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去细胞神经同种异体移植修复大鼠坐骨神经缺损后改善神经再生的分子机制研究。

Study on molecular mechanism for improving neural regeneration after repair of sciatic nerve defect in rat by acellular nerve allograft.

机构信息

Department of Rehabilitation, Affiliated Shengjing Hospital, China Medical University, Shenyang, China.

出版信息

Synapse. 2012 Jan;66(1):52-60. doi: 10.1002/syn.20985. Epub 2011 Nov 3.

Abstract

OBJECTIVE

Discuss the molecular mechanism for improving neural regeneration after repair of sciatic nerve defect in rat by acellular nerve allograft (ANA).

METHODS

Randomly divide 36 Wistar rats into six groups as normal control group, autografting group, and bridging groups of 2, 4, 8, 12 weeks, six rats for each group. Observe the expression of brain-derived neurotrophic factor (BDNF) in L(4) spinal cord and anterior tibial muscle at the injury site, calcitonin gene-related peptide (CGRP) protein as well as mRNA, respectively. 12w after operation, histopathological observation was performed.

RESULTS

2w after ANA bridging the sciatic nerve defect in rats, it was observed that the expression level of BDNF in spinal cord at the injury site and CGRP protein increased, reaching the peak level at 4w, lasting till 8w, then decreased but still significantly higher than that in normal control group at 12w, and was not significantly different compared with that in autografting group. However, the expression level of BDNF in anterior tibial muscle decreased gradually within the initial 4w, then increased progressively, reaching normal level at 12w, and was not significantly different compared with that in autografting group. The expression of BDNF mRNA and CGRPmRNA was essentially the same. 12w after operation, there was nerve regeneration in bridging group of 12w and autografting group.

CONCLUSIONS

ANA possessed fine histocompatibility, and might substitute autograft to repair long-segment defect of sciatic nerve in rats. This action might be related to upregulation of protein and mRNA expression for BDNF and CGRP in spinal cord.

摘要

目的

探讨去细胞神经同种异体移植物(ANA)修复大鼠坐骨神经缺损后促进神经再生的分子机制。

方法

将 36 只 Wistar 大鼠随机分为正常对照组、自体移植组和桥接组(2、4、8、12 周),每组 6 只。观察 L(4)脊髓和损伤部位前胫骨肌中脑源性神经营养因子(BDNF)、降钙素基因相关肽(CGRP)蛋白及其 mRNA 的表达。术后 12w 行组织病理学观察。

结果

大鼠 ANA 桥接坐骨神经缺损 2w 后,观察到脊髓损伤部位 BDNF 的表达水平和 CGRP 蛋白增加,4w 时达到高峰,持续至 8w,然后下降,但仍明显高于正常对照组 12w,与自体移植组无显著差异。然而,前胫骨肌中 BDNF 的表达水平在最初的 4w 内逐渐下降,然后逐渐增加,在 12w 时恢复正常水平,与自体移植组无显著差异。BDNFmRNA 和 CGRPmRNA 的表达基本相同。术后 12w,桥接组 12w 和自体移植组均有神经再生。

结论

ANA 具有良好的组织相容性,可替代自体移植物修复大鼠长段坐骨神经缺损。这种作用可能与脊髓中 BDNF 和 CGRP 蛋白和 mRNA 表达的上调有关。

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