Generally, the benzopyrones enhance acid protease activity levels in the edema fluid and the extracellular compartment of the skin. This is the region where thermal injury has its greatest impact. The proteolysis induced by the drugs in this region represents a means of rapidly reducing some of the derangements which the thermal injury has caused. Levamisole also enhanced acid protease activity levels in the serum and extracellular compartment of the skin of rats 6 hr after thermal injury, while Reparil had the same effect at 24 hr. Generally the benzopyrones had little or no effect on neutral protease levels, while levamisole and Reparil caused their depression. The latter effects could possibly be attributed to serum deactivation or to inhibition of their release. The enzyme enhancing activity of these drugs has been shown to correlate remarkably well with their edema reducing ability. Generally, those which increased enzyme activity levels the most were the most effective in reducing the edema. The cells upon which the drugs exert their effects in thermal edema mainly seem to be the macrophages; the fibroblasts seem to be of secondary importance. This is to be contrasted with their action in the initial stages of lymphedema where they are believed to stimulate the neutrophils. The net result of the proteolysis is many small fragments which can rapidly leave the injured tissue thus releasing the edema fluid.
|Number of pages||8|
|Journal||British Journal of Experimental Pathology|
|Publication status||Published - 1976|