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脉冲电磁场未能增强坐骨神经挤压损伤后的神经再生。

PEMF fails to enhance nerve regeneration after sciatic nerve crush lesion.

机构信息

Universidade Federal da Bahia, Biomorphology Department, Health Sciences Institute, Salvador, BA, Brazil.

出版信息

J Peripher Nerv Syst. 2009 Dec;14(4):285-93. doi: 10.1111/j.1529-8027.2009.00240.x.

Abstract

The use of electromagnetic fields has been reported to enhance peripheral nerve regeneration. This study aimed to identify the effects of a prolonged protocol of low-frequency pulsed electromagnetic field (PEMF) on peripheral nerve regeneration. Thirty-four male Swiss mice (Mus musculus) were divided into PEMF (n = 17) and control (n = 17) groups. All animals underwent a unilateral sciatic-crush lesion, and the PEMF group was exposed to a 72-Hz, 2-G electromagnetic field for 30 min, five days a week, for three weeks. Functional analysis was carried out weekly. After three weeks, the animals were euthanized, and histological, morphometric, oxidative stress, and TGF-beta1 analyses were performed. Functional analysis showed no differences between the groups. Histological appearance was similar between PEMF and control nerves. Morphometric assessment showed that the PEMF nerves trended toward decreased regeneration. The levels of free radicals were more pronounced in PEMF nerves, but were not associated with an increase in the content of the TGF-beta1/Smad signaling pathway. Prolonged PEMF regimen leads to delayed histological peripheral nerve regeneration and increased oxidative stress but no loss of function recovery.

摘要

电磁场的应用已被报道可促进周围神经再生。本研究旨在确定低频脉冲电磁场(PEMF)长时间方案对周围神经再生的影响。34 只雄性瑞士小鼠(Mus musculus)分为 PEMF(n = 17)和对照组(n = 17)。所有动物均进行单侧坐骨神经挤压损伤,PEMF 组接受 72 Hz、2 G 的电磁场刺激,每周 5 天,持续 3 周。每周进行功能分析。3 周后,处死动物,进行组织学、形态计量学、氧化应激和 TGF-β1 分析。功能分析显示两组之间无差异。PEMF 和对照组的神经组织学表现相似。形态计量评估显示,PEMF 神经的再生呈下降趋势。PEMF 神经中的自由基水平更为明显,但与 TGF-β1/Smad 信号通路含量的增加无关。长时间的 PEMF 方案导致周围神经再生的组织学延迟和氧化应激增加,但功能恢复没有丧失。

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