etm-0-0-2424" ref-type="bibr">7</xref>,<xref rid="b8-etm-0-0-2424" ref-type="bibr">8</xref>). Once activated, mast cells degranulate and release histamine, heparin and a variety of enzymes, such as chymase, cathepsin G and hydroxy peptidase A (<xref rid="b9-etm-0-0-2424" ref-type="bibr">9</xref>). Chymase is closely associated with tissue fibrosis.</p>
<p>Chymase is an &#x03B1;-chymase-like serine protease that is involved in numerous physiological and pathophysiological processes. One of the most important functions of chymase is the regulation of angiotensin (Ang)II generation. In addition, chymase promotes myocardial and skin fibroblast proliferation (<xref rid="b10-etm-0-0-2424" ref-type="bibr">10</xref>,<xref rid="b11-etm-0-0-2424" ref-type="bibr">11</xref>), the release of transforming growth factor-&#x03B2;1 bound to the extracellular matrix and the degradation of procollagen protein that participate in tissue remodeling (<xref rid="b12-etm-0-0-2424" ref-type="bibr">12</xref>) and inflammation (<xref rid="b13-etm-0-0-2424" ref-type="bibr">13</xref>). Previous studies have shown that mast cell chymase is active during the healing process in burn wounds (<xref rid="b14-etm-0-0-2424" ref-type="bibr">14</xref>,<xref rid="b15-etm-0-0-2424" ref-type="bibr">15</xref>). However, the changes in chymase expression levels and activity in the tissues during burn wound healing remain unclear. Human chymase differs to the chymase in the majority of other animals with regard to substrate specificity, with the exceptions of monkeys, dogs and hamsters (<xref rid="b16-etm-0-0-2424" ref-type="bibr">16</xref>&#x2013;<xref rid="b18-etm-0-0-2424" ref-type="bibr">18</xref>). To the best of our knowledge, there have been no previous studies reporting the use of a hamster model in the study of burn wounds. In the present study, a hamster model of deep second-degree burn wound was established in order to study the association between mast cell chymase and the burn wound healing process.</p>
</sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title/>
<sec>
<title>Hamster model for deep second-degree burn wound</title>
<p>A total of 24 hamsters (weight, 40&#x2013;60 g; age, 8 weeks) were used, obtained from the &#x00DC;r&#x00FC;mqi Municipal Center for Disease Control and Prevention (&#x00DC;r&#x00FC;mqi, China). All animals were individually housed in stainless steel cages with a 12-h light-dark cycle and a controlled temperature. The hamsters received food and water <italic>ad libitum</italic> and were acclimatized for at least two weeks prior to thermal injury. All animal care and experimental procedures were approved by the Animal Ethics Committee of the First Affiliated Hospital of Xinjiang Medical University (&#x00DC;r&#x00FC;mqi, China).</p>
<p>The body surface areas of the hamsters (equivalent to 0.0913 &#x00D7; weight<sup>2/3</sup>) ranged between 106.8 and 139.9 cm<sup>2</sup> (<xref rid="b19-etm-0-0-2424" ref-type="bibr">19</xref>). The burn wound was circular, with a diameter of &#x007E;3 cm, accounting for 5&#x2013;6.5&#x0025; of their body surface area. The hamsters were anesthetized with ketamine (0.7 g/kg), and diazepam and atropine were used to maintain adequate anesthesia. Once anesthetized, the hair on the back of each hamster was removed to reveal a bare region with a diameter of &#x007E;3 cm. There are a variety of methods for producing deep second-degree burns in animal models (<xref rid="b20-etm-0-0-2424" ref-type="bibr">20</xref>&#x2013;<xref rid="b24-etm-0-0-2424" ref-type="bibr">24</xref>); however, the majority of these methods are adapted to large animals and may be complex. The burn wound depth may be affected by the contact temperature, heat duration, burn area and pressure. Since hamsters are small in size, there is a risk of accidental mortality if the burn is not inflicted correctly. The end of a 50-ml syringe, with no plunger, was used to administer the burn. While the hamster was anesthetized, the end of the syringe was gently pressed onto the bare region on the back of the hamster to keep the hot water inside the syringe (<xref rid="f1-etm-0-0-2424" ref-type="fig">Fig. 1A</xref>). Next, 20 ml water (75&#x00B0;C) was poured into the syringe, producing a circular burn wound with a diameter of &#x007E;3 cm. The durations of water contact with the back skin of the hamsters were 0, 6, 8, 10 and 12 sec, for the five groups of four hamsters. The wounds of all the hamsters were was hed with running water for 1 min and 1.5&#x2013;1.8 ml isotonic saline was injected intraperitoneally for fluid resuscitation. The hamsters were insulated and received 700 mg/kg morphine when awake. The hamsters stopped experiencing any pain by day 2 after the burn was administered which was evident by their return to normal behavior. At 24 h after the burn, the wound tissues in the superficial layer of the deep fascia were removed, with the hamsters under ketamine anesthesia. The dissected tissues were immersed in 10&#x0025; formaldehyde solution, with a volume ten times the volume of the tissues. The dissected tissues were divided into sections and stained with hematoxylin and eosin (H&#x0026;E). The optimum duration of hot water contact for producing a deep second-degree burn was determined by H&#x0026;E staining. According to the histologically determined durations of contact for deep second-degree burn, the wounds were created on the remaining four hamsters to observe wound healing durations.</p>
</sec>
<sec>
<title>H&#x0026;E staining</title>
<p>Tissue samples were cut into slices for H&#x0026;E staining. The sections were dewaxed with xylene for 15 min and soaked with 100&#x0025; ethanol for 3 min, 95&#x0025; ethanol for 3 min and 70&#x0025; ethanol for 3 min. The sections were then was hed with water, air-dried, soaked with hematoxylin for 15 min and was hed with water a further three times. Subsequently, the sections were stained with eosin for 3 min and soaked with 95&#x0025; ethanol I for 3 min, 95&#x0025; ethanol II for 3 min, 100&#x0025; ethanol I for 3 min and 100&#x0025; ethanol II for 3 min. Once the ethanol had dried, the sections were soaked in xylene for 2 h and subsequently mounted using Permount<sup>&#x2122;</sup> Mounting Medium purchased from Multi Sciences (Lianke) Biotech Co., Ltd. (Hangzhou, China).</p>
</sec>
<sec>
<title>Quantitative polymerase chain reaction (qPCR)</title>
<p>Total RNA was extracted with TRIzol&#x00AE;(Invitrogen Life Technologies, Carlsbad, CA, USA), chloroform, isopropanol and 75&#x0025; ethylene glycol, and stored in a refrigerator at &#x2212;80&#x00B0;C. Reverse transcription was conducted by adding 1.5 &#x00B5;g sample RNA to a 20-&#x00B5;l reaction system that included 1 &#x00B5;l Oligo (dT) Primer, 1 &#x00B5;l reverse transcriptase and 4 &#x00B5;l buffer (Takara Biotechnology Co., Ltd., Dalian, China). The reaction mixture was incubated for 1 h at 37&#x00B0;C and then heated to 85&#x00B0;C for 5 min to terminate the reaction. For qPCR amplification, 5 &#x00B5;l reacted solution was extracted and added to a 20-&#x00B5;l reaction system that included 10 &#x00B5;l SYBR Premix Ex Taq, 0.25 &#x00B5;l target primer/0.25 &#x00B5;l &#x03B2;-actin primer (Takara Biotechnology Co., Ltd.) and 4.5 &#x00B5;l ddH<sub>2</sub>O. The reaction was conducted on a Thermal Cycler Dice Real Time System (Takara Bio, Inc., Otsu, Japan). For the amplification of chymase, the following PCR procedure was used: 95&#x00B0;C for 3 min, 35 cycles of 95&#x00B0;C for 45 sec, 55&#x00B0;C for 45 sec and 72&#x00B0;C for 45 sec, and a final extension at 72&#x00B0;C for 5 min. For the amplification of &#x03B2;-actin, the following PCR procedure was used: 95&#x00B0;C for 4 min, 35 cycles of 95&#x00B0;C for 30 sec, 60&#x00B0;C for 30 sec and 72&#x00B0;C for 2 min, and a final extension at 72&#x00B0;C for 7 min. The PCR product was examined by dissociation curve analysis, and the relative quantification of gene expression was normalized against the internal standard, &#x03B2;-actin.</p>
<p>The primers were designed as follows: Chymase forward, 5-CTG AGA GGA TGC TTC TTC CTG C-3, and reverse, 5-AGA TCT TAT TGA TCC AGG GCC G-3; &#x03B2;-actin forward, 5-AAC TCC ATC ATG AAG TGT GA-3, and reverse, 5-ACT CCT GCT TGC TGA TCC AC-3.</p>
</sec>
<sec>
<title>Radioimmunoassay</title>
<p>Chymase activity in the burn tissue was determined using a radioimmunoassay (<xref rid="b25-etm-0-0-2424" ref-type="bibr">25</xref>). Burn tissue samples weighing 100 mg were repeatedly homogenized and added to 50 mM NaH<sub>2</sub>PO<sub>4</sub> buffer (10 w/v, pH 7.4) for 15 min at 4&#x00B0;C. The samples were centrifuged at 3,000 &#x00D7; g for 20 sec at 4&#x00B0;C and the supernatants were discarded. The sediments were added to 50 mM NaH<sub>2</sub>PO<sub>4</sub> buffer for ultrasonic homogenization (400 A, 5 sec/time with an interval of 10 sec, repeated three to five times) and the homogenized tissues were subsequently centrifuged at 30,000 &#x00D7; g for 20 min at 4&#x00B0;C. The homogenization and centrifugation steps were repeated three times and the supernatants, which contained chymase, were collected for each repeat. From each processed sample, 1,500 &#x00B5;l supernatant was collected and divided into three tubes (500 &#x00B5;l each) labeled A, B and C. For reaction system A, 6 ng AngI was added, while 6 ng AngI and 50 &#x00B5;M lisinopril were added to reaction system B and 6 ng AngI and 20 &#x00B5;M aprotinin were added to reaction system C. The tubes were placed in a water bath (37&#x00B0;C) for 15 min, and a 2.5-fold volume of precooled ethanol was added to terminate the reaction. The resulting concentrations of AngII in reaction systems A, B and C were determined using a radioimmunoassay kit (Beijing North Institute of Biological Technology, Beijing, China), according to the manufacturers instructions. The activity of angiotensin-converting enzyme (ACE) was calculated by subtracting the enzyme activity of reaction system B from that of A. The activity of other serine proteases was calculated by subtracting the enzyme activity of reaction system C from that of A. Finally, the activity of chymase was calculated by subtracting the ACE activity and the other serine protease activity from the enzyme activity of reaction system A. The enzyme activity required for the generation of 1 nmol AngII in 100 mg burn tissues per min was defined as 1 enzyme activity unit (U). The activity of chymase was expressed as U/mg.</p>
</sec>
<sec>
<title>Statistical analysis</title>
<p>SPSS software, version 16.0 (SPSS, Inc., Madison, WI, USA) was used for statistical analysis. The results are presented as the mean &#x00B1; standard deviation. Analysis of variance and Dunnetts test were used to assess the differences between groups. P&#x003C;0.05 was considered to indicate a statistically significant difference.</p>
</sec>
</sec>
</sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title/>
<sec>
<title>A hamster model of deep second-degree burn is established by hot water contact for 12 sec</title>
<p>To evaluate the degree of the burn wounds, hamsters were used as the animal model and H&#x0026;E staining of the tissues was performed. All hamsters used in the study survived. The degree of paleness of the burnt skin varied at different time periods after the injury was inflicted. At 24 h after the burn was inflicted, the edge of the burn wound was red with swelling, while the wound itself exhibited swelling and was white in color, with no visible blisters (<xref rid="f1-etm-0-0-2424" ref-type="fig">Fig. 1B</xref>). The burn contact durations analyzed were 0, 6, 8, 10 and 12 sec. Histological examination revealed that the epidermal cells were partially detached from the burn area in the 12-sec burn duration hamsters. H&#x0026;E staining showed that the structure of the tissues was unclear and that blisters had formed on the skin. In addition, congestion had occurred in the dermal interstitial layer, collagen fibers had integrated into sheets and residual hair follicles were observed in the deep dermis. Subcutaneous vascular dilation, congestion and edema were evident; however, the tissue structure was not destroyed (<xref rid="f1-etm-0-0-2424" ref-type="fig">Fig. 1C</xref>). Thus, it was determined that the damage caused by 12 sec hot water contact was equivalent to a deep second-degree burn. Deep second-degree burns were produced on the four hamsters that received hot water contact for 12 sec. There were no signs of infection during wound healing and re-epithelialization was complete after 18 days (<xref rid="f1-etm-0-0-2424" ref-type="fig">Fig. 1D</xref>). These results indicated that a hamster model of deep second-degree burn was established by applying hot water contact for 12 sec.</p>
</sec>
<sec>
<title>Chymase activity and mRNA expression levels increase in mast cells after burning and may be involved in the process of burn wound healing</title>
<p>A radioimmunoassay and qPCR were used to investigate the activity and mRNA expression levels of chymase in the burn tissues. Chymase activity was observed in all the post-burn stages and was significantly higher in the burnt tissue when compared with the normal skin tissue (day 0). However, there were no statistically significant differences in chymase activity amongst the various post-burn stages (P&#x003E;0.05; <xref rid="f2-etm-0-0-2424" ref-type="fig">Fig. 2A</xref>). At days 1, 3, 7 and 14 after burning, chymase mRNA expression levels were significantly higher when compared with those in the normal skin tissue (day 0; P&#x003C;0.05). In addition, no statistically significant differences were observed amongst the chymase mRNA expression levels of the post-burn stages (P&#x003C;0.05; <xref rid="f2-etm-0-0-2424" ref-type="fig">Fig. 2B</xref>). These results demonstrated that chymase activity and mRNA expression levels were increased in the mast cells of the burned tissue and may be involved in the process of burn wound healing.</p>
</sec>
</sec>
</sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>Hamsters were selected as experimental animals to study chymase activity, as the AngII generated by chymase differs between species, but is similar in humans and hamsters. The burns may easily have been fatal to the hamsters; however, the temperature of the water was controlled and the burn area selected was easy to manipulate. Thus, hot water at 75&#x00B0;C was used to produce deep second-degree burn wounds on the hamsters.</p>
<p>Kim <italic>et al</italic> (<xref rid="b26-etm-0-0-2424" ref-type="bibr">26</xref>) used continuous scan laser Doppler vibrometry to observe the microvascular perfusion conditions of large-area deep burn wounds in mice and determined the degrees of the burn wounds according to the recovery of the mice. Second-degree burns developed into third-degree burns if the fluid resuscitation rate was &#x2264;4 ml/kg/&#x0025;burn. The optimal fluid resuscitation rate was 4&#x2013;8 ml/kg/&#x0025;burn and the perfusion peak was 6 ml/kg/&#x0025;burn. In the present study, the burn wounds were was hed with water for 5 min to reduce the residual heat. In addition, 1.5&#x2013;1.8 ml normal saline (6 ml/kg/&#x0025;burn) was administered via intraperitoneal injection for fluid resuscitation in order to reduce the exacerbation of the depth of the wounds.</p>
<p>In the present study, the burn area was 7.1 cm<sup>2</sup>, accounting for 5&#x2013;6.5&#x0025; of the body surface area, which was large enough for the requirements of the study. All hamsters used in the study survived. In addition, no wound infection or other complications were found during the healing process of the deep second-degree wounds. The wounds produced by contact with 20 ml hot water (75&#x00B0;C) in a 50-ml syringe on the skin of the hamsters for 12 sec satisfied the requirements of a deep second-degree burn wound.</p>
<p>Chen <italic>et al</italic> (<xref rid="b27-etm-0-0-2424" ref-type="bibr">27</xref>) used qPCR to detect the mRNA expression levels of cardiac chymase in a hamster model of heart failure, while Guo <italic>et al</italic> (<xref rid="b28-etm-0-0-2424" ref-type="bibr">28</xref>) did the same in ovalbumin-stimulated atherosclerosis hamsters. Matsumoto <italic>et al</italic> (<xref rid="b29-etm-0-0-2424" ref-type="bibr">29</xref>) used qPCR to detect the mRNA expression levels of chymase in dogs with tachycardia-induced heart failure following the administration of the chymase inhibitor, SUNC8257. Notably, the present study observed increased chymase activity and mRNA expression levels in the hamsters during the process of burn wound healing when compared with the levels prior to the burns. Chymase activity and mRNA expression levels during the healing process were significantly increased when compared with the levels prior to the burn model establishment (P&#x003C;0.05), while those in different post-burn stages showed no statistically significant differences (P&#x003E;0.05). The increased chymase activity in the burn tissue may have been caused by a burn-induced stress response in the hamsters, in which the burns directly acted on the mast cells, activating them to increase degranulation and release chymase. In addition, the burns caused increased vascular permeability, and inflammatory responses increased the numbers and sustained activation of mast cells in the burn wounds.</p>
<p>In conclusion, the results of the present study indicate that chymase is involved in the process of burn wound healing. These results may provide experimental evidence for elucidating the process of burn wound healing and aid the development of new treatment methods for burn wounds.</p>
</sec>
</body>
<back>
<ack>
<title>Acknowledgements</title>
<p>This study was supported by the Youth Science Foundation of the First Affiliated Hospital of Xinjiang Medical University (no. 2012QN02).</p>
</ack>
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<floats-group>
<fig id="f1-etm-0-0-2424" position="float">
<label>Figure 1.</label>
<caption><p>Establishment of a hamster model of deep second-degree burn wound. (A) Following anesthesia, the hair on the back of each hamster was removed, forming a bare region with a diameter of &#x007E;3.5 cm. The end of a 50 ml syringe with no plunger was used as the burn template. Under anesthesia, the end of the syringe was gently pressed onto the bare region on the back of the hamster to keep the injected water inside the syringe. Next, 20 ml water (75&#x00B0;C) was injected into the syringe to create a circular burn wound with a diameter of &#x007E;3 cm. (B) Burns created by hot water contact for 12 sec. (C) Hematoxylin and eosin-stained image of the burn wound tissue 24 h after hot water contact for 12 sec (magnification, x400). (D) Epithelialization of the burn wound at day 18 after the burn.</p></caption>
<graphic xlink:href="etm-09-06-2190-g00.jpg"/>
</fig>
<fig id="f2-etm-0-0-2424" position="float">
<label>Figure 2.</label>
<caption><p>(A) Activity and (B) mRNA expression levels of chymase in the burn wound tissues at days 0, 1, 3, 7 and 14 after the burn. Data are expressed as the mean &#x00B1; standard deviation. &#x002A;P&#x003C;0.05, vs. day 0.</p></caption>
<graphic xlink:href="etm-09-06-2190-g01.jpg"/>
</fig>
</floats-group>
</article>
