Yarar Ercan, Kuruoglu Enis, Kocabıcak Ersoy, Altun Adnan, Genc Eyup, Ozyurek Hamit, Kefeli Mehmet, Marangoz Abdullah Hilmi, Aydın Keramettin, Cokluk Cengiz
Department of Neurosurgery, Atatürk State Hospital Sinop, Turkey.
Department of Neurosurgery, Ondokuz Mayis University Samsun, Turkey.
Int J Clin Exp Med. 2015 Jun 15;8(6):8776-84. eCollection 2015.
The aim of this study was to evaluate electrophysiological and histopathological effects of mesenchymal stem cells in treatment of sciatic nerve injury.
Thirty-two female Spraque-Dawley rat were used in this study. Eight rats were used as a reference group in electrophysiological analysis for evaluation of non-injured nerve recordings (Control Group). Twenty-four rats were used for experimental evaluation. Twelve rats were anastomosed without treatment with mesenchymal stem cells (Sham Group) and twelve other rats were anastomosed and treated with mesenchymal stem cells (Stem Cell Group). Surgicel and bioglue were used in anastomosed line in both Groups. Eight weeks after the surgery, electrophysiological evaluation of rats was performed and, then, rats were decapitated under anesthesia and specimens including sciatic nerves and anastomosed line were taken for histopathological evaluation. Electromyography and nerve conduction velocity testing and histopathological scoring including rate of Wallerian degeneration, and neuroma and scar formation were evaluated for both Groups.
There were no statistically significant differences between Sham and Stem Cell Groups with respect to histopathological evaluation. However, nerve conduction velocity showed significant difference between groups (P = 0.001). Nerve conduction velocity was significantly improved in Stem Cell Group when compared to Sham Group.
In this study, based on nerve conduction velocity data, it was concluded that treatment with mesenchymal stem cells during end-to-end anastomosis improves functional regeneration.
本研究旨在评估间充质干细胞治疗坐骨神经损伤的电生理和组织病理学效应。
本研究使用了32只雌性Spraque-Dawley大鼠。8只大鼠用作电生理分析的参照组,用于评估未损伤神经的记录(对照组)。24只大鼠用于实验评估。12只大鼠进行吻合但未用间充质干细胞治疗(假手术组),另外12只大鼠进行吻合并接受间充质干细胞治疗(干细胞组)。两组的吻合处均使用了外科用纤维蛋白海绵和生物胶。术后8周,对大鼠进行电生理评估,然后在麻醉下将大鼠断头,取包括坐骨神经和吻合处的标本进行组织病理学评估。对两组均评估了肌电图和神经传导速度测试以及组织病理学评分,包括华勒氏变性率、神经瘤和瘢痕形成情况。
在组织病理学评估方面,假手术组和干细胞组之间无统计学显著差异。然而,两组之间的神经传导速度存在显著差异(P = 0.001)。与假手术组相比,干细胞组的神经传导速度显著提高。
在本研究中, 根据神经传导速度数据得出结论,端端吻合期间使用间充质干细胞治疗可改善功能再生。