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鼻腔内应用碱性成纤维细胞生长因子-明胶水凝胶治疗神经嗅觉丧失:小鼠实验研究。

Treatment of neural anosmia by topical application of basic fibroblast growth factor-gelatin hydrogel in the nasal cavity: an experimental study in mice.

机构信息

Department of Otolaryngology–Head and Neck Surgery, Ehime University, School of Medicine, Ehime, Japan.

出版信息

JAMA Otolaryngol Head Neck Surg. 2013 Apr;139(4):396-400. doi: 10.1001/jamaoto.2013.92.

Abstract

IMPORTANCE

A new treatment of neural anosmia.

OBJECTIVE

To investigate the effects of basic fibroblast growth factor (bFGF)-gelatin hydrogel on recovery of neural anosmia in mice.

DESIGN

Anosmia was induced by intraperitoneal injection of 3-methylindole, 200 mg/kg. One week later, the animals underwent 1 of the following 3 procedures bilaterally: (1) group A: single-shot intranasal drip infusion of phosphate-buffered saline, (2) group B: single-shot intranasal drip infusion of bFGF, and (3) group C: placement of bFGF-gelatin hydrogel in the nasal cavity. The olfactory function of the animal was evaluated by the odor-detection test (ODT) 2 and 4 weeks later. Following the testing, the animal was killed, the thickness of the olfactory epithelium was measured, and the number of olfactory marker protein (OMP)-positive cells was counted.

SETTING

Research installation.

PARTICIPANTS

Mice.

INTERVENTION

The placement of bFGF-gelatin hydrogel in the nasal cavity.

MAIN OUTCOMES AND MEASURES

An ODT, thickness of olfactory epithelium, the number of OMP-positive cells

RESULTS

The ODT proved that neural anosmia recovered in group C but not in groups A and B. Histologically, olfactory epithelium became thicker and the number of OMP-positive cells increased in group C, while such functional and histologic recovery was poor in groups A and B. These findings suggested that placement of bFGF-gelatin hydrogel in the nasal cavity was an efficient way to facilitate recovery of neural anosmia.

CONCLUSIONS AND RELEVANCE

As a gelatin hydrogel degrades slowly in the body, bFGF is gradually released around the site of the lesion; thus, it constantly exerts its effects on neural regeneration.

摘要

重要性

一种新的治疗神经嗅觉丧失的方法。

目的

研究碱性成纤维细胞生长因子(bFGF)-明胶水凝胶对小鼠神经嗅觉丧失的恢复作用。

设计

通过腹腔注射 3-甲基吲哚,200mg/kg 诱导嗅觉丧失。一周后,动物接受以下 3 种处理中的 1 种双侧处理:(1)A 组:单次鼻腔滴注磷酸盐缓冲液,(2)B 组:单次鼻腔滴注 bFGF,(3)C 组:在鼻腔中放置 bFGF-明胶水凝胶。动物的嗅觉功能通过嗅觉检测试验(ODT)在 2 周和 4 周后进行评估。测试后,处死动物,测量嗅上皮厚度,计数嗅觉标记蛋白(OMP)阳性细胞数。

地点

研究机构。

参与者

小鼠。

干预措施

在鼻腔中放置 bFGF-明胶水凝胶。

主要结果和措施

ODT、嗅上皮厚度、OMP 阳性细胞数。

结果

ODT 证明 C 组的神经嗅觉丧失得到恢复,但 A 组和 B 组没有。组织学上,C 组嗅上皮变厚,OMP 阳性细胞数增加,而 A 组和 B 组的这种功能和组织学恢复较差。这些发现表明,在鼻腔中放置 bFGF-明胶水凝胶是促进神经嗅觉丧失恢复的有效方法。

结论和相关性

由于明胶水凝胶在体内降解缓慢,bFGF 在病变部位周围逐渐释放;因此,它不断对神经再生发挥作用。

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