Levine Marci H, Yates Karen E, Kaban Leonard B
Skeletal Biology Research Center and Department of Oral and Maxillofacial Surgery, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA.
J Oral Maxillofac Surg. 2002 Jul;60(7):729-33; discussion 734. doi: 10.1053/joms.2002.33237.
Entubulization is a well known method of nerve repair for defects too large to be reconstructed by direct suturing without tension. Vein grafts and alloplastic tubes have been used for entubulization in peripheral and cranial nerves, but the mechanism by which they promote healing is poorly understood. The overall hypothesis of this laboratory is that nerve growth factor (NGF) plays an important role in nerve regeneration after entubulization with a vein graft. The purpose of this pilot study was to localize NGF protein expression in the rat femoral vein.
Sciatic nerves and femoral veins were harvested from adult male Sprague-Dawley rats. Femoral arteries were also collected and used for comparison and validation of the analysis. All specimens were fixed in paraformaldehyde and embedded in paraffin. Specimens were either stained with hematoxylin and eosin or used for immunohistochemical reaction with anti-NGF antibody.
Sciatic nerve was used as a positive control to identify the monofascicular architecture with hematoxylin and eosin and to document the positive immunohistochemical reaction. NGF immunoreactivity was present in the tunica intima and tunica adventitia of femoral vein and artery but not in the tunica media.
The results of this pilot study indicate that NGF is detectable in both the intimal and adventitial layers of the rat femoral vein and artery but not in the smooth muscle wall. These findings suggest that vein grafts could potentially promote nerve regeneration by supplying NGF to the injured nerve.
对于因缺损过大而无法在无张力情况下通过直接缝合重建的神经,套入法是一种广为人知的神经修复方法。静脉移植物和异体管已被用于周围神经和颅神经的套入法修复,但它们促进愈合的机制尚不清楚。本实验室的总体假设是,神经生长因子(NGF)在用静脉移植物进行套入法修复后在神经再生中起重要作用。本初步研究的目的是在大鼠股静脉中定位NGF蛋白表达。
从成年雄性Sprague-Dawley大鼠身上采集坐骨神经和股静脉。还采集股动脉用于分析的比较和验证。所有标本均用多聚甲醛固定并石蜡包埋。标本要么用苏木精和伊红染色,要么用于与抗NGF抗体的免疫组化反应。
坐骨神经用作阳性对照,以通过苏木精和伊红鉴定单束结构,并记录阳性免疫组化反应。NGF免疫反应性存在于股静脉和动脉的内膜和外膜中,但不存在于中膜中。
本初步研究结果表明,在大鼠股静脉和动脉的内膜和外膜层中均可检测到NGF,但在平滑肌壁中未检测到。这些发现表明,静脉移植物可能通过向受损神经供应NGF来促进神经再生。