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辛伐他汀治疗后大鼠再生坐骨神经的微观和电生理学变化。

Microscopic and electrophysiological changes on regenerating sciatic nerves of rats treated with simvastatin.

机构信息

Department of Neurosurgery, Ankara Numune Education and Research Hospital, Kuzgun Sok. 15/14, Ayranci, 06540, Ankara, Turkey.

出版信息

Folia Neuropathol. 2010;48(1):49-56.

Abstract

UNLABELLED

Simvastatin is a hypocholesterolemic agent presumed to cause peripheral neuropathy. We arranged an experimental design which focuses on the effect of simvastatin on peripheral nerves and neural regeneration. Sciatic nerve injury was performed at midthigh region of male wistar rats either by clamp compression or fine cut. Electrophysiological and electron microscopical studies were carried out to assess the effect of simvastatin on peripheral nerve and nerve regeneration. There was no difference between the groups that were given simvastatin and standard regimen in the sciatic nerve when electrophysiological measurements were concerned. However, some of the rats that were given simvastatin show reduction in axoplasm density (intensity) of myelinated nerve fibers and prominent vacuolization of myelin sheath according to light and electron microscopic studies. Sciatic nerve compound muscle activation potential measurements of the animals given simvastatin showed that this drug doesn't have a delaying effect on the peripheral nerve recovery time. Electrophysiological measurements showed that simvastatin did not influence nerve regeneration however it was found to induce severe vacuolization of myelin sheath of the sciatic nerve. It was apparent that the drug induces some form of structural dysfunction as myelin changes supported by electron microscopical studies.

CONCLUSION

simvastatin was shown to delay regeneration as shown in microscopic studies but still there was no influence on nerve regeneration.

摘要

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辛伐他汀是一种降胆固醇药物,据推测会引起周围神经病。我们设计了一个实验,重点研究辛伐他汀对周围神经和神经再生的影响。雄性 wistar 大鼠的股中部通过夹压或细切造成坐骨神经损伤。进行电生理学和电子显微镜研究,以评估辛伐他汀对周围神经和神经再生的影响。在电生理学测量方面,给予辛伐他汀和标准治疗方案的组之间的坐骨神经没有差异。然而,一些给予辛伐他汀的大鼠在光镜和电镜下显示出有髓神经纤维轴浆密度(强度)降低和髓鞘明显空泡化。给予辛伐他汀的动物的坐骨神经复合肌肉激活电位测量表明,该药物不会延迟周围神经恢复时间。电生理学测量表明,辛伐他汀虽然没有影响神经再生,但发现它会导致坐骨神经髓鞘严重空泡化。电子显微镜研究支持的髓鞘变化表明,该药物会引起某种形式的结构功能障碍。

结论

显微镜研究表明,辛伐他汀会延迟再生,但对神经再生没有影响。

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