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生长激素治疗联合康复训练可改善熟练前肢使用,且改善效果依赖于皮质切除后开始治疗的时间。

Motor Improvement of Skilled Forelimb Use Induced by Treatment with Growth Hormone and Rehabilitation Is Dependent on the Onset of the Treatment after Cortical Ablation.

机构信息

Department of Physiology and Pharmacology, Neuroscience Institute of Castilla y León (INCyL), University of Salamanca, Salamanca, Spain.

Scientific Direction, Medical Centre Foltra, Teo, Spain.

出版信息

Neural Plast. 2018 Mar 20;2018:6125901. doi: 10.1155/2018/6125901. eCollection 2018.


DOI:10.1155/2018/6125901
PMID:29755514
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5883990/
Abstract

We previously demonstrated that the administration of GH immediately after severe motor cortex injury, in rats, followed by rehabilitation, improved the functionality of the affected limb and reexpressed nestin in the contralateral motor cortex. Here, we analyze whether these GH effects depend on a time window after the injury and on the reexpression of nestin and actin. Injured animals were treated with GH (0.15 mg/kg/day) or vehicle, at days 7, 14, and 35 after cortical ablation. Rehabilitation was applied at short and long term (LTR) after the lesion and then sacrificed. Nestin and actin were analyzed by immunoblotting in the contralateral motor cortex. Giving GH at days 7 or 35 after the lesion, but not 14 days after it, led to a remarkable improvement in the functionality of the affected paw. Contralateral nestin and actin reexpression was clearly higher in GH-treated animals, probably because compensatory brain plasticity was established. GH and immediate rehabilitation are key for repairing brain injuries, with the exception of a critical time period: GH treatment starting 14 days after the lesion. Our data also indicate that there is not a clear plateau in the recovery from a brain injury in agreement with our data in human patients.

摘要

我们之前证明了在大鼠严重运动皮层损伤后立即给予生长激素(GH),并进行康复治疗,可以改善受损肢体的功能,并在对侧运动皮层中重新表达巢蛋白(nestin)。在这里,我们分析这些 GH 作用是否依赖于损伤后的时间窗口,以及 nestin 和肌动蛋白的再表达。损伤后的第 7、14 和 35 天,用 GH(0.15mg/kg/天)或载体处理受伤动物。损伤后短期(LTR)和长期(LTR)应用康复治疗,然后处死动物。用免疫印迹法分析对侧运动皮层中的巢蛋白和肌动蛋白。在损伤后第 7 天或第 35 天给予 GH,但不在损伤后第 14 天给予,会显著改善受损爪子的功能。GH 治疗组的对侧 nestin 和肌动蛋白的再表达明显更高,可能是因为建立了代偿性大脑可塑性。GH 和即时康复是修复脑损伤的关键,除了一个关键的时间窗口:损伤后 14 天开始的 GH 治疗。我们的数据还表明,与我们在人类患者中的数据一致,从脑损伤中恢复并没有明显的平台期。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/81cc/5883990/e370df0f631c/NP2018-6125901.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/81cc/5883990/b0c5dd1c8739/NP2018-6125901.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/81cc/5883990/ef13f7d814c6/NP2018-6125901.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/81cc/5883990/7fc1bce43d08/NP2018-6125901.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/81cc/5883990/f1e7aab9ca18/NP2018-6125901.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/81cc/5883990/4b70007b2e9b/NP2018-6125901.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/81cc/5883990/7e5e7a575e69/NP2018-6125901.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/81cc/5883990/e370df0f631c/NP2018-6125901.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/81cc/5883990/b0c5dd1c8739/NP2018-6125901.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/81cc/5883990/ef13f7d814c6/NP2018-6125901.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/81cc/5883990/7fc1bce43d08/NP2018-6125901.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/81cc/5883990/f1e7aab9ca18/NP2018-6125901.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/81cc/5883990/4b70007b2e9b/NP2018-6125901.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/81cc/5883990/7e5e7a575e69/NP2018-6125901.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/81cc/5883990/e370df0f631c/NP2018-6125901.007.jpg

相似文献

[1]
Motor Improvement of Skilled Forelimb Use Induced by Treatment with Growth Hormone and Rehabilitation Is Dependent on the Onset of the Treatment after Cortical Ablation.

Neural Plast. 2018-3-20

[2]
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[3]
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[4]
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[5]
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[6]
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[7]
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[8]
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[9]
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[10]
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引用本文的文献

[1]
Neuroprotective and Regenerative Effects of Growth Hormone (GH) in the Embryonic Chicken Cerebral Pallium Exposed to Hypoxic-Ischemic (HI) Injury.

Int J Mol Sci. 2022-8-13

[2]
Growth Hormone Increases BDNF and mTOR Expression in Specific Brain Regions after Photothrombotic Stroke in Mice.

Neural Plast. 2022

[3]
Clinical Evaluation of Different Treatment Strategies for Motor Recovery in Poststroke Rehabilitation during the First 90 Days.

J Clin Med. 2021-8-21

[4]
Cell Proliferation in the Piriform Cortex of Rats with Motor Cortex Ablation Treated with Growth Hormone and Rehabilitation.

Int J Mol Sci. 2021-5-21

[5]
Growth Hormone and the Auditory Pathway: Neuromodulation and Neuroregeneration.

Int J Mol Sci. 2021-3-11

[6]
Growth Hormone Treatment Promotes Remote Hippocampal Plasticity after Experimental Cortical Stroke.

Int J Mol Sci. 2020-6-26

[7]
Growth Hormone Promotes Motor Function after Experimental Stroke and Enhances Recovery-Promoting Mechanisms within the Peri-Infarct Area.

Int J Mol Sci. 2020-1-17

[8]
Factors Involved in the Functional Motor Recovery of Rats with Cortical Ablation after GH and Rehabilitation Treatment: Cortical Cell Proliferation and Nestin and Actin Expression in the Striatum and Thalamus.

Int J Mol Sci. 2019-11-16

[9]
Should We Care About Early Post-Stroke Rehabilitation? Not Yet, but Soon.

Curr Neurol Neurosci Rep. 2019-2-20

[10]
Overexpression of kynurenic acid and 3-hydroxyanthranilic acid after rat traumatic brain injury.

Eur J Histochem. 2018-11-14

本文引用的文献

[1]
Rehabilitation drives enhancement of neuronal structure in functionally relevant neuronal subsets.

Proc Natl Acad Sci U S A. 2016-3-8

[2]
Learning and Memory Recoveries in a Young Girl Treated with Growth Hormone and Neurorehabilitation.

J Clin Med. 2016-1-26

[3]
Brain Recovery after a Plane Crash: Treatment with Growth Hormone (GH) and Neurorehabilitation: A Case Report.

Int J Mol Sci. 2015-12-21

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The structure and function of actin cytoskeleton in mature glutamatergic dendritic spines.

Brain Res. 2014-7-21

[5]
Cortical ablation induces time-dependent changes in rat pituitary somatotrophs and upregulates growth hormone receptor expression in the injured cortex.

J Neurosci Res. 2014-10

[6]
Early growth hormone (GH) treatment promotes relevant motor functional improvement after severe frontal cortex lesion in adult rats.

Behav Brain Res. 2013-3-18

[7]
Growth hormone replacement therapy in patients with traumatic brain injury.

J Neurotrauma. 2013-6-5

[8]
Neuro-protective effects of growth hormone (GH) after hypoxia-ischemia injury in embryonic chicken cerebellum.

Gen Comp Endocrinol. 2012-12-19

[9]
The effect of recombinant human growth hormone therapy in patients with completed stroke: a pilot trial.

Ann Rehabil Med. 2012-8

[10]
Growth hormone (GH) and brain trauma.

Horm Behav. 2012-3-1

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