Perioperative Polyphenon E, a Green Tea Extract, Does Not Affect the Wound Complication Rate in Mice After Sham Laparotomy yet Has an Inhibitory Effect on Wound Healing

Introduction. Major surgery is associated with physiologic alterations that may promote tumor growth, and catechins in green tea may inhibit tumor growth. This study’s aim was to assess the impact of a green tea extract on laparotomy wound healing in mice. Methods. Mice were randomized to daily oral catechins solution (n = 25) or placebo (n = 20), underwent sham laparotomy after 10 days, and were sacrificed on postoperative day 7 or 21. The peak force and total energy required to rupture the abdominal wall wound, wound collagen content, and histology were assessed. Results. There were no wound complications in either group, and mean peak wound rupture forces and collagen concentration were similar. Mean energy was lower and more fibroblast proliferation was found in the treatment group on postoperative day 21. Conclusions. These results suggest that catechins has only mild clinically significant adverse effect on wound healing, and its perioperative use warrants further study.

[1]  Hong Wang,et al.  Mechanistic issues concerning cancer prevention by tea catechins. , 2011, Molecular nutrition & food research.

[2]  N. Hyman,et al.  Colorectal Resection is Associated With Persistent Proangiogenic Plasma Protein Changes: Postoperative Plasma Stimulates In Vitro Endothelial Cell Growth, Migration, and Invasion , 2009, Annals of surgery.

[3]  S. Meijer,et al.  The Perioperative Period is an Underutilized Window of Therapeutic Opportunity in Patients With Colorectal Cancer , 2009, Annals of surgery.

[4]  Manami Inoue,et al.  Green tea consumption and prostate cancer risk in Japanese men: a prospective study. , 2007, American journal of epidemiology.

[5]  Gang Lu,et al.  Inhibition of carcinogenesis by tea constituents. , 2007, Seminars in cancer biology.

[6]  Andy H. Lee,et al.  Does the Consumption of Green Tea Reduce the Risk of Lung Cancer Among Smokers? , 2006, Evidence-based complementary and alternative medicine : eCAM.

[7]  R. Rosengren,et al.  Role of epigallocatechin gallate (EGCG) in the treatment of breast and prostate cancer. , 2006, Life sciences.

[8]  M. Bessler,et al.  Major Abdominal Surgery Increases Plasma Levels of Vascular Endothelial Growth Factor: Open More So Than Minimally Invasive Methods , 2006, Annals of surgery.

[9]  Gang Lu,et al.  Molecular targets for the cancer preventive activity of tea polyphenols , 2006, Molecular carcinogenesis.

[10]  Mohammad Saleem,et al.  Targeting multiple signaling pathways by green tea polyphenol (-)-epigallocatechin-3-gallate. , 2006, Cancer research.

[11]  Jia-Sheng Wang,et al.  Phase IIa chemoprevention trial of green tea polyphenols in high-risk individuals of liver cancer: modulation of urinary excretion of green tea polyphenols and 8-hydroxydeoxyguanosine. , 2006, Carcinogenesis.

[12]  Giovanni Castagnetti,et al.  Chemoprevention of human prostate cancer by oral administration of green tea catechins in volunteers with high-grade prostate intraepithelial neoplasia: a preliminary report from a one-year proof-of-principle study. , 2006, Cancer research.

[13]  K. Forde,et al.  Altered plasma matrix metalloproteinase-9/tissue metalloproteinase-1 concentration during the early postoperative period in patients with colorectal cancer , 2006, Surgical Endoscopy And Other Interventional Techniques.

[14]  V. Schini-Kerth,et al.  Antiangiogenic properties of natural polyphenols from red wine and green tea. , 2005, The Journal of nutritional biochemistry.

[15]  M. Inoue,et al.  Tea and coffee consumption and the risk of digestive tract cancers: data from a comparative case-referent study in Japan , 1998, Cancer Causes & Control.

[16]  K. Forde,et al.  Open surgery induces a dramatic decrease in circulating intact IGFBP-3 in patients with colorectal cancer not seen with laparoscopic surgery , 2004, Surgical Endoscopy And Other Interventional Techniques.

[17]  S. Namkoong,et al.  Protective effects of green tea extracts (polyphenon E and EGCG) on human cervical lesions , 2003, European journal of cancer prevention : the official journal of the European Cancer Prevention Organisation.

[18]  S. Dasgupta,et al.  Effect of green tea polyphenols on angiogenesis induced by an angiogenin-like protein. , 2003, Biochemical and biophysical research communications.

[19]  D. Alberts,et al.  Pharmacokinetics and safety of green tea polyphenols after multiple-dose administration of epigallocatechin gallate and polyphenon E in healthy individuals. , 2003, Clinical cancer research : an official journal of the American Association for Cancer Research.

[20]  K. Forde,et al.  The percentage of CD31+ T cells decreases after open but not laparoscopic surgery , 2003, Surgical Endoscopy And Other Interventional Techniques.

[21]  M. Bessler,et al.  Plasma from patients undergoing major open surgery stimulates in vitro tumor growth: Lower insulin-like growth factor binding protein 3 levels may, in part, account for this change. , 2002, Surgery.

[22]  F. Khuri,et al.  Phase I trial of oral green tea extract in adult patients with solid tumors. , 2001, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[23]  Y. Nishino,et al.  Green tea and the risk of gastric cancer in Japan. , 2001, The New England journal of medicine.

[24]  Y. Takagi,et al.  Significant detection of circulating cancer cells in the blood by reverse transcriptase-polymerase chain reaction during colorectal cancer resection. , 2000, Annals of surgery.

[25]  D. Seril,et al.  Plasma and Tissue Levels of Tea Catechins in Rats and Mice During Chronic Consumption of Green Tea Polyphenols , 2000, Nutrition and cancer.

[26]  I. Svane,et al.  The role of cytotoxic T-lymphocytes in the prevention and immune surveillance of tumors— lessons from normal and immunodeficient mice , 1999, Medical oncology.

[27]  R. Agarwal,et al.  Green tea constituent epigallocatechin-3-gallate and induction of apoptosis and cell cycle arrest in human carcinoma cells. , 1997, Journal of the National Cancer Institute.

[28]  S. Loric,et al.  Haematogenous dissemination of prostatic epithelial cells during radical prostatectomy , 1995, The Lancet.

[29]  J K McLaughlin,et al.  Reduced risk of esophageal cancer associated with green tea consumption. , 1994, Journal of the National Cancer Institute.

[30]  Akira Matsuura,et al.  A Comparative Case‐Control Study of Colorectal Cancer and Adenoma , 1990, Japanese journal of cancer research : Gann.

[31]  H. Dvorak Tumors: wounds that do not heal. Similarities between tumor stroma generation and wound healing. , 1986, The New England journal of medicine.

[32]  H. Kehlet,et al.  Influence of surgery, age and serum albumin on delayed hypersensitivity. , 1986, Acta chirurgica Scandinavica.

[33]  B. Shenton,et al.  The influence of surgical operations on components of the human immune system , 1985, The British journal of surgery.

[34]  John E. Harkness,et al.  Biology and Medicine of Rabbits and Rodents , 1983 .

[35]  J. Meakins,et al.  Postoperative depression of host resistance: determinants and effect of peripheral protein-sparing therapy. , 1982, Surgery.