Kocaoğlu Sarper, Aktaş Özgür, Zengi Oğuzhan, Tufan Azmi, Karagöz Güzey Feyza
Kirklareli State Hospital.
Turk Neurosurg. 2017 Aug 31. doi: 10.5137/1019-5149.JTN.18585-16.1.
Background: Alpha lipoic acid (ALA) that is a strong antioxidant drug is tried for both protection and treatment of various diseases of central and peripheral nervous systems.
Material and Methods: Protective effects of ALA on crush type peripheral nerve injury were evaluated. 28 Sprague-Dawley rats were divided into four groups: In Group 1, sciatic nerve was only explored. Sciatic nerve crush injury was performed after serum physiologic injection intraperitoneally in Group 2, and after ALA injection in Groups 3 and 4. In all subjects, Sciatic Functional Index (SFI) was calculated. All subjects were sacrificed 1 hour after injury in first three groups, and 48 hours after in Group 4. Nerve samples were taken. Superoxide dismutase, catalase and glutathione peroxidase activities were measured in nerve tissue.
Results: Administration of ALA before injury provided significantly better SFI values and higher levels of antioxidant enzymes than control group. These effects were significantly prominent 48 hours after injury.
Conclusion: ALA that was given before crush type peripheral nerve injury provided to decrease damage of the nerve. Specific mechanisms of this effect must be clarified and must be shown that it is whether effective when it is given after injury or not.
背景:α硫辛酸(ALA)是一种强效抗氧化药物,已被尝试用于中枢和周围神经系统各种疾病的预防和治疗。
材料和方法:评估ALA对挤压型周围神经损伤的保护作用。将28只Sprague-Dawley大鼠分为四组:第1组仅探查坐骨神经;第2组腹腔注射生理盐水后进行坐骨神经挤压损伤;第3组和第4组注射ALA后进行坐骨神经挤压损伤。对所有实验对象计算坐骨神经功能指数(SFI)。前三组在损伤后1小时处死所有实验对象,第4组在损伤后48小时处死。采集神经样本,测定神经组织中超氧化物歧化酶、过氧化氢酶和谷胱甘肽过氧化物酶的活性。
结果:损伤前给予ALA比对照组具有显著更好的SFI值和更高水平的抗氧化酶。这些作用在损伤后48小时尤为显著。
结论:挤压型周围神经损伤前给予ALA可减轻神经损伤。必须阐明这种作用的具体机制,并且必须证明损伤后给予ALA是否有效。